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The Magnesium Miracle (Revised and Updated)
 
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The Magnesium Miracle (Revised and Updated) [Format Kindle]

Carolyn Dean Md Nd
3.5 étoiles sur 5  Voir tous les commentaires (2 commentaires client)

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Descriptions du produit

Extrait

PART ONE The History of Magnesium

CHAPTER 1 The Case for Magnesium: The Personal History of an Element

Mary joked that she felt as though she was constantly being run over by a slow-moving bus. Cramping in her legs startled her awake at night, making her an insomniac, and she had heart palpitations daily. Her doctor also found that she had high blood sugar-not bad enough to need injections of insulin, but he prescribed pills to try to stimulate more insulin production. Finally, frightening panic attacks came out of nowhere and made this vibrant, fun-loving woman afraid to go outside.

To try to relieve her leg cramps, Mary began taking calcium at night, having read that it was good for cramps and sleep. At first, the calcium seemed to help, but after a week or two, the pains got worse. If she yawned and stretched in bed, her calf muscles would seize up and catapult her to the floor, where she would lie frantically massaging her muscles to try to release the spasm. All the next day, she would limp about with a very tender, bruised feeling in her calf.

Although Mary's heart palpitations had improved somewhat after she'd given up her three cups of coffee a day, they too resumed after a few weeks. Every time the palpitations occurred, which was several times a day, they made her cough slightly and catch her breath. She found it frightening, even though her doctor said her stress tests for heart disease were fine and she didn't need further testing with an angiogram.

Both Mary's parents had had adult-onset diabetes, and Mary knew that she should watch her diet, but she was overweight and craved sugary and high-carbohydrate foods that were hard to resist. When the panic attacks hit on top of everything else, Mary knew she had to seek help, and came to my office. She was only fifty-three, far too young to be feeling so bad, and was worried about her future health.

Sam was only forty-nine and experiencing chest pains. At first, he thought they were indigestion, but sometimes the pains would occur in the middle of the night. Concerned, he went to a cardiologist, who found two slightly blocked arteries, not serious enough for bypass surgery. Sam's cholesterol was somewhat elevated, as was his blood pressure, which he attributed to his high-stress occupation and the fact that he had not exercised regularly for the past six months, when he was sidelined with back pain. The cardiologist observed that his arterial blockage would almost inevitably worsen over time and eventually necessitate surgery. The doctor offered him medication for his high cholesterol, told him not to eat butter or eggs, and gave him nitroglycerine to take whenever he had the pain. If the symptoms got worse, he would prescribe other medications. Sam couldn't imagine having to wait to get worse before doing something about his chest pain; he knew there must be something more he could do to avoid surgery and came to me for advice.

At thirty-five, Jan had actually begun to look forward to going through menopause. That's how bad her PMS symptoms were. As soon as those horrible feelings lifted, she was hit by the sledgehammer of menstrual cramps. She also had migraines, which for years had come before her period but now were occurring once or twice a week. She was so miserable that she was considering a complete hysterectomy, with removal of her hormone-producing ovaries, but wondered whether the migraines, since they were happening all month, were not actually hormonal.

