How To Help A Dog With Anxiety In The Car

How To Help A Dog With Anxiety In The Car

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How To Help A Dog With Anxiety In The Car

Can I get enough magnesium?

One method of assessing your magnesium standing is to simply touch with your Healthcare provider and ask detailed magnesium testing. Yet magnesium evaluation is typically done with blood chemical testing, and such tests may be misleading. Just 1 percent of magnesium from the body is in fact found in blood, and just.3percent is found in blood serum, therefore clinical blood serum testing may not successfully identify magnesium deficiency.

What to do?


Fortunately, it's possible to get a sense of where your ingestion may lie |} By simply asking yourself a few questions about your lifestyle, and watching for certain signs and signals of low magnesium levels.

Discover how to examine your signs below, and Learn What you can do to ensure Magnesium balance and decent health. If you answer yes to any of the following questions, you may be at risk for low calcium consumption. |} {

|} Can you drink carbonated beverages on a regular basis?

These substances actually bind With calcium inside the digestive tract, rendering it unavailable to the body. So even when you're eating a balanced diet, by drinking soda along with your foods you're flushing out magnesium from your system. 4 5 6

The average consumption of carbonated beverages now is greater than ten times What it had been in 1940. 7 This skyrocketing increase is accountable for the two decreased calcium and magnesium availability within the body. {8 9

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

Processed sugar is not only a zero magnesium merchandise but it also induces the Body to excrete magnesium throughout the kidneys. practice of producing refined sugar from sugar cane removes molasses, stripping the magnesium content completely. |}

And sugar does not simply function to reduce magnesium levels. Sweet foods are Called nutritionists as"anti-nutrients". |} Anti-nutrients like candies are foods which replace entire nutritious foods from the diet, nevertheless actually consume nutrients when digested, resulting in a net loss. Because all foods require minerals and vitamins to be consumed as a way to power the process of nourishment, it's important to choose foods which"back" vital nutrients, and then a few.

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

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

Both physical and psychological stress can be a cause of magnesium deficiency.


Stress can be a cause of magnesium deficiency, and a lack of magnesium tends |} To magnify the pressure reaction, worsening the problem. In studies, adrenaline and cortisol, byproducts of this"fight or flight" reaction related to tension and anxiety, were correlated with magnesium. 10

Because stressful conditions demand more calcium usage by the body, all Such conditions may lead to lack, including both physical and psychological types of stress such as surgery, burns, and chronic illness. {

|} Can you drink coffee, tea, or other carbonated beverages every day?

Magnesium levels are controlled in the body in large part from the kidneys, Which filter and excrete excess magnesium and other nutritional supplements. But caffeine causes the pancreas to release additional magnesium regardless of body position.

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

|} {Can you take a diuretic, heart medication, asthma medication, birth control pills or estrogen replacement therapy? |}

The effects of certain medications have been demonstrated to Decrease magnesium levels in The body by raising magnesium reduction through excretion from the kidneys.

See also:

For a complete list of the specific drugs which can influence magnesium levels, read our post, Causes of a Lack of Magnesium. {
|} {Can you drink more than seven alcoholic beverages each week? |}

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

Increased alcohol intake also contributes to diminished efficiency of this Digestive system, as well as Vitamin D deficiency, each of which may contribute to low magnesium levels. {12

|} Can you take calcium supplements without magnesium or calcium supplements with magnesium in less than a 1:1 ratio?

Studies show that if magnesium intake is low, calcium Supplementation can reduce magnesium absorption and retention. 13 14 15 And, whereas calcium supplementation may have negative consequences on magnesium amounts, magnesium supplementation actually improves the body's use of calcium. 16


Though many reports suggest carrying calcium to magnesium in a 2:1 ratio, this |} Figure is mostly random. The ideal ratio for any person will vary based on current conditions as well as risk factors for deficiency.

However, several researchers today support a 1:1 calcium to magnesium ratio For enhanced bone support and decreased risk of disease. That is due not just to the increased evidence pointing to widespread magnesium deficiency, but also concerns over the danger of cardiovascular calcification when low magnesium stores are coupled with higher calcium consumption.

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According to mentioned magnesium researcher Mildred Seelig:|}

The body tends to retain calcium when within an magnesium-deficient condition. Extra Calcium intake at such a time could cause an abnormal rise of calcium levels inside the cells, including the cells of the heart and blood vessels... Considering that the delicate balance required between calcium and magnesium in the cells, it is best to make sure magnesium is sufficient if you're taking calcium supplements" {17

|} Can you experience any of the following:

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

The above symptoms may be neurological signs of magnesium deficiency. Adequate magnesium is necessary for nerve conduction and is also related to electrolyte imbalances which affect the nervous system. Low magnesium can also be connected with character changes and sometimes melancholy.

Read more:

For a complete list of the Symptoms of magnesium deficiency, read our post, Symptoms of Vitamin . {
|} {Can you experience any of the following:

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

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

Without magnesium, our muscles would be in a constant state of contraction.

