10 Questions You Should to Know about Magnesium Oxide Supplier

02 Sep.,2024

 

Magnesium - Health Professional Fact Sheet

This is a fact sheet intended for health professionals. For a general overview, see our consumer fact sheet.

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Introduction

Magnesium, an abundant mineral in the body, is naturally present in many foods, added to other food products, available as a dietary supplement, and present in some medicines (such as antacids and laxatives). 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 [1-3]. Magnesium is required for energy production, oxidative phosphorylation, and glycolysis. It contributes to the structural development of bone and is required for the synthesis of DNA, RNA, and the antioxidant glutathione. Magnesium also plays a role in the active transport of calcium and potassium ions across cell membranes, a process that is important to nerve impulse conduction, muscle contraction, and normal heart rhythm [3].

An adult body contains approximately 25 g magnesium, with 50% to 60% present in the bones and most of the rest in soft tissues [4]. Less than 1% of total magnesium is in blood serum, and these levels are kept under tight control. Normal serum magnesium concentrations range between 0.75 and 0.95 millimoles (mmol)/L [1,5]. Hypomagnesemia is defined as a serum magnesium level less than 0.75 mmol/L [6]. Magnesium homeostasis is largely controlled by the kidney, which typically excretes about 120 mg magnesium into the urine each day [2]. Urinary excretion is reduced when magnesium status is low [1].

Assessing magnesium status is difficult because most magnesium is inside cells or in bone [3]. The most commonly used and readily available method for assessing magnesium status is measurement of serum magnesium concentration, even though serum levels have little correlation with total body magnesium levels or concentrations in specific tissues [6]. Other methods for assessing magnesium status include measuring magnesium concentrations in erythrocytes, saliva, and urine; measuring ionized magnesium concentrations in blood, plasma, or serum; and conducting a magnesium-loading (or tolerance) test. No single method is considered satisfactory [7]. Some experts [4] but not others [3] consider the tolerance test (in which urinary magnesium is measured after parenteral infusion of a dose of magnesium) to be the best method to assess magnesium status in adults. To comprehensively evaluate magnesium status, both laboratory tests and a clinical assessment might be required [6].

Recommended Intakes

Intake recommendations for magnesium and other nutrients are provided in the Dietary Reference Intakes (DRIs) developed by the Food and Nutrition Board (FNB) at the Institute of Medicine of the National Academies (formerly National Academy of Sciences) [1]. DRI is the general term for a set of reference values used to plan and assess nutrient intakes of healthy people. These values, which vary by age and sex, include the following:

  • Recommended Dietary Allowance (RDA): Average daily level of intake sufficient to meet the nutrient requirements of nearly all (97%&#;98%) healthy individuals; often used to plan nutritionally adequate diets for individuals
  • Adequate Intake (AI): Intake at this level is assumed to ensure nutritional adequacy; established when evidence is insufficient to develop an RDA
  • Estimated Average Requirement (EAR): Average daily level of intake estimated to meet the requirements of 50% of healthy individuals; usually used to assess the nutrient intakes of groups of people and to plan nutritionally adequate diets for them; can also be used to assess the nutrient intakes of individuals
  • Tolerable Upper Intake Level (UL): Maximum daily intake unlikely to cause adverse health effects

Table 1 lists the current RDAs for magnesium [1]. For infants from birth to 12 months, the FNB established an AI for magnesium that is equivalent to the mean intake of magnesium in healthy, breastfed infants, with added solid foods for ages 7&#;12 months.

Table 1: Recommended Dietary Allowances (RDAs) for Magnesium [1] Age Male Female Pregnancy Lactation Birth to 6 months 30 mg* 30 mg* 7&#;12 months 75 mg* 75 mg* 1&#;3 years 80 mg 80 mg 4&#;8 years 130 mg 130 mg 9&#;13 years 240 mg 240 mg 14&#;18 years 410 mg 360 mg 400 mg 360 mg 19&#;30 years 400 mg 310 mg 350 mg 310 mg 31&#;50 years 420 mg 320 mg 360 mg 320 mg 51+ years 420 mg 320 mg

*Adequate Intake (AI)

Sources of Magnesium

Food

Magnesium is widely distributed in plant and animal foods and in beverages. Green leafy vegetables, such as spinach, legumes, nuts, seeds, and whole grains, are good sources [1,3]. In general, foods containing dietary fiber provide magnesium. Magnesium is also added to some breakfast cereals and other fortified foods. Some types of food processing, such as refining grains in ways that remove the nutrient-rich germ and bran, lower magnesium content substantially [1]. Selected food sources of magnesium are listed in Table 2.

