Magnesium
Magnesium is a mineral for energy, muscles, nerves and the heart; human studies show effects mainly in diabetes, blood pressure, stress and migraine.
We evaluated 288 human studies on Magnesium, including 141 randomised controlled trials and 69 meta-analyses or systematic reviews; the controlled studies include 16,263 participants in total. As of 3 October 2026.
1. What Is Magnesium? Occurrence, Origin and Forms
Magnesium is a mineral the body needs for several hundred enzymes, among them those for energy production, muscle and nerve function and heart rhythm. About half of the body's magnesium is stored in the bones, only a very small part in the blood.
Good sources are whole grains, pulses, nuts, seeds, green leafy vegetables and some mineral waters.
Supplements contain magnesium as a salt, such as citrate, oxide, glycinate (bisglycinate), aspartate, chloride, carbonate or L-threonate. The salts differ in magnesium content and in how well they are absorbed and tolerated.
Forms and Preparations Studied
- Magnesium salts taken by mouth (citrate, oxide, glycinate, aspartate, chloride, L-threonate)
- Magnesium-rich mineral water
- Topical magnesium (oil, bath)
- Combination products with magnesium – the other ingredients are named in each case
Not covered on this page:
- Intravenous or injected magnesium sulfate in hospital and anaesthesia (pre-eclampsia, asthma attacks, anaesthesia, heart surgery)
- Magnesium as a laxative for bowel preparation and as an antacid
2. What Does Magnesium Do? Results by Area
| Area | Result in controlled studies | Strength of evidence | Studies | Participants |
|---|---|---|---|---|
| Blood sugar and metabolism | mostly improved | high | 19 meta-analyses · 37 controlled · 21 other | 3,101 |
| Blood pressure, heart and blood vessels | mixed | high | 19 meta-analyses · 31 controlled · 24 other | 8,093 |
| Stress, anxiety and mood | mostly improved | high | 2 meta-analyses · 28 controlled · 8 other | 1,331 |
| Sleep | mixed | high | 4 meta-analyses · 19 controlled · 4 other | 1,214 |
| Bones | mostly no difference | high | 2 meta-analyses · 5 controlled · 2 other | 332 |
| Muscles and muscle cramps | mixed | moderate | 1 meta-analyses · 15 controlled · 2 other | 1,041 |
| Headache and migraine | reviews only | low | 3 meta-analyses · 0 controlled · 4 other | 0 |
| Pregnancy | mostly improved | low | 1 meta-analyses · 1 controlled · 1 other | 36 |
| Other outcomes | mostly improved | high | 19 meta-analyses · 119 controlled · 53 other | 6,935 |
How to read the table: counted are human studies whose results concern the area. “High” means at least one meta-analysis and two controlled studies showing improvement, or at least three controlled studies of which three quarters show improvement, with at least 300 participants in total. “Moderate” means at least two controlled studies showing improvement, as a majority, or one meta-analysis alongside controlled studies. “Low” means one controlled study showing improvement. Where an area has no controlled study, the strength of evidence is at most “low” (result “reviews only” or “observational data only”). Everything else is “unclear”. A study counts as showing improvement when at least half of its outcomes in this area improved. Reviews of combination products do not count as meta-analyses; results that only describe side effects or shares of users do not count as an effect. The same study is counted only once.
3. What the Studies Show in Detail
Magnesium, Blood Sugar and Metabolism: Human Studies
In type 2 diabetes, oral magnesium salts lowered fasting glucose more than control in two meta-analyses, and HbA1c significantly in only one of them 1011. In two further meta-analyses, insulin resistance and fasting glucose also fell 1238. In prediabetes, insulin resistance and blood sugar two hours after drinking a sugar solution improved, but not fasting glucose 25. Two meta-analyses that combined magnesium with chromium, zinc, selenium, calcium or vitamins found lower fasting glucose and insulin resistance in polycystic ovary syndrome and gestational diabetes 1861. The share of magnesium in this cannot be separated. Mainly oral magnesium salts such as oxide, citrate and chloride as well as individual combination preparations were studied; the results depend on salt form, daily amount and baseline magnesium status.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 9 Yang et al. 2025 | meta-analysis · 1,600 participants | Combination of calcium, chromium, selenium and magnesium; vs. Placebo or control (RCTs) | Fasting plasma glucose: no difference; HOMA-IR: no difference; Lipid metabolic markers: no difference |
| 10 Maqrashi et al. 2025 | meta-analysis · 1,345 participants | Magnesium supplements (salt not specified); vs. Placebo or control | Serum magnesium: improved (WMD = 0.69, 95% CI: 0.32 to 1.06); Fasting blood glucose: improved (WMD = -0.58, 95% CI: -0.87 to -0.28); Glycated haemoglobin: no difference (WMD = -0.16, 95% CI: -0.32 to 0.00) |
| 11 Xu et al. 2022 | meta-analysis · 1,325 participants | magnesium supplementation (formulations analyzed in subgroups); average optimal: 279 mg/d, 429 mg/d, 300 mg/d; 116 d, 88 d, 120 d per outcome; vs. control group without magnesium (24 RCTs) | fasting plasma glucose: improved (-0.20 mM (95% CI: -0.30, -0.09)); glycated hemoglobin: improved (-0.22% (95% CI: -0.41, -0.03)) |
