Magnesium: A Comprehensive Reference
1. Identity and Chemical Overview
Magnesium is a chemical element with the symbol Mg and atomic number 12. Magnesium (Mg2+) is the fourth most abundant cation in the human body and a critical cofactor in hundreds of enzymatic reactions that regulate energy metabolism, neuromuscular function, cardiovascular health, bone integrity, immune defense, and psychological well-being. Magnesium is an abundant mineral in the body, is naturally present in many foods, available as a dietary supplement, and present in some medicines such as antacids and laxatives.
The earliest known reference to magnesium was in the form of a magnesium-containing mineral called magnesite, which was discovered in ancient Greece. The name "magnesium" is derived from Magnesia, a district in ancient Greece where this mineral was found. Joseph Black, a Scottish chemist, was pivotal in identifying magnesium as an element in the 1750s, although Sir Humphry Davy was the first to isolate it in 1808.
1.1 Natural Sources
Magnesium is part of the green pigment chlorophyll, which is vital for photosynthesis in plants; therefore green leafy vegetables are a good dietary source for magnesium. Magnesium is also found in high concentrations in fish, dairy products, meats, whole grains, and nuts. Additionally chocolate, coffee, and hard water contain a good amount of magnesium.
Magnesium is commonly extracted from seawater, where it is the third most common component. As a dietary supplement, magnesium is found naturally in many foods, including legumes, nuts, seeds, whole grains, and green leafy vegetables.
1.2 Common Supplement Forms and Preparations
Magnesium is available in a wide range of supplemental forms, broadly classified as organic and inorganic salts. Magnesium supplements are broadly categorized into organic and inorganic compounds. Organic forms, such as magnesium citrate, glycinate, lactate, or malate, involve magnesium chelated to organic molecules like amino acids or organic acids. These forms are generally more soluble and have higher bioavailability. Inorganic forms, such as magnesium oxide, sulphate, and chloride, are bound to inorganic salts and tend to have lower solubility and absorption rates.
- Magnesium citrate: One of the most bioavailable forms, with high solubility in water, leading to efficient absorption. Magnesium citrate had high solubility even in water (55%) and was substantially more soluble than magnesium oxide in all states of acid secretion.
- Magnesium glycinate (bisglycinate): Magnesium glycinate is often recommended for individuals with sensitive digestive systems, as it tends to cause fewer gastrointestinal side effects. The absorption of magnesium chelated with amino acids, such as magnesium glycinate, via the dipeptide transporter pathway has also been observed.
- Magnesium oxide: Magnesium oxide was virtually insoluble in water and only 43% soluble in simulated peak acid secretion. It is the most concentrated form by weight but has lower bioavailability compared to organic salts.
- Magnesium aspartate: Magnesium aspartate is a magnesium salt of aspartic acid, commonly used as a dietary supplement to prevent and treat magnesium deficiencies. The aspartate form displays high oral bioavailability and water solubility, meaning it is efficiently absorbed by the body.
- Magnesium L-threonate: Magnesium L-threonate has gained attention for its potential cognitive benefits, attributed to its ability to cross the blood–brain barrier, though more research is needed to fully understand its efficacy in this context.
- Magnesium carbonate: Magnesium carbonate is a common over-the-counter remedy for heartburn and indigestion caused by excess stomach acid; however, it should be used only for short-term relief, as prolonged use may lead to digestive discomfort.
- Magnesium sulfate (Epsom salt): Historically, magnesium-rich mineral waters were consumed for their purported health benefits, and Epsom salts (magnesium sulfate) have been used for centuries for their soothing properties.
Magnesium is available in multivitamin-mineral supplements and other dietary supplements. Forms of magnesium in dietary supplements that are more easily absorbed by the body are magnesium aspartate, magnesium citrate, magnesium lactate, and magnesium chloride. Magnesium is also included in some laxatives and some products for treating heartburn and indigestion.
2. Traditional and Historical Use
Several ancient authors, in particular Hippocrates II, Claudius Galen, and Soran of Ephesus, described the profound laxative effect of sea salt and of crushed dolomite, as well as a positive effect on the psyche of drinking mineral waters from sources that were found by modern scientists to be rich in magnesium, lithium, and bromine.
The laxative effect of mineral waters from some sources rich in magnesium, or of salts that were extracted from such sources, was known in the Middle Ages. Later, Paracelsus discovered that these salts could be useful not only as a laxative, but also as a sedative. In 1707, Massimiliano Valentini first obtained magnesium oxide, which immediately found its use in medicine, as an antacid, as a mild laxative, and as a skin powder.