Tap, mineral, and bottled waters can also be sources of magnesium, but the amount of magnesium in water varies by source and brand (ranging from 1 mg/L to more than 120 mg/L) [8].

Approximately 30% to 40% of the dietary magnesium consumed is typically absorbed by the body [2,9].

Table 2: Magnesium Content of Selected Foods [10] Food Milligrams
(mg) per
serving Percent
DV* Pumpkin seeds, roasted, 1 ounce 156 37 Chia seeds, 1 ounce 111 26 Almonds, dry roasted, 1 ounce 80 19 Spinach, boiled, ½ cup 78 19 Cashews, dry roasted, 1 ounce 74 18 Peanuts, oil roasted, ¼ cup 63 15 Cereal, shredded wheat, 2 large biscuits 61 15 Soymilk, plain or vanilla, 1 cup 61 15 Black beans, cooked, ½ cup 60 14 Edamame, shelled, cooked, ½ cup 50 12 Peanut butter, smooth, 2 tablespoons 49 12 Potato, baked with skin, 3.5 ounces 43 10 Rice, brown, cooked, ½ cup 42 10 Yogurt, plain, low fat, 8 ounces 42 10 Breakfast cereals, fortified with 10% of the DV for magnesium, 1 serving 42 10 Oatmeal, instant, 1 packet 36 9 Kidney beans, canned, ½ cup 35 8 Banana, 1 medium 32 8 Salmon, Atlantic, farmed, cooked, 3 ounces 26 6 Milk, 1 cup 24&#;27 6 Halibut, cooked, 3 ounces 24 6 Raisins, ½ cup 23 5 Bread, whole wheat, 1 slice 23 5 Avocado, cubed, ½ cup 22 5 Chicken breast, roasted, 3 ounces 22 5 Beef, ground, 90% lean, pan broiled, 3 ounces 20 5 Broccoli, chopped and cooked, ½ cup 12 3 Rice, white, cooked, ½ cup 10 2 Apple, 1 medium 9 2 Carrot, raw, 1 medium 7 2

*DV = Daily Value. The U.S. Food and Drug Administration (FDA) developed DVs to help consumers compare the nutrient contents of foods and dietary supplements within the context of a total diet. The DV for magnesium is 420 mg for adults and children age 4 years and older [11]. FDA does not require food labels to list magnesium content unless magnesium has been added to the food. Foods providing 20% or more of the DV are considered to be high sources of a nutrient, but foods providing lower percentages of the DV also contribute to a healthful diet.

The U.S. Department of Agriculture&#;s (USDA&#;s) FoodData Central [10] lists the nutrient content of many foods and provides comprehensive list of foods containing magnesium arranged by nutrient content and by food name.

Dietary supplements

Magnesium supplements are available in a variety of forms, including magnesium oxide, citrate, and chloride [2,3]. The Supplement Facts panel on a dietary supplement label declares the amount of elemental magnesium in the product, not the weight of the entire magnesium-containing compound.

Absorption of magnesium from different kinds of magnesium supplements varies. Forms of magnesium that dissolve well in liquid are more completely absorbed in the gut than less soluble forms [2,12]. Small studies have found that magnesium in the aspartate, citrate, lactate, and chloride forms is absorbed more completely and is more bioavailable than magnesium oxide and magnesium sulfate [12-16]. One study found that very high doses of zinc from supplements (142 mg/day) can interfere with magnesium absorption and disrupt the magnesium balance in the body [17].

Medicines

Magnesium is a primary ingredient in some laxatives [18]. Phillips' Milk of Magnesia, for example, provides 500 mg elemental magnesium (as magnesium hydroxide) per tablespoon; the directions advise taking up to 4 tablespoons/day for adolescents and adults [19]. (Although such a dose of magnesium is well above the safe upper level, some of the magnesium is not absorbed because of the medication's laxative effect.) Magnesium is also included in some remedies for heartburn and upset stomach due to acid indigestion [18]. Extra-strength Rolaids, for example, provides 55 mg elemental magnesium (as magnesium hydroxide) per tablet [20], although Tums is magnesium free [21].

