Magnesium
Summary
Magnesium is an essential mineral involved in more than 300 enzyme systems. In meta-analyses of human trials, supplements lowered blood pressure by about 2 mm Hg (grade A) and shortened time to fall asleep in older adults (grade C), but did not reduce leg cramps in older adults. Forms differ mainly in elemental content and absorption.
Key facts
- Essential mineral; cofactor in more than 300 enzyme systems. An adult body holds about 25 g, 50–60% of it in bone.[1]
- Blood pressure ↓ ~2 mm Hg (A); sleep onset latency in older adults ↓ ~17 min (C); muscle cramps in older adults: no effect[2][3][4]
- US Supplement Facts panels declare elemental magnesium, not the weight of the whole compound[1]
- Adults 310–420 mg/day (all sources); UL 350 mg/day from supplements[1]
- Bisphosphonates, tetracycline and quinolone antibiotics, diuretics, long-term PPIs, high-dose zinc[1][7][8]
- 4 graded human outcomes on this page
- October 8, 2026
How it works
EstablishedMagnesium is a cofactor for enzymes that regulate protein synthesis, muscle and nerve function, blood glucose and blood pressure, and it is needed for energy production and for moving calcium and potassium across cell membranes. The kidneys control body levels, which is why blood tests reflect total stores poorly.[1]
What the human research says
Human trials only, one row per outcome. The form column shows what each trial actually tested. Grades follow our evidence-grading policy.
At a glance: strongest evidence per outcome
| Outcome | Grade | Effect | Strongest evidence | Rows |
|---|---|---|---|---|
| Heart | Grade A | Improved | Meta-analysis · n = 2,028 · 2016 | 2 rows |
| Sleep | Grade C | Improved | Meta-analysis · n = 151 · 2021 | 1 row |
| Healthy aging | No effect | No effect | Meta-analysis · n = 307 · 2020 | 1 row |
Every graded row
| Outcome | Effect | Grade | Best evidence | PMID |
|---|---|---|---|---|
| Blood pressure | Improved | Grade A | Meta-analysis · n = 2,028 · 2016 34 double-blind placebo-controlled trials in normotensive and hypertensive adults Form: Various oral forms · Dose: Median 368 mg/day magnesium · Duration: Median 3 months Systolic blood pressure fell by 2.00 mm Hg and diastolic by 1.78 mm Hg versus placebo, with a 0.05 mmol/L rise in serum magnesium. A small average effect. | 27402922 (opens PubMed)Source [2] |
| Arterial stiffness | Mixed | Grade C | RCT · n = 164 · 2022 Adults with overweight or mild obesity, mean age 63 Form: Magnesium citrate, oxide or sulfate · Dose: 450 mg/day magnesium · Duration: 24 weeks No form changed pulse wave velocity or blood pressure versus placebo. An earlier 24-week trial (n=52, 350 mg/day) found a 1.0 m/s improvement, so results are mixed. | 35253448 (opens PubMed)Source [9] |
| Time to fall asleep (older adults) | Improved | Grade C | Meta-analysis · n = 151 · 2021 3 RCTs in older adults with insomnia, in three countries Form: Oral magnesium (forms varied by trial) · Dose: Varied by trial (not stated in the abstract) · Duration: Varied by trial Sleep onset latency was 17.4 minutes shorter than placebo; total sleep time rose 16 minutes but not significantly. Trials were at moderate-to-high risk of bias; evidence quality low to very low. | 33865376 (opens PubMed)Source [3] |
| Muscle cramps (older adults) | No effect | No effect | Meta-analysis · n = 307 · 2020 Cochrane review; for idiopathic cramps, 5 trials in mostly older adults Form: Oral magnesium (forms varied by trial) · Dose: Varied by trial · Duration: 4 weeks (primary endpoint) No meaningful difference from placebo in cramps per week (−0.18/week, moderate-certainty evidence). Evidence for pregnancy-associated cramps was conflicting. | 32956536 (opens PubMed)Source [4] |
Forms compared
| Form | Elemental % | Absorption (human data) | GI tolerance | Studied for |
|---|---|---|---|---|
| Magnesium glycinate (bisglycinate) | 14.1%[10] | In 12 people with ileal resection, overall absorption of a 100 mg dose did not differ from oxide (23.5% vs 22.8%), but was higher in the 4 with the poorest oxide absorption (23.5% vs 11.8%).[11] | Better tolerated than oxide by all 12 patients in that small crossover trial.[11] | Insomnia severity in adults reporting poor sleep (one RCT). |
