DEAR DR. BLONZ: I hope you can clarify information about magnesium supplements on the market, including the hype that most are deficient, that it is a root cause of common ailments and the many promotional claims that their form "is the only one to get." -- H.N., Tulsa
DEAR H.N.: Magnesium, a major essential mineral in the body, is a key player in nerve transmission, the body's use of insulin and carbohydrate metabolism, muscle relaxation, normal heart rhythm, blood pressure regulation and overall cardiovascular health. The body needs magnesium to convert vitamin D to its active form, and, finally, magnesium is also needed for bones and teeth, with more than half found in our bones.
Plant-based, whole-food diets provide good amounts; sources include nuts, bananas, legumes, whole grains, avocados, dark leafy greens, milk and oysters. The recommended intake for magnesium is 420 mg per day.
Be aware that stated requirements take into account the efficiency of absorption. For example, if 30% of mineral compounds tend to be absorbed, a daily "requirement" of 1,000 mg would reflect that the body requires 300 mg (30% of 1,000) of that mineral.
You ask about the variety of magnesium supplements on the market; the essential concept is that whatever form it's in when swallowed, the magnesium that gets absorbed is all the same. Several forms compete for our attention, often promoted with exorbitant sales-talk claims. At issue is the ease with which magnesium separates from the compound it's bound to; that helps determine the amount of time the magnesium is in solution and available for absorption. Remember that a magnesium supplement consumed as part of a meal gains the advantage of the slower movement of the meal's bulk. In such cases, slight differences in solubility may not translate to meaningful differences in overall absorption.
As for magnesium's forms, oxide, sulfate and carbonate are less soluble; these do best if taken with a mixed meal. The more soluble forms include magnesium citrate, orotate, gluconate, aspartate, malate, lactate, chloride, taurate, l-threonate and glycinate (because glycine is an amino acid, this form gets referred to as "chelated" magnesium). Some products offer a variety of forms. Again, absent clinical evidence, do not be enticed by promotional claims of exorbitant superiority of one over the other.
Among the least soluble are magnesium oxide and magnesium hydroxide; the former has water-absorbing effects that can help soften hard stools and gets used in laxatives; the latter has acid-neutralizing abilities and is found in OTC antacids. These are not the best options to up your intake of magnesium.
The kidneys are critical to eliminating excess magnesium, so check with your health professional before taking supplements if you have renal issues. The important flip side is that when intakes fall below the recommended levels, the kidneys can help by limiting the amount lost in the urine. This tends to be the case with many nutrients, meaning there is no need to get frantic with occasional lower-than-recommended intakes. However, low magnesium intake for a long period can lead to magnesium deficiency. Those with gastrointestinal disorders, type 2 diabetes, or alcohol dependency issues, as well as older adults, can be at increased risk for magnesium deficiency.
It is best to be sure foods providing this essential mineral have a regular place in your diet; again, discuss the advisability of taking supplements with your health professional. Don't be swayed by overstated claims of clinical superiority of one soluble form over the other. I use "clinical superiority" in this advisory. While studies might show a few more milligrams absorbed of one soluble form of magnesium over another, this should not be assumed to impact the risk of disease (clinical significance). Getting the recommended amount of magnesium is the goal here. Check the National Institutes of Health magnesium fact sheet at b.link/979bks.
Send questions to: "On Nutrition," Ed Blonz, c/o Andrews McMeel Syndication, 1130 Walnut St., Kansas City, MO, 64106. Send email inquiries to questions@blonz.com. Due to the volume of mail, personal replies cannot be provided.