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Magnesium and Headaches: Natural Relief from Migraines

Magnesium for migraines looks incredibly promising. Clinical studies show that people who take this essential mineral experienced 43% fewer migraine days compared to those on placebo. The journal Headache published these findings that explain magnesium’s potential as a natural remedy for migraine sufferers.

Diet alone often fails to provide enough magnesium, which can lead to headaches and fatigue. Research shows that migraine sufferers tend to have lower magnesium levels than people who don’t get these painful headaches.

This detailed piece covers magnesium’s effects on headaches, the best types that work for migraine relief, how much you should take, and simple ways to add this vital mineral to your daily routine.

Understanding Magnesium and Headaches

Migraines cause complex changes in brain function and affect millions of people worldwide. Your brain goes through several distinct physiological changes that lead to intense pain and other symptoms during a migraine attack.

What happens in your body during a migraine

Your brain’s migraine process starts with neurological disturbances that trigger a chain of events. Scientists have found that migraine attacks come from changes in how your brain regulates and controls sensory inputs, especially those affecting the cranium [1]. You might experience various stages during an attack. The first signs show up as tiredness, irritability, and poor concentration up to 48 hours before the headache begins [1].

About one-third of people who get migraines experience an aura phase. This phase brings temporary changes in vision, sensation, or movement [1]. Your brain goes through a process called cortical spreading depression (CSD) during this time. CSD creates waves of brain signalling that cause visual and sensory changes [2].

Research shows women are more likely to experience CSD than men, which explains why more women get migraines after menarche [1].

How magnesium affects your brain

Magnesium is vital to your brain’s health through multiple mechanisms. This essential mineral helps more than 600 enzymatic reactions in every type of cell [3]. Your brain needs magnesium to regulate several key functions:

  1. Neurotransmitter Control: Magnesium blocks the N-methyl-D-aspartate (NMDA) receptor and stops too much calcium from entering neurons [3]. This blockage helps control pain signals and reduces the chance of cortical spreading depression [4].
  2. Brain Protection: This mineral guards against brain inflammation by stopping pro-inflammatory signalling pathways [5]. Your brain’s blood-brain barrier stays healthy and works properly because of magnesium [6].
  3. Neural Function: Your brain uses magnesium to change synaptic plasticity, control neurotransmitter release, and keep platelets working correctly [5]. Magnesium also lowers the levels of calcitonin gene-related peptide, which causes migraines by dilating blood vessels [5].

Signs of magnesium deficiency

Doctors find it hard to spot magnesium deficiency because blood levels show only 2% of what’s in your body [2]. Your body might show these signs when magnesium levels are low:

Physical Symptoms:

  • Muscle twitches and cramps  
  • Tremors and seizures
  • Numbness and tingling, mainly in extremities  
  • General body weakness [4]

Neurological Signs:

  • Cognitive disturbances  
  • Mood changes
  • Headaches and migraines  
  • Neuropathy [4]

People who get migraines often have lower magnesium levels in their serum, saliva, and cerebrospinal fluid both during and between attacks [2]. Research shows 50% of patients have ionised magnesium levels below 0.54 mmol/l during an acute migraine attack. The normal adult range is 0.54-0.65 mmol/l [2].

Your magnesium levels might drop due to poor diet, digestive issues, kidney problems, or changes in how your body distributes it [5]. People with heart disease, diabetes, alcoholism, and those taking blood pressure medications face a higher risk [2].

Long-term magnesium deficiency can lead to serious problems with your neuromuscular and cardiovascular systems [5]. Scientists have found lower magnesium concentrations in the brains of people with various neurological conditions. This is especially true in the occipital lobes of those who get migraines and cluster headaches [5].

Best Types of Magnesium for Migraines

Different types of magnesium supplements work better than others at relieving migraines. The way your body absorbs them plays a vital role in how well they work. Studies show organic magnesium salts get absorbed 13% better than inorganic ones [7].

