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Treating Separation Anxiety In Dogs Book

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Treating Separation Anxiety In Dogs Book

Can I get enough calcium?

1 method of assessing your calcium status is to simply touch with your Health care provider and ask detailed calcium testing. Yet magnesium assessment is typically done with blood serum testing, and these tests may be misleading. Only 1 percent of calcium from the body is actually found in blood, and just.3percent is found in blood serum, therefore clinical blood serum testing might not successfully identify calcium deficiency.

What to do?


Fortunately, it's possible to get a sense of where your intake may lie |} Simply by asking yourself a few questions about the way you live, and watching for certain signs and signals of low sodium levels.

Discover how to examine your hints below, and find out what you can do to guarantee Magnesium balance and good health. If you answer yes to any of the following questions, you might be at risk for low calcium consumption. |} {

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

These chemicals actually bind With magnesium within the digestive tract, which makes it inaccessible to the body. So even if you're eating a balanced diet plan, by drinking soda along with your meals you're flushing magnesium from your system. 4 5 6

The average consumption of carbonated beverages today is more than ten times What it had been in 1940. 7 This skyrocketing increase is responsible for both decreased 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 in Addition, It causes the Body to excrete magnesium throughout the kidneys. The process of producing refined sugar from sugar cane eliminates molasses, stripping the calcium content entirely. |}

And sugar does not just serve to decrease calcium levels. Sweet foods are Called nutritionists as"anti-nutrients". |} Anti-nutrients like candies are foods that replace whole nutritious foods from the diet, nevertheless actually consume nutrients when digested, causing a net loss. Since all foods need vitamins and minerals to be consumed in order to power the process of nourishment, it's important to select foods that"back" vital nourishment, and then some.

The more sweet foods and processed baked goods you've got on your diet, the More likely you're deficient in calcium and other vital nutrients. {

|} Do you experience a great deal of stress on your life, or maybe you have recently had a significant medical procedure such as surgery?

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


Anxiety may be 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 the"flight or fight" reaction associated with stress and stress, were associated with magnesium. 10

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

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

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 extra magnesium irrespective of body status.

Should you drink caffeinated beverages such as coffee, soda and tea regularly, has been increased. |} {

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

The effects of certain drugs have been shown to Decrease magnesium levels in The body by raising magnesium loss through excretion from the kidneys.

See also:

For a complete list of the particular drugs which could affect calcium levels, read our article, Reasons For a Lack of Magnesium. {
|} {Can you drink more than seven alcoholic beverages each week? |}

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

Higher alcohol intake also contributes to diminished efficiency of the Digestive system, in addition to Vitamin D deficiency, each of which may give rise to low calcium levels. {12

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

Studies have shown that when magnesium intake is low, calcium Supplementation can decrease calcium absorption and retention. 13 14 15 And, whereas calcium supplementation may have adverse consequences on calcium levels, magnesium supplementation actually boosts the body's use of calcium. 16


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

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

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As stated by noted magnesium researcher Mildred Seelig:|}

The body tends to keep calcium when in a magnesium-deficient state. Extra Calcium intake at such a time can cause an abnormal rise of calcium levels within the cells, including the cells of the heart and blood vessels... Considering that the delicate balance necessary between calcium and calcium in the cells, it is ideal to be sure magnesium is sufficient if you're taking calcium supplements." {17

|} Can you encounter any of these:

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

The above symptoms could be neurological signs of calcium deficiency. Adequate magnesium is necessary for nerve conduction and is also associated with electrolyte imbalances that affect the nervous system. Low magnesium is also associated with character changes and sometimes depression.

Read more:

For a complete list of the Symptoms of calcium deficiency, read our article, Symptoms of Low Magnesium. {
|} {Can 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 deficit.

Without calcium, our muscles would be in a continuous state of contraction.