Magnesium is an essential element of muscular relaxation, and with no our Muscles are in a constant state of contraction. deal with. |} As mentioned in the publication The Magnesium Factor, both minerals are"two sides of a physiological coin; they've actions that oppose one another, yet they serve as a group." 18


Chvostek's Sign and Trousseau's Sign are both clinical tests for involuntary |} Muscle moves, and both may indicate either magnesium or calcium deficiency, or both. In fact, magnesium deficiency may actually appear like calcium deficiency in analyzing, and one of the first recommendations on getting low calcium test results is magnesium supplementation.

Read more:

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

especially vulnerable to low magnesium status. |} It's Been proven that aging, stress and illness all contribute to increasing magnesium needs, yet most elderly adults actually take in less magnesium from food sources compared to if they were younger.

Additionally, magnesium metabolism may be less efficient as we grow older, as Affects the GI tract and kidneys bring about elderly adults consuming less and keeping less magnesium. 19

If you are above 55 and additionally showing lifestyle signals or symptoms related to Low magnesium, it's especially important that you work to boost your calcium consumption. When body stores of magnesium operate low, dangers of overt hypomagnesaemia (magnesium deficiency) increase 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 human body's systems. {This makes signals of its lack hard to pin down with absolute precision, even for cutting edge researchers. |} Doctors Pilar Aranda and Elena Planells noted that this difficulty within their report at the International Magnesium Symposium of 2007:


The clinical manifestations of magnesium deficiency are difficult to specify |} Because depletion of this cation is related to significant abnormalities in the metabolism of several elements and enzymes. If prolonged, inadequate magnesium intake may be responsible for symptoms caused by other causes, or whose causes are unknown."

One of researchers, magnesium deficiency is known as the silent epidemic of Our instances, and it is widely recognized that definitive testing for deficiency remains elusive. {Judy Driskell, Professor, Nutrition and Health Sciences at the University of Nebraska, describes this"invisible deficiency" as chronic latent magnesium deficiency, and explains:


Normal plasma and serum concentrations have been discovered in Individuals with low magnesium in [red blood cells] and cells. |} Yet attempts to discover an indicator of subclinical magnesium standing have not yielded a cheap one that has been well supported." 20

Yet while the identification of magnesium deficiency may be uncertain, its Importance is undeniable.


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

Contemplating these diverse and all-encompassing consequences, and of course that the Cascading influence magnesium levels have on other vital minerals like calcium and potassium, one thing is clear -- long duration low magnesium consumption is something to be prevented.

What can you do to increase magnesium intake?

The longer your intake remains low, the greater likelihood your bodily stores Will be diminished, leaving you vulnerable to a number of the troubling side effects of long term deficiency. Based on Dr. Carolyn Dean, M.D., N.D., and expert on magnesium treatment, sufficient magnesium may improve heart health, prevent stroke and obesity, and improve mood and memory.

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If you answered no to All the above questions, then you may Have the Ability to rely on High food sources of magnesium, such as those described in our post on Magnesium in the Diet.

Yet for a Lot of People, especially individuals with diseases And symptoms related to low magnesium, active magnesium supplementation may be a crucial element of returning to good health.


In her publication, The Magnesium Miracle, Dr. Dean notes achieving |} Adequate magnesium through foods is notoriously difficult, stating:

I'm convinced that to get enough magnesium now, you need to take Supplements" 21

Among the most effective ways to improve your magnesium levels would be to combine A healthy diet using transdermal magnesium. |}

Many of the variables which contribute to low magnesium shops Are caused by inefficiencies of the GI tract. By delivering magnesium through the skin directly into the cells, topical magnesium products skip lots of the problems connected with low magnesium absorption.

In elderly adults, decreased gastric acid amounts in the Digestive system may be a element in decreased mineral availability. Hydrochloric acid supplements may be combined with magnesium to combat this problem; nonetheless a more straightforward and less expensive choice is the usage of magnesium chloride supplements. Magnesium chloride has been proven to possess a high bioavailability, while simultaneously providing the chloride necessary for healthy digestion and vitamin and nutrient absorption.

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

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


Leg cramps Are reported in around 60 percent of adults and 7 percent of kids.1 They are troublesome and can cause severe pain and sleep disturbance,2 and residual pain occasionally occurs in the affected muscles following cramping.3 Up to 20 percent of individuals who complain of leg cramps have symptoms every day which are severe enough to require medical intervention.1Currently no remedies for leg cramps are proven to be safe and effective1 however there's a clear need for treatment options.