Magnesium oxide vs citrate

Doctors often prescribe magnesium oxide because it’s affordable and packed with magnesium. Clinical trials use it extensively, but it has some drawbacks. This form packs about 60% elemental magnesium [7], though your body doesn’t absorb it as well as other types.

Magnesium citrate combines with citric acid to create something your body absorbs easily. It dissolves well in water, which helps if you have trouble swallowing tablets [7]. Research shows magnesium citrate supplements boost blood magnesium levels better than other forms [7].

Here are other magnesium types worth thinking about:

  • Magnesium pidolate: Research shows exceptional absorption, doubling serum magnesium from starting levels [7]
  • Magnesium lactate: Blood magnesium levels rise by 50% from baseline [7]
  • Magnesium threonate: This type can cross the blood-brain barrier better than others [1]

Absorption rates compared

Your body’s ability to absorb and use magnesium determines how well these supplements work. Studies emphasise big differences in how well various forms get absorbed.

Organic magnesium compounds work better than inorganic ones. The largest longitudinal study showed organic magnesium salts get absorbed 13% better [7]. This matters a lot when treating migraines since better absorption usually means better results.

Magnesium pidolate stands out in absorption studies. Research showed it doubled baseline blood magnesium levels [7]. Magnesium lactate raised levels by 50% [7].

The type of magnesium you choose affects possible side effects too. Magnesium citrate absorbs well but might change your digestion [7]. Magnesium oxide often upsets stomachs because it doesn’t absorb as well [7].

Studies on preventing migraines show promising results with specific formulas. A double-blind, placebo-controlled study using trimagnesium dicitrate cut attacks by 41.6% in the treatment group. The placebo group improved by only 15.8% [7].

Magnesium threonate offers an interesting choice if you want optimal absorption. It uniquely crosses the blood-brain barrier and might help neurological conditions more [1]. In spite of that, traditional forms like magnesium oxide still work well, especially at 400-600mg daily [7].

You should think about these factors when picking a magnesium supplement:  

  • How well it absorbs
  • How well you tolerate different types  
  • Your health goals
  • Your budget
  • Your medical conditions

Knowing these differences in magnesium forms and absorption rates helps you make smart choices about supplements for managing migraines. Of course, talking to healthcare providers is vital, especially if you plan to take supplements long-term or with other medications.

How Much Magnesium to Take

Magnesium dosage plays a significant role to work against migraines. Medical guidelines from International and European Headache Societies have specific recommendations based on the largest longitudinal study [6].

Daily dosage guidelines

The recommended daily magnesium intake to prevent migraines ranges from 400-600 mg [6]. These numbers line up with FDA recommendations that suggest 400 mg for men and 310 mg for women aged 19-30 [6].

If you have menstrually related migraines, daily oral magnesium supplements are especially helpful, even with irregular cycles [4]. Pregnant women can safely take magnesium oxide doses up to 400 mg since it falls under pregnancy category A [4].

Research shows higher doses might work better:

 Original doses usually start at 400 mg daily [8]

 Some studies show benefits at 600 mg daily [9]

 Maximum daily intake should stay under 1,200 mg [8]

The absorption rate changes based on several factors:

  • Chemical form of magnesium
  • Water solubility
  • Method of administration
  • Presence of absorption boosters like vitamin B6 and potassium ions [6]

When to take magnesium

The right timing of magnesium supplements improves their effectiveness. You’ll see better results from consistent, long-term use rather than occasional intake [5]. Here are ways to maximise absorption:

Optimal timing options:  

  • First thing in morning  
  • With dinner
  • Just before bedtime [5]

Whatever timing you choose, a consistent schedule will give a steady daily intake [5]. Taking supplements with food helps avoid potential side effects [5].

