Showing posts with label Magnesium. Show all posts
Showing posts with label Magnesium. Show all posts

April 1, 2016

Are You Getting These Nutrients? - Part 5

Magnesium is a mineral that many people do not eat enough of - some estimate that 30-50% of Americans don't reach the 400 mg recommended by the FDA. Unfortunately, people on low-carb diets may fare even worse - in one study, 70% of those 8 weeks into the Atkins diet were not eating sufficient magnesium. Worse, people with diabetes who respond to low-carb diets may need magnesium even more than others, since it is important in glucose metabolism and blood sugar control. Other functions of magnesium include participating in protein synthesis, bone development and maintenance, DNA synthesis, and cell function.

Pumpkin Seeds - 1 oz kernels, roasted - 156 mg magnesium, 2 gm net carb 
Spinach (also chard), 1/2 cup cooked - 78 mg magnesium, 2 gm net carb
Soybeans (try black soybeans), 1/2 cup cooked - 74 mg magnesium, 3 gm net carb
Almonds, 1 oz - 77 mg magnesium, 3 gm net carb
Peanuts, 1 oz - 52 mg magnesium, 4 gm net carb
Flax seed, 1 tablespoon - 40 mg magnesium, scant carb
Also: legumes, fish, green vegetables, and yogurt

Every organ in the body, especially the heart, muscles, and kidneys, needs magnesium. This mineral also contributes to the makeup of teeth and bones. Magnesium activates enzymes, contributes to energy production, and helps regulate levels of calcium, copper, zinc, potassium, vitamin D, and other important nutrients in the body.

You can get magnesium from many foods. However, most people in the U.S. probably do not get as much magnesium as they should from their diet. Foods rich in magnesium include whole grains, nuts, and green vegetables. Green leafy vegetables are particularly good sources of magnesium.

Although you may not get enough magnesium from your diet, it is rare to be deficient in magnesium. However, certain medical conditions can upset the body's magnesium balance. For example, an intestinal virus that causes vomiting or diarrhea can cause a temporary magnesium deficiency. Some health conditions can lead to deficiencies, including - gastrointestinal diseases, such as irritable bowel syndrome (IBS) and ulcerative colitis, diabetes, pancreatitis, hyperthyroidism (high thyroid hormone levels), kidney disease, and taking diuretics

Other factors that can lower magnesium levels include - drinking too much coffee, soda, or alcohol, eating too much sodium (salt), heavy menstrual periods, excessive sweating, and prolonged stress.

Symptoms of magnesium deficiency may include - agitation and anxiety, restless leg syndrome (RLS), sleep disorders, irritability, nausea and vomiting, abnormal heart rhythms, low blood pressure, confusion, muscle spasm and weakness, hyperventilation, insomnia, poor nail growth, and seizures

Many herbs, spices, and seaweeds supply magnesium, such as - agar seaweed, coriander, dill weed, celery seed, sage, dried mustard, basil, fennel seed, savory, cumin seed, tarragon, marjoram, and poppy seed.

Magnesium is available in many forms. Recommended forms include magnesium citrate, magnesium gluconate, and magnesium lactate, all of which are more easily absorbed into the body than other forms. Time-release preparations may improve absorption. Ask your doctor.

Other familiar sources are magnesium hydroxide (often used as a laxative or antacid) and magnesium sulfate (generally used orally as a laxative or in multivitamins, or added to a bath). Some magnesium, such as Epsom salts, can be absorbed through the skin. Preliminary research suggests Epsom salts can relieve swelling, inflammation, and ease muscle aches and pains.

Be sure to check with your health care provider before taking magnesium supplements and before giving them to a child. Under certain circumstances, such as certain heart arrhythmias or preeclampsia, a doctor will give magnesium by IV in the hospital.

It is a good idea to take a B-vitamin complex, or a multivitamin containing B vitamins, because the level of vitamin B6 in the body determines how much magnesium will be absorbed into the cells.