Different as their symptoms are, Mary, Sam, and Jan all suffer from magnesium deficiency. While women and men seem equally susceptible to magnesium deficiency, women may become deficient faster than men due to hormonal fluctuations because pound for pound, they have fewer circulating red blood cells, which carry magnesium, and so perhaps less magnesium available. There are a few other gender differences. Because of magnesium's effect on hormonal regulation and vice versa, women can have deficiencies in pregnancy, when breast-feeding, with premenstrual syndrome (PMS), and with dysmenorrhea (painful periods). Osteoporosis, which affects more women than men, is evidence of a deficiency of both calcium and magnesium. An overactive thyroid, which afflicts more women than men, increases the metabolic rate, which uses up magnesium-requiring ATP (adenosine triphosphate-the energy packets made in each cell in the body. Without magnesium, ATP would not be produced). Let's follow Mary, Sam, and Jan and see how they overcame their magnesium deficiencies. When Mary visited me, I charted her health history in detail, according to procedures commonly used by naturopathic doctors, and found several symptoms of magnesium deficiency. In her case it had been made even worse by too much calcium, however, so simple magnesium supplementation wouldn't be enough for Mary. Her diet and lifestyle needed a complete overhaul. I gave Mary a list of magnesium-rich foods that she needed to start eating, which included nuts, beans, greens, and seeds such as sunflower and pumpkin. Mary realized that she'd been avoiding almost all of these foods: She thought nuts were fattening, beans gave her gas, and greens never seemed fresh enough at the supermarket. She had never even thought about eating seeds. After a week of enthusiastically eating a lot more magnesium-rich foods, Mary felt somewhat better. To make sure she could get fresh organic greens regularly, she tracked down a local community-supported agriculture (CSA) program and bought a share in a neighboring organic farm. Mary also learned how to soak and cook beans to prevent them from causing gas, and began eating nuts and seeds rich in magnesium and healthy oils, such as almonds, walnuts, pecans, sunflower seeds, and pumpkin seeds. After her second visit I recommended that she begin taking magnesium supplements. Starting with a dosage of 200 mg a day, we added another 200 mg every two days to build slowly to 600 mg. I cautioned her that it could take months to eliminate magnesium deficiency symptoms and that not all her symptoms would necessarily respond. Within two months, however, Mary was singing the praises of magnesium. Her palpitations and panic attacks had disappeared. Her cravings for sweets were fewer, she was able to control her blood sugar with diet alone, and tests for blood sugar were normal. Her leg cramps were gone, and with them her insomnia. At three months we added calcium along with magnesium so that she would not develop an imbalance of the two. Mary's internist was quite surprised at her improved health and told her to keep up the good work with her diet and supplements. Sam had an inquiring mind, and I encouraged him to start reading about heart disease. He found that up to 30 percent of angina (chest pain) patients do not have badly blocked arteries but may be suffering from an electrical imbalance that is driven by mineral deficiency, most commonly magnesium.1 An astonishing 40 to 60 percent of sudden deaths from heart attack may occur in the complete absence of any prior artery blockage, clot formation or heart rhythm abnormalities, most likely from spasms in the arteries (magnesium is a natural antispasmodic).2,3,4,5 Moreover, he found that magnesium deficiency has been linked to sudden cardiac death. Sam didn't want to wait around for that to happen to him; he was determined to find out what was causing his problem and treat the cause. The more he read, the more intrigued he became. When he read that magnesium deficiency is also associated with muscle pain, especially back pain, that really got his attention, since he had begun having back pain four or five months before he began to develop chest pain.6

With a packet of information on magnesium, Sam went back to his cardiologist. Before the doctor saw him, however, a nurse took Sam's blood pressure; it was unusually elevated, even though at home it was usually only a few points above normal. (Doctor-induced hypertension is commonly reported by patients.) The cardiologist swept into the room and immediately began talking about blood pressure medication. Sam countered with magnesium. The cardiologist visibly cooled and said that magnesium was used to control hypertension that occurred in pregnant women because there were no side effects, but that there were plenty of effective drugs for everyone else. When Sam said he would rather not have side effects either, the cardiologist gathered up his file and told him to come back when he was ready to take medications for his heart disease.

When Sam came back to see me, he was still pretty upset by this encounter; he didn't like the specialist refusing to discuss a possible magnesium deficiency as part of the picture. Sam and I agreed that magnesium seemed the best treatment for him to initiate at this time since he was not willing to take medications.

Sam began adding magnesium to his diet by eating magnesium-rich foods. After a week he felt much calmer, but he still had chest and back pain. So he added magnesium and calcium supplements, and in about three months he felt almost normal.

Among the studies Sam read was one that looked at the correspondence between type A personalities and magnesium deficiency. From the description, Sam realized he was a type A, an aggressive guy who lived on adrenaline, time pressure, and stress. This type of behavior drains the body of magnesium and leads to disorders such as heart disease, muscle spasms, hypersensitivity, and irritability.7 Prolonged psychological stress raises adrenaline, the stress hormone, which depletes magnesium.8 Both Sam's back and chest pain would hit when he was under stress. So Sam worked on ways to control his stress and added more magnesium when he knew he couldn't avoid it. On days when he exercised, Sam added an extra 200 mg of magnesium to his diet, since sweat loss during heavy exercise (cycling and jogging) and working in the heat deplete magnesium. Just drinking water won't replace all the minerals lost. By paying attention to the many factors that affected his mind-body health, Sam lowered his cholesterol and stress levels and reduced ...