Magnesium Intakes and Status

Dietary surveys of people in the United States consistently show that many people consume less than recommended amounts of magnesium. An analysis of data from the National Health and Nutrition Examination Survey (NHANES) of &#; found that 48% of Americans of all ages ingest less magnesium from food and beverages than their respective EARs; adult men age 71 years and older and adolescent males and females are most likely to have low intakes [22]. In a study using data from NHANES &#; to assess mineral intakes among adults, average intakes of magnesium from food alone were higher among users of dietary supplements (350 mg for men and 267 mg for women, equal to or slightly exceeding their respective EARs) than among nonusers (268 mg for men and 234 for women) [23]. When supplements were included, average total intakes of magnesium were 449 mg for men and 387 mg for women, well above EAR levels.

No current data on magnesium status in the United States are available. Determining dietary intake of magnesium is the usual proxy for assessing magnesium status. NHANES has not determined serum magnesium levels in its participants since [24], and magnesium is not evaluated in routine electrolyte testing in hospitals and clinics [2].

Magnesium Deficiency

Symptomatic magnesium deficiency due to low dietary intake in otherwise-healthy people is uncommon because the kidneys limit urinary excretion of this mineral [3]. However, habitually low intakes or excessive losses of magnesium due to certain health conditions, chronic alcoholism, and/or the use of certain medications can lead to magnesium deficiency.

Early signs 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 [1,2]. Severe magnesium deficiency can result in hypocalcemia or hypokalemia (low serum calcium or potassium levels, respectively) because mineral homeostasis is disrupted [2].

Groups at Risk of Magnesium Inadequacy

Magnesium inadequacy can occur when intakes fall below the RDA but are above the amount required to prevent overt deficiency. The following groups are more likely than others to be at risk of magnesium inadequacy because they typically consume insufficient amounts or they have medical conditions (or take medications) that reduce magnesium absorption from the gut or increase losses from the body.

People with gastrointestinal diseases

The chronic diarrhea and fat malabsorption resulting from Crohn's disease, gluten-sensitive enteropathy (celiac disease), and regional enteritis can lead to magnesium depletion over time [2]. Resection or bypass of the small intestine, especially the ileum, typically leads to malabsorption and magnesium loss [2].

People with type 2 diabetes

Magnesium deficits and increased urinary magnesium excretion can occur in people with insulin resistance and/or type 2 diabetes [25,26]. The magnesium loss appears to be secondary to higher concentrations of glucose in the kidney that increase urine output [2].

People with alcohol dependence

Magnesium deficiency is common in people with chronic alcoholism [2]. In these individuals, poor dietary intake and nutritional status; gastrointestinal problems, including vomiting, diarrhea, and steatorrhea (fatty stools) resulting from pancreatitis; renal dysfunction with excess excretion of magnesium into the urine; phosphate depletion; vitamin D deficiency; acute alcoholic ketoacidosis; and hyperaldosteronism secondary to liver disease can all contribute to decreased magnesium status [2,27].

Older adults

Older adults have lower dietary intakes of magnesium than younger adults [21,28]. In addition, magnesium absorption from the gut decreases and renal magnesium excretion increases with age [29]. Older adults are also more likely to have chronic diseases or take medications that alter magnesium status, which can increase their risk of magnesium depletion [1,30].

Magnesium and Health

Habitually low intakes of magnesium induce changes in biochemical pathways that can increase the risk of illness over time. This section focuses on four diseases and disorders in which magnesium might be involved: hypertension and cardiovascular disease, type 2 diabetes, osteoporosis, and migraine headaches.

Hypertension and cardiovascular disease

Hypertension is a major risk factor for heart disease and stroke. Studies to date, however, have found that magnesium supplementation lowers blood pressure, at best, to only a small extent. A meta-analysis of 12 clinical trials found that magnesium supplementation for 8&#;26 weeks in 545 hypertensive participants resulted in only a small reduction (2.2 mmHg) in diastolic blood pressure [31]. The dose of magnesium ranged from approximately 243 to 973 mg/day. The authors of another meta-analysis of 22 studies with 1,173 normotensive and hypertensive adults concluded that magnesium supplementation for 3&#;24 weeks decreased systolic blood pressure by 3&#;4 mmHg and diastolic blood pressure by 2&#;3 mmHg [32]. The effects were somewhat larger when supplemental magnesium intakes of the participants in the nine crossover-design trials exceeded 370 mg/day. A diet containing more magnesium because of added fruits and vegetables, more low-fat or nonfat dairy products, and less fat overall was shown to lower systolic and diastolic blood pressure by an average of 5.5 and 3.0 mmHg, respectively [33]. However, this Dietary Approaches to Stop Hypertension (DASH) diet also increases intakes of other nutrients, such as potassium and calcium, that are associated with reductions in blood pressure, so any independent contribution of magnesium cannot be determined.

