Edit 5.2.: Pharma Mg Cit -valmiste nyt myynnissä 400 g:n purkissa.
Maailman suurimman magnesiumsitraattivalmistajan lääkelaatuinen, ultratehokkaasti liukeneva magnesium-sitraattijauhe tulee myyntiin Manninen Nutraceuticals -etiketin alla lähipäivinä. Tuote on 100 %:sta magnesium-sitraattia, josta magnesiumia on n. 13,5 %. Maku on lähes neutraali. Jauhe on kidevedellinen, joten se liukenee äärimmäisen tehokkaasti. On tärkeää ymmärtää, että vain liuennut magnesium voi imeytyä verenkiertoon. Esimerkiksi magnesiumoksidin liukoisuus on vain n. 0,0006 % ja magnesiumkarbonaatin n. 0,04 %, kun taas Pharma Mg Cit -valmisteen liukoisuus on minimissään 20 %. Myös muut orgaaniset magnesiumsuolat ovat suhteellisen hyvin liukenevia (magnesiumglukonaatti n. 6 %, magnesium-laktaatti ja -aspartaatti n. 4 %).
Magnes Res. 2003 Sep;16(3):183-91.
Mg citrate found more bioavailable than other Mg preparations in a randomised, double-blind study.
Walker AF, Marakis G, Christie S, Byng M.
Hugh Sinclair Unit of Human Nutrition, School of Food Biosciences, The University of Reading, Whiteknights, Reading, UK. a.f.walker@reading.ac.uk
Published data on the bioavailability of various Mg preparations is too fragmented and scanty to inform proper choice of Mg preparation for clinical studies. In this study, the relative bioavailability of three preparations of Mg (amino-acid chelate, citrate and oxide) were compared at a daily dose of 300 mg of elemental Mg in 46 healthy individuals. The study was a randomised, double-blind, placebo-controlled, parallel intervention, of 60 days duration. Urine, blood and saliva samples were taken at baseline, 24 h after the first Mg supplement was taken ('acute' supplementation) and after 60 days of daily Mg consumption ('chronic' supplementation). Results showed that supplementation of the organic forms of Mg (citrate and amino-acid chelate) showed greater absorption (P = 0.033) at 60 days than MgO, as assessed by the 24-h urinary Mg excretion. Mg citrate led to the greatest mean serum Mg concentration compared with other treatments following both acute (P = 0.026) and chronic (P = 0.006) supplementation. Furthermore, although mean erythrocyte Mg concentration showed no differences among groups, chronic Mg citrate supplementation resulted in the greatest (P = 0.027) mean salivary Mg concentration compared with all other treatments. Mg oxide supplementation resulted in no differences compared to placebo. We conclude that a daily supplementation with Mg citrate shows superior bioavailability after 60 days of treatment when compared with other treatments studied.
J Am Coll Nutr. 1990 Feb;9(1):48-55.
Magnesium bioavailability from magnesium citrate and magnesium oxide.
Lindberg JS, Zobitz MM, Poindexter JR, Pak CY.
Center for Mineral Metabolism and Clinical Research, University of Texas, Southwestern Medical Center, Dallas 75235.
This study compared magnesium oxide and magnesium citrate with respect to in vitro solubility and in vivo gastrointestinal absorbability. The solubility of 25 mmol magnesium citrate and magnesium oxide was examined in vitro in solutions containing varying amounts of hydrochloric acid (0-24.2 mEq) in 300 ml distilled water intended to mimic achlorhydric to peak acid secretory states. Magnesium oxide was virtually insoluble in water and only 43% soluble in simulated peak acid secretion (24.2 mEq hydrochloric acid/300 ml). Magnesium citrate had high solubility even in water (55%) and was substantially more soluble than magnesium oxide in all states of acid secretion. Reprecipitation of magnesium citrate and magnesium oxide did not occur when the filtrates from the solubility studies were titrated to pH 6 and 7 to stimulate pancreatic bicarbonate secretion. Approximately 65% of magnesium citrate was complexed as soluble magnesium citrate, whereas magnesium complexation was not present in the magnesium oxide system. Magnesium absorption from the two magnesium salts was measured in vivo in normal volunteers by assessing the rise in urinary magnesium following oral magnesium load. The increment in urinary magnesium following magnesium citrate load (25 mmol) was significantly higher than that obtained from magnesium oxide load (during 4 hours post-load, 0.22 vs 0.006 mg/mg creatinine, p less than 0.05; during second 2 hours post-load, 0.035 vs 0.008 mg/mg creatinine, p less than 0.05). Thus, magnesium citrate was more soluble and bioavailable than magnesium oxide.