| 12 Zhao et al. 2020 | meta-analysis · 1,168 participants | Dietary magnesium intake or magnesium supplements; per 100 mg increment in daily magnesium intake; vs. lowest vs. highest magnesium intake; supplementation vs. control | Type 2 diabetes risk, highest vs. lowest magnesium intake: improved (22% lower risk); Type 2 diabetes risk per 100 mg increment in daily magnesium intake: improved (reduced by 6%); Fasting plasma glucose: improved (SMD, -0.32 [95% CI, -0.59 to -0.05]) |
| 13 Amiri et al. 2026 | meta-analysis · 1,085 participants | Oral magnesium supplements (salt form not stated); Subgroups: > 250 and ≤ 250 mg/day; Subgroups: under or over 12 weeks; vs. Placebo | Insulin levels: no difference (MD = - 1.73; 95% CI: -3.73 to 0.27; p-value = 0.09); HOMA-IR: no difference (MD = - 0.74; 95% CI: -1.58 to 0.09; p-value = 0.08); HbA1c: no difference |
| 18 Ye et al. 2026 | meta-analysis · 618 participants | Mineral supplements: magnesium, chromium, zinc, selenium, chromium picolinate; vs. Placebo | Fasting blood glucose: improved (SMD = − 0.34, p < 0.001); Fasting insulin: improved (SMD = − 0.72, p < 0.001); HOMA-IR: improved (SMD = − 0.75, p < 0.001) |
| 20 Deng et al. 2025 | meta-analysis · 509 participants | Magnesium plus vitamin D or vitamin E; vs. Control group (placebo/no co-supplementation) | serum triglyceride: no difference (MD = 1.84, 95% CI: -28.92, 32.60, p = 0.91); serum LDL-c: no difference (MD: -4.56, 95% CI: -14.19, 5.08, p = 0.35); serum HDL-c: no difference (MD: 1.96, 95% CI: -3.07, 6.98, p = 0.45) |
| 21 Heidari et al. 2022 | meta-analysis · 504 participants | Vitamin E alone or with omega-3 or magnesium; vs. Placebo | Serum triglycerides: improved (- 18.27 mg/dL, 95% CI - 34.68 to - 1.87); VLDL cholesterol: improved (- 5.88 mg/dL, 95% CI - 8.08 to - 3.68); LDL cholesterol: improved (- 12.84 mg/dL, 95% CI - 22.15 to - 3.52) |
Further studies in this area: 22 25 26 32 34 38 43 50 52 53 55 56 57 58 59 61 63 67 71 72 74 76 81 82 91 93 100 101 109 112 115 116 120 121 132 133 135 137 138 145 147 148 150 154 159 169 175 180 181 183 193 203 204 211 220 224 227 230 233 236 247 257 258 259 260 261 267 269 275
Magnesium, Blood Pressure, Heart and Blood Vessels: Human Studies
Oral magnesium salts showed a blood pressure reduction in several controlled studies, especially in people with hypertension, diabetes or magnesium deficiency 3710111219. In kidney patients, the wall thickness of the carotid artery decreased in two meta-analyses 2229. The vasodilatory function improved in one meta-analysis 30, but not in another meta-analysis and a small randomized trial 62198. Vascular calcification in chronic kidney disease was not slowed by magnesium in either a meta-analysis or a randomized controlled trial over twelve months 2287. New-onset atrial fibrillation was not prevented by magnesium in a meta-analysis 6, and premature atrial contractions remained unchanged in a small randomized trial 138. A systematic review of randomized trials counts magnesium among the micronutrients with moderate to good evidence for lower cardiovascular risk factors 1. The forms studied were oral magnesium salts – citrate, oxide, glycinate (also bisglycinate), aspartate, chloride and L-threonate – as well as combination preparations. Even with normal blood pressure, magnesium alone lowered systolic blood pressure in one meta-analysis of placebo-controlled trials 49, while in another the reduction there was not confirmed 7. A complex of trans-resveratrol and magnesium hydroxide with D-chiro- and myo-inositol did not change blood pressure in overweight pregnant women 93. A mineral salt of sodium chloride, potassium chloride and magnesium ammonium potassium chloride instead of table salt lowered systolic blood pressure more than normal salt in a controlled study 145. The results depend on form, salt and daily amount, and many studies were small or of short duration.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 1 An et al. 2022 | systematic review · 883,627 participants | Micronutrient supplements, including magnesium; vs. Placebo or control in randomized trials | Cardiovascular risk factors: improved |
| 3 Alharran et al. 2024 | meta-analysis · 8,610 participants | Oral magnesium supplements; ≥400 mg/day in subgroup analysis; ≥12 weeks in subgroup analysis; vs. Control (placebo) in included RCTs | Systolic blood pressure: improved (ES = -1.25 mmHg; 95% CI: -1.98, -0.51, P = 0.001); Diastolic blood pressure: improved (ES = -1.40 mmHg; 95% CI: -2.04, -0.75, P = 0.000); Systolic blood pressure at ≥400 mg/day: improved (ES for SBP = -6.38 mmHg) |
| 6 Curran et al. 2023 | meta-analysis · 4,713 participants | Magnesium (salt not specified); vs. Placebo | New-onset atrial fibrillation: no difference (OR 0.72, [95% CI 0.48 to 1.09]) |
| 7 Argeros et al. 2025 | meta-analysis · 2,709 participants | Oral magnesium supplements (salt form not stated); 82.3–637 mg elemental magnesium, median 365 mg; Median 12 weeks (at least 4 weeks); vs. Placebo | Systolic blood pressure: improved (-2.81 mm Hg (95% CI, -4.32 to -1.29)); Diastolic blood pressure: improved (-2.05 mm Hg (95% CI, -3.23 to -0.88)); Systolic blood pressure in hypertensive individuals on medication: improved (-7.68 mm Hg) |