Important considerations for timing:

Magnesium can interact with medications of all types, so you need careful scheduling:  

  • Antibiotics: Take magnesium at least 2 hours after or 4-6 hours before [9]
  • Bisphosphonates: Space magnesium intake 2 hours apart [5]
  • Diuretics and proton pump inhibitors: Ask healthcare providers about optimal timing [5]

Splitting the daily dose into smaller amounts throughout the day can improve absorption [10]. This method might reduce stomach issues while keeping therapeutic levels steady.

The type of magnesium compound affects absorption rates by a lot. Second and third-generation magnesium salts show better bioavailability [6]. Magnesium citrate has the highest absorption rates in the gut [6].

Healthcare providers might give 1-2 grammes of magnesium sulphate through IV to treat acute migraines [4]. This method works best if you have absorption issues[9].

Some researchers think taking higher doses (above 600 mg) for 3-4 months might work better to prevent migraines [9]. All the same, starting with lower doses lets you monitor how your body responds.

The elemental magnesium content varies between different supplement forms. Product labels should clearly show this information [10]. Understanding elemental magnesium helps you get the right dose and best results.

Getting Started with Magnesium

You just need careful planning and a systematic approach to start magnesium supplementation. Research shows that about 50% of migraine patients have magnesium deficiency [2]. This makes proper supplementation a vital part of potential relief.

First week routine

A gradual approach works best when starting magnesium supplements. Studies show that lower doses help monitor your body’s response better [4]. A well-laid-out introduction helps reduce potential risks:

Day 1-3: Start with 200mg daily, preferably with evening meals to check how well you tolerate it. This original phase lets your body adjust to the supplement naturally.

Day 4-7: Once you confirm good tolerance, increase the dose to 400mg daily. Split the dose between morning and evening meals to boost absorption [4].

The best results come from taking magnesium supplements at the same times each day. Studies show steady supplementation works better than random intake [2].

Tracking your progress

You just need systematic observation to monitor magnesium’s effectiveness. Research shows six weeks is the minimum time to review preventive effects [11]. Here are the key tracking points:

Physical indicators:

  • Changes in headache frequency  
  • Alterations in migraine intensity  
  • Duration of attacks
  • Associated symptoms

Detailed records help identify patterns and effectiveness. It’s worth mentioning that traditional blood testing might not show accurate magnesium levels, as serum levels show only 1-2% of total body magnesium [2].

Progress evaluation timeline:

  • Week 1-2: Monitor tolerance and side effects  
  • Week 3-4: Note initial changes in symptoms
  • Week 5-6: Review overall effect on migraine patterns  
  • Week 7-8: Check if dose adjustments are needed

Common side effects

Magnesium supplementation is generally safe, but knowing potential risks helps manage them better. Clinical studies show gastrointestinal effects are the most common reactions [2].

Mild side effects: Diarrhoea is the biggest problem, happening more often with certain forms like magnesium oxide [4]. The good news is this usually depends on the dose. Reducing the amount or changing when you take it typically solves the issue.

Management strategies:

  • Take supplements with food
  • Divide daily doses
  • Switch to more readily absorbed forms
  • Adjust timing of intake

Some people might get stomach upset or cramping at first [12]. These symptoms usually go away as your body adjusts. Notwithstanding that, you should talk to healthcare providers about persistent digestive issues.

Important considerations:

Extra caution is needed if you have:  

  • Kidney disease
  • Specific medications  
  • Heart conditions
  • Diabetes

Research shows magnesium might interact with various medications [12]:  

  • Antibiotics
  • Heart medicines  
  • Diuretics
  • Muscle relaxants

The best results come from consistent supplementation while tracking your progress. Studies suggest some people might just need up to 800mg daily for effective migraine prevention [11]. Such increases should happen gradually under medical supervision.

Intravenous magnesium is another option if oral supplements don’t work for you [2]. This method, usually given as magnesium sulphate, works exceptionally well in treating acute migraine attacks, especially in people with documented magnesium deficiency.

