Am I Depressed Quiz Or Just Lazy

Am I Depressed Quiz Or Just Lazy

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Am I Depressed Quiz Or Just Lazy

Do I get enough calcium?

1 method of assessing your calcium status is to simply touch with your Healthcare provider and ask detailed calcium testing. Yet magnesium assessment is typically done with blood chemical testing, and such tests can be misleading. Just 1 percent of calcium from the body is in fact found in blood, and only.3% is found in blood serum, so clinical blood serum testing might not successfully identify calcium deficiency.

How to proceed?


Fortunately, it's likely to get a sense of where your ingestion may lie |} Simply by asking yourself a few questions about the way you live, and seeing for specific signs and signs of low sodium levels.

Learn how to examine your signs below, and Learn What you can do to ensure Magnesium balance and good health. these questions, you might be at risk for low calcium consumption. |} {

|} Do you drink carbonated drinks on a regular basis?

These substances really bind With calcium inside the digestive tract, rendering it unavailable to the body. So even when you're eating a balanced diet plan, by drinking soda along with your foods you're flushing magnesium from your system. 4 6

The average consumption of carbonated drinks today is greater than ten times What it had been in 1940. 7 This skyrocketing increase is accountable for both reduced magnesium and calcium availability in the body. {8 9

|} Do you eat pastries, cakes, desserts, candies or other sweet foods?

Processed sugar Isn't only a zero calcium product but it also induces the Body to excrete magnesium throughout the kidneys. The process of producing refined sugar from sugar cane eliminates molasses, stripping the calcium content completely. |}

And sugar does not simply serve to decrease calcium levels. Sweet foods are Called nutritionists as"anti-nutrients". |} Anti-nutrients like sweets are foods that replace whole nutritious foods from the diet, yet really consume nutrients when digested, resulting in a net loss. Because all foods require vitamins and minerals to be consumed in order to power the process of nourishment, it is important to choose foods that"put back" vital nourishment, and then some.

The more sweet foods and processed baked goods you have in your daily diet, the More likely you're deficient in calcium and other nutrients that are essential. {

|} Do you experience a lot of anxiety in your life, or have you recently had a major medical procedure such as surgery?

Both physical and psychological stress may be cause of magnesium deficiency.


Stress may be cause of magnesium deficiency, and a lack of magnesium tends |} To magnify the pressure response, worsening the problem. In studies, cortisol and adrenaline, byproducts of the"flight or fight" reaction associated with tension and stress, were correlated with magnesium. 10

Because stressful conditions demand more calcium use by your system, all Such conditions can cause lack, including both physical and psychological forms of stress such as surgery, burns, and chronic disease. {

|} Do you drink tea, coffee, or other caffeinated drinks daily?

Magnesium levels are regulated in the body in large part by the kidneys, Which filter and excrete extra magnesium and other minerals. But caffeine causes the kidneys to release additional magnesium regardless of body status.

If you drink caffeinated beverages such as coffee, soda and tea regularly, Your risk for magnesium deficiency is raised. |} {

|} {Do you take a diuretic, heart medicine, asthma drugs, birth control pills or estrogen replacement therapy? |}

The effects of specific drugs have been demonstrated to reduce magnesium levels in The body by increasing magnesium loss through excretion by the kidneys.

See also:

For an entire list of the particular drugs which could affect calcium levels, read our post, Causes of a Lack of Magnesium. {
|} {Do you drink more than seven alcoholic drinks each week? |}

The effect of alcohol on calcium levels is similar to the impact of Diuretics: it enhances magnesium readily available to the cells by increasing the excretion of calcium by the kidneys. In studies, clinical calcium deficiency has been found in 30 percent of alcoholics. 11

Increased alcohol intake also results in decreased efficiency of the Digestive system, in addition to vitamin D deficiency, both of which can contribute to low calcium levels. {12

|} Do you take calcium supplements without calcium or magnesium supplements with calcium in under a 1:1 ratio?

Studies show that if magnesium intake is reduced, calcium Supplementation may decrease calcium absorption and retention. 13 14 15 And, whereas calcium supplementation can have adverse consequences on calcium amounts, magnesium supplementation really boosts the body's utilization of calcium. 16


Though many reports indicate carrying calcium to magnesium in a 2:1 ratio, this |} Figure is mostly random. The perfect ratio for any individual will vary based on current conditions in addition to risk factors for lack .

But, several researchers now support a 1:1 calcium to calcium ratio For improved bone support and reduced risk of disorder. That is due not only to the increased evidence pointing to widespread magnesium deficiency, but also concerns over the risk of cardiovascular calcification when low calcium stores are coupled with high calcium consumption.

