
Core IM | Internal Medicine Podcast
#143 Hypomagnesemia and Hypophosphatemia: 5 Pearls Segment
Jan 17, 2024
This podcast covers the topics of hypomagnesemia and hypophosphatemia, discussing the impact of PPIs on magnesium absorption, the framework for identifying low phosphate levels, the role of magnesium in the body and its effects on kidney function, managing hypomagnesemia and magnesium deficits, and the causes of hypophosphatemia including inadequate phosphate intake and urinary causes.
37:57
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Quick takeaways
- Hypomagnesemia can have various causes and should be treated based on the underlying etiology.
- When repleting magnesium, individual patient factors and potential interactions with other electrolytes should be considered.
Deep dives
The benefits and limitations of magnesium in treating various medical conditions.
Magnesium has been praised for its potential to treat a range of medical conditions, including asthma exacerbation, poor sleep, cataracts, depression, migraines, hot flashes, and more. However, while there is some association between magnesium levels and these illnesses, there isn't strong evidence to support magnesium as a cure-all. Additionally, the use of magnesium in the treatment of acute myocardial infarction (MI) has shown mixed results, with some studies suggesting better outcomes and others failing to find significant benefits. Overall, magnesium supplementation should be approached with caution and individualized based on specific patient needs.
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