Natural Food Sources of Magnesium

Getting enough magnesium from your diet is a natural way to manage migraines. Studies show most people don’t meet their recommended magnesium needs, while a proper diet helps reduce how often migraines occur [3].

Top magnesium-rich foods

Seeds are amazing sources of dietary magnesium. Pumpkin seeds top the list with 156 mg per ounce – that’s 37% of what you need daily [7]. Chia seeds come in strong too, giving you 111 mg per ounce, which covers 26% of your daily needs [7].

Nuts pack quite a magnesium punch:

 Almonds: 80 mg per ounce (19% daily value) [7]

 Cashews: 74 mg per ounce (18% daily value) [7]

 Brazil nuts: Rich source of magnesium [13]

Leafy greens are another vital source, with spinach giving you 78 mg in just half a cup [7]. These vegetables are great because they provide magnesium and other key nutrients that boost your overall health [14].

You’ll find good amounts of magnesium in legumes:

 Black beans: 60 mg per half-cup (14% daily value) [7]

 Edamame: 50 mg per half-cup (12% daily value) [7]

 Kidney beans: 35 mg per half-cup (8% daily value) [7]

Whole grains add steady amounts of magnesium to your diet. Brown rice gives you 42 mg per half-cup serving [7], while white rice only has 10 mg [7]. This shows why unrefined grains are your best choice.

Creating a magnesium-rich meal plan

Planning meals with magnesium-rich foods takes some smart thinking. Your body absorbs 30% to 40% of the magnesium you eat [7], so combining the right foods matters.

Breakfast options:

  • Fortified cereals (42 mg per serving) with soymilk (61 mg per cup) [7]
  • Oatmeal (36 mg per packet) topped with banana (32 mg) [7]
  • Whole wheat bread (23 mg per slice) with avocado (22 mg per half-cup) [7]

Lunch combinations:

  • Spinach salad base (78 mg per half-cup) [7]
  • Adding pumpkin seeds (156 mg per ounce) [7]
  • Including black beans (60 mg per half-cup) [7]

Dinner selections:

  • Brown rice (42 mg per half-cup) [7]
  • Salmon (26 mg per 3 ounces) [7]
  • Steamed broccoli (12 mg per half-cup) [7]

Protein helps your body absorb magnesium better [1]. High-fibre foods usually mean good magnesium content too, making them smart choices [7].

Water adds to your magnesium intake. Different types of water – tap, mineral, and bottled – contain anywhere from 1 mg/L to over 120 mg/L [7]. Picking mineral-

rich water helps boost your daily magnesium.

Several things can change how well you absorb magnesium from food:

  • Protein levels influence uptake [1]
  • Phosphate content impacts absorption [1]
  • Phytate presence affects availability [1]
  • Fat content influences absorption rates [1]

Research shows people who get migraines often have lower magnesium levels in their blood, saliva, and cerebrospinal fluid [1]. That’s why eating magnesium-rich foods every day helps prevent these shortfalls [15].

Dark chocolate offers 65 mg of magnesium per ounce [16]. In spite of that, some people find it might trigger migraines [17]. Start with small amounts and see how your body responds.

When to See a Doctor

Magnesium supplements show great promise in managing migraines, but you need to know when to get professional medical help. You should understand the warning signs and how magnesium might interact with other medications to get safe and effective headache relief.

Warning signs to watch for

Magnesium supplements are usually safe, but they can sometimes cause side effects that need medical attention. You’ll make better decisions about your migraine management strategy by knowing these signs.

Digestive disturbances: The original side effects of magnesium often include mild stomach issues like diarrhoea, nausea, or cramps [12]. These problems might point to an intolerance or too high a dose if they last longer. You should talk to your doctor if these symptoms don’t go away after the first week.

Neurological symptoms: Some people might experience changes in their nervous system. These can include:

  • Dizziness or vertigo
  • Confusion or disorientation
  • Unusual muscle weakness
  • Tremors or involuntary movements

You need immediate medical help if any of these symptoms appear suddenly or severely [1].