| Magnesium citrate | 16.2%[12] | More soluble and more bioavailable than oxide by urinary magnesium in short studies; in a 60-day RCT (n=46) citrate gave the highest serum magnesium of the forms compared.[13][14] | Diarrhea was reported by 18.6% of participants at 600 mg/day in a 12-week migraine trial.[15] | Arterial stiffness and blood pressure (null), bone-turnover markers, migraine attack frequency. |
| Magnesium L-threonate | 8.3%[5] | No head-to-head human absorption data. Raised brain magnesium in rats (animal data).[16] | Described as well tolerated in 3- to 6-week trials of 1–2 g/day.[17][18] | Cognitive test performance and sleep quality (small RCTs). |
| Magnesium malate | 15.5%[19] | No head-to-head human absorption data in our sources. | No form-specific human tolerance data in our sources. | No graded human outcome trials in our sources. |
| Magnesium taurate | 8.9%[20] | No head-to-head human absorption data in our sources. | No form-specific human tolerance data in our sources. | No graded human outcome trials in our sources. |
| Magnesium oxide | 60.3%[6] | Lowest of the forms tested: about 4% fractional absorption in one comparison; poorly soluble in water.[21][13] | One of the forms most often reported to cause diarrhea, per NIH ODS.[1] | Arterial stiffness and blood pressure (null in one 24-week trial). |
- Magnesium oxide603 mg
- Magnesium citrate162 mg
- Magnesium malate155 mg
- Magnesium glycinate (bisglycinate)141 mg
- Magnesium taurate89 mg
- Magnesium L-threonate83 mg
Compound weight → elemental magnesium
500 mg magnesium glycinate (bisglycinate) ≈ 71 mg elemental magnesium
Form pages: Magnesium citrate, Magnesium glycinate, Magnesium L-threonate
Studied doses
Doses studied in human trials ranged from about 243 to 973 mg/day of elemental magnesium, for 8 to 26 weeks, in the blood-pressure trials pooled by a Cochrane review that NIH ODS cites. Many of these exceed the 350 mg/day upper limit for supplements.[1]
Intake reference: Adult RDA 310–420 mg/day from all sources (by age and sex). Upper limit for supplemental magnesium: 350 mg/day for adults.[1] The upper limit covers supplements and medicines only, not magnesium in food. NIH ODS fact sheet (updated January 6, 2026).
Interactions
Published interactions only: each row cites a source. No row means none was found in our sources, not that a combination is safe.
Medicines
- Oral bisphosphonatesNIH fact sheetMagnesium-rich supplements or medicines can reduce bisphosphonate absorption; NIH ODS notes separating them by at least 2 hours.[1]
- Tetracycline and quinolone antibioticsNIH fact sheetMagnesium can form insoluble complexes with these antibiotics; NIH ODS notes taking the antibiotic at least 2 hours before or 4–6 hours after magnesium.[1]
- Potassium-sparing diureticsNIH fact sheetReduce urinary magnesium excretion.[1]
Medicines that can lower levels
- Loop and thiazide diureticsNIH fact sheetLong-term use can increase urinary magnesium loss and lead to depletion.[1]
- Proton pump inhibitors (long-term)FDA safety communicationUse typically longer than a year can cause low blood magnesium; in about 25% of cases FDA reviewed, supplements did not correct it and the PPI was stopped.[7][1]
Other supplements
- High-dose zincPK studyLowered magnesium absorption and magnesium balance in a metabolic-ward study of adult men.[8]
Who should be careful
- Kidney problems
- The risk of magnesium toxicity rises with impaired kidney function, because the kidneys remove excess magnesium.[1]
- High intakes and digestive effects
- High doses from supplements or medicines often cause diarrhea, nausea and abdominal cramping. The adult upper limit for supplemental magnesium is 350 mg/day; very large doses from laxatives or antacids (typically over 5,000 mg/day) have caused toxicity.[1]
- Pregnancy and breastfeeding
- The RDA is 350–400 mg/day in pregnancy and 310–360 mg/day during lactation (all sources), and the 350 mg/day upper limit for supplemental magnesium still applies.[1]
- Children
- Upper limits for supplemental magnesium are lower: 65 mg/day at ages 1–3 and 110 mg/day at ages 4–8.[1]
Talk to your pharmacist or clinician before starting a supplement, especially if you take prescription medicines.
Articles about Magnesium
Plain-English answers to common questions, built on the evidence above.