Dosages are based on the dietary reference intakes (DRIs) issued from the Food and Nutrition Board of the United States Government's Office of Dietary Supplements, part of the National Institutes of Health (NIH).
Adult
  • Males, 19 to 30 years of age: 400 mg daily
  • Females, 19 to 30 years of age: 310 mg daily
  • Males, 31 years of age and over: 420 mg daily
  • Females, 31 years of age and over: 320 mg daily
  • Pregnant females, 19 to 30 years of age: 350 mg daily
  • Pregnant females, 31 and over: 360 mg daily
  • Breastfeeding females, 19 to 30 years of age: 310 mg daily
  • Breastfeeding females, 31 years of age and over: 320 mg daily

A person's need for magnesium increases during pregnancy, recovery from surgery and illnesses, and athletic training. Speak with your doctor.

Because of the potential for side effects and interactions with medications, you should only take dietary supplements under the supervision of a doctor.

Since magnesium is excreted by the kidneys, people with heart or kidney disease should not take magnesium supplements except under their doctors' supervision.

It is very rare to overdose on magnesium from food. However, people who ingest large amounts of milk of magnesia (as a laxative or antacid), Epsom salts (as a laxative or tonic), or magnesium supplements may overdose, especially if they have kidney problems. Too much magnesium can cause serious health problems, including – nausea, vomiting, severely lowered blood pressure, confusion, slowed heart rate, respiratory paralysis, deficiencies of other minerals, coma, cardiac arrhythmias, cardiac arrest, and death.

More common side effects from magnesium include upset stomach and diarrhea.

Magnesium competes with calcium for absorption and can cause a calcium deficiency if calcium levels are already low. Some medications may lower magnesium levels in the body. These include - chemotherapy drugs, diuretics, digoxin (Lanoxin), steroids, and certain antibiotics.

August 4, 2012

Nutrients - Magnesium


Magnesium

Overview
Magnesium is an important mineral for everyone. The RDA varies for everyone depending on sex and age. Read about magnesium in this blog by David Mendosa. Most research indicates that only about half of American adults reach the RDA.

Magnesium is used for more than 300 biochemical reactions in the body. It helps maintain normal muscle and nerve function, it keeps heart rhythm steady, it supports a healthy immune system, and it keeps bones strong. It also helps the body digest, absorb, and utilize proteins, fats, and carbohydrates. It also contributes to the makeup of teeth and bones. Most important, it activates enzymes, contributes to energy production, and helps regulate calcium levels, as well as copper, zinc, potassium, vitamin D, and other important nutrients in the body.

Researchers are studying the role magnesium plays in preventing and managing disorders such as diabetes. They have found that it is an essential mineral in the regulation of blood sugar, playing a part in the secretion and function of insulin by opening cell membranes for glucose. Low blood levels of magnesium are frequently seen in people with type 2 diabetes. A deficiency can cause insulin resistance, so that they require greater amounts of insulin to maintain their blood sugar within normal levels.

People with diabetes are always at risk for wounds and slow healing, but with proper medical management and nutrition, these hurdles can be overcome. Certain medical conditions; however, can upset the body's magnesium balance. For example, an intestinal virus that causes vomiting or diarrhea can cause temporary magnesium deficiencies. Some gastrointestinal diseases (such as irritable bowel syndrome or IBS and ulcerative colitis), diabetes, pancreatitis, hyperthyroidism (high thyroid hormone levels), kidney disease, and taking diuretics can lead to deficiencies. Too much coffee, soda, salt, or alcohol, as well as heavy menstrual periods, excessive sweating, and prolonged stress can also lower magnesium levels.

Tests
A magnesium test is used to measure the level of magnesium in the blood. Abnormal levels of magnesium are most frequently seen in conditions or diseases that cause impaired or excessive excretion of magnesium by the kidneys or that cause impaired absorption in the intestines. Magnesium levels may be checked as part of an evaluation of the severity of kidney problems and/or of uncontrolled diabetes and may help in the diagnosis of gastrointestinal disorders.

Since a low magnesium level can, over time, cause persistently low calcium and potassium levels, it may be checked to help diagnose problems with calcium, potassium, phosphorus, and/or parathyroid hormone – another component of calcium regulation.

Recommended Daily Allowance
Dosages are based on the dietary reference intakes (DRIs) issued from the Food and Nutrition Board of the United States Government's Office of Dietary Supplements, part of the National Institutes of Health.