Med Sci Monit. 2002 May;8(5):CR326-30.
Randomised, cross-over, placebo controlled trial of magnesium citrate in the treatment of chronic persistent leg cramps.
Roffe C, Sills S, Crome P, Jones P.
Department of Geriatric Medicine, Keele University, Staffordshire, UK. christine.roffe@nsch-tr.wmids.nhs.uk
BACKGROUND: Nocturnal leg cramps are common and distressing. The only treatment of proven effectiveness is quinine, but this has a number of side effects. Magnesium salts have been shown to reduce leg cramp distress in pregnancy. This study tests whether magnesium citrate is effective in the treatment of leg cramps in non-pregnant individuals by conducting in a randomised, double-blind, cross-over placebo-controlled trial. MATERIAL/METHODS: Volunteers suffering regular leg cramps were recruited. Magnesium citrate equivalent to 300 mg magnesium and matching placebo were given for 6 weeks each. The number of cramps recorded in the cramp diary during the final 4 weeks of magnesium and placebo treatment, severity and duration of cramps and the participants' subjective assessment of effectiveness were analysed. RESULTS: In subjects who started with placebo (n=29) the median (95% CI) number of cramps was 9 (6-17) on placebo and 5 (4-8) on magnesium. For the group starting with magnesium (n=17) the median no of cramps was 9 (5-13) on magnesium and 8 (4-14) on placebo. There was no significant carry-over effect (p=0.88), but a highly significant period effect (p=0.008). There was a trend towards less cramps on magnesium (p=0.07). There was no difference in cramp severity and duration between the groups. Significantly more subjects thought that the treatment had helped after magnesium than after placebo 36 (78%) and 25 (54%) respectively, (p=0.03). Diarrhoea was recorded as a side effect of magnesium. CONCLUSIONS: The results suggest that magnesium may be effective in treatment of nocturnal leg cramps. Further evaluation is recommended.
Am J Cardiol. 2003 Mar 1;91(5):517-21.
Effects of oral magnesium therapy on exercise tolerance, exercise-induced chest pain, and quality of life in patients with coronary artery disease.
Shechter M, Bairey Merz CN, Stuehlinger HG, Slany J, Pachinger O, Rabinowitz B.
The Heart Institute, Sheba Medical Center, Tel Hashomer, Israel. shechtes@netvision.net.il
Previous studies have demonstrated that magnesium supplementation improves endothelial function in patients with coronary artery disease (CAD). However, the impact on clinical outcomes, such as exercise-induced chest pain, exercise tolerance, and quality of life, has not been established. In a multicenter, multinational, prospective, randomized, double-blind and placebo-controlled trial, 187 patients with CAD (151 men, 36 women; mean +/- SD age 63 +/- 10 years, range 42 to 83) were randomized to receive either oral magnesium 15 mmol twice daily (Magnosolv-Granulat, total magnesium 365 mg provided as magnesium citrate) (n = 94) or placebo (n = 93) for 6 months. Symptom-limited exercise testing (Bruce protocol) and responses given on quality-of-life questionnaires were the outcomes measured. Magnesium therapy significantly increased intracellular magnesium levels ([Mg]i) in a substudy of 106 patients at 6 months compared with placebo (35.5 +/- 3.7 vs 32.6 +/- 2.9 mEq/L, p = 0.0151). Magnesium treatment significantly increased exercise duration time compared with placebo (8.7 +/- 2.1 vs 7.8 +/- 2.9 minutes, p = 0.0075), and lessened exercise-induced chest pain (8% vs 21%, p = 0.0237). Quality-of-life parameters significantly improved in the magnesium group. These findings suggest that oral magnesium supplementation in patients with CAD for 6 months results in a significant improvement in exercise tolerance, exercise-induced chest pain, and quality of life, suggesting a potential mechanism whereby magnesium could beneficially alter outcomes in patients with CAD.
Biol Trace Elem Res. 2009 Jun 2. [Epub ahead of print]
Short-Term Oral Magnesium Supplementation Suppresses Bone Turnover in Postmenopausal Osteoporotic Women.