Magnesium was used as a curative as early as ancient times, in the form of laxatives and Epsom salts. In the 1600s, water from the famous Epsom spring discovered in England was a popular curative, used as an internal remedy and purifier of the blood. In the 17th century, the healing spring of Epsom, England became famous. The water there was rich in magnesium sulfate, and locals quickly noticed its cleansing and calming effects.
The ancient Greeks and Romans used magnesite for medicinal purposes, believing that it had healing properties. In ancient Egypt, records illustrate the use of mineral-rich salts, including magnesium, for mummification and medicinal remedies.
Magnesium has been recognized for its health benefits since ancient times, with its use documented in traditional medicine systems such as Ayurveda and Traditional Chinese Medicine (TCM). In traditional Chinese medicine (TCM), balance is everything. Magnesium often appeared in mineral-based powders and tonics used to restore harmony in the body. Magnesium salts helped clear heat from the body, reduce inflammation, and regulate digestion. Ayurveda, India's ancient system of medicine, also used magnesium-rich clays and salts. Practitioners used them to calm the skin, support detoxification, and reduce anxiety. Rock salt, which contains magnesium, was often part of digestive and skin remedies.
In 1926, Jacques Leroy was the first to prove the vital importance of magnesium for the physiology of animals.
3. Key Constituents, Active Compounds, and Mechanisms of Action
Unlike botanical supplements that contain diverse phytochemicals, magnesium's activity resides in the Mg2+ ion itself. Its biological roles are extensive and multifaceted.
3.1 Enzymatic Cofactor
Magnesium is a cofactor in more than 300 enzyme systems that regulate diverse biochemical reactions in the body, including protein synthesis, muscle and nerve function, blood glucose control, and blood pressure regulation. Magnesium is required for energy production, oxidative phosphorylation, and glycolysis.
Phosphoryl transfer is a fundamental reaction in cellular signaling and metabolism that requires Mg2+ as an essential cofactor. While the primary function of Mg2+ is electrostatic activation of substrates such as ATP, the full spectrum of catalytic mechanisms exerted by Mg2+ is not completely known. The divalent cation activates the attacked phosphoryl group and/or the leaving group of ATP by charge neutralization, electron withdrawal, and by adjustment of the conformation of the polyphosphate chain.
3.2 ATP Synthesis
Mg2+ plays a pivotal role in transition state formation during ATP synthesis catalyzed by ATP synthases, a role that involves both its preferential coordination with phosphate and the repositioning of the P-loop. This makes magnesium indispensable for cellular energy generation across virtually all tissues.
3.3 Ion Transport and Na/K-ATPase
Mg2+ is an essential cofactor for activation of enzymatic ATP hydrolysis in the Na,K-ATPase without being transported through the cell membrane. Moreover, experimental evidence has been collected showing that Mg2+ ions have a regulatory effect on ion transport by interacting with the cytoplasmic side of the ion pump.
3.4 Bone Metabolism
Magnesium is involved in bone formation and influences the activities of osteoblasts and osteoclasts. Magnesium also affects the concentrations of both parathyroid hormone and the active form of vitamin D, which are major regulators of bone homeostasis.
3.5 Neurological Function
Magnesium modulates neuronal excitability through voltage-gated calcium antagonism and N-methyl-D-aspartate (NMDA) receptor blockade, thereby attenuating cortical spreading depression and trigeminovascular activation, both core migraine mechanisms.
3.6 Inflammation
One hypothesized mechanism eliciting beneficial effects on health outcomes is the action of magnesium on serum inflammatory parameters. Among 2,484 papers initially screened, 17 randomized controlled trials (889 participants; mean age: 46 years; females: 62.5%) were included in a 2022 meta-analysis. Generally, a low risk of bias was present. In meta-analysis, magnesium supplementation significantly decreased serum C-reactive protein (CRP) and increased nitric oxide (NO) levels.
4. Scientific Evidence by Area of Use
4.1 Cardiovascular Health and Blood Pressure
In 2022, the U.S. Food and Drug Administration (FDA) approved a qualified health claim for conventional foods and dietary supplements that contain magnesium. One example of this claim states, "Consuming diets with adequate magnesium may reduce the risk of high blood pressure (hypertension). However, FDA has concluded that the evidence is inconsistent and inconclusive." FDA also specifies that the foods and dietary supplements that carry this claim on their labels must provide at least 84 mg of magnesium per serving and, for dietary supplements, no more than 350 mg.