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According to noted magnesium researcher Mildred Seelig:|}

The body will retain calcium when in a magnesium-deficient condition. Extra Calcium intake at this time could result in an abnormal rise of calcium levels inside the cells, including the cells of the heart and blood vessels... Given the delicate balance necessary between calcium and calcium in the cells, so it is ideal to make sure magnesium is sufficient if you're taking calcium supplements" {17

|} Do you encounter any of these:

Anxiety? {
Times of hyperactivity?
|} {
Difficulty getting to sleep?
|} {
Difficulty staying asleep?

The above symptoms may be neurological signs of calcium deficiency. Adequate magnesium is essential for nerve conduction and is also related to electrolyte imbalances that affect the nervous system. Low magnesium can also be associated with personality changes and sometimes depression.

Read more:

For a complete list of the Symptoms of calcium deficiency, read our post, Symptoms of Low Magnesium. {
|} {Do you encounter any of these:

Painful muscle spasms? |} {
Muscle cramping?
|} {
Cosmetic tics? {
Eye twitches, or involuntary eye movements?
|} {

Neuromuscular symptoms such as these are among the classic signs of a |} Possible magnesium shortage.

Without calcium, our muscles are in a constant state of contraction.

Magnesium is a required element of muscle relaxation, and with no our Muscles would be in a constant state of regeneration. Calcium, on the other hand, signals muscles to contract. |} As noted in the book The Magnesium Factor, both minerals are"two sides of a real life coin; they have actions that oppose one another, yet they function as a group." 18


Chvostek's Sign and Trousseau's Sign are both clinical tests for involuntary |} Muscle movements, and both can indicate either calcium or magnesium deficiency, or both. In reality, magnesium deficiency might actually appear like calcium deficiency in analyzing, and among the initial recommendations on receiving low calcium test results is calcium supplementation.

Read more:

For a complete list of the ailments associated with calcium deficiency, read our post, Symptoms of Low Magnesium.
To learn more about the role of magnesium in muscle function, see How Magnesium Functions in the Body. {
|} Can you answer yes to any of the above questions and are also age 55 or older? |}

Older adults are particularly vulnerable to low magnesium status. |} It's Been proven that aging, stress and disease all contribute to growing magnesium requires, yet most older adults really take in less calcium from food resources compared to if they were younger.

Additionally, magnesium metabolism may be less effective as we grow older, as Changes the GI tract and kidneys bring about older adults consuming less and keeping less calcium. 19

If you are above 55 and additionally showing lifestyle signals or symptoms related to Low magnesium, it is particularly important that you work to improve your calcium consumption. When body stores of calcium run low, risks of overt hypomagnesaemia (magnesium deficiency) grow significantly.

How can you know for sure if you have a lack? {

Magnesium's effect is so crucial and far reaching that symptoms of its own |} Absence reverberate throughout the body's systems. {This makes signals of its absence hard to pin down with absolute precision, even for cutting edge researchers. |} Doctors Pilar Aranda and Elena Planells reported that this difficulty in their report in the International Magnesium Symposium of 2007:


The clinical manifestations of magnesium deficiency are difficult to define |} Because depletion of the cation is related to significant abnormalities in the metabolism of many enzymes and elements. If prolonged, insufficient magnesium intake might be liable for symptoms attributed to other ailments, or whose causes are unknown."

Among investigators, magnesium deficiency is known as the silent epidemic of Our instances, and it's widely recognized that definitive testing for deficiency remains elusive. {Judy Driskell, Professor, Nutrition and Health Sciences in the University of Nebraska, refers to the"invisible deficiency" as chronic latent magnesium deficiency, and explains:


Normal serum and plasma concentrations have been discovered in People with low magnesium in [red blood cells] and tissues. |} Yet efforts to discover an indicator of subclinical magnesium status have not yielded a cost-effective one that's been well supported." 20

Yet although the identification of calcium deficiency may be unclear, its Significance is undeniable.


Magnesium activates over 300 enzyme reactions in the body, translating to |} Tens of thousands of biochemical reactions happening on a constant basis daily. Magnesium is crucial to nerve transmission, muscle contraction, blood coagulation, energy production, nutrient metabolism and bone and cell formation. |}

Considering these diverse and all-encompassing consequences, not to mention the Cascading effect magnesium levels have on other important minerals like potassium and calcium, 1 thing is clear -- long duration low magnesium consumption is something to be prevented.

What can you do to increase calcium intake?

The more your intake remains low, the greater likelihood your physical stores Will be diminished, leaving you exposed to some of the more troubling side effects of long-term deficiency. Based on Dr. Carolyn Dean, M.D., N.D., and expert on magnesium therapy, sufficient magnesium can improve heart health, prevent obesity and stroke, and improve mood and memory.

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If you answered no to all of the above questions, then you may be able to rely on High food sources of calcium, like those described in our post on Magnesium in the Diet.

