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magnesium blog

Magnesium Deficiency: Signs, Symptoms, and Why So Many Adults May Be Low

By Nicolas Chronos, MD, FACC, FESC , Karen Schwartz, DNP, WHNP-BC and Dr. Phoebe Sahawneh, PharmD

Understanding the Importance of Magnesium for Your Health

Magnesium may not get as much attention as vitamins like D or B12, but it plays a critical role in nearly every major system in the body. From supporting heart health and muscle function to helping regulate sleep, mood, and energy production, magnesium is essential for overall wellness.

According to Dr. Nicolas Chronos, magnesium is one of the most overlooked nutrients in modern healthcare.

“Magnesium is involved in hundreds of cellular processes throughout the body,” says Dr. Chronos. “It supports cardiovascular health, nerve signaling, muscle function, and energy production. When levels are low, the effects can show up in ways many people would never immediately connect to magnesium.”

At Lake Country Medical Group, providers are seeing increasing interest in magnesium deficiency, especially among adults experiencing fatigue, muscle cramps, poor sleep, headaches, or ongoing stress.

A Collaborative Approach to Wellness at Lake Country Medical Group

At Lake Country Medical Group, patient care often involves collaboration across multiple specialties to help patients better understand the many factors that can impact their overall health and wellness.

This article was developed with insight from:

  • Dr. Nicolas Chronos, cardiologist and founder of Lake Country Medical Group, who focuses on cardiovascular health, prevention, and whole-body wellness
  • Karen Schwartz, Women’s Health Nurse Practitioner and primary care provider at Lake Country Medical Group, who works closely with patients on preventive care, hormone health, bone health, fatigue, sleep concerns, and overall wellness
  • Dr. Phoebe Sahawneh, part of Lake Country Medical Group’s PharmD and medication reconciliation team, who helps patients and providers evaluate medications, supplements, interactions, and overall medication safety

Together, the team works to help patients identify underlying factors that may be contributing to symptoms like fatigue, muscle cramps, headaches, poor sleep, and low energy, including potential nutritional deficiencies such as magnesium deficiency.

How Common Is Magnesium Deficiency?

Research suggests magnesium deficiency may be far more common than many people realize.

National nutrition surveys indicate that nearly half of U.S. adults do not consume enough magnesium through diet alone. Some researchers estimate that a majority of adults may have what is known as chronic latent magnesium deficiency, meaning magnesium stores within the body are depleted even when standard bloodwork appears normal.

One reason magnesium deficiency can be difficult to detect is because less than 1% of the body’s magnesium is found in the bloodstream. Most magnesium is stored in bones, muscles, and tissues.

“Patients are often surprised to learn that a normal lab result does not always rule out low magnesium stores,” explains Dr. Phoebe Sahawneh. “The body works very hard to maintain stable blood levels, even when overall magnesium reserves may be declining.”

Symptoms of Low Magnesium

Because magnesium supports so many body systems, deficiency symptoms can vary from person to person.

Common signs of magnesium deficiency may include:

  • Muscle cramps or muscle tension
  • Fatigue or low energy
  • Trouble sleeping
  • Increased stress or anxiety
  • Headaches or migraines
  • Weakness
  • Tingling sensations
  • Irregular heartbeat in more severe cases

“These symptoms are often nonspecific, which means they can easily be attributed to stress, aging, or other health conditions,” says Karen Schwartz, WHNP-BC. “For many patients, symptoms like fatigue, poor sleep, headaches, or muscle tension may have several contributing factors, including nutritional deficiencies that are often overlooked.”

Karen Schwartz notes that magnesium also plays an important role in bone health, muscle function, stress regulation, and overall wellness.

Why Are So Many People Low in Magnesium?

Several modern lifestyle factors may contribute to widespread magnesium deficiency.

Processed Foods and Modern Diets

Many highly processed foods contain significantly less magnesium than whole, unprocessed foods. Refining grains and processing packaged foods can strip away much of their natural mineral content.

Changes in Soil and Farming

Research has also shown that fruits and vegetables may contain lower mineral levels today than they did decades ago due to changes in farming practices and soil depletion.

Aging and Medications

As people age, the body may absorb magnesium less efficiently. Certain medications can also lower magnesium levels over time, including:

  • Acid-reducing medications
  • Some diuretics
  • Certain antibiotics
  • Some medications used for blood pressure or heart conditions

“This is where medication review becomes especially important,” explains Dr. Phoebe Sahawneh. “Many patients do not realize their medications may impact nutrient levels. Our medication reconciliation team helps evaluate the full picture, including possible interactions, deficiencies, and supplement considerations.”

Best Food Sources of Magnesium

Increasing magnesium-rich foods is often the first step providers recommend.

Foods naturally high in magnesium include:

  • Leafy green vegetables
  • Almonds and cashews
  • Pumpkin seeds
  • Avocados
  • Beans and legumes
  • Whole grains
  • Dark chocolate
  • Bananas

“Nutrition remains foundational,” says Dr. Chronos. “Supplements can sometimes help, but healthy dietary habits are still incredibly important for long-term health.”