| 10 Maqrashi et al. 2025 | meta-analysis · 1,345 participants | Magnesium supplements (salt not specified); vs. Placebo or control | Diastolic blood pressure: improved; Lipid profile: unclear |
| 11 Xu et al. 2022 | meta-analysis · 1,325 participants | magnesium supplementation (formulations analyzed in subgroups); average optimal: 279 mg/d, 429 mg/d, 300 mg/d; 116 d, 88 d, 120 d per outcome; vs. control group without magnesium (24 RCTs) | systolic blood pressure: improved (-7.69 mmHg (95% CI: -11.71, -3.66)); diastolic blood pressure: improved (-2.71 mmHg (95% CI: -4.02, -1.40)) |
| 12 Zhao et al. 2020 | meta-analysis · 1,168 participants | Dietary magnesium intake or magnesium supplements; per 100 mg increment in daily magnesium intake; vs. lowest vs. highest magnesium intake; supplementation vs. control | Systolic blood pressure: improved; Diastolic blood pressure: improved |
| 19 Dibaba et al. 2017 | meta-analysis · 543 participants | Oral magnesium supplements (salt form not specified); 365 to 450 mg elemental magnesium per day; 1 to 6 months (mean 3.6 months); vs. Control group (placebo or usual care) | Systolic blood pressure: improved (SMD: -0.20; 95% CI: -0.37, -0.03); Diastolic blood pressure: improved (SMD: -0.27; 95% CI: -0.52, -0.03) |
Further studies in this area: 21 22 25 29 30 38 48 49 56 58 60 62 67 70 82 84 87 93 105 109 115 119 138 139 140 142 145 147 149 150 156 159 160 167 179 183 193 197 198 199 203 204 207 219 225 226 227 229 235 237 244 248 249 250 255 259 260 262 269 273 279 280 281 282 283 287
Magnesium, Stress, Anxiety and Mood: Human Studies
In depression, magnesium lowered depression scores more than control, in one meta-analysis 28 and in three randomized controlled trials 134143206. No difference from control was found in a study in overweight women with mild to moderate depression 96. A systematic review also found an improvement in self-reported anxiety, although the studies were inconsistent and magnesium was sometimes combined with up to three other potentially active ingredients 51. Mainly oral magnesium salts such as citrate, oxide, glycinate, aspartate, chloride and L-threonate were studied, sometimes combined with vitamin B6 75 or vitamin D 96. The robustness is considered high, but the studies are often small and differ in salt, dose and population; long-term studies are still pending.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 14 Urata et al. 2025 | systematic review · 1,049 participants | Magnesium chloride (among other agents); vs. Placebo or antidepressants | Improvement in depressive symptoms: improved |
| 28 Moabedi et al. 2023 | meta-analysis · 325 participants | Oral magnesium supplements; vs. Placebo | Depression scores: improved (SMD: -0.919, 95% CI: -1.443 to -0.396, p = 0.001) |
| 51 Rawji et al. 2024 | systematic review | Oral magnesium supplements, forms and dosages heterogeneous; heterogeneous across studies; vs. no uniform comparator; interventional trials | self-reported anxiety (e.g. Hamilton Anxiety Scale): improved (Five out of seven studies measuring anxiety-related outcomes reported improvements in self-reported anxiety) |
| 75 Noah et al. 2020 | randomised controlled · 264 participants | oral magnesium 300 mg alone or with vitamin B6 30 mg; 300 mg magnesium, optionally plus 30 mg vitamin B6; 8 weeks; vs. magnesium alone vs. magnesium plus vitamin B6 | stress level (DASS scale): no difference |
| 86 Schuster et al. 2025 | randomised controlled · 155 participants | Magnesium bisglycinate capsules vs. placebo; 250 mg elemental magnesium daily; up to Week 4 (multiple time points); vs. Placebo capsules | other psychological outcomes: no difference (No significant differences) |
| 94 Ni et al. 2023 | randomised controlled · 109 participants | Oral magnesium-L-threonate; 12 weeks; vs. Placebo | GAD-7: no difference; PHQ-9: no difference |
| 96 Abiri et al. 2022 | randomised controlled · 108 participants | 250 mg magnesium tablet, optionally plus 50000 IU vitamin D weekly; 250 mg magnesium daily; 50000 IU vitamin D weekly; 8 weeks; vs. placebo (magnesium and/or vitamin D placebo) | depression score (BDI-II): no difference (No significant differences in BDI-II score were shown among the 4 groups); serum BDNF levels: improved (significant differences between the 4 groups in ... BDNF levels) |
| 122 Hemamy et al. 2021 | randomised controlled · 66 participants | vitamin D plus magnesium; vitamin D 50,000 IU/week, magnesium 6 mg/kg/day; 8 weeks; vs. placebo | emotional problems: improved (p = 0.001) |
Further studies in this area: 123 125 127 131 134 143 148 152 153 158 160 177 179 185 187 190 191 192 194 206 210 212 213 223 231 238 260 263 268 270
Magnesium and Sleep: Human Studies
In adults with sleep problems, participants in two randomized controlled trials slept better than with placebo: with magnesium L-threonate, more deep and REM sleep 185; in the other, longer and deeper 160. A systematic review reports better sleep quality with magnesium oxide and vitamin B6 in restless legs syndrome 23. In fibromyalgia, sleep quality improved with magnesium plus coenzyme Q10 and tryptophan; the summary does not mention a comparison with placebo for this 108. In contrast, one randomized controlled trial each found no difference in sleep quality for nocturnal leg cramps 107 and for polycystic ovary syndrome 126. Oral magnesium salts and magnesium-rich diets as well as combination products were studied; the evidence is high, but different salts, daily amounts and comparison conditions remain open.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 4 Arab et al. 2023 | systematic review · 7,582 participants | Magnesium via diet or supplementation; vs. low magnesium intake or placebo | Sleep quality (daytime falling asleep, sleepiness, snoring, sleep duration): improved; Sleep disorders in randomized trials: unclear |
