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Table of Contents

Magnesium in the Body

  • Magnesium is the fourth most abundant mineral in the body (after calcium, sodium, and potassium).

  • Average reserves in a 70 kg adult: ~25 g, with 80% stored in bones and muscles.

  • Key roles:

    • Normal muscle and nerve function

    • Regulation of heart rhythm and blood pressure

    • Immune system support

    • Bone and tooth integrity

    • Blood glucose regulation

    • Facilitates calcium absorption


Daily Requirements and Magnesium Deficiency

  • Recommended daily intake: 375 mg

  • Causes of deficiency:

    • Poor diet (high in processed foods, low in vegetables and nuts)

    • Soil depletion (acid rain, artificial fertilizers) → reduced magnesium in plants

    • Reduced absorption (intestinal disorders, vitamin D deficiency, proton pump inhibitors)

    • Increased losses: diarrhea, laxatives, diuretics, diabetes, alcohol

    • Increased needs: pregnancy, stress, athletic activity

Early signs of deficiency:

  • Muscle cramps and tingling in the feet and fingers

  • Muscle pain, dizziness, weakness, arrhythmias

Note: Serum magnesium levels don’t always reflect total body status. Practical assessment is based on dietary intake and medical history.


Absorption and Bioavailability of Magnesium

  • Main absorption: small intestine, minor in large intestine

  • Peak absorption: 2–2.5 hours after intake

  • Absorption depends on the chemical form of magnesium:

    • Inorganic insoluble: oxides, carbonates, hydroxides → low absorption (~4%)

    • Inorganic soluble: chlorides, sulfates → better absorption

    • Organic soluble: citrates, lactates, gluconates → high absorption

    • Chelated (organic complexes): bisglycinates, histidine-Mg → best absorption

  • Magnesium citrate stands out due to:

    • High solubility in water and stomach acids

    • Better bioavailability than oxide and some chelates

    • Increased absorption, especially with vitamins D and B6

    • Potential role in preventing oxalate kidney stones

Usage:

  • Magnesium oxide and hydroxide are often used locally (as laxatives or antacids)

  • For systemic effects, a well-absorbed form like citrate is preferred


Functions of Magnesium in the Body

  • Maintains electrolyte balance

  • Supports normal muscle and nerve function

  • Promotes psychological well-being and reduces fatigue

  • Supports energy metabolism

  • Bones and teeth:

    • 59% of magnesium stored in bones

    • Participates in formation of hydroxyapatite

    • Aids calcium absorption and incorporation

  • Supportive in prevention/treatment of: migraines, cardiovascular diseases, blood pressure regulation, blood glucose regulation

  • Particularly important for pregnant women and athletes


Conclusion

Magnesium citrate is the most suitable form for supplementation because:

  • It has high bioavailability

  • Well absorbed from the digestive tract

  • Supports multiple physiological functions

  • Reduces the risk of laxative-related side effects seen with other forms of magnesium


Key References:

  • Schwalfenberg GK, Genuis SJ. The Importance of Magnesium in Clinical Healthcare. Scientifica 2017

  • Hermes Sales C. et al., Nutr Hosp 2014

  • Lindberg JS et al., J Am Coll Nutr 1990

  • Gröber U et al., Nutrients 2015

  • Walker AF et al., Magnes Res 2003

  • Kappeler D et al., BMC Nutr 2017

  • Abraham GE et al., Ann Clin Lab Sci 1981


O autoru

 Prof. dr. sc. Darija Vranešić Bender, klinički nutricionist

Prof. dr. sc. Darija Vranešić Bender, klinički nutricionist

Direktorica je tvrtke Vitaminoteka, klinički nutricionist na Odjelu za kliničku prehranu KBC-a Zagreb i redovita profesorica u naslovnom zvanju na Prehrambeno – biotehnološkom fakultetu Sveučilišta u Zagrebu, a ujedno predaje dijetoterapiju i kliničku prehranu na Medicinskom fakultetu u Zagrebu. Uže joj je područje interesa klinička prehrana i dijetoterapija bolesti probavnog sustava te nadomjesna primjena mikronutrijenata i drugih biološki aktivnih spojeva iz hrane. Surađuje na raznim domaćim i inozemnim znanstvenim i javnozdravstvenim projektima, autorica je brojnih znanstvenih i stručnih radova, knjiga, udžbenika i priručnika.