Magnesium -The
Mineral That Could Have Saved 4 Million Women
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Modern medicine has made a remarkable admission. Its failure to utilize
a simple, inexpensive intravenous mineral drip might have saved the
lives millions of women over the past century. Modern medicine knew
about the cure since 1906. [New England Journal Medicine 333: 201-05,
1995]
Around 210 million women become pregnant annually around the world and every
minute a woman dies in pregnancy or childbirth, with a quarter of these deaths
due to a condition called pre-eclampsia which can lead to the more severe and
mortal condition called eclampsia. Women may develop high blood pressure during
pregnancy (pre-eclampsia) and during or prior to birth may experience
life-threatening seizures (eclampsia). About 5-10 percent of women in their
first pregnancy develop pre-eclampsia.
Over the past century, drugs rather than minerals have been employed to treat
eclampsia, Diazepam (Valium) since 1968 and then phenytoin (Dilantin) since
1987. During the period from 1905 to 1987 an estimated 42 million women may have
undergone eclamptic convulsion and possibly 4 million died. The modern therapy
for eclampsia now includes calcium-blocking drugs and a host of anti-hypertensive
agents. Drugs may reduce the risk of severe high blood pressure, but not the
overall rate of hypertension or the risk of eclampsia. [The Cochrane Library,
Issue 2, 2002]
Yet the anticonvulsant drugs continue to be employed with little reliable
evidence that they work. Finally, a just-released study of 10,141 women in 33
countries has shown beyond a "reasonable doubt" that intravenous
magnesium reduces the risks of eclampsia among women with pre-eclampsia. The
relative risk of eclampsia was reduced by 58 percent and the mortality rate
nearly cut in half among women receiving magnesium ...compared to those who
receive a saline drip. The authors of the study concluded: "magnesium
sulfate is remarkably effective at reducing the risk of eclampsia." [The
Lancet 359: 1877-90, June 1, 2002]
Not The First Time
This wasn't the first study to conclusively show magnesium sulfate is a
remedy for eclampsia. In a 1995, a study heralded as the most important
obstetric trial of the 20th century, magnesium sulfate was found to be the most
effective approach to controlling convulsions during childbirth. [British
Medical Journal 311: 702-03, 1995]
By 1998 data from numerous studies had been analyzed and it was known that
magnesium was superior to any anticonvulsant drugs. [Cochrane Review 2002] This
evidence still didn't convince most obstetrical doctors.
Seven years after the report showing magnesium reduces the risk of mortality
from eclampsia, a report endorsed by the World Health Organization (WHO), UNICEF
and the World Bank, magnesium sulfate is still not available to millions of
women worldwide. British medical researchers are pleading with the World Bank
and WHO to fund and disseminate treatment kits. [The Lancet 359: June 1, 2002]
Clues Were There
It wasn't as if physicians had no clues as to the cause of eclampsia. The
worldwide mortality rates from eclampsia vary widely from country to country.
The mortality rate from eclampsia ranges from 0 to 13.9 percent. [European
Society Cardiology 21st Annual Congress, Sept. 1, 1999]
So there are obviously some modifiable factors involved in the development of
eclampsia among pregnant females. Pre-eclampsia and eclampsia are the most
important causes of death during pregnancy in the United Kingdom, USA and Nordic
countries, nations that consume the most calcium-rich dairy products. Calcium
and magnesium must be maintained in a proper ratio to maintain proper muscle
tone and prevent convulsive muscle spasms. Furthermore, estrogen and
progesterone levels, which increase as a pregnancy advances, elevate the body's
demand for magnesium. [Journal American College of Nutrition 12: 442-58, 1993]
Magnesium is a natural calcium blocker. [American Journal Medicine 96: 63-76,
1994]
Magnesium Shunned For Heart Disease Too
This isn't the first time magnesium has been shunned in favor of prescription
drugs. In the 1990s a preliminary report showed that intravenous magnesium
reduced mortality rates following a heart attack. This was apparently perceived
as a threat to the sale of calcium-blocking drugs used for the same purpose.
Medical researchers, financially backed by a pharmaceutical company that
produces calcium-blocker drugs, deliberately chose to use an excessive dose of
intravenous magnesium to prove it was of no value during the post-heart attack
period. [Townsend Letter for Doctors, October 1998]
The sale of calcium-blockers never faltered. There are more than 64 million
annual prescriptions for calcium blocking drugs (Procardia, Cardizem, Norvasc,
Verpamil, Adalat, Dilacor, Verelan, Calan), with sales exceeding $2.5 billion.