| 23 González-Parejo et al. 2024 | systematic review · 482 participants | Magnesium oxide and vitamin B6; vs. other supplements or control | Sleep quality: improved (significantly improved) |
| 35 Mah et al. 2021 | systematic review · 151 participants | Oral magnesium supplementation; less than 1 g, up to three times a day; vs. Placebo | Sleep onset latency: improved (17.36 min less (95% CI - 27.27 to - 7.44, p = 0.0006)); Total sleep time: no difference (improved by 16.06 min) |
| 36 Lopresti et al. 2026 | systematic review | Oral magnesium as the only active intervention; Elemental doses varied substantially; Treatment durations varied substantially; vs. Randomized controlled trials, narratively synthesized | Subjective sleep outcomes: unclear; EEG, actigraphy and wearable-derived estimates: unclear; Treatment for insomnia: no difference |
| 51 Rawji et al. 2024 | systematic review | Oral magnesium supplements, forms and dosages heterogeneous; heterogeneous across studies; vs. no uniform comparator; interventional trials | sleep parameters (e.g. PSQI): improved (Five out of eight sleep-related studies reported improvements in sleep parameters); sleep parameters: no difference (two studies reported no improvements); sleep parameters: unclear (one reported mixed results) |
| 69 Meolie et al. 2005 | systematic review | Magnesium (one of many products reviewed); vs. Placebo or control | Efficacy as hypnotic: unclear |
| 73 Khalid et al. 2024 | randomised controlled · 290 participants | Tablets: placebo, magnesium, potassium, magnesium+potassium; 2 months; vs. placebo (T1) vs. Mg (T2), K (T3), Mg+K (T4) | Insomnia Severity Index: improved (p = 0.0001); Serum cortisol: improved (p = 0.001); Serum melatonin: improved |
| 79 Barna et al. 2021 | randomised controlled · 216 participants | Magnesium oxide monohydrate (MOMH), capsule; 226 mg once daily at bedtime; 60 days; vs. Placebo, double-blind, randomized, multicenter | Sleep quality: improved (p < 0.001) |
Further studies in this area: 86 94 107 108 112 126 148 153 160 179 185 187 189 190 191 192 210 259 271
Magnesium and Bones: Human Studies
In chronic kidney disease, magnesium lowered parathyroid hormone and calcium levels in two meta-analyses, partly via more magnesium in the dialysate, partly as an oral intake 2229. In diabetic nephropathy, magnesium citrate lowered the bone turnover marker osteocalcin more than the control in a randomized controlled trial 132. Magnesium oxide did not reliably change the bone resorption marker TRAP in another study 140. For bone density, there is a randomized controlled trial in which both groups received calcium, magnesium and calcitriol; the benefit there was due to red clover extract with probiotics 117.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 22 Zhan et al. 2023 | meta-analysis · 496 participants | Oral magnesium supplementation or increased dialysate magnesium concentration; vs. Control groups without magnesium supplementation | Calcium levels: improved (SMD=-0.43, 95% CI: -0.74 to -0.11, p = 0.008); Parathyroid hormone levels: improved (SMD=-0.43, 95% CI: -0.75 to -0.11, p = 0.008) |
| 29 Guo et al. 2022 | meta-analysis · 309 participants | Magnesium supplementation, oral or via dialysate; various intervention durations (subgroup analysis); vs. control without magnesium supplementation | serum PTH: improved (WMD = -236.56; 95% CI -349.71 to -123.41); serum calcium (oral administration): improved (WMD = -0.50; 95% CI -0.77 to -0.23); serum phosphate: no difference (WMD = -0.25; 95% CI -0.64 to 0.14) |
| 116 Dall et al. 2023 | randomised controlled · 78 participants | 1000 IU vitamin D3 plus 360 mg magnesium glycinate; 360 mg magnesium glycinate daily; 12 weeks; vs. vitamin D alone and placebo | serum total osteocalcin: no difference (P > .05 for all); bone-specific alkaline phosphatase: no difference (β = 0.004, P = .986); C-terminal cross-linked telopeptide: no difference (β = 0.426, P = .057) |
| 117 Lambert et al. 2017 | randomised controlled · 78 participants | red clover extract plus probiotics, with calcium, magnesium, calcitriol; 60 mg isoflavone aglycones/d, magnesium 550 mg/d, calcium 1200 mg/d, calcitriol 25 µg/d; 12 months; vs. masked placebo with same calcium, magnesium and calcitriol | bone mineral density L2-L4 lumbar spine: improved (-0.99% and -2.2%); bone mineral density femoral neck: improved (-1.04% and -3.05%); bone mineral density trochanter: improved (-0.67% and -2.79) |
| 128 Eftekhari et al. 2014 | randomised controlled · 64 participants | 250 mg magnesium oxide alone or with vitex agnus castus; 250 mg magnesium oxide per day; 8 weeks; vs. placebo or vitex alone | serum alkaline phosphatase: no difference; serum osteocalcin: improved; serum VEGF: no difference |