Frequently asked questions
Which form of magnesium is best absorbed?
Small human studies find citrate, aspartate, lactate and chloride better absorbed than oxide and sulfate. Glycinate matched oxide overall in one small crossover trial but did better in people with the poorest absorption. No head-to-head human data exist for threonate, malate or taurate.[1][11][14]
Why does my label say 100 mg when the capsule holds 700 mg of magnesium glycinate?
Supplement Facts panels list elemental magnesium. Magnesium glycinate is about 14% magnesium by weight, so 700 mg of the compound carries about 99 mg of magnesium. Front-of-pack claims sometimes give the compound weight instead.[1][10]
What is the upper limit for magnesium supplements?
For adults, 350 mg/day of magnesium from supplements and medicines. Magnesium in food does not count toward it, because the kidneys remove excess dietary magnesium.[1]
Does magnesium help with leg cramps?
A 2020 Cochrane review found it unlikely to provide meaningful relief for cramps in older adults. Evidence in pregnancy-associated cramps was conflicting.[4]
Can I get enough magnesium from food?
Leafy greens, legumes, nuts, seeds and whole grains are good sources, and about 30–40% of dietary magnesium is absorbed. Survey data show many people in the US eat less than the recommended amount.[1]
Sources
- [1]Magnesium: Fact Sheet for Health Professionals (updated January 6, 2026). NIH Office of Dietary Supplements, 2026. fact-sheet
- [2]Effects of Magnesium Supplementation on Blood Pressure: A Meta-Analysis of Randomized Double-Blind Placebo-Controlled Trials.. Hypertension, 2016. meta-analysis
- [3]Oral magnesium supplementation for insomnia in older adults: a Systematic Review & Meta-Analysis.. BMC Complement Med Ther, 2021. meta-analysis
- [4]Magnesium for skeletal muscle cramps.. Cochrane Database Syst Rev, 2020. meta-analysis
- [5]Magnesium L-threonate (CID 45489777): C8H14MgO10, MW 294.50. PubChem, NIH, 2026. database
- [6]Magnesium oxide (CID 14792): MgO, MW 40.305. PubChem, NIH, 2026. database
- [7]FDA Drug Safety Communication: Low magnesium levels can be associated with long-term use of proton pump inhibitor drugs (PPIs). U.S. Food and Drug Administration, 2011. safety-communication
- [8]Inhibitory effects of zinc on magnesium balance and magnesium absorption in man.. J Am Coll Nutr, 1994. PK-study
- [9]Effects of Magnesium Citrate, Magnesium Oxide, and Magnesium Sulfate Supplementation on Arterial Stiffness: A Randomized, Double-Blind, Placebo-Controlled Intervention Trial.. J Am Heart Assoc, 2022. RCT
- [10]Magnesium glycinate (CID 84645): C4H8MgN2O4, MW 172.42. PubChem, NIH, 2026. database
- [11]Bioavailability of magnesium diglycinate vs magnesium oxide in patients with ileal resection.. JPEN J Parenter Enteral Nutr, 1994. crossover-RCT
- [12]Trimagnesium dicitrate (CID 6099959): C12H10Mg3O14, MW 451.12. PubChem, NIH, 2026. database
- [13]Magnesium bioavailability from magnesium citrate and magnesium oxide.. J Am Coll Nutr, 1990. PK-study
- [14]Mg citrate found more bioavailable than other Mg preparations in a randomised, double-blind study.. Magnes Res, 2003. RCT
- [15]Prophylaxis of migraine with oral magnesium: results from a prospective, multi-center, placebo-controlled and double-blind randomized study.. Cephalalgia, 1996. RCT
- [16]Enhancement of learning and memory by elevating brain magnesium.. Neuron, 2010. animal-study
- [17]Magnesium-L-threonate improves sleep quality and daytime functioning in adults with self-reported sleep problems: A randomized controlled trial.. Sleep Med X, 2024. RCT
- [18]The effects of magnesium L-threonate (Magtein®) on cognitive performance and sleep quality in adults: a randomised, double-blind, placebo-controlled trial.. Front Nutr, 2025. RCT
- [19]Magnesium malate (CID 164748): C4H4MgO5, MW 156.38. PubChem, NIH, 2026. database
- [20]Magnesium taurate (CID 13343447): C4H12MgN2O6S2, MW 272.6. PubChem, NIH, 2026. database
- [21]Bioavailability of US commercial magnesium preparations.. Magnes Res, 2001. PK-study
What changed
- First published.
