Can Magnesium help with Wechseljahre?

Magnesium is often recommended for menopause (Wechseljahre) because it supports muscle relaxation, sleep, and bone health. Some observational studies suggest low magnesium may be linked to more hot flashes, sleep disturbances, or mood changes. However, the evidence is mostly mechanistic or from small studies; large randomized controlled trials specifically for menopause symptoms are lacking. Magnesium deficiency can occur during menopause, but supplementation should be based on blood levels. High doses may cause diarrhea. Overall, magnesium is not a proven treatment for menopause symptoms but may help if deficiency exists or as part of a holistic approach (e.g., for sleep).