CFS & Fibromyalgia Integrative Therapies The Health Benefits of Magnesium Malate This supplement may help with fatigue and muscle performance By Adrienne Dellwo Updated on October 26, 2023 Medically reviewed by Elizabeth Molina Ortiz, MD Print Table of Contents View All Table of Contents Benefits Side Effects Dosages What to Look For Dietary Sources Other Forms of Magnesium Magnesium malate is a combination of magnesium and malic acid. Its many health benefits include reducing inflammation, alleviating depression, and increasing your ability to tolerate exercise. It can be helpful for treating or preventing many health conditions, including: Alzheimer's diseaseType 2 diabetesOsteoporosisHeadache and migraineAmyotrophic lateral sclerosis (ALS)Fibromyalgia and related conditions Magnesium and malic acid both have health benefits and can be taken separately. However, studies suggest your body doesn't absorb magnesium well when it's by itself. Binding it to malic acid helps your body use magnesium. This article looks at the health benefits of magnesium malate, the possible risks, dosages, and what to look for when buying magnesium malate supplements. bymuratdeniz / Getty Images What Is Magnesium Malate Good For? Magnesium and malic acid both have several health benefits. Combining them gives you the benefits of both. Magnesium Magnesium is the fourth most plentiful mineral in your body. It plays a role in more than 300 reactions with myriad impacts on your health. These include: Producing adenosine triphosphate (ATP), which is the primary form of energy used by your cellsMaking DNA and RNA (genetic material)Forming proteins that your body needs for a variety of functionsRegulating muscle contractionControlling blood pressureInsulin use, which affects blood sugar regulationCardiac (heart) excitabilityContraction and relaxation of blood vesselsNerve transmission Because it's involved in all these important functions, getting enough magnesium may help prevent or treat a wide range of chronic illnesses. These include: Neuromuscular conditions: Muscular dystrophies, myopathies (diseases of muscle-fiber dysfunction), amyotrophic lateral sclerosis (ALS), myasthenia gravis, Charcot-Marie-Tooth disease Neurological disorders: Alzheimer's disease, Parkinson's disease, epilepsy, stroke Mood disorders: Depression Cardiac (heart) problems: Arrhythmias (heart-rhythm abnormalities), hypertension (high blood pressure), heart muscle spasms, fatal heart disease Metabolic disorders: High cholesterol and triglycerides, problems with vitamin D use and bone health, insulin resistance (pre-diabetes), type 2 diabetes Central sensitivity syndromes: Fibromyalgia, myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), anxiety, depression, dysmenorrhea (painful periods), headache, migraine Pregnancy complications: Miscarriage, premature labor, eclampsia General problems: Poor memory, asthma, seizures, paresthesias (abnormal nerve sensations), osteoporosis, sleep disorders, impaired athletic performance, lowered stress tolerance, lethargy, weakness, irritability, electrolyte imbalances Research also suggests it can help recovery after a nerve injury. Malic Acid Malic acid has far fewer roles in your body but still may help prevent or treat some conditions and bolster certain processes in your body. Malic acid plays a role in: Energy production via ATP Muscle pain Recovery from exercise Skin health (when used topically) Preventing calcium-oxalate kidney stones For people who get that type of kidney stone, supplements containing calcium citrate and calcium malate are a source of calcium that doesn't contribute to stone production. Research has also suggested that it can help your body absorb medications. Because of this, it's often given alongside medicines for liver dysfunction or high levels of ammonia in the blood. Possible Side Effects Magnesium can have a laxative effect. High doses of magnesium malate are linked with intestinal problems such as: Persistent diarrheaUpset stomachVomitingGas and bloatingCramping Malic acid hasn't been researched enough to establish side effects. Drug Interactions Some research suggests that magnesium may interact badly with heart medications. Other, unknown interactions are possible. Be sure to go over your complete list of medications and supplements with your healthcare provider and pharmacist. They can help you identify potential problems. Contraindications It's well-established that magnesium can lower blood pressure. You shouldn't take it if you're at risk for hypotension (low blood pressure). If you're on medication for hypertension (high blood pressure), ask your healthcare provider if magnesium is safe for you. Combining magnesium with your medication may lower your blood pressure too much. Dosage and Preparation Magnesium malate supplements are most often taken orally (by mouth) with a meal. According to the