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  Vol. 148 No. 11, November 1988 TABLE OF CONTENTS
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Magnesium Metabolism

A Review With Special Reference to the Relationship Between Intracellular Content and Serum Levels

Richard A. Reinhart, MD

Arch Intern Med. 1988;148(11):2415-2420.


Abstract

{dagger} Magnesium (Mg++) is a ubiquitous element in nature, playing a role in photosynthesis and many metabolic functions in humans. All enzymatic reactions that involve adenosine triphosphate have an absolute requirement for Mg++. Levels of Mg++ are controlled by the kidneys and gastrointestinal tract and appear closely linked to calcium, potassium, and sodium metabolism. The clinical manifestations and causes of abnormal Mg++ status are protean. Testing for altered Mg++ homeostasis is problematic. Serum levels, which are those generally measured, reflect only a small part of the total body content of Mg++. The intracellular content can be low, despite normal serum levels in a person with clinical Mg++ deficiency. Future directions in research related to intracellular content of Mg++ are discussed. Treatment of altered Mg++ status depends on the clinical setting and may include the addition of a potassium/Mg++ —sparing drug to an existing diuretic regimen. Guidelines for therapy are given.

(Arch Intern Med 1988;148:2415-2420)



Author Affiliations

From the Marshfield (Wis) Clinic.


Footnotes

Accepted for publication May 3, 1988.

Reprint requests to 1000 N Oak Ave, Marshfield, WI54449 (Dr Reinhart).



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