There are a few different forms of magnesium supplements available. Magnesium L-threonate is a supplement formulation identified in 2010. It may have several benefits for cognition and pain relief. Although research is limited, the available studies show potential for magnesium L-threonate.
Magnesium is a mineral important for protein synthesis, muscle and nerve function, blood sugar and blood pressure regulation, energy production, and much more. Only 50% of people in the United States consume enough magnesium from food alone. Supplementation can help you meet recommended magnesium intakes.
Magnesium L-threonate appears to be most promising when it comes to brain health. One study of 109 healthy adults aged 18-65 found that magnesium L-threonate improved cognition, specifically memory. After taking 2 grams of magnesium L-threonate a day for 30 days, adults in the treatment group had significant improvements compared to the group who took a placebo. The results were most notable for older participants.
Magnesium L-threonate may help relieve pain. One study evaluated the effects of magnesium L-threonate supplementation on people with cancer taking opioids. The participants who took 1.5-2 grams of magnesium L-threonate needed less morphine after 30-90 days compared to those who took a placebo. The authors suggested magnesium L-threonate may affect the brain in such a way that pain is not as intense.
In the same study of people with cancer, the participants taking magnesium L-threonate experienced relief from opioid-induced constipation. Other forms of magnesium also commonly promote digestive regularity. Magnesium is even included in some laxatives. That’s because magnesium salts draw water into the stool, which promotes gut motility and makes stool easier to pass.
Attention-deficit/hyperactivity disorder (ADHD) is a condition that causes difficulties with attention, impulsiveness, and mood. A small clinical trial of 15 adults found that magnesium L-threonate supplementation may help manage ADHD. Participants took the supplements for up to 12 weeks, and almost half the group had significant improvements in ADHD symptoms. Larger studies are needed to confirm this result.
There are many dietary sources of magnesium, such as green, leafy vegetables, legumes, whole grains, nuts, and seeds. Some foods, like breakfast cereal, may be fortified with magnesium.
Some of the best dietary sources of magnesium include:
- Pumpkin seeds, roasted: 156 milligrams (mg) per ounce (oz), or 37% of the Daily Value (DV)
- Chia seeds: 111 mg per oz, or 26% of the DV
- Almonds, dry roasted: 80 mg per oz, or 19% of the DV
- Spinach, boiled: 78 mg per ½ cup, or 19% of the DV
- Cashews, dry roasted: 74 mg per oz, or 18% of the DV
- Peanuts, oil roasted: 63 mg per ¼ cup, or 15% of the DV
- Soy milk: 61 mg per cup, or 15% of the DV
- Black beans: 60 mg per ½ cup cooked, or 14% of the DV
Magnesium L-threonate supplements are typically sold as capsules or tablets, which you need to take with water. You can also find some magnesium L-threonate supplements in powder form. Whether you should take magnesium L-threonate in capsule or powder form depends on your preference. Your body may absorb powder more quickly since it’s already dissolved, whereas your digestive system would need to break down a capsule.
One serving of most magnesium L-threonate supplements is multiple tablets, so most manufacturers recommend taking part of the dose in the morning and the rest in the evening. Make sure to follow the dosing instructions given by the product manufacturer.
How much magnesium you need varies based on your age, sex, and whether you are pregnant. The recommended dietary allowances (RDAs) and adequate intakes (AIs) for total magnesium intake (from food and supplements) are:
| Age | Magnesium Intake |
|---|---|
| 0-6 months | 30 mg |
| 7-12 months | 75 mg |
| 1-3 years | 80 mg |
| 4-8 years | 130 mg |
| 9-13 years | 240 mg |
| 14-18 years | 410 mg for men; 360 mg for women; 400 mg if pregnant |
| 19-30 years | 400 mg for men, 310 mg for women; 350 mg if pregnant |
| 31-50 years | 420 mg for men; 320 mg for women; 360 mg if pregnant |
| 51 years and older | 420 mg for men; 320 mg for women |
The specific side effects of magnesium L-threonate are not well-known. Eating dietary sources of magnesium, even in high amounts, generally does not typically cause harm. Magnesium supplements are also generally considered safe when you use them appropriately.
Taking excess magnesium from dietary supplements could lead to side effects like:
- Abdominal (belly) cramps
- Diarrhea
- Nausea
People who have kidney disease should not take magnesium supplements. The kidneys remove excess magnesium from the body. Magnesium levels may rise to dangerous levels if the kidneys cannot function.
Potential Drug Interactions
Magnesium supplementation can reduce your body’s absorption of certain drugs, while other drugs can deplete magnesium stores. Speak with a healthcare provider before starting a magnesium supplement if you take any of the following:
- Antibiotics: Magnesium can reduce the absorption of antibiotics like Declomycin (demeclocycline), Vibramycin (doxycycline), Cipro (ciprofloxacin), and Levaquin (levofloxacin). Take antibiotics two hours before or 4-6 hours after a magnesium supplement.
- Biphosphonates: Magnesium can reduce the absorption of osteoporosis drugs like Fosamax (alendronate). Make sure to take them at least two hours apart.
- Diuretics: Diuretics like Midamor (amiloride) can cause magnesium levels to get too high. Loop and thiazide diuretics can increase the amount of magnesium you lose through urine, which may be helpful if you take a magnesium supplement.
- Thyroid medications: Magnesium can reduce the absorption and effectiveness of some thyroid hormones, such as Synthroid (levothyroxine). Separate magnesium supplements and thyroid medications by at least four hours.
The Food and Drug Administration (FDA) does not regulate supplements in the same way as drugs. Look for a third-party product that has been tested for purity and potency. Reputable third-party testers include USP, NSF, and ConsumerLab.com. You can typically find the organization’s seal on the bottle. It’s also important to speak with a healthcare provider before starting a new supplement to ensure it’s safe and that you take an appropriate dose.
Consuming extremely high amounts of magnesium L-threonate may lead to magnesium toxicity, which can cause hypotension (low blood pressure), nausea, vomiting, urine retention, depression, and even death. The FDA has established tolerable upper intake levels (ULs) for magnesium based on age, but there are no ULs for infants aged 0-6 months. Your UL is the same as that of your general age group if you are pregnant.
The ULs include:
- 1-3 years: 65 mg
- 4-8 years: 110 mg
- 9-18 years: 350 mg
- 19 years and older: 350 mg
Magnesium L-threonate is a form of magnesium that may have benefits for brain health and pain and constipation relief. The existing human research is promising but limited since magnesium L-threonate was only developed in 2010. Before taking magnesium L-threonate, it’s best to consult a healthcare provider to ensure it’s safe and does not interact with any medications you take.
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