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Magnesium Questionnaire

Taken from the book, "The Magnesium Factor"

This is one of the most well documented books in the world.  Stairway to Health® strongly suggests you purchase and read this book and keep it in your home as a part of Home Health. Dr. Seelig and Dr. Rosanoff have placed their reputations and professional lives "out there" and this usually gains criticism from the conventional world of the day.  Congratulations, Drs., for a job well done!

"Use this questionnaire to help you assess your probable magnesium status.  It is not rigorously scientific, but it is a guide that will aid you in identifying factors in your life that may be affecting your magnesium status.  In conjunction with any cardiovascular risk factors you may have and, possibly, laboratory testing, it will help you to determine how likely you are to be magnesium-deficient and what steps you may wish to take to correct any deficit."  Drs.  Seelig and Rosanoff

 Download and take this questionnaire once bi-monthly or quarterly to assess your magnesium levels frequently...your life may depend upon your magnesium levels according to the book, "The Magnesium Factor"

Part One

Circle the appropriate number beside each statement and total your score at the bottom.

Statement     Less than once a month    Once Month to once Week        2 - 4 X's Week    4-7 X's  Week    More Than Once Daily

1a. I take a calcium                0                                               1                                         2                             3                                    4  

supplement with no 

added magnesium

1b. I  am on hormone             0                                              1                                            2                             3                                 4

replacement therapy

or birth control pills

2.  I drink distilled or                0                                              1                                                2                            3                                4

deionized bottled  water         0                                               1                                                2                             3                                4

3. I drink fruit drink, ade           0                                               1                                                2                            3                                4

or punch

4.  I drink sodas con-             0                                               1                                                 2                            3                                4

taining Phosphoric Acid

5.  I eat candy                        0                                               1                                                2                            3                                4

6.  I eat pastries, cakes        0                                                1                                                2                            3                                4

7. I have sugar in my coffee    0                                              1                                                2                            3                                4

8. I eat white bread products  0                                               1                                                2                            3                                4

(including bagels, croissants

muffins, French bread, croutons,

crackers, etc.)

9. I eat pasta, spaghetti        0                                                 1                                                2                            3                                4

or noodles (Including Chinese

noodles)

10.  My diet is high in            0                                                 1                                                2                            3                                4

saturated fat

11.  I drink alcohol                0                                                  1                                                2                            3                                4

 

Part Two

How many total cup servings of nuts or vegetables (1/4 cup of nuts or 1/2 cup of vegetables) do you eat each day?  include salads and legumes such as soy and other beans.  Circle the score beneath the appropriate number of servings.


 

Average servings of         5-7 servings daily        3-4 servings daily            1-2 servings daily            less than 1 serving daily

nuts or veggies eaten                0                            3                                    5                                        10


 

 

Part Three

When you eat brads and cereals, how often are they whole-grain foods?  circle the score beneath the appropriate description of how often you choose whole-grain products over processed-grain products.


 

Occurrence            Exclusively whole grains    Mostly whole grains    Sometimes whole grains        Rarely or never whole grains


 

Score                            0                                    3                                    5                                        10


 

 

Part Four

Circle the appropriate number beside each statement and total your score at the bottom.


Statement_______________________________________________________True___________False

1. I have high blood pressure, whether treated or untreated                               15                           0

2. I have high triglycerides, high LDL cholesterol and/or low HDL cholesterol      15                           0

3. I have Type II Diabetes or a high fasting glucose level                                    15                          0

4. I take a thiazide diuretic                                                                              15                          0

5. I take digitalis                                                                                            15                          0

6. I am 70 years old or older                                                                           15                          0

7. I have a family history of heart dis/ease                                                        25                          0


 

Total:  Part Four __________________ 

Now add up your scores from all four parts:

Part One:   ________________

Part Two:  _________________

Part Three: ________________

Part Four: _________________

TOTAL:  __________________

Interpreting YOUR Results

Use the following general guide to assess your likely risk of magnesium deficiency

0-12  Points = Low risk of magnesium deficiency

13-20 Points = Mild risk of magnesium deficiency

21-30 Points = Moderate risk of magnesium deficiency

31-40 Points = High risk of magnesium deficiency

41+ Points = Very high risk of magnesium deficiency

Why Are Calcium and Phosphorus on the Questionnaire?

Getting too much calcium and/or phosphorus while in a suboptimal or deficient magnesium state may worsen the magnesium inadequacy.  High dose Vitamin D supplements can have an impact on these minerals (discussion on page 260 of "The Magnesium Factor" by Seelig and Rosanoff - Stairway to Health highly recommends you purchase the book for your family health library).

Calcium

When a magnesium deficit occurs, calcium levels in the blood go down, even if calcium intake is adequate.  When the body is in such a state, the absorption of calcium can remain normal while excretion of calcium in the urine become low.  Thus, even though blood calcium is low, the body tends to retain calcium when in a magnesium-deficient state.  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.  If magnesium is replenished, the calcium level in the blood returns to normal, as does its excretion in the urine.  Given the delicate balance necessary between calcium and magnesium in the cells, it is best to be sure magnesium is adequate if you are taking calcium supplements. This can be especially important if you are taking hormone replacement therapy or birth control pills (chapter 7 of "The Magnesium Factor" Seelig and Rosanoff).