Magnesium is a required element of muscle relaxation, and without it our Muscles are in a continuous state of contraction. Calcium, on the other hand, signals muscles to contract. |} As noted in the publication The Magnesium Factor, both minerals are"either side of a physiological coin; they have activities 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 fact, magnesium deficiency might actually appear as calcium deficiency in analyzing, and one of the initial recommendations upon receiving low calcium test results is calcium supplementation.

Read more:

For a complete list of the ailments associated with calcium deficiency, read our article, Symptoms of Low Magnesium.
To learn more about the role of magnesium in muscle function, visit The Way Magnesium Works in the Body. {
|} Did 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 has Been shown that aging, stress and illness all contribute to growing magnesium needs, yet most elderly adults actually take in less calcium from food sources than when they were younger.

In addition, magnesium metabolism may be less effective as we grow old, as Affects the GI tract and kidneys bring about elderly adults consuming less and retaining less calcium. 19

If you are above 55 and additionally showing lifestyle signs or symptoms associated with Low magnesium, it's especially important that you work to boost your calcium consumption. When body stores of calcium operate low, dangers of overt hypomagnesaemia (magnesium deficiency) grow significantly.

How do you know for sure if you've got a lack? {

Magnesium's effect is so crucial and far reaching that symptoms of its |} Absence reverberate throughout the human body's systems. {This makes signs of its lack hard to pin down with complete precision, even for cutting edge researchers. |} Physicians Pilar Aranda and Elena Planells noted this difficulty in 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 associated with considerable abnormalities in the metabolism of several elements and enzymes. If prolonged, inadequate magnesium intake might be liable for symptoms caused by other ailments, or whose causes are unknown."

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


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

However although the identification of calcium deficiency may be unclear, its Importance is undeniable.


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

Contemplating these diverse and sour consequences, not to mention that the Cascading effect magnesium levels have on other vital minerals such as calcium and potassium, 1 thing is clear -- long duration low magnesium intake is something to be prevented.

What do you do to increase calcium intake?

The more your intake stays low, the more 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 specialist on magnesium treatment, sufficient magnesium may improve heart health, prevent stroke and obesity, and improve memory and mood.

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

However for a Lot of People, especially those with ailments And symptoms associated with low magnesium, lively magnesium supplementation could be a crucial element of returning to good health.


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

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

Among the Very Best ways to improve your calcium levels would be to unite A healthy diet using transdermal magnesium. |}

Lots of the factors which contribute to low magnesium shops Are caused by inefficiencies of their GI tract. By providing magnesium through the skin directly to the cells, topical calcium products bypass many of the problems associated with low magnesium absorption.

In elderly adults, decreased gastric acid levels in the Digestive system might be a element in decreased nutrient accessibility. Hydrochloric acid supplements might be combined with magnesium to combat this dilemma; however a simpler and less costly option is the usage of magnesium supplements. Magnesium chloride has been proven to possess a high bioavailability, while concurrently giving the chloride necessary for healthy digestion and vitamin and mineral absorption.

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

If you haven't heard much about magnesium and its significance to good health, Now is the time to learn. And if it's something you've always meant to look into, now's the time to do it!


Leg cramps Are reported in up to 60 percent of adults and 7 percent of children.1 They're troublesome and can cause severe pain and sleep disturbance,2 and residual pain occasionally happens in the affected muscles after cramping.3 Up to 20% of individuals who complain of leg cramps have symptoms every day which are severe enough to need medical intervention.1Currently no treatments for leg cramps are clinically proven to be secure and effective1 but there is a clear demand for treatment options.