| 132 Halawa et al. 2023 | randomised controlled · 60 participants | oral magnesium citrate plus standard regimen; 2.25 g/day; 12 weeks; vs. standard regimen alone (control group) | serum osteocalcin: improved (p = 0.001) |
| 140 Alonso et al. 2020 | randomised controlled · 52 participants | Oral magnesium oxide 400 mg magnesium/day vs. placebo; 400 mg magnesium/day; 10 weeks; vs. Placebo, double-blind, 1:1 randomized | Tartrate-resistant acid phosphatase type 5: no difference (-0.187, (-0.328, -0.045), p = 0.011) |
| 231 Zhang et al. 2022 | cohort study · 392 participants | dietary magnesium (with calcium, potassium, phosphorus); 24 months; vs. higher vs. lower magnesium intake | knee joint structures: no difference |
Further studies in this area: 260
Magnesium, Muscles and Muscle Cramps: Human Studies
In nocturnal leg cramps, magnesium oxide monohydrate reduced the frequency and duration of episodes more than placebo in a randomized controlled trial 79. In leg cramps, a meta-analysis found no difference, nor did two randomized controlled trials with magnesium citrate and magnesium hydrochloride 278890. In calf cramps, a randomized controlled trial with magnesium oxide found no reduction in number, severity and duration 107. Muscle soreness improved in two controlled trials with an unspecified magnesium salt 216220, while a randomized controlled trial with magnesium gel showed no difference 157. Muscle strength did not differ from the control in three controlled trials: after magnesium gel, after one week of intake before downhill running, and in COPD with magnesium citrate 157220141. In neck pain with trigger points, pain, neck impairment and muscle activity improved with magnesium sulfate iontophoresis, but dry needling was superior in all measures 130. In sarcopenia risk, a controlled trial with a combination product of hydroxy-methyl-butyrate, carnosine, butyrate, lactoferrin and magnesium improved the skeletal muscle index and muscle function 137. Calf cramps, muscle soreness and muscle strength show predominantly mixed results with moderate evidence. Mainly oral magnesium salts (oxide, citrate, hydrochloride) and topical forms (gel, iontophoresis) were studied, along with some combination products. Statements on dose, duration and transferability to other magnesium forms remain open; the combination products do not allow the effect to be attributed to magnesium alone.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 27 Liu et al. 2021 | meta-analysis · 332 participants | oral magnesium supplementation; vs. control group | frequency of leg cramps after treatment: no difference (WMD = -0.47, 95% CI: -1.14-0.20, P = 0.167); recovery from leg cramps: no difference (OR = 0.47, 95% CI: 0.14-1.52, P = 0.207) |
| 79 Barna et al. 2021 | randomised controlled · 216 participants | Magnesium oxide monohydrate (MOMH), capsule; 226 mg once daily at bedtime; 60 days; vs. Placebo, double-blind, randomized, multicenter | Frequency of NLC episodes: improved (- 3.4 vs - 2.6); Duration of NLC episodes: improved (p < 0.007) |
| 88 Araújo et al. 2020 | randomised controlled · 132 participants | oral magnesium citrate (Mg++) versus placebo; 300 mg/day; 4 weeks; vs. placebo | frequency of leg cramp episodes per week: no difference (OR 1.3 (CI 95%: 0.6-2.9), p = 0.527); reduction of leg cramps after 4 weeks: no difference (27.2% (18/66) (CI 95%: 17.0-39.6) in Mg++ group and 32.8% (21/66) (CI 95%: 21.6-45.7) in the placebo group); mean leg cramp episodes per week among women with remaining cramps: no difference (p = 0.408) |
| 90 Kuusipalo et al. 2026 | randomised controlled · 121 participants | Magnesium hydrochloride tablets; 4 weeks of use, assessment at week 8; vs. Placebo pills and medical compression stockings | Weekly leg cramp frequency: no difference (-0.20 (95% CI -1.49 to 1.09; P = 0.929)) |
| 99 Gáti et al. 2018 | randomised controlled · 105 participants | Thermal mineral water with calcium-magnesium-bicarbonate; 3 weeks, 15 sessions, 9-week follow-up; vs. Usual musculoskeletal pain killer treatment | Low back pain at rest (VAS): improved (p < 0.001); Low back pain during activity (VAS): improved (p < 0.001); Back pain questionnaire (Oswestry): improved (p < 0.001) |
| 107 Roguin et al. 2017 | randomised controlled · 94 participants | Capsules containing magnesium oxide or placebo; once daily at bedtime; 4 weeks of treatment after 2 weeks screening; vs. placebo, double-blind | mean number of nocturnal leg cramps per week: no difference (0.38 (0.48) NLC per week (P = .67)); severity of nocturnal leg cramps: no difference; duration of nocturnal leg cramps: no difference |
| 113 Polo-Ferrero et al. 2025 | randomised controlled · 80 participants | Dietary magnesium (nutrient intake via food frequency questionnaire); 32 weeks; vs. High-speed resistance training vs. multicomponent training | Five Times Sit-to-Stand Test (5STS): improved (p < 0.001); Correlation of low magnesium with worse 5STS performance (H-RT): worsened (r_p = -0.48) |
| 130 Abu et al. 2026 | randomised controlled · 60 participants | magnesium sulfate iontophoresis; twice weekly for 4 weeks; vs. dry needling and stretching alone (control) | pressure pain threshold (PPT): improved (MD 1.48, 95% CI 1.01-1.95; p < 0.001); neck disability (ANDI): improved (MD -2.60, 95% CI -4.50 to -0.70; p = 0.004); pain intensity (VAS): improved (MD -2.0, 95% CI -2.84 to -1.36; p < 0.01) |