[American Druggist 1997]
Magnesium May Prevent Sudden-Death Heart Attacks
Magnesium is not limited to treating heart disease after a heart attack. A
shortage of dietary magnesium has been repeatedly shown to be associated with an
increased risk of sudden-death heart attack. Unequivocally, a shortage of
magnesium from the American diet, in particular the absence or shortage of
magnesium in drinking water, is directly related to sudden-death heart attack. [Epidemiology
10: 31-36, 1999; Heart 82: 455-60, 1999; American Journal Epidemiology 143:
456-62, 1996] Out of 750,000 heart attacks in the USA annually, an estimated
340,000 deaths occur within one hour of a heart attack. [Journal Nutrition
Health Aging 5: 173-78, 2001]
One study showed the relative risk of sudden-death heart attack is more than
1.5 times higher among adults who consume on average 105 milligrams of magnesium
a day compared to adults who consume 233 milligrams a day. [Magnesium Trace
Element Research 9: 143-51, 1990]
Recently researchers reported on the effects of slowly withdrawing magnesium
from the diet of postmenopausal women. Women began to exhibit abnormal heart
rhythms as circulating magnesium levels declined. [American Journal Clinical
Nutrition 75: 550-54, 2002]
Of the minerals removed during water softening, magnesium is the only mineral
found to be deficient in the heart muscle of sudden-death heart attack victims.
[Science 208: 198-200, 1980]
In an animal experiment, no rodents experienced a sudden-death heart attack
when magnesium levels were adequate, whereas 4 of 11 rodents with low magnesium
levels experienced a sudden lethal heart muscle spasm. [Journal American Collage
Cardiology 27: 1771-76, 1996]
For comparison, there are about 50,000 tobacco-related deaths per year in the
USA and consequently massive smoking-cessation efforts are undertaken. There are
more than 200,000 to 300,000 avoidable sudden-death heart attacks that could be
prevented by the provision of an inexpensive mineral, yet public health
authorities do nothing to stop the problem. This amounts to over 500 needless
deaths per day in the USA. The current approach to cardiovascular disease is to
reduce circulating cholesterol levels, which has been shown to reduce the
incidence of heart attacks, but has not reduced mortality rates. Sudden fatal
heart failure may be related to magnesium deficiency rather than high
cholesterol levels. [Medical Hypotheses 43: 187-92, 1994]
Widespread Dietary Deficiency
A 1994 Gallup poll found that 72 percent of Americans don't consume
sufficient amounts of magnesium. The widespread consumption of processed foods
has led to a progressive decline in dietary magnesium. While nuts and green
leafy vegetables are good sources of magnesium, the shortage of magnesium in
the American diet, about 200-300 milligrams per day, is not likely to be made up
through foods alone.
Progressive decline of dietary magnesium consumption
| Years |
Magnesium intake milligrams per day |
| 1900-08 |
475-500 |
| 1909-13 |
415-435 |
| 1925-29 |
385-398 |
| 1935-39 |
360-375 |
| 1947-49 |
358-370 |
| 1957-59 |
340-360 |
| 1965-76 |
300-340 |
| 1978-85 |
225-318 |
| 1990-2002 |
175-225 |
[Magnesium Trace Elements 10: 162-28, 1997]
Supplementation Advised
Only universal magnesium supplementation is likely to make up for such a
widespread mineral deficiency. Foods cannot easily be fortified with magnesium
because it is a bulky mineral that would alter the consistency and taste of
flour and foods. Magnesium cannot be added to tap water because it would erode
piping. Either magnesium pills or magnesium added to bottled water would make up
for this mineral deficiency. Currently, only 5 major brands of bottled water
provide a desirable measure of more than 75 milligrams of magnesium per liter
and only one brand has a ratio of magnesium that exceeds that of calcium.
Blood tests for magnesium are notoriously inaccurate. Only 1 percent of the
total body magnesium pool exists outside of living cells. So blood serum levels
are notoriously inaccurate. [Clin Chem Lab Med 37: 1011-33, 1999]
Only red-blood cell magnesium levels accurately determine the risk for
pre-eclampsia and/or magnesium deficiency, but this test is not commonly performed
in laboratories. [American Journal Hypertension 13: 765-69, 2000]
A bias against the use of intravenous magnesium sulfate by modern medicine
has taken a terrible toll on humankind. Magnesium sulfate, also known as Epsom
salt, is not absorbed orally and attracts water in the colon and would thus act
as a laxative. So Epsom salts are not recommended orally. Magnesium pills are
recommended (200-400 milligrams per day). Magnesium has been called the
"The Forgotten Mineral" and the "5-Cent Miracle Tablet" by
medical researchers. Numerous researchers have reported that the provision of
this mineral in the population at large would greatly diminish the incidence of
kidney stones (1 in 11 Americans), calcified mitral heart valve (1 in 12
Americans), premenstrual tension, constipation, miscarriages, stillbirths,
strokes, diabetes, thyroid failure, asthma, chronic eyelid twitch (blepharospasm),
brittle bones, chronic migraines, muscle spasms and anxiety reactions.
[Pediatric Asthma, Allergy Immunology 5: 273-79; Journal Bone Mineral Research
13: 749-58, 1998; Magnesium 5: 1-8, 1986; Medical Hypotheses 43: 187-92, 1994]
That's a lot of health benefits for a nickel. Sufficient provision of magnesium
in the American population would likely reduce health care costs by
billions of dollars.
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