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Magnesium · low result

What does a low Magnesium mean?

Short answer

Low magnesium is common and often missed: proton-pump inhibitors, diuretics, alcohol, diarrhea, poorly controlled diabetes and low intake are the usual causes. Because most magnesium is inside cells, a normal serum level doesn't exclude deficiency, but a low one confirms it. Low magnesium drags potassium and calcium down with it and causes cramps, palpitations and fatigue.

Medically reviewed by Youmna DiStefano, MD · Last reviewed September 2026

When does this result need same-day care?

  • Low magnesium with palpitations, an irregular pulse or seizures — same-day care

What is the normal range for Magnesium?

  • age 18+: 1.70 – 2.20 mg/dL

Common in alcohol use, diuretic use, GI losses, or poor diet. Can cause muscle cramps and arrhythmias.

Full reference table, citations and testing options: Magnesium biomarker page.

What are the common causes of low Magnesium?

  1. Proton-pump inhibitors (long-term), diuretics, some antibiotics and chemotherapy
  2. Alcohol use disorder
  3. Chronic diarrhea, malabsorption, bariatric surgery
  4. Poorly controlled diabetes (urinary loss)
  5. Low dietary intake

What symptoms go with low Magnesium?

  • Muscle cramps, twitches, weakness
  • Palpitations
  • Fatigue, poor sleep
  • Numbness, tremor when more severe

What do clinicians usually check next?

  • Potassium and calcium (often low together)
  • Medication and alcohol review
  • Kidney function
  • Repeat after correcting the cause

Follow-up tests available at TestWell: Calcium ($26.99).

How do you recheck Magnesium?

Prices are cash-pay; every order adds one $6 lab processing fee. Physician authorization is included; no insurance or referral needed.

Test or panelTypePriceFastingResults
Fitness & Performance PanelPanel · 8 tests$119.99Yes2–5 business days
Sleep Health PanelPanel · 8 tests$129.99Yes3–5 business days
Vitamin & Mineral Deficiency PanelPanel · 9 tests$189.99No3–5 business days
MagnesiumTest$19.99No2–4 business days

Common questions

Can my magnesium be low even if the blood test is normal?

Yes — serum magnesium is about 1% of the body's total. A low result is meaningful; a normal one doesn't rule deficiency out when symptoms and risk factors fit.

Educational content, not a diagnosis. Lab results are one input; a clinician interprets them with your history and exam.