Revue de presse

“Dr. Carolyn Dean has the best credentials for bringing solutions to those suffering from the hidden magnesium disorders that affect most of us. This book needs to be read by anyone wishing to improve their quality of life.”—Stephen T. Sinatra, M.D., author of The Sinatra Solution: Metabolic Cardiology
 
“Clearly written and packed with information . . . a comprehensive and well-referenced guide to the myriad benefits of magnesium.”—Carolyn DeMarco, M.D., author of Take Charge of Your Body: Women’s Health Advisor
 
“Throughout this volume and with utmost clarity, Carolyn Dean presents invaluable recommendations—based on the latest magnesium research. Virtually every American can benefit.”—Paul Pitchford, author of Healing with Whole Foods: Asian Traditions and Modern Nutrition
 
“Physicians and therapists have paid scant attention to this very important element, which is also involved in maintaining our good health. The massive evidence is here in this important book on magnesium. I am pleased to have been taking magnesium for so many years.”—Abram Hoffer, M.D., author of Putting It All Together: The New Orthomolecular Nutrition

Détails sur le produit

  • Format : Format Kindle
  • Taille du fichier : 1936 KB
  • Nombre de pages de l'édition imprimée : 400 pages
  • Editeur : Ballantine Books; Édition : Updated (24 décembre 2008)
  • Vendu par : Amazon Media EU S.à r.l.
  • Langue : Anglais
  • ASIN: B001ODEPY4
  • Synthèse vocale : Activée
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  • Moyenne des commentaires client : 3.5 étoiles sur 5  Voir tous les commentaires (2 commentaires client)
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4.0 étoiles sur 5 Bon à savoir 23 mai 2013
Format:Format Kindle|Achat vérifié
Sans être purement scientifique, ni purement vulgarisé cet ouvrage explique les raisons possibles de carences en Magnesium. A cette carence, se traduit des symptomes courants du "monde moderne" que nous connaissons. Les arguments suivent une logique. La conclusion est claire: recharger vous en magnesium, au dessus des recommendations journalières données, avant de tenter un traitement classique. A chacun de se faire sa propre opinion après un essai. Le mot "Miracle" restant cependant usurpé, et heureusement.
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1 internautes sur 2 ont trouvé ce commentaire utile 
3.0 étoiles sur 5 ok, sans plus 25 juin 2011
Par Nolwennsarah TOP 500 COMMENTATEURS VOIX VINE
Format:Broché|Achat vérifié
Le magnésium, on en manque, ok mais il ne constitue pas non plus une cure miracle à tout. A lire cependant pour réaliser les conséquences d'un manque de ce minéral et comment la compenser efficacement.
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Commentaires client les plus utiles sur Amazon.com (beta)
Amazon.com: 4.7 étoiles sur 5  243 commentaires
523 internautes sur 526 ont trouvé ce commentaire utile 
5.0 étoiles sur 5 Magnesium is the great relaxer 29 mars 2008
Par Tenna Merchent - Publié sur Amazon.com
Format:Broché|Achat vérifié
I knew magnesium was important from other books I had read, and other classes I had taken, but I didn't realize how many things reduce the amount in the body such as, exercise, sweating, stress, prescription drugs, fluoride, and calcium supplementation. Magnesium is necessary to properly metabolize calcium, and it keeps calcium in solution in the body, so it prevents calcifications, which are quite common.

Magnesium is therapeutic in treating the following:
1. Anxiety and panic attacks- because it helps keep adrenal stress hormones under control
2. Asthma - both histamine production and bronchial spasms increase with magnesium deficiency
3. Blood clots - magnesium prevents blood clots and thins blood without side effects.
4. Bowel disease - magnesium deficiency is one of the main causes of constipation.
5. Cystitis - bladder spasms are worsened by a magnesium deficiency.
6. Depression - serotonin (mood elevator) is dependent on magnesium for its production and function.
7. Heavy metals - magnesium is essential for the removal of heavy metals such as aluminum and lead.
8. Diabetes - magnesium facilitates the production of insulin and the transfer of glucose into the cells.
9. Fatigue - magnesium deficiency affects hundreds of enzymes, and fatigue is one of the first signs of a magnesium deficiency.
10. Heart disease - The heart requires magnesium as does all muscles.
11. Hypertension, hypoglycemia, insomnia, kidney disease, migraines, nerve problems, PMS, osteoporosis, Raynaud's syndrome, and tooth decay are all aggravated, and sometimes caused by a magnesium deficiency.