Further studies in this area: 137 141 153 157 182 215 216 220 231 259
Magnesium, Headache and Migraine: Human Studies
A meta-analysis found fewer migraine attacks, lower severity and fewer migraine days with magnesium than with control 42. A systematic review rates magnesium as possibly effective for migraine prevention 66. Another review sees evidence that magnesium, like carnitine, riboflavin, niacin, CoQ10, vitamin D, vitamin B12 and alpha-lipoic acid, can prevent and relieve migraine 65. The evidence is low because controlled individual studies on migraine are missing in this evaluation; oral magnesium salts, including magnesium dicitrate, were studied. Questions about dose, salt form and duration of intake remain open.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 5 Morel et al. 2021 | systematic review · 5,447 participants | Magnesium (Mg), salt not specified; vs. Placebo or control in the included RCTs | Pain intensity and analgesics consumption in migraine: unclear |
| 42 Talandashti et al. 2025 | meta-analysis | Dietary supplements, including magnesium; vs. Placebo or control group | Migraine attacks (frequency): improved (MD = -2.51); Migraine severity: improved (MD = -0.88); Monthly migraine days: improved (MD = -1.66) |
| 65 Nattagh-Eshtivani et al. 2018 | systematic review | nutritional supplements with magnesium and other nutrients; vs. randomized controlled trials | prophylactic and therapeutic effects on migraine: improved |
| 66 von et al. 2018 | systematic review | Magnesium dicitrate; 600 mg; vs. Placebo | Number of migraine attacks: improved (significant reduction of the number of migraine attacks compared with placebo); Primary efficacy parameters: improved (statistically significant reduction of the primary efficacy parameters compared with placebo) |
| 234 Takle et al. 2026 | cohort study · 182 participants | Magnesium (salt not specified); vs. Patients with headache resolution vs. those without resolution | Headache resolution (magnesium administration in resolved vs. nonresolved group): unclear (P = .086) |
| 245 Karatoprak et al. 2025 | case series | Magnesium oxide; 6-9 mg/kg/day or 365 mg/day; four months; vs. no control group, before-after | Headache frequency: improved (p<0.001); Migraine-related disability (PedMIDAS): improved (p<0.001); Quality of life (HIT-6): improved (p<0.001) |
| 259 Chandarana et al. 2026 | review | oral magnesium supplementation; vs. serum vs erythrocyte and other compartment markers | clinical benefit in migraine prophylaxis: improved |
Magnesium and Pregnancy: Human Studies
In gestational diabetes, magnesium lowered fasting glucose and insulin resistance in a meta-analysis, but preterm births and large newborns were not less frequent 32. A small randomized controlled trial with magnesium oxide found less neonatal jaundice and hospital stays than with placebo, as well as fewer active inflammatory genes IL-8 and TNF-α 155. The gene expression of IL-1 and VEGF remained unchanged 155. The evidence is low: there is only one small controlled trial, and several results come from individual small studies.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 2 Shi et al. 2026 | meta-analysis · 10,262 participants | Magnesium combined with zinc, calcium and vitamin D; vs. Standard control | Cesarean section rate: improved (RR = 0.44, 95% CI: 0.15, 1.29) |
| 32 Luo et al. 2024 | meta-analysis · 266 participants | Magnesium supplementation (salt not specified); vs. Control intervention | Preterm delivery: no difference (OR = 0.42; 95 % CI = 0.06 to 2.95; P = 0.38); Macrosomia: no difference (OR = 0.34; 95 % CI = 0.08 to 1.35; P = 0.13) |
| 155 Ahmadi et al. 2018 | randomised controlled · 36 participants | 250 mg/day magnesium oxide; 250 mg/day; 6 weeks; vs. placebo | IL-8 gene expression in PBMCs: improved (P = 0.03); TNF-α gene expression in PBMCs: improved (P = 0.006); TGF-β gene expression in PBMCs: improved (P = 0.03) |
Magnesium: Further Outcomes in Studies
In several controlled trials and meta-analyses, magnesium increased the magnesium level in the blood or urinary excretion 22257684121. The inflammatory protein CRP decreased more than with placebo in two meta-analyses and two randomized controlled trials 1624121141. In a randomized controlled trial in overweight individuals, urinary cortisol also decreased more than with placebo 196. It remains open which salt form and daily amount is most favorable for which measure, since many studies do not specify the form precisely and the participant numbers were mostly small.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 5 Morel et al. 2021 | systematic review · 5,447 participants | Magnesium (Mg), salt not specified; vs. Placebo or control in the included RCTs | Pain intensity and analgesics consumption in post-operative pain: unclear; Pain intensity and analgesics consumption in renal pain: unclear; Pain intensity and analgesics consumption in chronic/neuropathic pain: unclear |
| 8 Rafiee et al. 2021 | meta-analysis · 2,013 participants | Magnesium supplementation (salt not specified); Dose-response analysis, exact amounts not reported; vs. Placebo or control | Body weight, waist circumference, BMI, body fat percentage (overall analysis): no difference; Waist circumference in subjects with BMI > 30 kg/m2: improved (weighted mean difference = –2·09 cm, 95 % CI –4·12, –0·07, P = 0·040); Dose-response effect of supplementation on anthropometric indices: no difference |