Pediatric
Do not give magnesium supplements to a child without a doctor's supervision.
  • Children 1 - 3 years of age: 40 - 80 mg daily
  • Children 4 - 8 years of age: 130 mg daily
  • Children 9 - 13 years of age: 240 mg daily
  • Males 14 - 18 years of age: 410 mg daily
  • Females 14 - 18 years of age: 360 mg daily
  • Pregnant females 14 - 18 years of age: 400 mg daily
  • Breastfeeding females 14 - 18 years of age: 360 mg daily
Adult
  • Males 19 - 30 years of age: 400 mg daily
  • Females 19 - 30 years of age: 310 mg daily
  • Males 31 years of age and over: 420 mg daily
  • Females 31 years of age and over: 320 mg daily
  • Pregnant females 19 - 30 years of age: 350 mg daily
  • Pregnant females 31 and over: 360 mg daily
  • Breastfeeding females 19 - 30 years of age: 310 mg daily
  • Breastfeeding females 31 years of age and over: 320 mg daily

A person's need for magnesium increases during pregnancy, recovery from surgery and illnesses, and athletic training. Always consult with your physician.

Food Sources
Rich sources of magnesium include tofu, legumes, whole grains, green leafy vegetables, wheat bran, Brazil nuts, soybean flour, almonds, cashews, blackstrap molasses, pumpkin and squash seeds, pine nuts, and black walnuts. Other good dietary sources of this mineral include peanuts, whole wheat flour, oat flour, beet greens, spinach, pistachio nuts, shredded wheat, bran cereals, oatmeal, bananas, and baked potatoes (with skin), chocolate, and cocoa powder. Many herbs, spices, and seaweeds supply magnesium, such as agar seaweed, coriander, dill weed, celery seed, sage, dried mustard, basil, cocoa powder, fennel seed, savory, cumin seed, tarragon, marjoram, and poppy seed.

Precautions 
Because of the potential for side effects and interactions with medications, dietary supplements should be taken only under the supervision of a knowledgeable health care provider. Since magnesium is excreted by the kidneys, people with heart or kidney disease should not take magnesium supplements except under their doctor's supervision.

It is rare to overdose on magnesium from food. However, people who ingest large amounts of milk of magnesia (as a laxative or antacid), epsom salts (as a laxative or tonic), or magnesium supplements may overdose, especially if they have kidney problems. Too much magnesium can cause serious health problems, including nausea, vomiting, severely lowered blood pressure, confusion, slowed heart rate, respiratory paralysis, deficiencies of other minerals, coma, cardiac arrhythmias, cardiac arrest, and death.

The common side effects from magnesium include upset stomach and diarrhea.
Magnesium competes with calcium for absorption and can cause a calcium deficiency if calcium levels are already low. Some medications may lower magnesium levels in the body. These include chemotherapy drugs, diuretics, digoxin (Lanoxin), steroids, and certain antibiotics.
Possible Interactions
If you are currently being treated with any of the following medications, you should not use magnesium without first talking to your health care provider. Because the list is long, I felt it would be better to quote it from this source.

