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6 signs and symptoms of low magnesium

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Feeling off? Discover common signs of low magnesium and how to support healthy levels

Summary

1Why do we need magnesium?

Magnesium supports a range of roles in the body, from normal muscle function to psychological function and helping reduce tiredness and fatigue.

2How do you know if you have low magnesium?

Many people who consume a typical Western diet don’t get the recommended amount of magnesium, especially older adults and higher-risk groups.

3Causes of low magnesium in women

Magnesium deficiency is thought to be associated with a range of women’s health and hormonal health conditions.

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Your body uses magnesium in over 300 biochemical reactions, from producing energy to contracting muscles, maintaining healthy bones and normal psychological function.1-4 So it’s pretty important to get enough. But how can you tell if you're not getting enough and what should you do? Magnesium is also an electrolyte, an essential mineral salt needed for hydration. As the sun finally emerges, do you need to think about topping up? Don’t worry – we’ll answer this and more...

Why do we need magnesium?

Magnesium supports a range of roles in the body, from normal muscle function to normal psychological function and helping reduce tiredness and fatigue. You can make sure you’re getting enough magnesium by eating magnesium-rich foods – most people can get enough magnesium through a balanced and varied diet. You can find magnesium in a wide range of whole foods such as spinach, nutsseeds, wholemeal bread and fortified breakfast cereals.5

How do you know if you have low magnesium?

While you should be able to get enough magnesium through a varied diet, many people who consume a typical Western diet don’t get the recommended amount.5,6 Lower magnesium levels are also more common in older people, not only because diet often changes as you age, but also the body becomes less efficient at absorbing magnesium.5,7 Other higher-risk groups include people with Type 2 diabetes, gastrointestinal diseases or alcohol dependence, plus those who take certain medications including diuretics.5,7 The good news is that there are some simple ways to improve your magnesium levels through dietary changes and supplementation (more on that later).

What are the signs you’re not getting enough magnesium?

The early signs of low magnesium can be nonspecific and can often go undetected.6,8,9 Low magnesium is also associated with a wide range of medical conditions, meaning that these symptoms may be overlooked if you’re already not well.10 That said, it’s a good idea to look out for any signs. Here are some potential symptoms that may indicate your magnesium levels are low:
  • muscle cramps and twitches: since magnesium plays such an important role in muscle health and electrolyte balance, low magnesium may cause frequent muscle cramping 2,11,12
  • weakness and fatigue: magnesium is needed for energy production, so you might feel fatigued without enough of it 5,6,10,11 
  • low mood and anxiety: because magnesium has a role in maintaining normal psychological function, it’s thought there’s a link between your magnesium levels and mental wellbeing.4,6,10 Evidence is still inconclusive, but some studies have highlighted a connection between low magnesium levels and low mood 6,13,14
  • stomach issues: nausea, vomiting and loss of appetite are all early symptoms you might experience if you don’t get enough magnesium.5,6 These symptoms can occur for many reasons, but it may be worth getting your magnesium levels checked to see if it's playing a part and speaking to your doctor if you’re experiencing these symptoms to rule out any other underlying conditions 15
  • irregular heartbeat (arrhythmia): an irregular heartbeat (which might feel like skipped heartbeats or palpitations) can be another sign of magnesium deficiency.5,6,11 You can experience arrhythmia as skipped heartbeats or heart palpitations. This may have a knock-on effect, causing dizziness, fainting or shortness of breath 16
  • high blood pressure: while more studies are needed to understand the depth of this link, evidence indicates that magnesium depletion may contribute to high blood pressure (hypertension) 6,17

Causes of low magnesium in women

Magnesium deficiency is thought to be associated with a range of women’s health conditions and hormonal health, including premenstrual syndrome (PMS), painful periods (dysmenorrhea) and polycystic ovary syndrome (PCOS).18 It’s also thought that taking the combined oral contraceptive pill increases your likelihood of low magnesium.18 If you think you might be low in magnesium, see your doctor for a test before you start taking supplements.

How can you help low magnesium levels?

If you suspect you have low magnesium levels, it’s best to get checked by a doctor who can do a blood test to find out more.15 Try to increase your dietary magnesium by eating magnesium-rich foods like spinach, nuts, dried fruits, wholegrain breads and brown rice and yoghurt.11 If your results indicate a mild deficiency (which often means you experience no symptoms), your GP might recommend taking magnesium supplements to increase your levels.19

Magnesium deficiency FAQs

Do you lose magnesium when you sweat?

Yes. Magnesium is an electrolyte, which helps regulate our fluid balance, and we lose some of it through sweat. However, most of the mineral content of our sweat is sodium and we don’t lose significant amounts of magnesium.20,21
 

How do I know if I need to take magnesium supplements?

As with all supplements, your doctor can advise you as to whether you should take magnesium supplements. It’s best to increase your magnesium through your diet wherever possible and to remember that not everyone needs to take supplements.
 

Which drinks are high in magnesium?

Kefir, soy milk, mineral water and cherry juice all provide a source of magnesium.22
 

The final say

Magnesium is an essential nutrient, yet many people may not be getting enough.5,6 The good news? Your body’s pretty resilient and you can top up your magnesium levels with magnesium-rich foods or supplements.8,9 But if you’re feeling off or have concerns, a chat with your GP can help you stay on top of your health and keep your magnesium levels in check. Ready to give magnesium a go? Check out our top magnesium supplements, as chosen by a nutritionist...
Disclaimer – This article provides informational advice and is not a substitute for medical care. Working with experts for accuracy, we take great care to ensure the information is up-to-date and relevant. However, you should always consult your GP or healthcare professional before using supplements or alternative products, particularly if you have medical conditions or are under supervision.

Sources

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7. Barbagallo M, et al. Magnesium in aging, health and diseases. Nutrients. 2021;13(2):463. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7912123/.
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14. Pickering G, et al. Magnesium status and stress: the vicious circle concept revisited. Nutrients. 2020;12(12):3672. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7761127/
15. NHS. Magnesium test [Internet]. [2022; cited 2024 Jul 4]. Available from: https://www.nhs.uk/conditions/magnesium-test/.
16. NHS. Arrhythmia [Internet]. [2021; cited 2024 Jul 4]. Available from: https://www.nhs.uk/conditions/arrhythmia/. ‌
17. AlShanableh Z, et al. Magnesium in hypertension: mechanisms and clinical implications. Frontiers in Physiology. 2024;15. Available from: https://doi.org/10.3389/fphys.2024.1363975.
18. Makatsariya AD, et al. Female magnesium deficiency and its management: review of current knowledge. Obstetrics, Gynecology and Reproduction. 2024;18(2):218–230. Available from: https://www.gynecology.su/jour/article/view/2053.
19. Wielgus K, et al. Managing magnesium deficiency: strategies for diagnosis and treatment. Evidence for Self-Medication. 2024 Feb 22;4(240001):1–4. Available from: https://www.efsm.online/int_en/article-overview/101/2024/managing-magnesium-deficiency-strategies-for-diagnosis-and-treatment.
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