Should You Take a Magnesium Supplement?

Not all magnesium supplements are the same. Different forms of magnesium vary in how well they are absorbed and tolerated.

Some forms are commonly used for muscle support and sleep, while others may be more likely to cause digestive side effects.

According to Dr. Phoebe Sahawneh, choosing the right supplement should depend on the individual patient, their symptoms, medications, and overall health history.

“Patients often walk into the store and see multiple magnesium products without knowing the differences,” she says. “That is why it is important to discuss supplements with your healthcare provider or pharmacist before starting them.”

The Bottom Line on Magnesium and Overall Wellness

Magnesium is a vital mineral that supports heart health, sleep, muscle function, energy production, and nervous system balance. Yet many adults may not be getting enough through diet alone.

If you are experiencing persistent fatigue, muscle cramps, headaches, poor sleep, or increased stress, it may be worth discussing magnesium levels and nutritional health with your provider.

At Lake Country Medical Group, the care team works collaboratively across specialties, including cardiology, primary care, women’s health, and medication management, to help patients better understand the factors that may be impacting their overall wellness.

Lake Country Medical Group is currently accepting new patients. If you would like to learn more about our services or schedule an appointment with a member of our team, we are here to help.

📞 706-485-4004
🌐 lakecountrymedicalgroup.com

April Blog

Stress Awareness Month: The Hidden Strain on Your Body

By Nicolas Chronos, MD, FACC, FESC

April is Stress Awareness Month, and it serves as an important reminder that stress is not just an emotional experience. It is a physiological process that can affect nearly every organ system in the body.

In many ways, stress has become part of the background noise of modern life. We move quickly from one responsibility to the next, often without taking time to recognize what our bodies are experiencing along the way.

What I often tell patients is this. The body keeps score.

Even when we believe we are managing stress well, the body may be telling a different story.

Understanding the Stress Response

Stress begins in the brain. When you perceive a threat, whether physical or emotional, your body activates a complex system involving the hypothalamus, pituitary gland, and adrenal glands. This is known as the HPA axis.

This system releases hormones such as cortisol and adrenaline, which prepare the body to respond.

You may notice:

  • Increased heart rate
  • Elevated blood pressure
  • Faster breathing
  • Heightened alertness

This response is designed to be temporary. It is highly effective in short bursts.

However, the challenge today is that many people are not experiencing short bursts of stress. They are experiencing a constant, low-grade activation of this system.

Over time, that changes how the body functions.

What Chronic Stress Does to the Heart

From a cardiovascular standpoint, chronic stress places a continuous burden on the heart and blood vessels.

When cortisol levels remain elevated, several things can occur:

  • Blood vessels become less flexible
  • Blood pressure remains persistently elevated
  • Inflammatory markers increase
  • Cholesterol levels may be affected

This combination creates an environment where atherosclerosis, or plaque buildup in the arteries, can develop more rapidly.

We also see an increased risk of arrhythmias, particularly in patients who are already predisposed.

In more acute situations, intense emotional or physical stress can trigger a condition known as stress-induced cardiomyopathy, sometimes referred to as Takotsubo syndrome. This is a temporary weakening of the heart muscle that can mimic a heart attack.

The Hormonal and Metabolic Effects

Stress does not stop at the cardiovascular system.

Cortisol plays a central role in metabolism, and when levels remain elevated, it can lead to:

  • Increased blood sugar levels
  • Insulin resistance
  • Weight gain, particularly around the abdomen
  • Disruptions in appetite regulation

Over time, these changes can increase the risk of developing conditions such as Type 2 diabetes and metabolic syndrome.

Stress also affects other hormones, including those that regulate sleep and energy, which is why many people under stress report feeling both fatigued and unable to rest.

The Brain and Nervous System

Chronic stress has a direct impact on the brain.

It can affect areas responsible for memory, decision-making, and emotional regulation. Patients may describe:

  • Difficulty concentrating
  • Feeling mentally “foggy”
  • Increased irritability or anxiety
  • A lower threshold for feeling overwhelmed

Sleep is often one of the first areas affected. When the brain remains in a heightened state of alertness, it becomes more difficult to fall asleep and stay asleep.

This creates a cycle where poor sleep further amplifies stress, and stress continues to disrupt sleep.

The Immune System Connection

One of the more overlooked effects of chronic stress is its impact on the immune system.

Short-term stress can temporarily enhance immune response. But over time, chronic stress suppresses immune function.

This can lead to:

  • Increased susceptibility to infections
  • Slower healing
  • Greater levels of systemic inflammation

Inflammation, in particular, is a key factor in many chronic diseases, including cardiovascular disease.

Why Stress Often Goes Unrecognized

One of the most important points to understand is that stress does not always present itself in obvious ways.

Patients rarely come in saying, “I am dealing with chronic stress.”

Instead, they come in with:

  • Elevated blood pressure
  • Persistent fatigue
  • Poor sleep
  • Headaches or muscle tension
  • Digestive concerns

Part of our role as physicians is to connect these dots.

When we step back and look at the full picture, stress is often a contributing factor.