The latest evidence review by the United States FDA in 2022 identified supportive yet inconclusive evidence that diets with adequate magnesium reduce hypertension. Of the meta-analyses conducted to date, 2 of those reviewing randomized controlled trials found small yet significant reductions in systolic BP (SBP) and diastolic BP (DBP), 1 found magnesium supplementation reduced DBP but not SBP among hypertensive individuals, and 1 review found no effect of oral magnesium supplementation on BP.
The Atherosclerosis Risk in Communities Study assessed heart disease risk factors and levels of serum magnesium in a cohort of 14,232 White and African-American men and women age 45 to 64 years at baseline. This large prospective study represents some of the more robust epidemiological evidence in this area.
Evidence strength: Epidemiological associations are reasonably consistent for cardiovascular benefit; however, RCT evidence for blood pressure reduction is mixed, and the FDA characterizes the totality as inconsistent and inconclusive.
4.2 Type 2 Diabetes and Glycemic Control
Previous studies have demonstrated that diabetes is often accompanied with lower magnesium status. Magnesium has been implicated in the pathophysiology of type 2 diabetes, with magnesium deficiency contributing to insulin resistance and impaired glucose metabolism.
Pooled analyses of 24 randomized controlled trials with 1,325 type 2 diabetes (T2D) individuals revealed that subjects who received magnesium supplementation had statistically significant reductions in fasting plasma glucose, glycated hemoglobin, systolic blood pressure, and diastolic blood pressure.
A meta-analysis of 23 randomized controlled trials involving 1,345 participants evaluated the effects of magnesium supplementation on glycemic control in type 2 diabetes mellitus. Magnesium supplementation significantly increased serum magnesium levels and reduced fasting blood glucose levels; however, the impact on glycated hemoglobin was minimal. Subgroup analysis showed a greater reduction in glycated hemoglobin among participants aged ≥65 years and those receiving longer durations of supplementation.
Despite the abundance of research, the efficacy of magnesium supplements for glycemic control in diabetic patients remains inconclusive.
Following magnesium supplementation in one systematic review and meta-analysis, a significant improvement was observed in fasting plasma glucose, HDL cholesterol, LDL cholesterol, plasma triglycerides, and systolic blood pressure. During subgroup analysis, a more beneficial effect of magnesium supplementation was observed in diabetic subjects with hypomagnesemia.
In a small randomized controlled trial conducted in 2018 with 42 patients, researchers found that for patients with type 2 diabetes, oral magnesium supplementation may improve glycemic control indicators and reduce insulin resistance. Specifically, participants who took 250 mg a day of elemental magnesium for 3 months saw significant improvements in insulin levels and HbA1c.
Evidence strength: Moderate. Multiple meta-analyses of RCTs show statistically significant reductions in fasting blood glucose. The effect on HbA1c is smaller and less consistent. Benefits appear most robust in individuals with existing hypomagnesemia. Larger, longer-term RCTs are needed before definitive clinical guidelines can be issued.
4.3 Sleep Quality
Magnesium, in particular, is popular on social media for the treatment of anxiety and insomnia. Meanwhile, preclinical studies support associations between magnesium status, sleep quality, and symptoms of anxiety. The extent to which these claims are evidence-based is unclear.
A systematic review in 2021 found only three randomized controlled trials, with 151 total participants, assessing magnesium's effects on sleep. The results suggested magnesium helped people fall asleep 17 minutes faster, but they didn't find that people slept any longer, and the trials were low quality. A 2022 study of nearly 4,000 participants found borderline improvement in sleep quality, but it was an observational trial. A systematic review in 2023 also saw benefits in observational trials but only contradictory results in randomized controlled trials. They also had few participants, and the trial duration was too short to yield meaningful answers.
The most recent systematic review, from 2024, investigated magnesium's impact on anxiety and sleep. Five out of eight studies found improvements in sleep, while two studies showed no benefit, and one had mixed findings.
A 2025 trial found that 28 days of supplementation (250 mg elemental magnesium as magnesium bisglycinate, with 1,523 mg glycine) resulted in modest but statistically significant improvements in insomnia severity index (ISI) scores (effect size d = 0.2) in adults with self-reported primary insomnia symptoms.
A systematic review confirmed that the quality of literature is substandard for physicians to make well-informed recommendations on usage of oral magnesium for older adults with insomnia.