Phosphorus

Experimental rats can be made magnesium deficient - enough to cause calcification of kidney tissue --by adding excess phosphorus and calcium to their diets.  The amount of phosphate-containing additives in processed foods can be substantial (providing up to 1 gram per day, especially from baked goods and processed meats).  Phosphoric acid-based sodas contain between 50 to 160 mg of phosphorus per serving, depending upon the size of the drink.  Given these unintentional sources, people may be ingesting more phosphorus than a low magnesium intake can safely counteract, especially if calcium supplements are part of the dietary picture.  However, if calcium intake is low and phosphorus intake high, the bone can be adversely affected.  Once again, the proper balance is necessary.  Studies on this interaction between calcium and phosphorus often do not include an assessment of the subjects' magnesium status, but the physiological parameters of excess phosphorus and calcium can be similar to those described in magnesium deficiency.  This is a complex area of nutrition but  it is safe to say that adequate magnesium plus a proper balance between calcium, magnesium and phosphorus intakes is desirable, and you should remember that the amount of phosphorus in processed foods that contain phosphate-based additives can be higher than you would expect.

The DRI/RDA for phosphorus is around 700 mg for adults.  an adequate intake for calcium for adults is 1,000 mg per day from all sources, 1,200 mg pr day if you are over age seventy.  At these intakes of calcium, keeping the recommended two to one (2:1) calcium-to-magnesium ratio requires daily magnesium intakes of 500 mg, an amount rarely consumed by Americans.  (Taken form "The Magnesium Factor" by Seelig/Rosanoff - Stairway to Health highly recommends your purchase this book for your family health library).

High dose Vitamin D

Vitamin D is necessary for calcium absorption.  When vitamin D levels are  low, not much calcium is absorbed from the intestines into the blood-stream, even if there is plenty of calcium in the diet.  However, doses of vitamin D  higher than the amount necessary to achieve normal calcium levels can have negative effects.  If magnesium status is low or suboptimal and vitamin D is very high, and especially if calcium is also high, calcium absorption can be high enough to make the magnesium deficiency worse and to worsen the risk of calcium moving abnormally into cells and soft tissues, including those of the heart and arteries.  The amount of vitamin D people need varies with age, skin pigmentation, exposure to sunlight, the latitude at which they live, and even their individual genetic makeup, all of which can limit the amount that can be safely consumed without causing excess calcium levels.  Vitamin D nutrition is a complex subject that is difficult to quantify or generalize about.  It does play a role in magnesium, calcium, phosphorus nutrition.  The adult adequate intake for vitamin D ranges from 200 to 400 international units per day, 600 international units per day for people over age seventy.  The upper limit has been set at 2,000 international units per day.

Like most nutrients, calcium, phosphorus, and vitamin D have a range of optimal intakes.  An intake below this range means deficit; an intake above it means that the otherwise beneficial nutrient can become toxic.  If you are low in magnesium, it is easier for calcium, phosphorus and vitamin D to become toxic or, conversely, for resistance to vitamin D to develop.

We are not suggesting that you forgo calcium supplements to prevent osteoporosis, to do without phosphorus and vitamin D, or to avoid vitamin D-fortified milk.  we are suggesting you get adequate magnesium so that a high level of these nutrients will not exacerbate a deficient or suboptimal magnesium intake.  If you are told that you need unusually high doses of any vitamin, keep in mind that magnesium activates vitamin D, and that lower doses of vitamin D are needed when inadequate magnesium is corrected.

NOTE:  This article is taken from "the Magnesium Factor" by Seelig and Rosanoff.  We highly recommend you purchase and make this book a part of your family health library.

Why Are Fruit Drink, Ade and Punch on the Questionnaire?

These sweetened drinks are quite high in sugar.  A 12 ounce serving of fruit drink contains roughly 12 teaspoons of sugar, whereas the same amount of colas has 9 teaspoons and a piece of white layer cake with chocolate frosting has 6 teaspoons.  A high intake of refined sugar can lead to magnesium loss in the urine and these drinks can really add a lot of sugar to one's life, even though their fruit flavor leads some people to believe they are healthy.  Look for pure fruit juices rather than fruit drinks or ades.  Fruit juices though (from STH fruit juices are generally mostly fructose and should be consumed sparingly)...Fruit drinks, ades and punches have added sugar.  (from the book ((except STH insert)) "The Magnesium Factor" by Seelig and Rosanoff - STH highly recommends you purchase this book and make it a part of your family health library).

 

Why Are Other Common Foods on the Questionnaire?

The reasons for including some of the other elements of the questionnaire can be summarized as follows:

  • Candies and desserts are usually made with  refined sugar.  Refined sugar has not only had all the magnesium removed from it, it increases the excretion of magnesium in the urine.  There is one bright spot to this restriction.  if you must break your diet with a little candy, take a piece of chocolate, preferably dark semi-sweet.  chocolate contains magnesium.

  • White breads and pastries made with white flour are low-magnesium foods.  These products can also be a significant source or phosphate-based additives.  A steady die, year after year, of white bread or baked products made with white flour can easily be low in magnesium, especially if it does not include several servings of vegetables each day.

  • Alcohol, especially the excessive consumption of hard liquor, promotes the excretion of magnesium, enhancing the risk of cardiovascular disease, while moderate, regular use of alcohol may spare magnesium.

  • Certain types of bottled water may have all the natural magnesium removed.

  • Saturated fats impede the absorption of magnesium through the intestine (STH We would generally refer to highly heated saturated fats like those you overheat or hydrogenated, even hydrolyzed in America as the dangerous saturated fats, raw saturated fats are generally very good for us)



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