Calcium causes muscles to contract, while magnesium gives them the ability to relax. This is why it is so helpful in the treatment of heart disease, asthma, migraines, PMS and Raynaud's syndrome.

She told a very scary story where a Florida high school football coach gave his players a calcium supplement on a very hot day before a game. Eleven players became disoriented and had difficulty walking. Their speech was slurred, they complained of muscles spasms, and they were breathing very deeply. Within an hour eight of the boys collapsed into full-blown seizures. Thirteen of the players reported headaches, blurred vision, muscle twitching, nausea, and weakness. They all eventually recovered. The heat, exercise, and calcium supplementation had driven their magnesium levels dangerously low. Magnesium deficiency may play a role in sudden cardiac death syndrome as seen with athletes.

She generally recommends 600-1,000 mgs, and depending on your health condition will determine what type of magnesium to take. This is one of the better books I have read on natural health care. I'm currently working on a summary for myself, I'm about halfway through and already have four pages of notes. I would recommend it to anyone who is serious about natural healthcare.
495 internautes sur 504 ont trouvé ce commentaire utile 
5.0 étoiles sur 5 The Magnesium Miracle 18 octobre 2007
Par KC77 - Publié sur Amazon.com
Format:Broché|Achat vérifié
After reading this book, along with also having first-hand knowledge about the importance of magnesium, which indeed is a "miracle," I cannot understand why more information is not coming forward on this most important nutrient, the missing link in regaining your health. Back last winter, my wife became concerned when I had difficulty getting out of a chair, was having horrible hip pain and back pain. She researched, then started growing concerned that maybe I was showing early signs of Parkinson's. Needless to say, the research turned up several important things, but most importantly, magnesium deficiency seemed to be a number one factor causing many illnesses. Around this time frame, we found out about magnesium w/SRT (magnesium malate; malic acid), and it literally changed our lives overnight. That magnesium w/SRT is the one that was definitely a magnesium miracle for us. Then, around this same point in time, just about the same time we found magnesium w/SRT, we also found out about Dr. Carolyn Dean's book, and this has been such a blessing. You can tell others how it changed you overnight, but if you're deficient, it really will, and most people are deficient in magnesium. This book is so well written, so comprehensive in revealing the importance of the benefits of magnesium and just what a magnesium deficiency causes. This book is not only written for health-care professionals, but it's also for laypeople such as my wife and I. This book is for everyone. It's for people with depression, chest pain, migraines, muscle spasms, nerve problems, asthma, leg cramps, fatigue, hypertension, insomnia, and the list goes on and on. For the first time in over 20 years, my wife is free of back pain and horrible muscle spasms in her back. I can now get up from a chair normally, walk, do all the things that I need to do without back and hip pain. Dr. Dean is a wonderful expert in magnesium deficiencies, and she would tell you personally, I believe, it's time to take charge of your health!
263 internautes sur 280 ont trouvé ce commentaire utile 
5.0 étoiles sur 5 Magnesium is essential and so is this book 28 décembre 2006
Par D. R. Schryer - Publié sur Amazon.com
Format:Broché|Achat vérifié
Magnesium is extremely important for good health. Yet for far too many years this vital mineral has been largely overlooked by most doctors. Shockingly, most laboratory blood tests do not even measure magnesium status although magnesium is involved as an essential factor in more aspects of health than any other mineral. Since magnesium status is rarely measured, most doctors don't know when their patients are deficient in magnesium, even though about 80% of Americans are deficient in this essential mineral. And magnesium deficiency is a significant factor -- often the primary factor -- in many severe illnesses including heart attacks and other forms of heart disease, high blood pressure, diabetes, asthma, anxiety and panic attacks, depression, fatigue, migraines and other headaches, osteoporosis, insomnia, and most cases of muscular problems. Because magnesium deficiency is largely overlooked, millions of Americans suffer needlessly from the foregoing ailments or are having their symptoms treated with expensive drugs (which often have unpleasant or dangerous side effects) when they could be cured with magnesium supplementation. This excellent and easily-readable new book by Dr. Dean (an up-to-date revision and expansion of her ground-breaking book The Miracle of Magnesium) discusses these and other important aspects of this vital mineral in detail. Everyone who is concerned about his or her health should acquire and read this very important book, even if you already own its earlier version. So should their doctors. And the vast majority of Americans should increase their magnesium intake by suitable diet and appropriate supplementation as Dr. Dean recommends. Those who do will very likely find themselves free of many ailments they may now have.
129 internautes sur 135 ont trouvé ce commentaire utile 
4.0 étoiles sur 5 Important health information your family physician may never speak to you about. 28 février 2012
Par Autumn Blues Reviews - Publié sur Amazon.com
Format:Broché
This little book is very dense with important information and I cannot begin to even tell you what a life-changing experience it has been for me. If you are seriously looking to feel better and improve your health overall, this book will help you do just that. One interesting point I would like to make here is that whatever your ailment may be, it probably is due to a magnesium deficiency.

