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Christopher J Bump, DC
Magnesium overview
After potassium, magnesium is the second most abundant intracellular ion found in
nature
1. de Baaij JH, Hoenderop JG, Bindels RJ. Magnesium in Man: Implications for Health and Disease. Physiol Rev 2015;95:146.
Pathologies commonly associated with magnesium deficit
Magnesium
Deficiency
Other
Cardiovascular - Asthma
Neurologic & Cognitive - Cystic Fibrosis
- Stroke - Epilepsy - Chronic Obstructive Pulmonary
- Arrhythmias - Parkinsons Disease (COPD)
- Hypertension - Depression - Muscle Cramps
- Myocardial Infarct - Cerebral infarct - Diabetes- Diabetic Pre-Eclampsia
- Vascular calcifications - Vascular calcifications - T-cell deficiency
- Some malignancies
Functions of magnesium in the body are many and varied
Energy metabolism:
Glycolysis, Citric Acid Cycle and Electron Transport Chain
Protein Synthesis:
DNA replication, RNA transcription, amino acid synthesis
Neurologic:
Neuropeptide synthesis, Calcium and NMDA receptor antagonist
Glycolytic Pathway:
involved in each step, converting glucose to pyruvate
as it enters as it enters the Krebs/Citric Acid cycle. 8
enzymatic steps
Krebs Cycle:
involved the majority of conversions
Mitochondria/Electron Transport:
ATP and ADP are bound to magnesium for molecular
stability and transport, and therefore, dependent
1. Ramsoomair D, Carter C. Magnesium: its proven and potential clinical significance. Southern Medical Journal. 2003;94(12):1195-1201
Magnesium Deficiency and Diabetes
Uwe Grber, Joachim Schmidt and Klaus Kisters. Magnesium in Prevention and Therapy
Nutrients 2015, 7(9), 8199-8226; doi:10.3390/nu7095388 Open Access
Magnesium and Vascular Function
Patients with
Magnesium deficiency
demonstrated
increased risk to
hypertension, lipid per
oxidation and
dyslipoproteinemia
affecting both the
endothelium and
vascular smooth
muscle.
Uwe Grber, Joachim Schmidt and Klaus Kisters. Magnesium in Prevention and Therapy
Nutrients 2015, 7(9), 8199-8226; doi:10.3390/nu7095388 Open Access
Common clinical signs and symptoms associated with
magnesium deficiency include:
Most headaches Cardiac arrhythmia
Fatigue Depression
Muscle cramping
TMJ, clenching and bruxism of
Constipation jaw and teeth
Diabetes
Insulin resistance or hypoglycemia
Common clinical signs and symptoms associated with
magnesium deficiency include:
1. GrbeU, Schmidt J, Kisters K. Magnesium in Prevention and Therapy. Nutrients 2015;7:8199-8226. Open Access
Dr. Andrea Rosanoff argues that by 1957, low
magnesium was shown to be, strongly, convincingly,
a cause of atherogenesis and the calcification of soft
tissues this research was widely and immediately
ignored as cholesterol and the high saturated-fat diet
became the culprits to fight.
1. Long S, Romani, A. Role of Cellular Magnesium in Human Diseases. Austin J Nutr Food Sci.2014 Nov 18;2(10)
Life-style precedents for Mg deficiency
Stress
Poor diet with an increased intake of refined, processed, and commercially prepared
foods
Gastro-intestinal disorders
RDA recommends ~ 400 mg/day in male, which is the lowest dose to prevent
disease
Therefore it is not optimum
Average adult loss per day (via fecal and urinary excretion) is about 200 to 300 mg
1. de Baaij JH, Hoenderop JG, Bindels RJ. Magnesium in Man: Implications for Health and Disease. Physiol Rev 2015;95:146.
Pharmaceuticals Affect on Magnesium
GrbeU, Schmidt J, Kisters K. Magnesium in Prevention and Therapy. Nutrients 2015;7:8199-8226. Open Access
Assessing Magnesium Deficiency
Magnesium deficiency is a primarily a clinical diagnosis
with the most common signs and symptoms being:
Muscle tension
Headache
Constipation
Insomnia
Muscle Cramps
Testing for Magnesium:
Test RBC magnesium: Mg is an intracellular mineral
Reference range: 4.2 to 6.8 mg/dL
Functional range: 6.0 - 7.0 mg/dL based on clinical
experience.
Every known illness is associated with a
magnesium deficiency, and magnesium is the
most critical mineral required for electrical
stability of every cell in the body.
1. C. Coudray et.el. Study of magnesium bioavailability from ten organic and inorganic Mg salts in Mg-depleted rats using a stable isotope approach. Magnesium Research 2005;18(4:215-23
2. Classen HG. Magnesium orotateexperimental and clinical evidence. Rom J Intern Med.2004;42(3)491-501.
Typical dosing of magnesium
1. C. Coudray et.el. Study of magnesium bioavailability from ten organic and inorganic Mg salts in Mg-depleted rats using a stable isotope
approach. Magnesium Research 2005;18(4:215-23
2. Long S, Romani, A. Role of Cellular Magnesium in Human Diseases. Austin J Nutr Food Sci.2014 Nov 18;2(10
3. de Baaij JH, Hoenderop JG, Bindels RJ. Magnesium in Man: Implications for Health and Disease. Physiol Rev 2015;95:146.
Summary