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Magnesium
Steve Irsfeld RPh • Dec 26, 2023

Why is it so vital?

Everything Magnesium


It's not often that one of my readers’ requests a specific topic, and when it happens, I am always ready to embrace the subject. That is only partially true as one wanted me to discuss headlice, which isn't much to write about with that topic.  Magnesium is another story I have written about on multiple occasions. One request on magnesium was to sort through the different salt forms to give a better understanding of which ones to use based on the condition being treated. 

 

A recent study shows that 68% of Americans do not consume the recommended daily magnesium intake. Even more frightening is data from this study showing that 19% of Americans do not consume even half of the government's recommended daily magnesium intake.  Estimates show that about ½ of Americans are deficient and don't know they are.

 

Magnesium is the master mineral as it helps regulate other macro-minerals, including calcium, sodium, and potassium. It is responsible for activating over 300 enzymes and biochemical reactions in the body, with the most critical reaction producing energy in our bodies. When deficient in magnesium, our bodies are less efficient, making the impact of stress on our health drastically worse.

 

When thinking of magnesium, my mind goes to its effect on cardiovascular disease. Magnesium has an impact on decreasing cardiovascular risk. It reduces blood vessel constriction, relaxes electrical impulses, encourages calmness, maintains the normal rhythm of your heart, and, lastly, it increases our good HDL cholesterol.

 

Other areas that benefit from magnesium include improved physical performance. Magnesium requirements are estimated to increase by 10 percent to 20 percent during strenuous exercise. A study published in the American Journal of Clinical Nutrition looked at the effects of magnesium on performance in 124 women. After 12 weeks, daily supplementation with magnesium oxide improved physical performance compared to a control group.

 

In one study, patients with low intake and low magnesium levels had higher levels of inflammatory markers. Another study shows that magnesium supplementation lowered inflammation markers in adults with prediabetes. Supplementing with magnesium can be beneficial in the fight against inflammation.

 

I mentioned the lowering of inflammation in patients with prediabetes. Still, there are also benefits to higher doses of magnesium, such as decreasing blood glucose levels and helping to prevent insulin resistance in type II diabetes. A study published in Diabetes Care found that magnesium improved insulin sensitivity and reduced blood glucose in patients with diabetes who had low magnesium levels.


Migraine headache prevention is another area in which magnesium is effective. Many studies looked at either low levels possibly being a cause of migraine headaches or using magnesium to decrease the frequency and severity of headaches.


Lastly, magnesium can be beneficial in helping with insomnia, anxiety, and depression. Magnesium has some muscle relaxant properties, and taking it at bedtime can help increase sleep time and reduce the time it takes to fall asleep. Would a person know they are deficient? The magnesium test is a blood test. There are two types: a serum test and an RBC magnesium test. The first test measures the magnesium in your blood, and the second looks at the magnesium in your red blood cells. An RBC magnesium level would be a more accurate test to determine a person's magnesium status; however, it is not a routine test and would need your provider's request.


Signs of deficiency can include the following symptoms: muscle cramps, tremors, irritability, headaches, generalized anxiety, panic attacks, insomnia, and fatigue.


Causes of Magnesium Deficiency include food processing, artificial fertilizers, alcoholism, caffeine, excess sugar intake, and drug-induced depletions. Some drugs responsibe for depletion are proton-pump inhibitors (omeprazole, lansoprazole, pantoprazole), diuretics (bumetanide, chlorothiazide, chlorthalidone, furosemide, hydrochlorothiazide, indapamide, torsemide), oral estrogens, and oral contraceptives.


Drug-induced nutrient depletions are a genuine concern. A 2018 CDC statistic showed that 12.8% of the population takes five or more prescription medications. Now consider the number of patients taking OTC medications, specifically proton-pump inhibitors, because they are available without a prescription. Taking PPIs can be a huge problem. Many patients take diuretics to control blood pressure and to treat other forms of cardiovascular disease, which can only add to their issues if the magnesium deficit is not addressed.


Good sources of magnesium include green leafy vegetables, whole grains, beans, and nuts; consumption of whole grains, dark-green vegetables, and beans among Americans is well below intake recommendations. When diet isn't possible, dietary supplements can help make up the difference.


Choosing a magnesium supplement can be a difficult task as there are so many different products available. Unfortunately, magnesium is not available as simply magnesium, and it needs to be attached to another ingredient to form a salt. The most common salt forms are chloride, oxide, sulfate, citrate, glycinate, and l-threonate. The latter 3 are the ones that I recommend, and here is why:


Citrate has a good bioavailability compared to oxide. It is also rapidly absorbed in the digestive tract but has a stool-loosening effect. This form is found in many supplements and remains a solid option for delivering magnesium into the body.


, which has glycine, is a well-known calming amino acid. This combination has good bioavailability and does not have the laxative effect of citrate since glycine is actively transported through the intestinal wall. Due to glycine and magnesium's calming and relaxing effect, this combination has been used successfully for chronic pain, muscle issues, and stress.


L-threonate is easily absorbed. Animal research notes it may be the most effective type for increasing magnesium concentrations in brain cells. It is often used for potential brain benefits and may help manage certain brain disorders, such as depression and age-related memory loss.


Important to note: Magnesium should not be given to those with kidney disease without a practitioner's consent.


My staff and I can help you with questions about magnesium supplementation, so stop by the pharmacy or call to schedule a consultation. Please visit my website at www.irsfeldpharmacy.com to find this and other archived articles in the blog section. 

 

Until next time, be vigilant about your health!!


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