You are probably wondering how I can make this statement, however, it is a true fact that magnesium deficiency causes many different symptoms and even diseases, depending on the individual. Even though some people share similar symptoms, some may be extreme depending on how magnesium deficient they are due to daily nutrition. Others may have more subtle symptoms if they are getting a little more magnesium in their diet, this also includes our children, there health, and the current epidemic of obesity, autism and ADHD in our society.

However, the simple fact of the matter, and the main point of this book is that there is an epidemic in our society because of magnesium deficiency. Which has been made worse since the "Got Milk?" was licensed to the National Milk Processor Board (MilkPEP) in 1995. Other agencies following the push including to this day the NIOH (National Institutes of Health) and other government agencies who stream into the mainstream society that we don't get enough calcium in our diets when the fact is we get more than we need. Which is why people are so sick.

In the 1950's the soil used in farming had already began to be depleted of this mineral, it has only gotten worse since then. Farmers do not add this mineral to the soil and food grown in the soil do not contain this mineral and if they do it is in minuscule properties. So much less so that even if you think you are eating healthy by eating a healthy diet and incorporating fruits and vegetables in your diet, you are not getting enough of this mineral. Unless you are eating organic foods grown in magnesium enriched soil you definitely are not getting the magnesium your body needs. Creating an imbalance in your body of too much calcium which builds up and causes a wide variety of symptoms and problems to your health and the health of loved ones, friends and family.

So, if you are like me and wonder why, even though you eat healthy, stay away from high fat, processed foods, corn syrup, soda, and other unhealthy foods, exercise regularly, yet still feel lousy and are having health issues you need to look into magnesium as a daily supplement. If you are not like me and are having more serious health issues you seriously need to look into magnesium supplementation.

One thing you cannot do is go asking your doctor for a magnesium blood test, as Dean points out in the book. Our blood only carries 1% of magnesium, the rest, all 99%, is stored in our body tissues. So a blood test will only tell you and your doctor that you are not magnesium deficient. This is another reason why people are not aware of their deficiency, because it is not picked up in a serum blood test. However, if you really want to know at all costs, Dean does speak of less than a handful of other specific tests that you can have done to find out your levels.

I, however, am not adamant about being tested or recommending a test for two reasons. The main one being you cannot overdose on a magnesium supplement. Whatever your body does not need comes out in your stool and urine. If you are sick of feeling ill, then you need to take that fact into consideration. Magnesium will not hurt you. The only symptom you will have if you are taking too much is diarrhea, which is not totally a reason to cut back and I will tell you why.

There are many forms of magnesium out on the market today. Some are less tolerable than others, depending on each individual and their bodies ability to process or break it down. This is one major reason to either read this book or study other information on magnesium deficiency from a reliable source, as you want to make sure to get the right information.

Even the author herself has already amended this book by including a few more pages of information I found important for me. You can receive a copy of this information free on her website when you sign up for her newsletter.

I, however, will save you some legwork here with a little information that has helped me and will help you whether you have a sensitive digestive system like mine or you just would like to take the maximum absorbable magnesium out on the market because of your symptoms or illness to get better as quickly as possible. On Dean's website she talks about how she came across the most highly absorbable magnesium only after she wrote The Magnesium Miracle. You can say maybe she did not do her homework before writing this book or you can just say that the information was just not available to her at the time. It really does not matter, as I am sure she did not do it intentionally and this is why she provides this additional information on her website for free.