National Institutes of Health (NIH), the recommended daily allowance (RDA) of magnesium, varies by age, gender, and whether you're pregnant or lactating. Recommended Daily Allowance of Magnesium Age Male Female Pregnancy Lactation 19-30 400 mg 310 mg 350 mg 310 mg 31-50 420 mg 320 mg 360 mg 320 mg 51+ 420 mg 320 mg Source: NIH Office of Dietary Supplements No recommended daily allowance has been established for malic acid. Daily dosages of malic acid are generally between 1,200 milligrams (mg) and 2,800 mg. These dosages are general guidelines. Check with your healthcare provider to see what dosage is right for you based on your health history and current medications. Can You Take Too Much Magnesium? What to Look For In the United States, supplements aren't regulated like pharmaceutical products. When buying them, make sure to check the Supplement Facts. That lists the active ingredients per serving plus any added ingredients such as fillers, binders, and flavorings. Also, look for a seal of approval from a third-party quality testing organization such as: ConsumerLabU.S. PharmacopeiaNSF International Seals from these organizations don't guarantee safety or effectiveness, but they do mean the product matches what's on the label and is free from dangerous contaminants. Absorbable Forms Other forms of magnesium that may improve absorption include:Magnesium sulfateMagnesium oxalateMagnesium citrate Dietary Sources You can increase magnesium levels through your diet as well. Foods rich in magnesium include: Pumpkin and chia seedsAlmonds, cashews, and peanutsBoiled spinachShredded wheat cerealSoymilkBlack beansEdamamePeanut butterPotatoesRiceYogurtOatmeal About 80% of the magnesium content in fruits and vegetables is lost during food processing. Consequently, many people worldwide live with magnesium deficiency and need magnesium supplements to correct it. You can get malic acid from several fruits and some vegetables. Foods rich in malic acid include: ApplesCherriesStrawberriesPapayasPineapplesOrangesGrapesApricotsMangoesPlumsTomatoesCarrotsOlivesPeasPotatoesCorn Other Forms of Magnesium The body does not absorb magnesium well on its own, so it's often coupled with other substances to improve absorption when taken as a supplement. Some of these substances offer health benefits of their own, so you may prefer one over the other. Other types of magnesium supplements to consider include: Magnesium sulfate is magnesium paired with Epsom salt. This form is the first-line choice for magnesium deficiency used in hospitals. It is used to prevent seizures in pregnant people with eclampsia or pre-eclampsia. It is a strong laxative. It can be used to reduce severe asthma attacks, and to reduce brain damage after traumatic brain injury, stroke, and brain hemorrhage. Magnesium citrate is magnesium with citric acid. It's one of the most bioavailable forms of magnesium, meaning that it's easiest for the body to absorb. Research shows that magnesium citrate supplementation may reduce the risk of atherosclerosis and possibly help prevent heart attack, stroke, and other cardiovascular events. It also has laxative effects. Magnesium taurate is magnesium with taurine. This form may be especially beneficial for people who have heart problems or high blood pressure, or are at-risk for them. Research shows it may boost energy levels, help with weight loss, reduce inflammation, treat atherosclerosis, and reduce the severity of neurodegenerative diseases, like Parkinson's and Alzheimer's. Magnesium oxide is magnesium with oxygen, which combines with water to form magnesium hydroxide. This form is one of the least bioavailable forms, so it's not ideal for people who wish to correct a magnesium deficiency. However, it is a good option for relieving heartburn, indigestion, and constipation. It also has muscle-relaxant effects. Magnesium glycinate is magnesium with glycine. This highly bioavailable form is less likely to cause diarrhea. Although there is plenty of anecdotal evidence of it being an effective treatment for anxiety and depression, more research is needed. Which is Better: Magnesium Malate or Glycinate? Both magnesium malate and magnesium glycinate are easy for your body to absorb. Magnesium glycinate may have a relaxing effect and be less likely to cause diarrhea. Magnesium malate is great for digestion and can be energizing. Ultimately, this one depends on preference. If you're not sure, ask your healthcare provider. Summary Magnesium malate is a combination of magnesium and malic acid. The combination makes it easier for your body to absorb and use magnesium. Both supplements have important health benefits and are used to treat and prevent myriad conditions, including Alzheimer's disease, diabetes, asthma, fibromyalgia, high blood pressure, and some pregnancy-related problems. Digestive side effects are possible. Magnesium may interact badly with heart medications. With this or any supplement, ask your healthcare provider whether it's safe and what dosage is right for you. Look for products that are certified by independent testing organizations. You can also get magnesium and malic acid through certain foods. 