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10.3390/nu13010195

http://scihub22266oqcxt.onion/10.3390/nu13010195
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33435187!7827637!33435187
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suck abstract from ncbi


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pmid33435187      Nutrients 2021 ; 13 (1): ä
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  • Effectively Prescribing Oral Magnesium Therapy for Hypertension: A Categorized Systematic Review of 49 Clinical Trials #MMPMID33435187
  • Rosanoff A; Costello RB; Johnson GH
  • Nutrients 2021[Jan]; 13 (1): ä PMID33435187show ga
  • Trials and meta-analyses of oral magnesium for hypertension show promising but conflicting results. An inclusive collection of 49 oral magnesium for blood pressure (BP) trials were categorized into four groups: (1) Untreated Hypertensives; (2) Uncontrolled Hypertensives; (3) Controlled Hypertensives; (4) Normotensive subjects. Each group was tabulated by ascending magnesium dose. Studies reporting statistically significant (p < 0.05) decreases in both systolic BP (SBP) and diastolic BP (DBP) from both baseline and placebo (if reported) were labeled "Decrease"; all others were deemed "No Change." Results: Studies of Untreated Hypertensives (20 studies) showed BP "Decrease" only when Mg dose was >600 mg/day; <50% of the studies at 120-486 mg Mg/day showed SBP or DBP decreases but not both while others at this Mg dosage showed no change in either BP measure. In contrast, all magnesium doses (240-607 mg/day) showed "Decrease" in 10 studies on Uncontrolled Hypertensives. Controlled Hypertensives, Normotensives and "magnesium-replete" studies showed "No Change" even at high magnesium doses (>600 mg/day). Where magnesium did not lower BP, other cardiovascular risk factors showed improvement. Conclusion: Controlled Hypertensives and Normotensives do not show a BP-lowering effect with oral Mg therapy, but oral magnesium (>/=240 mg/day) safely lowers BP in Uncontrolled Hypertensive patients taking antihypertensive medications, while >600 mg/day magnesium is required to safely lower BP in Untreated Hypertensives; <600 mg/day for non-medicated hypertensives may not lower both SBP and DBP but may safely achieve other risk factor improvements without antihypertensive medication side effects.
  • |Administration, Oral[MESH]
  • |Antihypertensive Agents/*administration & dosage/*therapeutic use[MESH]
  • |Blood Pressure/drug effects[MESH]
  • |Cardiovascular Diseases[MESH]
  • |Clinical Trials as Topic[MESH]
  • |Databases, Factual[MESH]
  • |Humans[MESH]
  • |Hypertension/*drug therapy[MESH]
  • |Magnesium/*administration & dosage/*therapeutic use[MESH]


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