Evidence strength: Preliminary to weak for dedicated RCT evidence. While observational data and preclinical work are suggestive, the few RCTs conducted to date are small, short in duration, and inconsistent in design. Sleep-related effects cannot be definitively confirmed from current evidence.
4.4 Anxiety and Mood
A 2017 systematic review concluded that about half the studies looking at magnesium and anxiety found a positive effect, but the studies were poor quality. A slightly larger trial similarly found improvements in anxiety and stress symptoms, and a 2020 systematic review found benefits for mild depression symptoms and anxiety. But the benefits did not show up in studies specifically in people with panic disorder or generalized anxiety disorder.
A 2024 systematic review found that five out of seven studies showed improvements in anxiety reported by the participants.
A small study in 2022 found that open-heart surgery patients who received magnesium had lower levels of anxiety and depression, suggesting a short-term benefit following anxiety-inducing experiences.
Evidence strength: Weak to preliminary. Most RCTs in this area are small and of low methodological quality. The evidence does not currently support magnesium supplementation as a treatment for diagnosed anxiety disorders.
4.5 Migraine Prevention and Treatment
Low magnesium status has been associated with neurological dysfunction, particularly migraines. Magnesium modulates neuronal excitability through voltage-gated calcium antagonism and NMDA receptor blockade, thereby attenuating cortical spreading depression and trigeminovascular activation, both core migraine mechanisms. Observational studies have reported lower circulating magnesium concentrations in migraine patients.
Accumulated evidence from case reports, case-control studies, observational studies, and randomized, placebo-controlled trials has shown the effectiveness of magnesium supplementation in alleviating migraine, both acutely and chronically.
Magnesium supplementation reduced migraine attacks (mean difference = −2.51), severity (mean difference = −0.88), and the monthly migraine days (mean difference = −1.66) compared with the control group in a systematic review and dose-response meta-analysis of randomized controlled trials.
One systematic review used six randomized controlled trials (RCTs) to evaluate the use of oral magnesium supplementation as prophylaxis in migraine, published between 1991 and 2021.
The National Headache Foundation suggests a daily dose of 400–600 mg of magnesium to reduce the frequency of migraine attacks; however, because this is greater than the RDA, it may lead to side effects (e.g., muscle weakness, diarrhea) in some people and may not be safe with certain medical conditions. They recommend discussing the use of high-dosage magnesium supplements with a physician.
For acute intravenous use, a meta-analysis of five RCTs totaling 295 patients found that the percentage of patients who experienced relief from headache at 30 minutes was 7% lower in the magnesium groups compared with controls, and the percentage who experienced side effects or adverse events was greater in the magnesium groups by 37%.
Evidence strength: Moderate for oral prophylaxis. Meta-analyses of RCTs suggest reduction in migraine frequency and severity with oral supplementation. Evidence for acute IV treatment in emergency settings is mixed and limited by small sample sizes.
4.6 Bone Health and Osteoporosis
Magnesium is involved in bone formation and influences the activities of osteoblasts and osteoclasts. Magnesium also affects the concentrations of both parathyroid hormone and the active form of vitamin D, which are major regulators of bone homeostasis.
Osteoporosis is an area where magnesium plays a role in the development of healthy bones. People with higher levels of magnesium might have a higher bone mineral density. This is important in helping reduce the risk of bone fractures associated with osteoporosis.
One short-term study found that 290 mg/day elemental magnesium (as magnesium citrate) for 30 days in 20 postmenopausal women with osteoporosis suppressed bone turnover compared with placebo, suggesting that bone loss decreased. Diets that provide the recommended levels of magnesium enhance bone health, but further research is needed to elucidate the role of magnesium in the prevention and management of osteoporosis.
Other studies have reported finding low serum magnesium levels among women with osteoporosis. However, more research is needed to determine whether magnesium supplements can help prevent or manage osteoporosis.
Future well-designed, long-term clinical studies are needed to better define dose-response relationships, to optimize supplementation strategies, and to determine the extent to which magnesium should be incorporated into standard prevention and treatment approaches for osteoporosis.
Evidence strength: Preliminary. Associations between magnesium status and bone density are epidemiologically consistent, but clinical trial evidence for supplementation outcomes is limited and short-term. No definitive RCT evidence currently supports magnesium supplementation as a standalone intervention for osteoporosis management.
4.7 Inflammation and Oxidative Stress
Among 889 participants across 17 RCTs (mean age: 46 years; females: 62.5%) in a 2022 meta-analysis, generally a low risk of bias was present. Magnesium supplementation significantly decreased serum C-reactive protein (CRP) and increased nitric oxide (NO) levels.
