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MAGNESIUM DEFICIENCY QUESTIONNAIRE

MAGNESIUM DEFICIENCY QUESTIONNAIRE

Was found at Magnesium for Life by Mark Sircus

1.Circle each “YES”answer which is given a numerical value.

2.Total your score, then Subtract 15 if you supplement at least 600 mg of magnesium daily

▲  Score 30-50-It is likely your body is magnesium deficient.

▲  Score >50- You are magnesium deficient!

QUESTION –“YES?”

POINTS

Under excessive emotional stress

2

Irritable, or easily provoked to anger

3

Restless, or hyperactive

2

Easily startled by sounds or lights

4

Difficulty sleeping

2

Chronic headaches or migraines

3

Convulsions

2

Fine tremor or shakiness in your hands

3

Fine, barely noticeable muscle twitching around your eyes,

facial muscles, or other muscles of your body

3

Muscle cramps

3

Muscle spasms in hands or feet

3

Gag or choke from spasms in your esophagus

4

Have asthma or wheezing

3

Suffer from emphysema, chronic bronchitis, or shortness of breath

2

Have osteoporosis

5

Have you ever had a kidney stone

3

Suffer from chronic kidney disease

2

Have diabetes

4

Have an overactive thyroid, or parathyroid gland

3

Have high blood pressure

3

Have mitral valve prolapse (“floppy heart valve”)

4

Have very fast heart beats, irregular heart beats, or arrhythmia

3

Take Digitalis (Digoxin)

3

Take any kind of diuretic

5

Recent radiation therapy or exposure

5

Have more than 7 alcohol drinks weekly

4

Have you ever had a drinking problem?

3

Have more than 3 servings of caffeine daily

2

Eat sugar containing food daily

2

Crave carbohydrates &/or chocolate

2

Crave salt

2

Eat a high processed food/ junk food diet

2

Eat a diet low in green, leafy vegetables, seeds, & fresh

fruit

2

Eat a low protein diet

2

Pass undigested food or fat in your stools

2

Suffer from chronic intestinal disease, ulcerative colitis, Crohn's, irritable bowel syndrome

3

Frequent diarrhea or constipation

3

Suffer from PMS or menstrual cramps

3

Pregnant or recently pregnant

2

In previous pregnancy had high blood pressure or preeclampsia

4

Chronic fatigue

2

Muscle weakness

2

Cold hands &/or feet

2

Numbness in face, hands, or feet

2

Persistent tingling in body

2

Chronic lack of interest, indifference, or apathy

2

Poor memory

2

Loss of concentration

2

Anxiety

3

Chronic depression for no apparent reason

2

Feelings of disorientation as to time or place

2

Feel your personality is stiff or mechanical

2

Hallucinations

2

Feel that people are trying to harm or persecute you

2

Face pale, puffy, or lacking in color

2

Loss of considerable sexual energy or vitality

2

Been told by your Dr that your blood calcium is low

3

Take Calcium supplements regularly without magnesium

2

Take iron or zinc supplements regularly without

magnesium

2

Known chronic exposure to fluorides

2

Frequently use antibiotics, steroids, oral contraceptives, Indomethacin, Cisplatin, Amphotericin B, Cholestyramine, synthetic estrogens

3

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