| 9 Yang et al. 2025 | meta-analysis · 1,600 participants | Combination of calcium, chromium, selenium and magnesium; vs. Placebo or control (RCTs) | Oxidative stress markers: no difference; Sex hormone levels: no difference; Weight-related measures: no difference |
| 13 Amiri et al. 2026 | meta-analysis · 1,085 participants | Oral magnesium supplements (salt form not stated); Subgroups: > 250 and ≤ 250 mg/day; Subgroups: under or over 12 weeks; vs. Placebo | Serum magnesium level: no difference |
| 15 Talebi et al. 2022 | meta-analysis · 927 participants | oral magnesium supplementation; vs. controls | C-reactive protein (CRP): no difference (WMD, - 0.49; 95% CI, - 1.72 to 0.75 mg/L; P = 0.44); interleukin-6 (IL-6): no difference (WMD, - 0.03; 95% CI, - 0.40 to 0.33 pg/mL; P = 0.86); tumor necrosis factor-alpha (TNF-α): no difference (WMD, 0.12; 95% CI, - 0.08 to 0.31 pg/mL; P = 0.24) |
| 16 Veronese et al. 2022 | meta-analysis · 889 participants | Oral magnesium supplementation; vs. Placebo | Serum C-reactive protein (CRP): improved; Nitric oxide (NO): improved; Plasma fibrinogen: improved |
| 17 Shahid et al. 2025 | systematic review · 693 participants | Proton pump inhibitors (no magnesium supplement); at least 6 months, up to 12 months; vs. no PPI or baseline | Serum magnesium: unclear (no change after 12 months to pharmacokinetic alterations without systemic depletion) |
| 20 Deng et al. 2025 | meta-analysis · 509 participants | Magnesium plus vitamin D or vitamin E; vs. Control group (placebo/no co-supplementation) | serum 25(OH)D: improved (MD:13.37, 95%CI: 0.45, 26.29, p = 0.04); serum magnesium: improved (MD: 0.21, 95% CI: 0.16, 0.27, p < 0.00001); hs-CRP: improved (MD: -1.19, 95%CI: -1.95, -0.42, p = 0.002) |
Further studies in this area: 21 22 23 24 25 29 31 33 37 38 39 40 41 43 44 45 46 47 50 54 61 64 68 72 74 75 76 77 78 80 81 83 84 85 87 89 92 94 95 96 97 98 99 100 102 103 104 105 106 107 108 109 110 111 112 114 115 116 117 118 119 120 121 122 123 124 125 126 127 129 132 135 136 137 138 140 141 143 144 146 147 148 149 150 151 152 157 158 160 161 162 163 164 165 166 168 169 170 171 172 173 174 175 176 178 179 182 183 184 185 186 187 188 190 191 192 193 194 195 196 197 198 199 200 201 202 203 205 206 207 208 209 210 211 213 214 215 216 217 218 219 220 221 222 228 230 231 232 233 235 236 238 239 240 241 242 243 246 251 252 253 254 255 256 257 259 260 261 263 264 265 266 272 274 275 276 277 278 279 283 284 285 286
4. How Is Magnesium Dosed? Preparation, Dose and Duration in Studies
The studies used predominantly oral magnesium salts, including citrate, oxide, glycinate (also bisglycinate), aspartate, chloride, L-threonate and hydroxide as well as magnesium-rich mineral water. Individual studies tested magnesium applied as a gel or iontophoresis. In combination preparations with vitamin B6, vitamin D, potassium or other ingredients, the contribution of magnesium cannot be separated; the doses are shown in the table.
| Preparation or form | Dose | Duration | Study |
|---|---|---|---|
| Eplerenone versus placebo (serum magnesium measured) | — | median 16 months | 70 |
| Tablets: placebo, magnesium, potassium, magnesium plus potassium | — | 60 days | 72 |
| Tablets: placebo, magnesium, potassium, magnesium+potassium | — | 2 months | 73 |
| magnesium and/or potassium supplements, placebo | — | 60 days | 74 |
| oral magnesium 300 mg alone or with vitamin B6 30 mg | 300 mg magnesium, optionally plus 30 mg vitamin B6 | 8 weeks | 75 |
| Oral magnesium oxide vs. placebo | 500 mg magnesium oxide (302 mg elemental) | 12 months, three follow-up visits | 76 |
| Urikind-KM6: 1,100 mg potassium citrate, 375 mg magnesium citrate, 20 mg pyridoxine hydrochloride per 5 mL | every 8 hours for 3 years | 3 years | 77 |
| oral magnesium glycinate as add-on to standard therapy | 440 mg/day | 12 months | 78 |
| Magnesium oxide monohydrate (MOMH), capsule | 226 mg once daily at bedtime | 60 days | 79 |
| oral magnesium plus 400 mg etodolac twice daily | 365 mg oral magnesium daily | follow-up at day 4 and day 10 | 80 |
| 30 mL magnesium chloride 5% solution (382 mg elemental magnesium) vs. placebo | 382 mg elemental magnesium daily | 16 weeks | 82 |
| Magnesium (salt not specified) | customized to baseline dietary intake | — | 83 |
| Magnesium citrate, magnesium oxide, magnesium sulfate, or placebo | 450 mg magnesium per day | 24 weeks | 84 |
| 400 mg magnesium oxide plus 25 mg vitamin B6 | 400 mg magnesium oxide and 25 mg vitamin B6 | 12 weeks | 85 |
| Magnesium bisglycinate capsules vs. placebo | 250 mg elemental magnesium daily | up to Week 4 (multiple time points) | 86 |
5. Is Magnesium Safe? Side Effects in Studies
In the studies, magnesium was predominantly well tolerated. Adverse events were mostly mild and similarly frequent in both groups 7688108. In one study with magnesium oxide, however, half of the magnesium group had gastrointestinal changes, compared with only 7% under placebo 138. In chronic kidney disease, magnesium hydroxide led to more gastrointestinal side effects (35 versus 9) as well as five deaths and six cardiovascular events, compared with two deaths and none under placebo 87. Details are shown in the table.
