Magnesium malate

Also called magnesium malate, di-magnesium malate, magnesium and malic acid

By Kymata Health editorial teamLast reviewed October 10, 2026 · What changed

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Summary

Magnesium malate has almost no human outcome data. The one small randomized trial, of a magnesium plus malic acid tablet in fibromyalgia, found no clear effect in its blinded phase, and a 2019 evidence review rated it as making little or no difference to pain (no effect). Absorption claims rest on rat studies.

Top graded outcomes:

Key facts

What it is
Magnesium salt of malic acid; 15.5% elemental magnesium by weight[2]
Top studied outcomes
Fibromyalgia pain: little or no difference (one small RCT)[3][4]
Studied dose range
300 mg/day magnesium with 1,200 mg malic acid in the blinded trial; up to 600 mg/day magnesium open-label[3]
RDA / UL
Adult RDA 310–420 mg/day magnesium from all sources; UL for supplemental magnesium 350 mg/day[1]
Documented drug interactions
Same as other magnesium supplements: bisphosphonates, some antibiotics; PPIs can lower magnesium[1]
Most common side effect
Diarrhea and stomach upset at high doses, as with any magnesium supplement[1]
Evidence base
1 graded human outcome on this page
Last reviewed
October 10, 2026

How it works

ProposedMagnesium is a cofactor in hundreds of enzyme reactions, including energy production. Malic acid is an intermediate in the cell's energy cycle, which is the rationale for pairing them in fatigue and fibromyalgia products. No human study shows that the malate partner adds anything beyond the magnesium.[1][3]

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.

Sort

Showing 1 of 1 outcome. Human trials only.

OutcomeEffectGradeBest evidencePMID
Fibromyalgia pain and tendernessNo effectNo effect

Crossover RCT · n = 24 · 1995

Adults with primary fibromyalgia

Form: tablet of magnesium 50 mg with malic acid 200 mg · Dose: 3 tablets twice daily (300 mg magnesium, 1,200 mg malic acid per day) · Duration: 4 weeks per blinded course, then 6 months open-label

No clear treatment effect in the blinded, fixed-dose phase. Pain scores fell in the open-label, higher-dose phase, which had no placebo control.

8587088 (opens PubMed)Source [3]

Forms

FormElemental %Absorption (human data)GI toleranceStudied for
Magnesium malate15.5%[2]MgC4H4O5, MW 156.38 (anhydrous); Mg 24.305 g/molIn rats, magnesium malate gave the highest serum area under the curve of five compounds tested; no human comparison in our sources.[5]No form-specific human tolerance data in our sources.[1]Fibromyalgia (one small trial)

Compound weight → elemental magnesium

500 mg magnesium malate ≈ 78 mg elemental magnesium

Arithmetic only, from the elemental fractions in the table above. US Supplement Facts panels list the elemental amount; front-of-pack claims sometimes give the compound weight. Real products vary with hydration state and buffering.

Studied doses

Doses studied in human trials ranged from 300 mg/day of magnesium with 1,200 mg malic acid (blinded phase) to 600 mg/day of magnesium (open-label phase), for 4 weeks to 6 months. 600 mg exceeds the 350 mg/day supplement upper limit.[3][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).

Dose math: how much compound supplies that much magnesium

Compound weight needed for each elemental amount, by form
Form (elemental %)300 mg magnesium300 mg/day: magnesium in the blinded fibromyalgia trial350 mg magnesium350 mg/day: adult upper limit from supplements (a ceiling, not a target)
Magnesium malate (15.5%)≈ 1,940 mg compound≈ 2,260 mg compound

Target ÷ elemental fraction, rounded to the nearest 10 mg. Real ingredients vary with hydration and buffering; the Supplement Facts panel is the number to trust.

These are amounts used in research, not personal advice. Your clinician or pharmacist can say what fits you.

