Magnesium deficiency affects an estimated 45% of Americans, yet most people taking magnesium supplements are taking the wrong form for their goals. The bioavailability, tissue distribution, and clinical applications vary dramatically across the 10+ forms available. This is the evidence-based breakdown.
Magnesium is always bound to another molecule — the anion determines how well it's absorbed, where it accumulates in the body, and what secondary effects it produces. Magnesium oxide (the cheapest and most common form in supplements) has only 4% bioavailability and causes osmotic diarrhea at effective doses. Chelated forms (glycinate, malate, threonate) achieve 70–80% absorption.
Glycinate is magnesium chelated to glycine — an inhibitory amino acid that acts on GABA-A receptors. The combination is the most studied form for sleep quality and anxiety reduction:
Malate is a Krebs cycle intermediate — it directly participates in ATP production. Magnesium malate is the preferred form for:
Dose: 300–450mg elemental magnesium as malate, taken with meals during the day.
Threonate is the only form shown to cross the blood-brain barrier and significantly raise brain magnesium levels. Developed by MIT researchers, it increases synaptic density and NMDA receptor function:
| Study | Subjects | Outcome |
|---|---|---|
| Liu et al. (2016) | 44 adults 50–70 | Executive function improved vs. placebo in 12 weeks |
| Slutsky et al. (2010) | Animal model | Synaptic density +100%, learning/memory improved |
| Zhang et al. (2022) | Adults 18–65 | Reduced anxiety, improved sleep quality |
Threonate is significantly more expensive (3–5x the cost of glycinate) and has less human RCT data. It's best for: cognitive optimization, neuroprotection, age-related memory support.
Dose: 2g Magtein (the patented MgT form) daily = ~144mg elemental magnesium.
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