In , FDA approved a qualified health claim for conventional foods and dietary supplements that contain magnesium [34]. 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 foods and dietary supplements carrying this claim on their labels must provide at least 84 mg of magnesium per serving and, for dietary supplements, no more than 350 mg.

Several prospective studies have examined associations between magnesium intakes and heart disease. 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 [35]. Over an average of 12 years of follow-up, individuals in the highest quartile of the normal physiologic range of serum magnesium (at least 0.88 mmol/L) had a 38% reduced risk of sudden cardiac death compared with individuals in the lowest quartile (0.75 mmol/L or less). However, dietary magnesium intakes had no association with risk of sudden cardiac death. Another prospective study tracked 88,375 female nurses in the United States to determine whether serum magnesium levels measured early in the study and magnesium intakes from food and supplements assessed every 2 to 4 years were associated with sudden cardiac death over 26 years of follow-up [36]. Women in the highest compared with the lowest quartile of ingested and plasma magnesium concentrations had a 34% and 77% lower risk of sudden cardiac death, respectively. Another prospective population study of 7,664 adults age 20 to 75 years in the Netherlands who did not have cardiovascular disease found that low urinary magnesium excretion levels (a marker for low dietary magnesium intake) were associated with a higher risk of ischemic heart disease over a median follow-up period of 10.5 years. Plasma magnesium concentrations were not associated with risk of ischemic heart disease [37]. A systematic review and meta-analysis of prospective studies found that higher serum levels of magnesium were significantly associated with a lower risk of cardiovascular disease, and higher dietary magnesium intakes (up to approximately 250 mg/day) were associated with a significantly lower risk of ischemic heart disease caused by a reduced blood supply to the heart muscle [38].

Higher magnesium intakes might reduce the risk of stroke. In a meta-analysis of seven prospective trials with a total of 241,378 participants, an additional 100 mg/day magnesium in the diet was associated with an 8% decreased risk of total stroke, especially ischemic rather than hemorrhagic stroke [39]. One limitation of such observational studies, however, is the possibility of confounding with other nutrients or dietary components that could also affect the risk of stroke.

A large, well-designed clinical trial is needed to better understand the contributions of magnesium from food and dietary supplements to heart health and the primary prevention of cardiovascular disease [40].

Type 2 diabetes

Diets with higher amounts of magnesium are associated with a significantly lower risk of diabetes, possibly because of the important role of magnesium in glucose metabolism [41,42]. Hypomagnesemia might worsen insulin resistance, a condition that often precedes diabetes, or it might be a consequence of insulin resistance [43]. Diabetes leads to increased urinary losses of magnesium, and the subsequent magnesium inadequacy might impair insulin secretion and action, thereby worsening diabetes control [3].

Most investigations of magnesium intake and risk of type 2 diabetes have been prospective cohort studies. A meta-analysis of seven of these studies, which included 286,668 patients and 10,912 cases of diabetes over 6 to 17 years of follow-up, found that a 100 mg/day increase in total magnesium intake decreased the risk of diabetes by a statistically significant 15% [41]. Another meta-analysis of eight prospective cohort studies that followed 271,869 men and women over 4 to 18 years found a significant inverse association between magnesium intake from food and risk of type 2 diabetes; the relative risk reduction was 23% when the highest to lowest intakes were compared [44].

A meta-analysis of prospective cohort studies of the association between magnesium intake and risk of type 2 diabetes included 13 studies with a total of 536,318 participants and 24,516 cases of diabetes [45]. The mean length of follow-up ranged from 4 to 20 years. Investigators found an inverse association between magnesium intake and risk of type 2 diabetes in a dose-responsive fashion, but this association achieved statistical significance only in individuals who were overweight (body mass index [BMI] 25 or higher) but not in normal-weight individuals (BMI less than 25). Again, a limitation of these observational studies is the possibility of confounding with other dietary components or lifestyle or environmental variables that are correlated with magnesium intake.