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

  • BisphosphonatesNIH fact sheete.g. alendronateMagnesium-rich supplements or medicines can reduce absorption; separate by at least 2 hours.[1]
  • AntibioticsNIH fact sheete.g. tetracyclines, quinolonesMagnesium can form insoluble complexes; take the antibiotic at least 2 hours before or 4–6 hours after.[1]

Medicines that can lower levels

  • Proton pump inhibitors (long-term)NIH fact sheete.g. omeprazole, esomeprazoleUse for more than a year can cause low magnesium, which supplements may not fully correct.[1]

Who should be careful

Kidney problems
The risk of magnesium toxicity rises with impaired kidney function, because the kidneys remove excess magnesium.[1]
High doses
The adult upper limit for supplemental magnesium is 350 mg/day; high doses often cause diarrhea, nausea and cramping.[1]
Pregnancy and breastfeeding
The 350 mg/day upper limit for supplemental magnesium still applies; no malate-specific data in our sources.[1]
Medicines
See interactions: antibiotic and bisphosphonate timing matters.[1]

Talk to your pharmacist or clinician before starting a supplement, especially if you take prescription medicines.

How to read the label

  1. Label dose vs clinical doseSupplement Facts list elemental magnesium. The blinded trial used 300 mg/day of magnesium plus 1,200 mg malic acid, so compare both numbers on the label.[3][1]
  2. Convert compound weight to magnesiumA front label saying "1,000 mg magnesium malate" means about 155 mg of magnesium at 15.5%.[2]
  3. Count every source against the upper limitThe 350 mg/day UL counts magnesium from all supplements and medicines combined, not food.[1]

Cost per studied dose, without the sales pitch

Compare any product you already have by the amount it delivers, not by capsule count or front-of-pack weight.

Cost per studied dose

Enter the price, servings and the amount per serving from your label.

Formula: price ÷ (servings × amount per serving) × reference amount. Use the amount printed on the Supplement Facts panel, not the front-of-pack compound weight. Reference amounts are what trials studied or official limits, not advice for you. We don't rank or link products on this page.

Frequently asked questions

Is magnesium malate good for fibromyalgia?

The evidence says probably not. The only randomized trial found no clear effect in its blinded phase, and a 2019 evidence summary concluded it makes little or no difference to pain.[3][4]

Is magnesium malate better absorbed than other forms?

In rats it produced the highest serum levels of five compounds tested. There are no human head-to-head absorption data in our sources.[5]

How much magnesium is in magnesium malate?

About 15.5% by weight, so 1,000 mg of the compound contains roughly 155 mg of magnesium.[2]

Does magnesium malate help energy or fatigue?

No human trial in our sources has tested it for fatigue or energy. The idea comes from malic acid's role in cell energy metabolism.[1][3]

Is magnesium malate safe?

It follows the same limits as other magnesium supplements: 350 mg/day of supplemental magnesium for adults, with extra caution in kidney disease.[1]

Sources

  1. [1]Magnesium: Fact Sheet for Health Professionals (updated January 6, 2026). NIH Office of Dietary Supplements, 2026. fact-sheet
  2. [2]Magnesium malate (CID 164748): C4H4MgO5, MW 156.38. PubChem, NCBI, 2026. database
  3. [3]Treatment of fibromyalgia syndrome with Super Malic: a randomized, double blind, placebo controlled, crossover pilot study.. J Rheumatol, 1995. crossover-RCT PMID 8587088
  4. [4]Magnesium and malic acid supplement for fibromyalgia.. Medwave, 2019. systematic-review PMID 31150373
  5. [5]Timeline (Bioavailability) of Magnesium Compounds in Hours: Which Magnesium Compound Works Best?. Biol Trace Elem Res, 2019. animal-study PMID 29679349

What changed

  1. October 10, 2026 · all · new pageFirst draft. Every PMID checked against NCBI E-utilities esummary (title and year taken from the record) and abstracts read for the cited rows.Writer: Kymata Health editorial team · No credentialed reviewer yet
  2. October 10, 2026 · all · reviewAdversarial review pass: claims re-checked against cited abstracts; the open-label phase is described as uncontrolled; absorption claims limited to the rat data. Page set indexable.Writer: Kymata Health editorial team · No credentialed reviewer yet

How we write, grade and correct these pages: editorial and evidence policy.

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