25 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. National Institutes of Health, National Center for Biotechnology Information. Magnesium in headache. Uysal N, Kizildag S, Yuce Z, et al. Timeline (bioavailability of magnesium compounds in hours: Which magnesium compound works best?. Biol Trace Elem Res. 2019 Jan;187(1):128-136. doi:10.1007/s12011-018-1351-9 Gröber U, Schmidt J, Kisters K. Magnesium in prevention and therapy. Nutrients. 2015;7(9):8199-8226. doi:10.3390/nu7095388 Muscular Dystrophy Association. Find a neuromuscular disease. Kirkland AE, Sarlo GL, Holton KF. The role of magnesium in neurological disorders. Nutrients. 2018;10(6):730. Published 2018 Jun 6. doi:10.3390/nu10060730 Phelan D, Molero P, Martínez-González M, Molendijk M. Magnesium and mood disorders: systematic review and meta analysis. BJPsych Open. 2018 Jul;4(4):167-179. doi:10.1192/bjo.2018.22 Volpe SL. Magnesium in disease prevention and overall health. Adv Nutr. 2013;4(3):378S-83S. Published 2013 May 1. doi:10.3945/an.112.003483 Chen YJ, Cheng FC, Chen CJ, et al. Down-regulated expression of magnesium transporter genes following a high magnesium diet attenuates sciatic nerve crush injury. Neurosurgery. 2019;84(4):965-976. doi:10.1093/neuros/nyy120 National Institutes of Health, U.S. National Library of Medicine: PubChem. Malic acid (compound). Qiang F. Effect of malate-oligosaccharide solution on antioxidant capacity of endurance athletes. Open Biomed Eng J. 2015;9:326-329. doi:10.2174/1874120701509010326 Food and Drug Administration. Alpha hydroxy acids. Rodgers AL, Webber D, de Charmoy R, Jackson GE, Ravenscroft N. Malic acid supplementation increases urinary citrate excretion and urinary pH: implications for the potential treatment of calcium oxalate stone disease. J Endourol. 2014;28(2):229-236. doi:10.1089/end.2013.0477 Wei Z, Xu Y, Xu Q, Cao W, Huang H, Liu H. Microbial biosynthesis of l-malic acid and related metabolic engineering strategies: Advances and prospects. Front Bioeng Biotechnol. 2021;9:765685. Published 2021 Sep 29. doi:10.3389/fbioe.2021.765685 University of Pittsburgh Medical Center, Children's Hospital of Pittsburgh. Pediatric magnesium (Mag-Ox) uses and side effects. Fang X, Wang K, Han D, et al. Circulating magnesium levels and incidence of coronary heart diseases, hypertension, and type 2 diabetes mellitus: a meta-analysis of prospective cohort studies. BMC Med. 2016;8(14):210. doi:10.1186/s12916-016-0742-z Fairley J, Zhang L, Glassford N, Bellomo R. Magnesium status and magnesium therapy in cardiac surgery: a systematic review and meta-analysis focusing on arrhythmia prevention. Journal of Critical Care. 2017 42:69-77. doi:10.1016/j.jcrc.2017.05.038 Schutten JC, Joosten MM, de Borst MH, Bakker SJL. Magnesium and blood pressure: A physiology-based approach. Adv Chronic Kidney Dis. 2018;25(3):244-250. doi:10.1053/j.ackd.2017.12.003 Cazzola R, Porta M, Manoni M, Lotti S, Pinotti L, Maier J. Going to the root of reduced magnesium dietary intake: A tradeoff between climate changes and sources. Heliyon. 2020 Nov;6(11):e05390. doi:10.1016/j.heliyon.2020.e05390 United States Department of Agriculture. L-malic acid - handling/processing. Panahi Y, Mojtahedzadeh M, Najafi A, et al. The role of magnesium sulfate in the intensive care unit. EXCLI J. 2017 Apr;16(1):464-482. doi:10.17179/excli2017-182 Schutten J, Joris P, Mensink R, et al. Effects of magnesium citrate, magnesium oxide, and magnesium sulfate supplementation on arterial stiffness in healthy overweight individuals: a study protocol for a randomized controlled trial. Trials. 2019 May;20(1):295. doi:10.1186/s13063-019-3414-4 Shrivastava P, Choudhary R, Nirmalkar U, et al. Magnesium taurate attenuates progression of hypertension and cardiotoxicity against cadmium chloride-induced hypertensive albino rats. J Tradit Complement Med. 2019 Apr;9(2):119-123. doi:10.1016/j.jtcme.2017.06.010 Schaffer S, Kim H. Effects and mechanisms of taurine as a therapeutic agent. Biomol Ther (Seoul). 2018 May;26(3):225-241. doi:10.4062/biomolther.2017.251 National Library of Medicine. Magnesium oxide. Kuphal G. Dysmenorrhea. In: Integrative Medicine (Fourth Edition), 2018. Additional Reading National Institutes of Health, Office of Dietary Supplements. Magnesium: Fact sheet for health professionals. By Adrienne Dellwo Dellwo was diagnosed with fibromyalgia in 2006 and has over 25 years of experience in health research and writing. See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit By clicking “Accept All Cookies”, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. Cookies Settings Accept All Cookies