Magnesium plays a supportive but not conclusively proven role during menopause. Evidence is mixed: some studies suggest benefits for sleep disturbances, mood swings, and muscle cramps – common menopausal symptoms. Magnesium also contributes to bone health by aiding calcium metabolism, which is relevant for osteoporosis prevention. However, robust randomized controlled trials demonstrating clear efficacy for hot flashes or other vasomotor symptoms are lacking. Effects are often individual and depend on baseline magnesium status. A blood test (e.g., MyBody-X) can identify a deficiency before supplementation is considered. Caution: high doses can be harmful in kidney disease. Overall, magnesium is a reasonable component of a holistic approach but not a standalone remedy. The evidence is rated 'mixed' because the data are heterogeneous and no guideline recommends magnesium alone for menopausal complaints.
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