Quinine has Been commonly used to treat leg cramps but TGA approval for this indication was removed in 2004 after 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 calcium deficiency may predispose to muscular cramps.2,5Thus 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 challenging, the term'cramp' may be employed to describe many different pain types. {
When taking a medical history, consider factors that might account for leg cramp (peripheral vascular disease or motor neurone disease) in addition to medication causes (calcium-channel blockers, angiotensin II-receptor antagonists and diuretics). |}
While magnesium deficiency has been suggested as a cause of leg cramps, there is no evidence that calcium supplements offer a clinical benefit besides for pregnancy-related leg cramp.
Think about the capacity for development of hypermagnesaemia in patients using calcium 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. |}
Don't prescribe quinine pills for leg cramps. The effectiveness of quinine in preventing cramp is restricted and is outweighed by the chance of acute thrombocytopenia, which might be fatal.
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 challenging, the term'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 include a review of medications and medical ailments.1 Consider other factors which might 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 Examination rarely identifies leg cramps because they're involuntary, unpredictable, and generally occur at nighttime. But findings on examination may indicate a possible underlying medical cause (i.e.peripheral cardiovascular disease).1,5

There are no Routine blood tests recommended for the identification of muscle cramps and there's no proven association with electrolyte abnormalities.8

The third Trimester of pregnancy is frequently associated with leg cramps, though it is difficult to distinguish between pregnancy as the primary cause and venous insufficiency.9 Despite the high incidence of leg cramps during pregnancy, there's been minimal research in this area.

Don't use quinine pills for leg cramp

Treatment With quinine was ordinary until its withdrawal as a sign in 2004. The withdrawal was a consequence of 198 reports of thrombocytopenia associated with quinine usage (since 1972), including 4 deaths.4 Quinine was removed at a similar time in america and subsequently, in 2006, the US FDA Federal Register alerted consumers to the problems surrounding off-label usage, reporting 665 serious adverse events including 93 deaths since 1969.10 Despite this, off-label usage still continues both here4 and overseas.

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Magnesium cure for leg cramps

Evidence is lacking except for pregnancy-associated cramps

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

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

A Sub-analysis of three of the studies involving just pregnant women revealed a significant gap between the calcium and placebo groups in the median number of leg cramps experienced per week.2 Nevertheless the studies 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. In addition selection bias could have impacted results as participants were included in the analysis whose leg ailments might have been confused with disorders known to be associated with calcium deficiency (i.e. restless leg syndrome).

Another Recent systematic review evaluated a further seven studies in patients with leg treated with calcium.12 The elemental calcium dose given varied between studies. The populations included 322 mostly elderly 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 small and not statistically significant.

The authors Concluded that calcium is unlikely to offer a meaningful benefit in reducing the frequency or seriousness of idiopathic leg cramps in elderly people.12 The second review also included three further studies on pregnant girls; although a meta-analysis wasn't possible with these, results from the individual studies have been considered and found to be combined. 1 study discovered calcium decreased cramp frequency and pain while another two found no benefit.12 Although 2 of the studies were comparable in design and setting,13,14 their results were different; this could have been because one of the studies lacked baseline measurement of cramp frequency. If cramp frequency before intervention wasn't comparable between participants in those studies, it is not appropriate to compare the number of cramps experienced throughout the treatment period.

Oral calcium supplementation is well taken

The two {Meta-analyses found that calcium is well taken with the most frequent adverse 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 calcium (e.g. as antacids, enemas or by intravenous infusion), most frequently in patients with kidney impairment. |} Be conscious of the most common clinical characteristics 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 Contemplating magnesium supplements, ensure patients choose a product comprising magnesium just. Some magnesium supplements have been combined with potassium and might bring about hyperkalaemia in people using ACE inhibitors or other medicines which cause potassium retention.3 Consider assessing kidney function in people using medications which could impair or adversely affect kidney function16 and observe for signs of toxicity.15

Other therapies

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

Non-pharmacological treatment

Passive Stretch and massage of the affected muscle can relieve cramp and stretching the calf muscles daily has been recommended to stop cramp.21 Although there's no clinical trial evidence to support these measures, anecdotal evidence suggests they could be effective and the risk of adverse effects is low.

Advice for patients


Magnesium interacts with other medications |}


Magnesium significantly lowers 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 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 )