Yet for many people, especially individuals with ailments And symptoms related to reduced magnesium, active magnesium supplementation may be a vital element of returning to good health.


In her book, The Magnesium Miracle, Dr. Dean notes achieving |} Adequate magnesium is notoriously difficult, saying:

I'm convinced that to have enough calcium today, You Have to take Supplements" 21

One of the Very Best ways to improve your calcium levels is to unite A healthy diet with transdermal magnesium. |}

Lots of the factors which contribute to reduced magnesium stores Are brought on by inefficiencies of their GI tract. By delivering magnesium through the skin directly into the cells, topical calcium products bypass many of the problems associated with reduced magnesium absorption.

In older adults, reduced gastric acid amounts in the Digestive system might be a element in reduced mineral availability. Hydrochloric acid supplements might be combined with magnesium to fight this dilemma; nonetheless a more straightforward and less costly option is the use of magnesium supplements. Magnesium chloride was proven to possess a higher bioavailability, while concurrently giving the chloride necessary for healthy digestion and vitamin and nutrient absorption.

Magnesium researcher Mildred Seelig has known as magnesium"the silent Guardian of our hearts and arteries" and"essential for life". |} complete health". |}

In Case You Haven't heard much about magnesium and its significance to good health, Now's the opportunity to learn. And when it is something you've always intended to check into, now is the time to take action!


Leg cramps Are reported in up to 60% of adults and 7% of kids.1 They are troublesome and can cause severe pain and sleep disturbance,2 and residual pain occasionally happens in the affected muscles following cramping.3 Up to 20% of people who complain of leg cramps have symptoms daily which are severe enough to require medical intervention.1Currently no remedies for leg cramps are clinically proven to be safe and effective1 however there's a clear demand for treatment choices.

Quinine has Been commonly used as a treatment for leg cramps however TGA approval for this indication was withdrawn in 2004 following reports of an increased probability of thrombocytopenia and 4 related deaths in Australia.4

Since Magnesium plays a role in neuromuscular transmission and muscle contraction, it has been hypothesised that calcium deficiency may predispose to muscle cramps.2,5Hence magnesium supplements are usually suggested to prevent cramps. Does the evidence support using magnesium for this indication?

Exercise points

Differentiating leg cramp from different ailments can be challenging, the expression'cramp' can be used to refer to a variety of pain types. {
When choosing a medical history, consider factors which may account for leg cramp (peripheral vascular disease or motor neurone disease) in addition to drug causes (calcium-channel blockers, angiotensin II-receptor antagonists and diuretics). |}
While magnesium deficiency has been proposed as a cause of leg cramps, there's not any evidence that calcium supplements offer a clinical advantage other than for pregnancy-related leg cramp.
Consider the potential for development of hypermagnesaemia in patients taking calcium supplements, especially in older people and people with kidney disease. {
Magnesium disagrees with bisphosphonates and tetracycline antibiotics and should be taken 2 hours before or after these medications. |}
Do not prescribe quinine tablets for leg cramps. The efficacy of quinine in preventing cramp is restricted and can be outweighed by the chance of acute thrombocytopenia, which might be deadly.
Consider non-pharmacological interventions for cramps such as stretching.

Diagnosis: focus on treatable causes

Differentiating Leg cramps from some other states in older people can be challenging, the expression'cramp' can be used to refer to a variety of pain types. {Consider other causes such as restless legs syndrome, nocturnal myoclonus, myopathic and neuropathic conditions.3


When taking A patient's medical history include a review of medications and medical ailments.1 Consider other factors which might contribute, such as peripheral vascular disease or motor neurone disease. Possible drug causes of cramp include calcium-channel blockers, angiotensin II-receptor antagonists and diuretics.3 Interestingly, the calcium-channel blockers diltiazem and verapamil have been assessed for the treatment of muscle cramp in older people, no matter how the trials were small and of poor quality.6,7


Physical Examination rarely identifies leg cramps because they are misaligned, irregular, and usually occur at night. But findings on examination may indicate a possible underlying medical cause (i.e.peripheral cardiovascular disease).1,5

There aren't any Regular blood tests recommended for the diagnosis of muscle cramps and there's not any proven association with electrolyte abnormalities.8

The third Trimester of pregnancy is often related to leg cramps, though it is difficult to distinguish between pregnancy as the primary cause and venous insufficiency.9 Despite the high prevalence of leg cramps in pregnancy, there has been minimal research in this area.

Do not use quinine tablets for leg cramp

Remedy With quinine was common before its withdrawal as an indication in 2004. The withdrawal was an outcome of 198 reports of thrombocytopenia associated with quinine use (since 1972), including 4 deaths.4 Quinine was withdrawn at a similar period in the US and subsequently, in 2006, the US FDA Federal Register alerted users to the issues surrounding off-label use, reporting 665 serious adverse events including 93 deaths because 1969.10 Despite this, off-label use still proceeds both here4 and overseas.