Cardiovascular changes: Your heart’s function depends heavily on magnesium. Too much intake can lead to heart-related symptoms like:  

  • Irregular heartbeat or palpitations
  • Big changes in blood pressure  
  • Chest pain or discomfort

People with heart conditions should get medical help right away if these symptoms appear [7].

Allergic reactions: Allergic responses don’t happen often, but they can occur. Watch out for:

  • Skin rashes or hives
  • Itching or swelling, especially around your face, tongue, or throat
  • Difficulty breathing or wheezing

You need emergency medical care if you suspect an allergic reaction [9].

Changes in migraine patterns: Magnesium helps reduce how often and how bad migraines get, but some people’s headache patterns might change unexpectedly. You should see your doctor if your migraines get worse or new headaches start after taking magnesium [8].

Kidney-related concerns: People with kidney problems need to be extra careful with magnesium supplements. Look out for:  

  • Unusual tiredness or weakness
  • Different urination patterns
  • Swelling in your legs, ankles, or feet

These signs need quick medical attention, especially if you have kidney disease [7].

Medication interactions

Magnesium can affect how other medicines work and might cause unwanted effects. You need to know about these interactions to stay safe.

Antibiotics: Magnesium can stop certain antibiotics from working properly, especially tetracyclines and quinolones. To avoid problems:  Take your magnesium at least 2 hours before or 4-6 hours after antibiotics [7].

 Ask your pharmacist about the best timing based on your specific antibiotic.

Bisphosphonates: These osteoporosis medications might not work as well with magnesium. To get the best results:  Keep magnesium and bisphosphonate doses at least 2 hours apart [7].

 Follow your doctor’s specific instructions about timing and doses.

Diuretics: Different water pills affect your body’s magnesium levels:

  • Loop diuretics and thiazide diuretics might make you lose more magnesium [7].
  • Potassium-sparing diuretics can help you keep magnesium [7].

You might need regular magnesium level checks if you take these medications.

Proton pump inhibitors (PPIs): Taking PPIs for acid reflux or ulcers long-term can lower your magnesium. If you take these medicines:  Talk to your doctor about taking magnesium supplements.

 Get your magnesium levels checked regularly, especially with long-term PPI use [7].

Heart medications: Magnesium can mix with heart drugs, including:  

  • Digoxin: Magnesium might change how well it works [7].
  • Calcium channel blockers: Blood pressure might drop more than expected [9].

Your doctor should watch you closely if you take these medications with magnesium.

Muscle relaxants: Magnesium might make muscle relaxants work stronger. If you take these medicines:  Tell your doctor about your magnesium supplements.

 Watch out for extra muscle weakness or sleepiness [12].

Thyroid medications: Magnesium might affect how well your thyroid medicine works. To stay safe:  

  • Space out magnesium and thyroid medicine by at least 4 hours [9].
  • Ask your endocrinologist about the best schedule and doses.

Magnesium works especially well for some people. Those who get migraines with aura or menstrual migraines often see good results [4]. Pregnant women can safely take up to 400 mg of magnesium oxide daily since it’s pregnancy category A [4].

You should always talk to your doctor before starting or continuing magnesium. This becomes even more important if you have ongoing health issues, take multiple medicines, or notice lasting side effects.

Regular checkups with your doctor help you get the most from magnesium for your migraines. These visits let you:

  • See how well the supplements work
  • Change the dose if needed
  • Check for side effects or interactions
  • Fit magnesium into your overall migraine treatment

You can safely use magnesium’s benefits for migraine relief and minimise risks by staying in touch with your doctor and watching for warning signs or interactions.

Conclusion

Studies show magnesium plays a crucial role in preventing and managing migraines. Patients who take magnesium supplements see their migraine days drop by 43%. This makes it a great option to get natural relief from recurring headaches.