Dean also speaks how she is not able to tolerate many of the magnesium supplements on the market due to her sensitive digestive system and that raised a red flag for me right away, as I have these same problems. I had actually bypassed the forms of magnesium which could cause me diarrhea, like the citrate, after working on a review of Natural Calm from the company Natural Vitality. I am not saying this magnesium did not work for me as it did wonders for me right away. However a few days after I had started it, I was having loose stools due to not having a gallbladder and a sensitive digestive system. If you are prone to constipation or do not have sensitive digestive issues this is a great form of magnesium, in fact, I started giving it to my mother and she is doing fine with it.

For me however, I switched over to taking a chelate form of magnesium which is easier for my body to break down and absorb. There is also a magnesium oil that can be applied to the skin which bypasses the digestive tract and also eliminates the problem of diarrhea. Since I do poorly when it comes to remembering to apply something to my body, I decided to go with an oral form.

I am now moving onto the form of magnesium that Carolyn Dean has listed on her website that she came across after writing this book. This magnesium is called Angstrom Liquid Magnesium and can be found easily online at many health outlets or through the manufacturer itself, Angstrom. This magnesium not only will not give me any sort of diarrhea or upset stomach but it also is the most highly absorbable form there is on the market. It is 99.9% absorbable by the body, where the other forms of magnesium are less then 40% absorbable depending on the type. All different types of magnesium and absorbability information is included in The Magnesium Miracle except for information on the Angstrom magnesium.
95 internautes sur 99 ont trouvé ce commentaire utile 
5.0 étoiles sur 5 I AM a Believer in this Scientific "Miracle" 28 novembre 2010
Par James Charnock - Publié sur Amazon.com
Format:Broché|Achat vérifié
Two short stories. A few years ago I would get cramps in the calf of my left leg upon awakening. This infrequent event morphed into a daily morning ritual. The cramping upon awakening was not just daily, but multiple and had spread to my right calf also and then to contorting my toes. I was literally "yelling" in pain; rubbing did no good. The final assult was in my hands: Due to some triggering movement my fingers would freeze into a weird, contorted shape; I had no control; I simply had to endure.

Knowing most GPs know little about nutrition and are prone to give some drug, I inquired at my health food store. It was recommended that I take 400mg capsules of calcium with 200 mg of magnesium just before bedtime. I did so. The next morning when I awoke I could not even induce the slightest cramp! That was a "miracle" to me. And so it has been for months now because I take a regimen of calcium with magnesium. (If I consumed much dairy, I would not take additional calcium.)

A final story. Although a senior citizen I am very physically active (tennis and the gym deplete magnesium, by the way) and around this time I was due for my yearly physical. It showed that I had a mild heart arrhythmia even though my large veins and arteries are "whistle clean" of occlusion. This book tells me that my body runs on electrical impulses and magnesium is essential for good heart health (among many functions), and that low magnesium--which I knew I had--is essential for good heart health. And that low magnesium can cause heart arrhythmia and even stroke no matter how clean ones arteries are. So, I was glad to have added magnesium to my supplement list, even upping it from 400 to 600 mg a day.

This small volume is an easy read and so reassuring with the scientifically-backed research. You will find it very enlightening how essential magnesium is. I highly recommend this book to everyone currently suffering (or not) the ill effects of low magnesium.

Let me add that I also read another new book called THE MAGNESIUM FACTOR which is a very helpful source stocked full of research-backed data, but THE MIRACLE is smaller, the style is an easier read, and the information quite sufficient. Regardless, you won't go wrong with either or both books.

UPDATE as of 6/2/11: I have been on the magnesium regimen for 6 months; I have also cut out all dairy for that period. I had a lipid test which showed I had a drop of 33 points in my LDL, which may have been due to the lack of dairy (I was following the 2010 book, WHITEWASH: THE DISTURBING TRUTH ABOUT COW'S MILK AND YOUR HEALTH.) Regardless, my HDL did not rise one digit, something THE MAGNESIUM MIRACLE book predicted. I am continuing for another six month with the adequate dosage of magnesium with calcium to see if there will be an effect on my HDL. I will report back around November 21, 2011.

UPDATE as of Nov. 21, 2011: Somewhat disappointing. After one whole year on the magnesium my number only rose 4 points: from 42 to 46. Regardless, I still benefit from magnesium's elimination of my cramps.
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