| Study | Reported side effects |
|---|---|
| 17 Shahid et al. 2025 | Magnesium findings inconsistent; B12 and calcium declines reported |
| 25 Basit et al. 2026 | excellent safety and tolerability |
| 27 Liu et al. 2021 | no significant side effects (OR 1.82, 95% CI 0.90-3.69, P = 0.094) |
| 30 Darooghegi et al. 2018 | not reported |
| 35 Mah et al. 2021 | Adverse events were an outcome but not reported |
| 44 Konstantinidis et al. 2025 | Supplementation safety investigated, no details given |
| 46 Kohjimoto et al. 2025 | Adverse drug reactions mainly minor, discontinuation 2%-16% |
| 51 Rawji et al. 2024 | minimal side effects reported |
| 55 Fong et al. 2022 | Data on safety were limited |
| 76 Al-Maqbali et al. 2026 | No differences in adverse drug reactions between groups |
| 77 Reddy et al. 2014 | drug intolerance in control group 1 within 1 month |
| 78 Maddirevula et al. 2026 | well tolerated, no serious adverse events |
6. What Remains Open: Limits of the Evidence
- The results depend on salt form, daily amount and baseline magnesium status; many studies do not specify the form precisely.
- Many studies are small and of short duration; long-term studies are still pending.
- In combination preparations with other potentially active ingredients, the effect of magnesium cannot be attributed.
- For bones, calf cramps and muscle strength, the results are inconsistent, and there is uncertainty about the optimal dose for individual measures.
- The transferability to other magnesium forms and populations is open.
7. Bottom Line: What Is Established About Magnesium
Magnesium is a mineral that the body needs for energy production, muscle and nerve function, and heart rhythm. Human studies show favorable effects of oral magnesium salts on blood sugar and insulin resistance in diabetes, on blood pressure, especially in hypertension or magnesium deficiency, and on depression scores. In migraine, too, a meta-analysis found fewer attacks, and a systematic review considers magnesium possibly effective for prevention. For sleep, calf cramps, muscle strength and bones, the results are mixed or show no difference. The findings apply to the respective salt form and preparation studied, and many studies are small or of short duration.
Frequently Asked Questions
How well has Magnesium been studied in humans?
We evaluated 288 human studies on Magnesium, including 141 randomised controlled trials and 69 meta-analyses or systematic reviews; the controlled studies include 16,263 participants in total. As of 3 October 2026.
Does Magnesium help with blood sugar and metabolism? What the studies show
Does Magnesium help with blood pressure, heart and blood vessels? What the studies show
Does Magnesium help with stress, anxiety and mood? What the studies show
Does Magnesium help with sleep? What the studies show
Does Magnesium help with bones? What the studies show
Does Magnesium help with muscles and muscle cramps? What the studies show
Which magnesium forms were studied in the studies?
Mainly oral magnesium salts such as citrate, oxide, glycinate (also bisglycinate), aspartate, chloride, L-threonate and hydroxide as well as magnesium-rich mineral water were studied. Individual studies tested magnesium applied as a gel or iontophoresis. In combination preparations with vitamin B6, vitamin D, potassium or other ingredients, the contribution of magnesium cannot be separated.
What do the studies show about blood pressure and the heart?
Does magnesium help with sleep problems?
How well is magnesium tolerated in the studies?
In the studies, magnesium was predominantly well tolerated, and adverse events were mostly mild and comparable between groups 25787992. Nausea or diarrhea were equally frequent under magnesium and placebo in one study 88, while gastrointestinal changes were significantly more frequent under magnesium oxide in another 138. In chronic kidney disease, magnesium hydroxide led to more gastrointestinal side effects as well as five deaths and six cardiovascular events, compared with two deaths and none under placebo 87.
For which complaints is the evidence strongest?
The evidence is strongest for blood sugar and metabolism, for blood pressure and the heart, and for depression scores 1011123728134206. For sleep, calf cramps and muscle strength, the results are mixed or show no difference 479107157; for bones, there are mainly laboratory values in kidney patients 2229. The findings apply in each case to the salt form, daily amount and population studied.
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Every statement on this page carries its evidence tier — proven, plausible or hypothesis — and leads to the original work. The decision in the individual case rests with the practitioner; we provide the connections.