Only a few small, short-term clinical trials have examined the potential effects of supplemental magnesium on control of type 2 diabetes and the results are conflicting [42,46]. For example, 128 patients with poorly controlled diabetes in a Brazilian clinical trial received a placebo or a supplement containing either 500 mg/day or 1,000 mg/day magnesium oxide (providing 300 or 600 mg elemental magnesium, respectively) [47]. After 30 days of supplementation, plasma, cellular, and urine magnesium levels increased in participants receiving the larger dose of the supplement, and their glycemic control improved. In another small trial in Mexico, participants with type 2 diabetes and hypomagnesemia who received a liquid supplement of magnesium chloride (providing 300 mg/day elemental magnesium) for 16 weeks showed significant reductions in fasting glucose and glycosylated hemoglobin concentrations compared with participants receiving a placebo, and their serum magnesium levels became normal [48]. In contrast, neither a supplement of magnesium aspartate (providing 369 mg/day elemental magnesium) nor a placebo taken for 3 months had any effect on glycemic control in 50 patients with type 2 diabetes who were taking insulin [49].

The American Diabetes Association states that there is insufficient evidence to support the routine use of magnesium to improve glycemic control in people with diabetes [46]. It further notes that there is no clear scientific evidence that vitamin and mineral supplementation benefits people with diabetes who do not have underlying nutritional deficiencies.

Osteoporosis

Magnesium is involved in bone formation and influences the activities of osteoblasts and osteoclasts [50]. Magnesium also affects the concentrations of both parathyroid hormone and the active form of vitamin D, which are major regulators of bone homeostasis. Several population-based studies have found positive associations between magnesium intake and bone mineral density in both men and women [51]. Other research has found that women with osteoporosis have lower serum magnesium levels than women with osteopenia and those who do not have osteoporosis or osteopenia [52]. These and other findings indicate that magnesium deficiency might be a risk factor for osteoporosis [50].

Although limited in number, studies suggest that increasing magnesium intakes from food or supplements might increase bone mineral density in postmenopausal and elderly women [1]. For example, 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 [53].

Diets that provide 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.

Migraine headaches

Magnesium deficiency is related to factors that promote headaches, including neurotransmitter release and vasoconstriction [54]. People who experience migraine headaches have lower levels of serum and tissue magnesium than those who do not.

However, research on the use of magnesium supplements to prevent or reduce symptoms of migraine headaches is limited. Three of four small, short-term, placebo-controlled trials found modest reductions in the frequency of migraines in patients given up to 600 mg/day magnesium [54]. The authors of a review on migraine prophylaxis suggested that taking 300 mg magnesium twice a day, either alone or in combination with medication, can prevent migraines [55].

In their evidence-based guideline update, the American Academy of Neurology and the American Headache Society concluded that magnesium therapy is probably effective for migraine prevention [56]. Because the typical dose of magnesium used for migraine prevention exceeds the UL, this treatment should be used only under the direction and supervision of a health care provider.

Health Risks from Excessive Magnesium

Too much magnesium from food does not pose a health risk in healthy individuals because the kidneys eliminate excess amounts in the urine [29]. However, high doses of magnesium from dietary supplements or medications often result in diarrhea that can be accompanied by nausea and abdominal cramping [1]. Forms of magnesium most commonly reported to cause diarrhea include magnesium carbonate, chloride, gluconate, and oxide [12]. The diarrhea and laxative effects of magnesium salts are due to the osmotic activity of unabsorbed salts in the intestine and colon and the stimulation of gastric motility [57].

Very large doses of magnesium-containing laxatives and antacids (typically providing more than 5,000 mg/day magnesium) have been associated with magnesium toxicity [58], including fatal hypermagnesemia in a 28-month-old boy [59] and an elderly man [60]. Symptoms of magnesium toxicity, which usually develop after serum concentrations exceed 1.74&#;2.61 mmol/L, can include hypotension, nausea, vomiting, facial flushing, retention of urine, ileus, depression, and lethargy before progressing to muscle weakness, difficulty breathing, extreme hypotension, irregular heartbeat, and cardiac arrest [29]. The risk of magnesium toxicity increases with impaired renal function or kidney failure because the ability to remove excess magnesium is reduced or lost [1,29].

The FNB has established ULs for supplemental magnesium for healthy infants, children, and adults (see Table 3) [1]. 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. The ULs include magnesium from only dietary supplements and medications; they do not include magnesium found naturally in food and beverages.