Quinine has Been commonly used to treat leg cramps however TGA approval for this indication was withdrawn in 2004 following reports of an increased risk of thrombocytopenia and 4 associated fatalities in Australia.4

Since Magnesium plays a role in neuromuscular transmission and muscle contraction, it has been hypothesised that magnesium 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 other ailments can be hard, the expression'cramp' may be employed to describe many different pain types. {
When choosing a medical history, consider factors which may account for leg cramp (peripheral vascular disease or motor neurone disease) as well as medication causes (calcium-channel blockers, angiotensin II-receptor antagonists and diuretics). |}
Whilst magnesium deficiency has been proposed as a cause of leg cramps, there's no evidence that magnesium supplements provide a clinical advantage besides for pregnancy-related leg cramp.
Consider the potential for development of hypermagnesaemia in patients taking magnesium supplements, especially in elderly people and individuals with kidney disease. {
Magnesium disagrees with bisphosphonates and tetracycline antibiotics and needs to be taken 2 hours before or after these medications. |}
Do not prescribe quinine pills for leg cramps. The effectiveness of quinine in preventing cramp is restricted and can be outweighed by the chance of acute thrombocytopenia, which may be deadly.
Consider non-pharmacological interventions for cramps such as stretching.

Diagnosis: concentrate on treatable causes

Differentiating Leg cramps from some other states in elderly individuals can be hard, the expression'cramp' may be employed to describe many different pain types. {Consider other causes such as restless legs syndrome, nocturnal myoclonus, myopathic and neuropathic conditions.3


When taking A patient's medical background comprise a review of medications and medical ailments.1 Consider other variables which may contribute, such as peripheral vascular disease or motor neurone disease. Potential medication causes of cramp include calcium-channel blockers, angiotensin II-receptor antagonists and diuretics.3 Lately, the calcium-channel blockers diltiazem and verapamil have been assessed for the treatment of muscle cramp in elderly individuals, no matter how the trials were small and of inferior quality.6,7


Physical Evaluation rarely identifies leg cramps since they are involuntary, unpredictable, and generally occur at nighttime. But findings on examination may indicate a potential underlying medical cause (i.e.peripheral vascular disease).1,5

There aren't any Routine blood tests recommended for the identification of muscular cramps and there's no proven association with electrolyte abnormalities.8

The third Trimester of pregnancy is often related to leg cramps, although it is difficult to distinguish between pregnancy as the chief cause and venous insufficiency.9 Despite the high incidence of leg cramps during pregnancy, there's been minimal research within this region.

Do not use quinine pills for leg cramp

Treatment With quinine was common until its withdrawal as a sign in 2004. The withdrawal was an outcome of 198 reports of thrombocytopenia related to quinine usage (since 1972), including 4 deaths.4 Quinine was withdrawn at a similar period in the US and afterwards, in 2006, the US FDA Federal Register alerted consumers to the issues surrounding off-label usage, reporting 665 serious adverse events including 93 deaths since 1969.10 Despite this, off-label usage still proceeds both here4 and overseas.

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Magnesium treatment for leg cramps

Evidence is lacking except for pregnancy-associated cramps

The Effectiveness and safety of magnesium has been established for eclampsia and pre-eclampsia, arrhythmia, acute asthma, and migraine.11 There's some evidence for effectiveness of magnesium supplementation in treatment of leg cramps in pregnant women but not for other people.2,12

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

A Sub-analysis of three of the research involving just pregnant women showed a significant difference between the magnesium and placebo groups at the median number of leg cramps experienced per week.2 Nevertheless the research simply contained a few participants (n=361 in total and n=198 from the subgroup analysis), and therefore has been underpowered to detect significant differences between classes. Additionally selection bias may have affected results as participants had been included in the analysis whose leg ailments may have been confused with ailments known to be related to magnesium deficiency (i.e. restless leg syndrome).

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

The writers Concluded that magnesium is not likely to provide a significant benefit in reducing the frequency or severity of idiopathic leg cramps at elderly people.12 The second review also contained three additional studies on pregnant girls; while a meta-analysis wasn't possible with them, results in the individual research have been considered and found to be combined. One study discovered calcium decreased cramp frequency and pain whereas the other two found no advantage.12 Although 2 of the research were comparable in design and setting,13,14 their outcomes were different; this may have been because one of the research lacked baseline dimension of cramp frequency. If cramp frequency before intervention wasn't equal between participants in those studies, it isn't appropriate to compare the number of cramps experienced during the treatment period.

Oral magnesium supplementation is well tolerated

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


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


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

Other remedies

Small research Have demonstrated some benefit from other medications including diltiazem, gabapentin and vitamin B complex but none may be recommended for muscular cramps due to the poor quality of evidence.6,17-19 Multivitamins and sodium supplementation also have demonstrated benefit in preventing cramps in pregnant women, although consider the potential threat of hypertension using sodium supplementation.9 Australian guidelines recommend calcium supplements for leg cramps at elderly women according to case reports but also highlight there are no controlled trials to support its usage.20 Paracetamol may be useful to handle residual muscle pain following cramping.3

Non-pharmacological therapy

Passive Stretch and massage of the affected muscle may relieve cramp and extending the calf muscles every day has been advocated to stop cramp.21 Although there's no clinical trial evidence to support these measures, anecdotal evidence suggests they may be effective and the risk of negative effects is low.

Information for patients


Magnesium interacts with other medicines|}


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

Median Amount 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 = --3.93percent (CI |} --21.12percent to 13.26percent )