Aminoglycosides -- Concomitant use with magnesium may cause neuromuscular weakness and paralysis.
Antibiotics -- Taking magnesium supplements may reduce the absorption of quinolone antibiotics, tetracycline antibiotics, and nitrofurantoin (Macrodandin). Magnesium should be taken 1 hour before or 2 hours after taking these medications. Quinolone and tetracycline antibiotics include:
Ciprofloxacin (Cipro)
Moxifloxacin (Avelox)
Tetracycline (Sumycin)
Doxycycline (Vibramycin)
Minocycline (Minocin)
Blood Pressure Medications, Calcium Channel Blockers -- Magnesium may increase the risk of negative side effects (such as dizziness, nausea, and fluid retention) from calcium channel blockers (particularly nifedipine or Procardia) in pregnant women. Other calcium channel blockers include:
Aamlodipine (Norvasc)
Diltiazem (Cardizem)
Felodipine (Plendil)
Verapamil (Calan)
Medications for diabetes -- Magnesium hydroxide, commonly found in antacids such as Alternagel, may increase the absorption of some medications used to control blood sugar levels (particularly glipizide or Glucatrol and glyburide or Micronase). If you take these medications to control blood sugar, your doctor may need to adjust your dose.
Digoxin (Lanoxin) -- Low blood levels of magnesium can increase negative effects from digoxin, including heart palpitations and nausea. In addition, digoxin can cause more magnesium to be lost in the urine. A doctor will monitor magnesium levels in people taking digoxin to see whether they need a magnesium supplement.
Diuretics -- Diuretics known as loop (such as furosemide or Lasix) and thiazide (including hydrochlorothiazide) can lower magnesium levels. For this reason, doctors who prescribe diuretics may recommend magnesium supplements as well.
Fluoroquinones -- Concomitant use with magnesium may decrease absorption and effectiveness. Flouroquinones should be taken a minimum of 4 hours before any products containing magnesium.
Hormone Replacement Therapy -- Magnesium levels tend to decrease during menopause. Clinical studies suggest, however, that hormone replacement therapy may help prevent the loss of this mineral. Postmenopausal women, or those taking hormone replacement therapy, should talk with a health care provider about the risks and benefits of magnesium supplementation.
Labetol -- Concomitant use with magnesium can slow heart beat abnormally and reduce cardiac output.
Levomethadyl -- Concomitant use with magnesium may precipitate a heart condition called QT prolongation.
Levothyroxine -- There have been case reports of magnesium containing antacids reducing the effectiveness of levothyroxine, a medication that treats underactive thyroid.
Penicillamine -- Penicillamine, a medication used to treat Wilson's disease (a condition characterized by high levels of copper in the body) and rheumatoid arthritis, can inactivate magnesium, particularly when high doses of the drug are used over a long period of time. Supplementation with magnesium and other nutrients may reduce side effects associated with penicillamine. If you take penicillamine, a health care provider can determine whether magnesium supplements are right for you.
Tiludronate (Skelid) and Alendronate (Fosamax) -- Magnesium may interfere with absorption of medications used in osteoporosis, including alendronate (Fosamax). Magnesium or antacids containing magnesium should be taken 1 hour before or 2 hours after taking these medications.
Others -- Aminoglycoside antibiotics (such as gentamicin and tobramycin), thiazide diuretics (such as hydrochlorothiazide), loop diuretics (such as furosemide and bumetanide), amphotericin B, corticosteroids (prednisone or Deltasone), antacids, and insulin may lower magnesium levels. Please refer to the depletions monographs on some of these medications for more information.

July 28, 2012

Introduction to Series on Vitamins and Minerals


Many of us are deficient in certain nutrients and our doctors do not or will not test us for deficiencies as we age. Some of us do have sufficient quantities in our diets and then take supplements, which may give us an oversupply. I will give the name of the test when it is available. Your doctor should test for all of these (that have testing available) before you run out and buy supplements. You may not need them because you are already obtaining sufficient intake from your diet. If you have a doctor that will not test because you should be eating foods with sufficient nutrients, then you will have a decision to make about retaining your current doctor.

I realize that many of you may be aware of them, but it never hurts to review them. In the coming blogs I will cover iodine, selenium, choline, manganese, magnesium, potassium, Vitamin D, Vitamin K, and Vitamin B12. These may not be what you would think is needed for those of us with diabetes; however, they are still important. If you would like more detailed information, please read the links supplied with each blog as there may be several links. Some are water-soluble and others are fat-soluble. Vitamin D is neither as it is correctly a hormone. This will not change because of acceptance.

I would be remiss if I did not give you a warning about not overcompensating and ingesting too much of some of these nutrients as there are some medical concerns with toxicity and conflicts with certain prescription medications. More is often not better and can be fatal with some supplements. I will give warnings where they apply.

When there is a list of foods that may give you sufficient supply of a nutrient, they will be listed.

Since most of these vitamins and minerals have recommended daily allowances (RDAs) that vary by age, the entire table will be given. Some sources list only the adult RDAs and I prefer to give you the full list.

Please refer back to this blog if you question something and I will update this blog with each blog as I publish it. Some of my blogs will refer to my other blogs, as the nutrients can be essential for the same thing. Example - iodine and selenium both are essential for the thyroid gland to work properly. There may be others, but as of yet, I am not into research for each of them. I had intended to put two or three nutrients in a single blog, but with all that I am discovering, this would make the blog too long and essential points less obvious.

Vitamin K