Table 3: Tolerable Upper Intake Levels (ULs) for Supplemental Magnesium [1] Age Male Female Pregnant Lactating Birth to 12 months None established None established 1&#;3 years 65 mg 65 mg 4&#;8 years 110 mg 110 mg 9&#;18 years 350 mg 350 mg 350 mg 350 mg 19+ years 350 mg 350 mg 350 mg 350 mg  

Interactions with Medications

Several types of medications have the potential to interact with magnesium supplements or affect magnesium status. A few examples are provided below. People taking these and other medications on a regular basis should discuss their magnesium intakes with their health care providers.

Bisphosphonates

Magnesium-rich supplements or medications can decrease the absorption of oral bisphosphonates, such as alendronate (Fosamax), used to treat osteoporosis [61]. Use of magnesium-rich supplements or medications and oral bisphosphonates should be separated by at least 2 hours [57].

Antibiotics

Magnesium can form insoluble complexes with tetracyclines, such as demeclocycline (Declomycin) and doxycycline (Vibramycin) as well as quinolone antibiotics, such as ciprofloxacin (Cipro) and levofloxacin (Levaquin). These antibiotics should be taken at least 2 hours before or 4&#;6 hours after a magnesium-containing supplement [57,62].

Diuretics

Chronic treatment with loop diuretics, such as furosemide (Lasix) and bumetanide (Bumex), and thiazide diuretics, such as hydrochlorothiazide (Aquazide H) and ethacrynic acid (Edecrin), can increase the loss of magnesium in urine and lead to magnesium depletion [63]. In contrast, potassium-sparing diuretics, such as amiloride (Midamor) and spironolactone (Aldactone), reduce magnesium excretion [63].

Proton pump inhibitors

Prescription proton pump inhibitor (PPI) drugs, such as esomeprazole magnesium (Nexium) and lansoprazole (Prevacid), when taken for prolonged periods (typically more than a year) can cause hypomagnesemia [64]. 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 health care professionals to consider measuring patients' serum magnesium levels prior to initiating long-term PPI treatment and to check magnesium levels in these patients periodically [64].

Magnesium and Healthful Diets

The federal government's &#; Dietary Guidelines for Americans notes that "Because foods provide an array of nutrients and other components that have benefits for health, nutritional needs should be met primarily through foods. ... In some cases, fortified foods and dietary supplements are useful when it is not possible otherwise to meet needs for one or more nutrients (e.g., during specific life stages such as pregnancy)."

For more information about building a healthy dietary pattern, refer to the Dietary Guidelines for Americans and the USDA's MyPlate.

The Dietary Guidelines for Americans describes a healthy dietary pattern as one that

  • Includes a variety of vegetables; fruits; grains (at least half whole grains); fat-free and low-fat milk, yogurt, and cheese; and oils.
    • Whole grains and dark-green, leafy vegetables are good sources of magnesium. Low-fat milk and yogurt contain magnesium as well. Some ready-to-eat breakfast cereals are fortified with magnesium.
  • Includes a variety of protein foods such as lean meats; poultry; eggs; seafood; beans, peas, and lentils; nuts and seeds; and soy products.
    • &#;&#;&#;&#;&#;&#;&#;Dried beans and legumes (such as soybeans, baked beans, lentils, and peanuts) and nuts (such as almonds and cashews) provide magnesium.
  • Limits foods and beverages higher in added sugars, saturated fat, and sodium.
  • Limits alcoholic beverages.
  • Stays within your daily calorie needs.

Magnesium Oxide: Benefits, Uses, Side Effects, and More

Magnesium oxide is one of the most common types of magnesium used in dietary supplements.  

Though it has lower bioavailability compared to other forms of magnesium, it may benefit health in several ways, including relieving headaches and easing constipation. 

Here&#;s everything you need to know about magnesium oxide supplements, including potential health benefits, side effects, safety, and more. 

Benefits of Magnesium Oxide  

Magnesium oxide is an inorganic salt of magnesium formed with ions&#;charged atoms or molecules&#; of magnesium and oxygen.

It&#;s one of the most common forms of magnesium used in dietary supplements and can be found in multi-nutrient supplements such as multivitamin and multimineral supplements, as well as in magnesium-only supplements. 

While magnesium oxide has a relatively low absorption rate compared to other forms of magnesium, such as magnesium citrate, it has been shown to offer several health benefits, such as easing headache and constipation symptoms.

May Help Treat Headaches

Multiple studies have linked magnesium deficiency with headaches, and supplemental magnesium may help improve symptoms related to several headache types, such as migraines. Magnesium may help ease headaches by preventing excessive activation of excitatory neurotransmitters, inhibiting pro-inflammatory pathways in the brain, increasing blood vessel dilation, and improving cerebral blood flow, all of which may help reduce headache symptoms.

