Finn's Take· TL;DRWhile most people focus on getting enough calcium or vitamin D, a critical mineral shortage is quietly affecting millions of Americans. Researchers say about half of the U.S. population doesn't get enough magnesium , yet this essential nutrient powers more than 300 chemical reactions in your body. More than 300 chemical reactions in the body rely, at least in part, on magnesium , making it crucial for everything from energy production to heart health.
Primary care physicians recommend that patients get as much magnesium through a healthy diet that is rich in magnesium as possible , according to family medicine physician Dr. Ingrid Watkins. The problem isn't that magnesium is hard to find—it's abundant in spinach, nuts, whole grains, and beans. Instead, magnesium intakes in the United States have significantly declined over the last few generations, with refined whole grains being a likely contributor since processing wheat to white flour or brown rice to white rice reduces the magnesium content to a significant degree .
What makes this deficiency particularly concerning is how difficult it can be to detect. Magnesium deficiencies can be hard to diagnose, partly because many of the initial symptoms could indicate a wide variety of other health issues, and some people may not have any symptoms at all .
Early signs and symptoms of magnesium deficiency include loss of appetite, nausea, vomiting, fatigue, and weakness. As magnesium deficiency worsens, numbness, tingling, muscle contractions and cramps, seizures, personality changes, abnormal heart rhythms, and coronary spasms can occur . However, many people experience subtler signs that they might dismiss as stress or aging.
Chronic fatigue is one of the most common symptoms of magnesium insufficiency, as low levels affect the production of energy, as well as the muscles and nerves . Your cells produce energy in the form of ATP, and magnesium is absolutely essential for creating ATP. Without enough magnesium, your cells simply can't make energy efficiently .
Mental health symptoms also emerge as warning signs. Mental health conditions are another possible symptom of magnesium deficiency, with research suggesting one example is apathy, characterized by mental numbness or lack of emotion . Research shows magnesium could help you handle stress better and keep your cortisol levels in check. When your body doesn't have enough magnesium, stress can hit you harder .
Certain groups face higher risks of magnesium deficiency. Men age 71 years and older and adolescent males and females have the highest risk of low magnesium intakes . People over the age of 60 are also more likely to have low magnesium, as our bodies age and become less able to absorb magnesium .
You're more likely to be at risk of magnesium inadequacy if you're living with a gastrointestinal disease (like Crohn's disease or celiac disease), Type 2 diabetes, or alcohol use disorder . Additionally, certain medications can also keep your body from absorbing magnesium .
The demographic data reveals troubling disparities. Based on National Health and Nutrition Examination Survey data, 64% of women aged 51–70 years old do not achieve the recommended intake, with magnesium intake for Mexican and African–American women of the same age group being even lower .
The good news is that addressing magnesium deficiency doesn't require expensive supplements for most people. Eating one serving of spinach, an ounce of almonds, and a banana provides 190 mg of magnesium—nearly 60% of the daily recommendation for women and 45% for men . Magnesium is found in many healthy foods, so a good diet (such as the Mediterranean diet) will usually provide all the magnesium that you need .
Experts recommend that you consume between 310 and 420 milligrams of magnesium per day (depending on age and sex) . Eating a healthy diet featuring leafy greens, fruits, nuts and whole grains can help your body get the magnesium it needs .
For those considering supplements, timing matters. Unless you have a diagnosed or suspected magnesium deficiency, or a condition with clear evidence of benefit such as preeclampsia or Crohn's disease, there's no compelling reason to routinely take a magnesium supplement. For some conditions, such as insomnia or migraine headaches, a magnesium supplement may be worth a try .