Evidence strength: Moderate for biomarker reduction (CRP, NO). Clinical relevance of these biomarker changes for hard endpoints such as morbidity or mortality requires further investigation in longer-term trials.
5. Body Systems and Health Areas Associated with Magnesium
Despite magnesium's essential roles, magnesium deficiency remains common worldwide, driven by inadequate dietary intake, chronic diseases, medication use, and lifestyle factors. Low magnesium status is associated with hypertension, type 2 diabetes, osteoporosis, migraines, depression, and chronic inflammation, whereas sufficient intake supports cardiometabolic resilience, skeletal strength, neurological stability, and healthy aging.
Level I evidence supports the use of magnesium in the prevention and treatment of many common health conditions including migraine headache, metabolic syndrome, diabetes, hyperlipidemia, asthma, premenstrual syndrome, preeclampsia, and various cardiac arrhythmias.
Emerging evidence confirms that nearly two-thirds of the population in the western world is not achieving the recommended daily allowance for magnesium, a deficiency problem contributing to various health conditions.
- Musculoskeletal system: Magnesium deficiency can have profound effects on health, leading to symptoms such as muscle cramps, fatigue, weakness, and cardiovascular abnormalities.
- Nervous system: Magnesium regulates NMDA receptor activity and modulates neuronal excitability, with implications for migraine, sleep, and mood.
- Cardiovascular system: Chronic magnesium deficiency has been associated with an increased risk of cardiovascular disease (CVD), type 2 diabetes, osteoporosis, and migraine headaches.
- Endocrine/metabolic system: Magnesium participates in insulin secretion and insulin receptor signaling, with deficiency linked to insulin resistance.
- Skeletal system: Magnesium influences osteoblast and osteoclast activity and affects concentrations of vitamin D and parathyroid hormone.
- Immune system: Magnesium supplementation is associated with reductions in markers of systemic inflammation including CRP.
6. Deficiency: Symptoms and Prevalence
Early signs and symptoms of magnesium deficiency include loss of appetite, nausea, vomiting, fatigue, and weakness. As magnesium deficiency worsens, numbness, tingling, muscle contractions and cramps, seizures, personality changes, abnormal heart rhythms, and coronary spasms can occur. Severe magnesium deficiency can disrupt mineral homeostasis and cause hypocalcemia (low serum calcium levels) or hypokalemia (low serum potassium levels).
The diets of most people in the United States provide less than the recommended amounts of magnesium. Men older than 70 and teenage girls are most likely to have low intakes of magnesium.
It is estimated that between 56 and 68% of Americans do not obtain enough magnesium in their diet on a daily basis to meet the recommended daily allowance.
As we age, magnesium absorption and retention can decrease, leading to deficiency and health consequences. Older people are more susceptible to magnesium deficiency due to factors like decreased absorption from food, increased medication use (diuretics can deplete magnesium), and potential dietary restrictions.
7. Dosage: Recommended Intakes and Study Dosages
7.1 Recommended Dietary Allowances (RDA)
The Recommended Dietary Allowance (RDA) for magnesium varies depending on age, sex, and life stage. The RDA for adult men is 400–420 mg/day, while for adult women it is 310–320 mg/day. During pregnancy and lactation, magnesium requirements increase to support maternal and fetal health.
Pregnancy requires about 350–360 mg daily and lactation, 310–320 mg. The Tolerable Upper Intake Level (UL) for magnesium is 350 milligrams from supplements only.
7.2 Dosages Used in Clinical Studies
- General supplementation range (meta-analyses): The dose of magnesium ranged from approximately 243 to 973 mg/day across studies reviewed by the NIH ODS.
- Type 2 diabetes (small RCT): Participants who took 250 mg a day of elemental magnesium for 3 months saw significant improvements in insulin levels and HbA1c.
- Osteoporosis (short-term RCT): 290 mg/day elemental magnesium (as magnesium citrate) for 30 days in 20 postmenopausal women with osteoporosis suppressed bone turnover compared with placebo.
- Migraine prophylaxis: The National Headache Foundation suggests a daily dose of 400–600 mg of magnesium to reduce the frequency of migraine attacks.
- Sleep (RCT): 28 days of supplementation with 250 mg elemental magnesium (as magnesium bisglycinate, 1,523 mg glycine) resulted in modest but statistically significant improvements in insomnia severity index (ISI) scores.