Your choice of magnesium supplement can make a big difference. Magnesium oxide remains popular, but magnesium citrate and threonate are absorbed better by the body. If you have not tried magnesium before, start with 200-400mg daily to check how well you tolerate it and minimise side effects.

Several foods can boost your magnesium levels naturally. Pumpkin seeds, leafy greens, and whole grains are excellent sources. The best results come from combining these foods with the right supplements as part of an integrated approach to manage migraines.

Safety should be your top priority with magnesium supplements. Watch your symptoms closely and stay aware of how they might interact with other medications. Regular check-ins with your healthcare provider help ensure the best results. While magnesium supplements are generally safe, reach out to your doctor if you notice unusual symptoms or changes in your migraine patterns.

Research continues to support magnesium’s effectiveness against migraines. The right mix of supplements, diet choices, and medical supervision can help reduce your headaches’ frequency and severity. This approach helps maintain your overall health and well-being too.

FAQs

Q1. How effective is magnesium in reducing migraine frequency?

Studies have shown that magnesium supplementation can lead to a significant 43% reduction in migraine days compared to placebo. This makes it a promising natural option for those seeking relief from recurring headaches.

Q2. What is the recommended daily dosage of magnesium for migraine prevention?

The recommended daily magnesium intake for migraine prevention typically ranges from 400-600 mg. It’s advisable to start with a lower dose of 200-400 mg daily and gradually increase as needed, while monitoring your body’s response.

Q3. Which type of magnesium supplement is best absorbed for migraine relief?

While magnesium oxide is commonly prescribed, forms like magnesium citrate and magnesium threonate offer superior absorption rates. Magnesium citrate, in particular, has shown excellent bioavailability in clinical studies.

Q4. Can dietary sources provide sufficient magnesium for migraine management?

Incorporating magnesium-rich foods such as pumpkin seeds, leafy greens, and whole grains can help maintain healthy magnesium levels. However, for optimal migraine management, combining dietary sources with appropriate supplementation is often recommended.

Q5. Are there any side effects or precautions to consider when taking magnesium for migraines?

While magnesium is generally safe, some people may experience mild digestive issues initially. It’s important to be aware of potential interactions with certain medications, particularly antibiotics and heart medicines. Always consult with a healthcare provider before starting magnesium supplementation, especially if you have existing health conditions or are taking other medications.

References

  1. https://www.ncbi.nlm.nih.gov/books/NBK507271/
  2. https://pmc.ncbi.nlm.nih.gov/articles/PMC7551876/
  3. https://pubmed.ncbi.nlm.nih.gov/33503279/
  4. https://americanmigrainefoundation.org/resource-library/magnesium/
  5. https://www.healthline.com/nutrition/best-time-to-take-magnesium
  6. https://pmc.ncbi.nlm.nih.gov/articles/PMC8912646/
  7. https://ods.od.nih.gov/factsheets/Magnesium-HealthProfessional/
  8. https://www.webmd.com/migraines-headaches/magnesium-migraine
  9. https://www.medicalnewstoday.com/articles/322596
  10. https://migrainetrust.org/live-with-migraine/healthcare/treatments/supplements/
  11. https://www.migrainedisorders.org/podcast/s5ep10-tips-for-adding-magnesium-to-your-migraine-treatment-plan/
  12. https://www.healthline.com/health/magnesium-for-migraines
  13. https://www.medicalnewstoday.com/articles/323161
  14. https://www.naturopathicnutrition.co.uk/post/why-is-magnesium-helpful-in-migraine-management-a-nutritionist-guide
  15. https://www.everydayhealth.com/migraine/foods-to-help-get-rid-of-a-headache-or-migraine-attack-naturally/
  16. https://www.healthline.com/nutrition/10-foods-high-in-magnesium
  17. https://www.healthline.com/health/migraine/what-to-eat-when-you-have-a-migraine

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