A study that included 63 people with migraine headaches found that treatment with 500 milligrams (mg) of magnesium oxide per day for eight weeks was similarly effective for reducing the average number of migraine attacks per month as the migraine medication valproate sodium.

A benefit of using magnesium oxide to improve headache symptoms is that magnesium oxide is generally safe and associated with fewer side effects than headache medications. It&#;s also safe to use during pregnancy. 

A study that included 203 pregnant people experiencing migraines found that treatment with magnesium oxide alone and treatment with a combination of magnesium oxide and the B vitamin riboflavin were both effective for decreasing migraine frequency, severity, and duration. Of the 154 patients who reported migraine-associated symptoms, 77% reported improvements after the magnesium treatment.

Could Help Treat Constipation 

Magnesium oxide is considered an osmotic laxative. Osmotic laxatives work by drawing water into the intestines and increasing the water content and volume of your stool. As the stool grows in size due to water absorption, it stimulates the intestines and increases the urge to have a bowel movement.

Magnesium oxide is commonly used to treat constipation and is safe to use as a short-term constipation remedy in both adults and children.

A study found that magnesium oxide supplements were as effective as the herbal laxative senna for treating constipation. The study showed that treatment with 1.5 grams (g) of magnesium oxide per day for 28 days was as effective as daily treatment with 1 gram of senna for improving symptoms of chronic constipation. Both treatments led to significant improvements in the frequency of bowel movements and patient-reported quality of life.

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In a study that included 34 females with chronic constipation, it was found treatment with 1.5 grams of magnesium oxide per day for 28 days led to greater overall improvement of symptoms, including improved spontaneous bowel movement, stool form, abdominal symptoms, and quality of life compared to a placebo treatment. 70.6% of the patients who received magnesium oxide reported overall symptom improvement compared to 25.0% in the placebo group.

Magnesium oxide can be used to treat constipation in children as well.

However, even though magnesium oxide has been shown to be effective for treating constipation, it can lead to high magnesium levels in susceptible populations, such as elderly people and those with medical conditions such as kidney disease.

May Help Promote Healthy Blood Pressure and Blood Sugar Levels

Magnesium is involved in blood sugar and blood pressure regulation and having low magnesium levels may increase the risk of high blood sugar and blood pressure levels.

Taking a magnesium oxide supplement would help boost magnesium levels and improve blood pressure and blood sugar control.

However, although magnesium oxide has been shown to be effective for improving these health outcomes, higher doses may be needed due to its poor absorption rate. For example, a review of 49 studies noted that only doses of magnesium oxide greater than 600 mg per day were effective for lowering blood pressure in people with untreated high blood pressure.

Magnesium oxide helps lower blood pressure by relaxing smooth muscle cells and dilating blood vessels, which helps improve blood flow.  

Magnesium supplementation may also help reduce blood sugar. A review that included data from 24 studies found that people with diabetes who took magnesium supplements, including magnesium oxide supplements, had significant reductions in fasting blood sugar and the long-term blood sugar control marker HbA1c, as well as reductions in systolic and diastolic blood pressure levels compared to control treatments.

May Improve Stress and Anxiety

Magnesium helps your body regulate and deal with stress and having low magnesium levels has been linked to increased stress and mental health issues, such as anxiety.

Some research suggests that taking magnesium supplements could help relieve stress and improve symptoms of anxiety.

A review that included 18 studies, four of which studied the effects of magnesium oxide supplements on anxiety, suggested that magnesium supplements could have a beneficial effect on subjective anxiety symptoms. Even though these results are promising, the researchers noted that existing evidence is of poor quality, and more studies are needed to fully understand how magnesium supplements, such as magnesium oxide supplements, may benefit those with anxiety.

Additionally, a study that included 60 people undergoing open heart surgery found that treatment with 500 mg of magnesium oxide per day for five days helped increase serum magnesium levels and significantly reduced average anxiety and depression levels after surgery compared to a control treatment.

How to Take Magnesium Oxide 

Magnesium oxide can be taken at any time of day and is often taken in multiple doses throughout the day. 

It can be taken with or without food, but taking it with food could help reduce the risk of gastrointestinal side effects. If you&#;re using magnesium oxide to treat constipation, it&#;s recommended that you take the supplement with a full glass of fluids, such as water or juice, and avoid taking magnesium oxide later in the day when your stomach is empty.

