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What Happens When Magnesium is High in Drinking Water?

4 min read

While severe magnesium toxicity from dietary intake is uncommon in healthy people, consuming drinking water high in magnesium can influence your health in various ways, from beneficial cardiovascular effects to mild digestive issues. The World Health Organization (WHO) does not set a maximum guideline for magnesium in drinking water, citing no adverse effects from moderately high levels.

Quick Summary

High magnesium levels in drinking water are generally not harmful to healthy individuals and may offer cardiovascular protection. Very high concentrations, however, can cause a laxative effect. People with kidney disease are at greater risk for health complications from excess magnesium as their bodies cannot excrete it efficiently.

Key Points

  • Not Toxic to Healthy People: High magnesium levels from drinking water are not a health risk for most people because the kidneys effectively remove any excess from the body.

  • Cardiovascular Protection: Numerous studies suggest that higher magnesium in drinking water is linked to a lower risk of heart attacks and strokes.

  • Laxative Effect Possible: Consuming very hard water, especially with high sulfate content, can lead to mild digestive issues like diarrhea.

  • Risk for Kidney Patients: People with pre-existing kidney disease are susceptible to hypermagnesemia if they consume excessive magnesium from any source.

  • High Bioavailability: The magnesium ions present in drinking water are more readily absorbed by the body than magnesium from solid food.

  • Affects Taste and Appliances: High magnesium contributes to water hardness, which can alter the taste and cause mineral scale buildup in pipes and appliances.

In This Article

The Role of Magnesium and Water Hardness

Magnesium is an essential mineral vital for hundreds of bodily functions, including protein synthesis, nerve function, and blood glucose control. When rainwater passes through rock formations containing minerals like dolomite and limestone, it dissolves magnesium and other salts, increasing the water’s 'hardness'. The concentration can vary widely by location, from less than 1 mg/L in soft water to over 100 mg/L in some groundwater and wells. The magnesium in water is also more bioavailable, meaning it's more easily absorbed by the body than magnesium found in most foods.

Potential Health Effects of High Magnesium Water

Most of the health effects related to high magnesium intake from water are mild or beneficial for healthy individuals. However, the specific effects depend on the form of magnesium present and the health status of the consumer.

Cardiovascular Health

Several large-scale epidemiological studies have established an inverse relationship between drinking water magnesium levels and cardiovascular disease (CVD) mortality. This means populations with higher magnesium in their water tend to have lower rates of death from heart attacks and strokes. Higher magnesium intake has been shown to improve arterial elasticity, help regulate blood pressure, and maintain proper vascular tone.

Digestive System Impact

One of the most noticeable effects of very high magnesium water, especially when magnesium is present as sulfate, is its laxative property. Magnesium draws water into the intestines, softening the stool and promoting bowel movements. While this can alleviate constipation, excessively high levels may lead to:

  • Diarrhea
  • Nausea and vomiting
  • Abdominal cramping
  • Potential dehydration if water consumption is high over time

Risks for Individuals with Kidney Disease

For a person with healthy kidneys, excess magnesium from dietary sources is not a risk because the kidneys are highly efficient at regulating blood levels by excreting the surplus. However, individuals with chronic kidney disease (renal insufficiency) cannot effectively excrete magnesium, placing them at significant risk for hypermagnesemia, or magnesium toxicity. In severe cases, symptoms can include lethargy, muscle weakness, low blood pressure, irregular heartbeat, and difficulty breathing. These individuals should consult a healthcare provider before changing their magnesium intake.

Comparison: High vs. Low Magnesium in Water

Feature High Magnesium Water Low Magnesium Water
Taste & Aesthetics Can be described as having a bitter or mineral taste. May cause mineral scale buildup on appliances and fixtures. Can taste flat. Causes less scaling and residue.
Cardiovascular Impact Associated with lower risk of heart disease and stroke. May be linked to higher cardiovascular risk in some populations.
Digestive Effect May have a laxative effect, especially with high sulfate content. Typically has no direct digestive effect.
Mineral Contribution Contributes a measurable, bioavailable source of magnesium to your diet. Offers little to no mineral contribution.
Risk for Renal Patients Potentially dangerous for those with kidney disease. Presents no direct risk related to magnesium levels.

How to Manage High Magnesium in Drinking Water

If you have concerns about the magnesium content in your water, whether for health reasons or to prevent scale buildup, here are some management options:

  • Test your water: A certified laboratory can provide a detailed analysis of your water's mineral content, including magnesium and overall hardness.
  • Install a water softener: These systems use ion exchange to remove hardness minerals like magnesium. It's important to note this process adds sodium to your water, a consideration for those with sodium-restricted diets.
  • Use a reverse osmosis (RO) system: RO systems can remove almost all dissolved minerals from water. Some RO systems offer remineralization stages to add back controlled amounts of beneficial minerals.
  • Consult a professional: Before making decisions based on health concerns, especially if you have an underlying condition like kidney disease, it is best to speak with a healthcare provider.

Conclusion

For the average person, the presence of high magnesium in drinking water is not a cause for concern and may offer significant health benefits, particularly for cardiovascular health. Adverse effects are typically limited to mild digestive issues at very high levels. The primary takeaway is that the kidneys are the body's protective mechanism against magnesium toxicity from food or water, but this function is impaired in individuals with kidney disease, who should be cautious. Understanding your water's mineral profile through testing is the best first step to managing water hardness for both personal preference and health awareness. For more information, the National Institutes of Health has useful resources on magnesium.

Summary of High Magnesium Water Effects

  • Beneficial for the Heart: Correlates with a lower risk of mortality from heart attacks and strokes.
  • Digestive Upset: May cause a laxative effect, particularly when high levels of magnesium sulfate are present.
  • Toxicity is Rare: The kidneys are highly efficient at regulating magnesium levels, preventing toxicity from occurring via drinking water in healthy individuals.
  • Risk for Kidney Patients: Individuals with impaired renal function are at an elevated risk of hypermagnesemia from excess intake.
  • Better Bioavailability: Magnesium from water is absorbed more easily than that from food, potentially contributing more to overall intake.
  • Causes Water Hardness: Contributes to the overall hardness of water, which can lead to aesthetic and maintenance issues like scaling and altered taste.

Frequently Asked Questions

Yes, for the vast majority of healthy people, drinking hard water high in magnesium is safe. The body's natural processes regulate mineral levels, and high levels from water are primarily associated with benefits rather than harm.

The most common and immediate sign is a laxative effect, leading to diarrhea, nausea, or abdominal cramping. This is more likely with water very high in magnesium sulfate.

No, there is significant evidence suggesting the opposite. Higher magnesium levels in drinking water are inversely associated with heart disease, meaning they are potentially protective rather than harmful.

You can treat high magnesium by installing a water softener, which replaces the minerals with sodium, or by using a reverse osmosis filter, which removes them. Water testing can help determine the best approach.

Studies suggest that magnesium in water, which is present as hydrated ions, has higher bioavailability and is more easily absorbed by the body compared to magnesium in food.

Very high magnesium levels can impart a bitter or mineral flavor to drinking water. The taste is one of the more common indicators of hard water.

Hypermagnesemia (magnesium toxicity) is rarely caused by drinking water alone in healthy people. It typically results from excessive intake of supplements or medications, especially in individuals with impaired kidney function who cannot exc

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.