7.3 The Tolerable Upper Intake Level (UL) Debate
The Food and Nutrition Board (FNB) has established ULs for supplemental magnesium for healthy infants, children, and adults. For many age groups, the UL appears to be lower than the RDA. This occurs because the RDAs include magnesium from all sources — food, beverages, dietary supplements, and medications — while the ULs only include magnesium from dietary supplements and medications and do not include magnesium found naturally in food and beverages.
Data indicate that doses above the current UL for magnesium supplements can be consumed without adverse events. These updated data suggest that increasing the tolerable upper intake level for magnesium supplements is safe and may decrease the prevalence of individuals not meeting their need for this nutrient, which contributes to protection against numerous chronic diseases.
High-dose supplements can lead to diarrhea, nausea, and cramping in some people. Extra magnesium from food is safe because the kidneys will eliminate excess amounts in urine.
8. Safety Considerations and Drug Interactions
8.1 Adverse Effects from Supplemental Magnesium
Magnesium supplements can cause nausea, cramps, and diarrhea. Magnesium supplements often cause softening of stool and are used for this purpose. The most common side effects of magnesium are stomach-related issues. Side effects usually occur at higher doses and are also more common with inorganic forms of magnesium, such as magnesium oxide.
One meta-analysis found only minor differences in gastrointestinal disturbances between groups given placebo versus 520 mg Mg/day, but withdrawals were not significantly different between groups. Another meta-analysis found that 3 of 13 studies (at doses of 120–973 mg/day) reported diarrhea that led to study withdrawal.
8.2 Drug Interactions
Several drugs including diuretics and proton-pump inhibitors can cause magnesium loss and hypomagnesemia. Magnesium and drugs use the same transport and metabolism pathways in the body for their intestinal absorption, metabolism, and elimination. This means that when one or more drugs are taken, there is always a potential risk of interaction with magnesium status. Consequently, the action of a drug may be adversely affected by magnesium — for example, magnesium, calcium, and zinc can interfere with the gastrointestinal absorption of tetracycline antibiotics — and simultaneously the physiological function of magnesium may be impaired by a drug (e.g., diuretics inducing renal magnesium loss).
- Bisphosphonates: Magnesium-rich supplements or medications can decrease the absorption of oral bisphosphonates, such as alendronate (Fosamax®), used to treat osteoporosis. Use of magnesium-rich supplements or medications and oral bisphosphonates should be separated by at least 2 hours.
- Tetracycline and quinolone antibiotics: Magnesium can form insoluble complexes with tetracyclines, such as demeclocycline and doxycycline, as well as quinolone antibiotics such as ciprofloxacin and levofloxacin. The antibiotic should be taken at least 2 hours before or 4–6 hours after magnesium.
- Diuretics: Diuretics are commonly used to lower blood pressure and to decrease fluid in the body. Depending on the type, they can increase or decrease magnesium in the body. Loop and thiazide diuretics deplete magnesium through increased urinary excretion; potassium-sparing diuretics, such as amiloride and spironolactone, reduce magnesium loss.
- Proton pump inhibitors (PPIs): Prescription proton pump inhibitor (PPI) drugs, when taken for prolonged periods (typically more than a year), can cause hypomagnesemia. In cases that FDA reviewed, magnesium supplements often raised the low serum magnesium levels caused by PPIs. However, in 25% of the cases, supplements did not raise magnesium levels and the patients had to discontinue the PPI. FDA advises healthcare professionals to consider measuring patients' serum magnesium levels prior to initiating long-term PPI treatment and to check magnesium levels in these patients periodically.
- Gabapentin: Magnesium may reduce the absorption of gabapentin by 20%, making it less effective.
8.3 Populations with Elevated Risk of Deficiency
Certain groups of people are more likely than others to have magnesium inadequacy. These include older adults (due to decreased absorption), individuals with gastrointestinal disorders, those with type 2 diabetes, people with alcohol dependence, and individuals on certain long-term medications as described above.
8.4 Severe Toxicity
Hypermagnesemia (excess magnesium) from supplemental intake is rare in individuals with normal kidney function because the kidneys efficiently excrete excess magnesium. Signs of a magnesium overdose can include nausea, diarrhea, low blood pressure, muscle weakness, and fatigue. At very high doses, magnesium can be fatal. Risk is substantially elevated in individuals with impaired renal function.
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- NIH Office of Dietary Supplements — Magnesium Fact Sheet for Consumers
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