Core IM | Internal Medicine Podcast #143 Hypomagnesemia and Hypophosphatemia: 5 Pearls Segment
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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.
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Magnesium's Limitations
- Magnesium isn't a cure-all for various conditions like asthma or migraines.
- Patients with chronically low magnesium, such as those with Gitelman syndrome, don't commonly experience these conditions.
Magnesium Repletion Considerations
- Consider magnesium's potential benefits for specific conditions.
- Be cautious with high magnesium doses, especially in older adults with CKD.
Magnesium Repletion Benefits
- Magnesium repletion has good evidence in acute MI, rapid AFib, and hypokylemia.
- Repleting magnesium can assist with potassium repletion.