Aydın H, Deyneli O, Yavuz D, Gözü H, Mutlu N, Kaygusuz I, Akalın S.
Department of Internal Medicine, Section of Endocrinology and Metabolism, Yeditepe University Hospital, Devlet Yolu Ankara Cad. No: 102, Kozyatagi, Istanbul, 34752, Turkey, haydin@yeditepe.edu.tr.
Magnesium has been shown to increase bone mineral density when used in the treatment of osteoporosis, yet its mechanism of action is obscure. In this study, the effects of daily oral magnesium supplementation on biochemical markers of bone turnover were investigated. Twenty postmenopausal women have been divided into two groups. Ten patients were given magnesium citrate (1,830 mg/day) orally for 30 days. Ten postmenopausal women of matching age, menopause duration, and BMI were recruited as the control group and followed without any medication. Fasting blood and first-void urine samples were collected on days 0, 1, 5, 10, 20, and 30, respectively. Total magnesium, calcium, phosphorus, iPTH and osteocalcin were determined in blood samples. Deoxypyridinoline levels adjusted for creatinine were measured in urine samples. Thirty consecutive days of oral magnesium supplementation caused significantly decrease in serum iPTH levels in the Mg-supplemented group (p < 0.05). Serum osteocalcin levels were significantly increased (p < 0.001) and urinary deoxypyridinoline levels were decreased (p < 0.001) in the Mg-supplemented group. This study has demonstrated that oral magnesium supplementation in post-menopausal osteoporotic women suppresses bone turnover.
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tälläinen juttu löyti netistä eli ilmeisesti toi jauhe on vielä parempi kuin magnesiumsitraattitabletteina (katso artikkelin loppu):
Sitraattimuotoinen magnesium imeytyy parhaiten
Magnesiumsitraatti ylivoimaisesti tehokkain muoto
Äskettäin julkaistu tutkimus paljastaa, että magnesiumsitraatti on ylivoimaisesti tehokkaampi kuin kaksi muuta yleisesti markkinoilla olevaa magnesiumyhdistettä. Magnesium Research –julkaisussa ilmestyneet tulokset osoittavat, että magnesiumsitraatti on sekä lyhyellä että pitkällä aikavälillä paremmin imeytyvä ja pysyy siten elimistössä pidempään kuin magnesiumoksidi tai magnesiumin aminohappokelaatti.
Selvä ero
Satunnaistetussa kaksoissokkotutkimuksessa koehenkilöiden plasman magnesiumtaso (millimoolia/litra) mitattiin 24 tunnin käytön (eli kerta-annoksen oton) jälkeen sekä 60 vuorokauden säännöllisen käytön (300 mg/vrk) jälkeen. Viimeinen pylväsjoukko, eli lumevalmistetta saaneet, on luonnollisesti ainoa jossa plasman magnesiummäärä laskee sekä lyhyellä että pitkällä aikavälillä.
Magnesiumoksidilla (kolmas pylväsjoukko) magnesiumin määrä elimistössä saatiin nousemaan aavistuksen verran sekä lyhyellä että pitkällä hoitoajalla. Magnesiumin aminohappokelaatti (ensimmäinen pylväsjoukko) puolestaan nosti magnesiumin määrää kerta-annoksena, mutta ei pitkällä aikavälillä. Magnesiumsitraatti on ainoa näistä kolmesta magnesiumin muodosta, jolla plasman magnesiumpitoisuus nousi huomattavasti sekä lyhyellä että pitkällä hoitojaksolla.
Liuottaminen parantaa imeytyvyyttä
Sen lisäksi, että magnesium kannattaa nauttia sitraattimuotoisena, se on myös hyvä liuottaa veteen ennen nauttimista, jolloin magnesiumionit ovat vapaina jo elimistöön joutuessaan ja imeytyvät vielä nopeammin. Tältä kannalta neste on magnesiumin imeytymisen kannalta paras muoto.
Tutkimusviite:
Walker et al.: Mg citrate found more bioavailable than other Mg preparations in a randomised, double-blind study. Magnesium Research 16:183-191 (2003)
Ymmärtääkseni paras tapa tankata kehoon magnesiumia on transdermaalinen magnesiumhoito magnesiumkloridiöljyllä. Öljy imeytyy ihon läpi kehoon, eikä rasita elimistöä (maksa, munuaiset ja suolisto) kuten suun kautta otettuna.
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