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Magnesium cure for leg cramps

Evidence is lacking except for pregnancy-associated cramps

The Effectiveness and safety of magnesium was shown for eclampsia and pre-eclampsia, arrhythmia, acute asthma, and migraine.11 There's some evidence for efficacy of calcium supplementation in treatment of leg cramps in pregnant women but not to different people.2,12

A current Systematic review evaluated the impact of magnesium versus placebo for the treatment of nocturnal leg cramps and discovered that the overall effect of calcium to be insignificant.2 Seven trials were included, one assessed calcium extract versus placebo and the remainder assessed oral calcium therapy but frequency and dose of therapy varied involving all studies.

A Sub-analysis of three of the research involving only pregnant women revealed a substantial gap between the calcium and placebo groups in the median amount of leg cramps experienced a week.2 Nevertheless the research simply contained a small number of participants (n=361 in complete and n=198 from the subgroup analysis), and consequently was underpowered to detect meaningful differences between classes. Additionally selection bias may have affected results as participants had been included in the study whose leg ailments might have been confused with ailments known to be related to calcium deficiency (i.e. restless leg syndrome).

Another Recent systematic review assessed a further seven research in patients with leg cramp treated with calcium.12 The elemental calcium dose given varied between research. The populations included 322 mostly older patients and 202 women with pregnancy-associated leg cramps. |} Following four weeks of treatment, differences in percent change from baseline of cramps each week involving magnesium and placebo groups were modest and not statistically significant.

The writers Concluded that calcium is not likely to offer a meaningful benefit in reducing the frequency or seriousness of idiopathic leg cramps in older people.12 The second review also included three further studies on pregnant girls; while a meta-analysis was not possible with them, results from the individual research were considered and found to be more mixed. 1 study discovered calcium reduced cramp frequency and pain whereas the other two found no advantage.12 Although 2 of the research were comparable in setting and design,13,14 their results were different; this may have been because one of the research lacked baseline measurement of cramp frequency. If cramp frequency before intervention was not comparable between participants in those studies, it is not appropriate to evaluate the amount of cramps experienced throughout the treatment period.

Oral calcium supplementation is well tolerated

The two {Meta-analyses discovered that calcium is well tolerated with the most frequent negative effects affecting the gastrointestinal tract (diarrhoea, nausea, vomiting, flatulence and constipation).2,12


Moderate-to-severe {And symptomatic hypermagnesaemia is usually as a result of excess supplemental intake of calcium (e.g. as antacids, enemas or by intravenous infusion), most often in patients with kidney impairment. |} Be conscious of the most typical clinical features of moderate-to-severe hypermagnesaemia which are usually neuromuscular (e.g. loss of deep tendon reflexes, muscle paralysis, depressed alert state and respiratory depression). Other signs include anorexia, nausea, skin flushing, hypotension, bradycardia/heart block and cardiac arrest.15


When Considering magnesium supplements, make sure patients take a product containing magnesium only. Some magnesium supplements have been blended with potassium and might bring about hyperkalaemia in people taking ACE inhibitors or other medications which cause potassium retention.3 Consider assessing liver function in people using medications that may impair or adversely affect kidney function16 and observe for signs of toxicity.15

Other therapies

Small studies Have demonstrated some benefit from various other medications including diltiazem, gabapentin and vitamin B complex but none can be recommended for muscle cramps due to the inadequate quality of evidence.6,17-19 Multivitamins and sodium supplementation also have demonstrated benefit in preventing cramps in pregnant women, although consider the possible risk of hypertension with sodium supplementation.9 Australian guidelines recommend calcium supplements for leg cramps in elderly women based on case reports but also highlight there are no controlled trials to support its use.20 Paracetamol can be useful to handle residual muscle pain following cramping.3

Non-pharmacological therapy

Passive Stretch and massage of the affected muscle can relieve cramp and extending the calf muscles daily has been recommended to prevent cramp.21 Though there's not any clinical trial evidence to support these steps, anecdotal evidence suggests they may succeed and the probability of negative effects is reduced.

Information for patients


Magnesium interacts with other medicines|}


Magnesium significantly reduces the absorption of oral bisphosphonates and tetracycline antibiotics and might lower their activity. |} {
Advise patients to ensure they take these medications at least 2 hours before or after taking a magnesium supplement.22 |}

Median Number of leg cramps experienced per week: Difference = 0.807 (CI 0.015 to 1.207)
Difference In percentage change from baseline of cramps per week: Difference = --3.93% (CI |} --21.12% to 13.26%)