When you&#;re supplementing with magnesium oxide, it&#;s important that you take other medications at least two hours apart to ensure proper absorption. 

Dosage 

Dosing for magnesium oxide varies, but doses used in research studies range from 250 mg to 1,000 mg per day. 

Keep in mind that higher doses of magnesium oxide should only be taken under the supervision of a healthcare provider, as doses higher than 1,000 mg per day could lead to dangerously high blood levels of magnesium.

If you&#;re taking magnesium oxide for constipation treatment, you shouldn&#;t take it for more than one week unless specifically advised and monitored by your doctor.

If you have questions about magnesium oxide dosing, consult a knowledgeable healthcare provider for advice.

Is Magnesium Oxide Safe?

Magnesium oxide is a relatively safe supplement when used in appropriate doses and is commonly used to treat certain medical conditions in adults and children. That said, ingesting large amounts of magnesium oxide supplements can lead to dangerously high blood levels of magnesium, which can cause magnesium toxicity. Magnesium toxicity can cause symptoms such as difficulty breathing, irregular heartbeat, and extremely low blood pressure, and can be fatal.

Although magnesium toxicity is rare and usually due to accidental overdose of magnesium-containing products like laxatives, some people, such as older adults and people with kidney disease, are more at risk for developing magnesium toxicity. 

Potential Drug Interactions

Magnesium oxide supplements may interact with the following  medications:

  • Antibiotics: Taking magnesium oxide supplements too close to certain antibiotics, such as doxycycline and ciprofloxacin, could interfere with medication absorption. Antibiotics should be taken two hours before or at least four hours after taking a magnesium oxide supplement.
  • Blood pressure-lowering medications: Magnesium oxide has been shown to lower blood pressure, especially in high doses. If you&#;re taking a blood pressure-lowering medication, you should check with your doctor before supplementing with magnesium oxide.
  • Osteoporosis medications: Magnesium oxide may reduce the absorption of bisphosphonate medications, such as the osteoporosis medication Fosamax. bisphosphonate medications should be taken at least two hours before or after taking magnesium oxide.

It&#;s also important to be aware that some commonly prescribed medications, such as diuretics, antidiabetic medications, and acid reflux medications, have been shown to deplete magnesium stores. If you&#;re taking any of these medications, talk to your healthcare provider about adding a magnesium supplement to your diet.

What to Look For 

To ensure safety and quality, it&#;s recommended to purchase dietary supplements, including magnesium supplements, from a reputable manufacturer. 

When possible, choose magnesium oxide products certified by organizations like UL, USP, and NSF International, which set strict standards for supplement quality and manufacturing safety.

Magnesium oxide is usually sold in pill or capsule form, but powdered and chewable supplements are also available. Magnesium oxide is one of the most affordable types of magnesium on the market, so it makes a good choice for people who are shopping on a budget.

Can You Take Too Much Magnesium Oxide?

Yes, it&#;s possible to take too much magnesium oxide. If too much magnesium oxide is ingested, it could cause your blood magnesium to reach toxic levels, which could be life-threatening.

Most cases of magnesium toxicity are related to accidental overdoses, but taking doses over 1,000 mg per day could increase your risk of developing magnesium toxicity. It&#;s critical to follow recommended dosing protocols and to consult your healthcare provider if you have any questions related to magnesium oxide dosing.

Side Effects of Magnesium Oxide

Magnesium oxide is more likely to cause gastrointestinal side effects than other types of magnesium. Due to its osmotic effects, higher doses of magnesium oxide can trigger symptoms such as:

  • Diarrhea
  • Nausea
  • Abdominal pain

If you&#;re experiencing gastrointestinal side effects when taking magnesium oxide, speak with your healthcare provider. They may recommend lowering the dose of magnesium oxide you&#;re taking or switching to another form of magnesium that&#;s gentler on your stomach. 

A Quick Review

Magnesium oxide is one of the most common forms of magnesium used in dietary supplements.

Though it has a poor absorption rate, studies show that taking magnesium oxide supplements may help improve symptoms of constipation, ease headaches, reduce blood pressure and blood sugar, and ease anxiety symptoms.

If you&#;re interested in taking a magnesium oxide supplement, it&#;s best to speak with your healthcare provider to learn more about appropriate dosing and safe use.

Contact us to discuss your requirements of Magnesium Oxide Supplier. Our experienced sales team can help you identify the options that best suit your needs.