Practical Strategies That Make a Difference

Managing stress does not require removing every source of pressure from your life. That is not realistic.

What we focus on instead is helping the body return to a more balanced state.

Some of the most effective approaches include:

Consistent Sleep
Sleep is one of the most powerful tools for regulating stress hormones. Establishing a regular sleep schedule can significantly improve how the body responds to stress.

Physical Activity
Exercise helps reduce cortisol levels and improves cardiovascular health. This does not have to be intense. Even regular walking can have a meaningful impact.

Structured Breaks
Taking intentional pauses during the day allows the nervous system to reset. Even a few minutes can be beneficial.

Limiting Constant Input
Continuous exposure to news, emails, and digital notifications keeps the brain in a state of alertness. Creating boundaries around this can reduce mental strain.

Connection and Support
Spending time with others, whether family, friends, or community, plays an important role in buffering stress.

In some cases, additional support such as counseling or guided stress management techniques may be appropriate.

When It Is Time to Take a Closer Look

If you are noticing persistent symptoms such as fatigue, poor sleep, elevated blood pressure, or a general sense that your body is not functioning as it should, it may be time to take a closer look.

At Lake Country Medical Group, we approach care by looking at the whole person. That includes understanding how stress, lifestyle, and underlying medical conditions interact.

Addressing stress is not separate from medical care. It is part of it.

A Final Thought

Stress is not always something we can eliminate. But it is something we can better understand and manage.

The earlier we recognize its effects, the more opportunity we have to prevent long-term damage.

Your body is constantly communicating with you. The key is learning how to listen.

If you have been feeling the effects of stress, this is a good time to take a step back and refocus on your health.

Take the Next Step

If stress is beginning to affect how you feel day to day, you do not have to navigate it alone.

Our team at Lake Country Medical Group is here to help you take a closer look at your overall health and develop a plan that supports both your physical and mental well-being.

You can learn more or request an appointment by visiting www.lakecountrymedicalgroup.com or by calling (706) 485-4004.

By Nicolas Chronos, MD, FACC, FESC

September is atrial fibrillation month

September is AFib Awareness Month: Let’s Take Care of Our Hearts

By Dr. Nicolas Chronos

September marks Atrial Fibrillation (AFib) Awareness Month, and I want to use this time to highlight an issue that is both very common and very serious. As a cardiologist, I see the impact of AFib every day. My hope is that by talking about it openly, we can raise awareness in our community, encourage early detection, and help people live longer, healthier lives.

What Exactly is AFib?

AFib is the most common type of irregular heart rhythm. In a healthy heart, the upper chambers (the atria) contract in a steady, coordinated way to move blood into the lower chambers. In AFib, those upper chambers beat chaotically, often much faster than normal. This can cause the heart to pump less efficiently.

While some people feel their heart racing or notice palpitations, others may not experience any obvious symptoms. That is one of the most concerning parts about AFib because it can be silent, yet still dangerous.

Why It Matters

AFib is more than just an irregular heartbeat. It can increase the risk of stroke by up to five times because blood may pool in the atria and form clots, which can then travel to the brain. It also increases the likelihood of developing heart failure and other serious complications if left untreated.

This is why awareness is so important. Recognizing AFib early gives us the opportunity to step in with treatments that protect both your heart and your brain.

Common Signs and Symptoms

Some people describe AFib as a “fluttering” feeling in the chest, while others just feel tired or short of breath. Here are some of the most common symptoms:

  • Heart palpitations (racing, irregular, or pounding heartbeat)
  • Shortness of breath, especially with activity
  • Fatigue or decreased stamina
  • Dizziness, lightheadedness, or fainting
  • Chest discomfort

Even if these symptoms come and go, they are worth paying attention to.

Who’s at Risk?

AFib can affect anyone, but certain factors make it more likely:

  • Age (risk increases as we get older)
  • High blood pressure
  • Heart disease or prior heart attack
  • Sleep apnea
  • Diabetes
  • Obesity
  • Family history of AFib

How We Can Help

At Lake Country Medical Group, we take AFib seriously. Diagnosis often starts with a simple physical exam and an electrocardiogram (ECG), which records your heart’s electrical activity. Sometimes longer monitoring is needed if the irregular rhythm comes and goes.

Treatment is tailored to each individual, but options may include:

  • Lifestyle changes: improving diet, managing stress, treating sleep apnea, and exercising safely
  • Medications: to control heart rate, restore rhythm, or prevent blood clots
  • Procedures: such as ablation or device therapies in certain cases

Our goal is always the same. We want to keep your heart healthy and your quality of life high.

A Personal Note

I know that heart health can sometimes feel overwhelming, but I want you to know you are not alone. If you have questions or concerns about AFib, my team and I are here to listen, to guide, and to walk with you through every step of diagnosis and treatment.

This month, I encourage you to check in with yourself and your loved ones. If you notice warning signs, do not brush them off. Awareness is the first step toward prevention and healing.

Your heart beats over 100,000 times every single day. It deserves your attention and care. Let’s honor AFib Awareness Month by taking those signs seriously, encouraging conversations, and supporting one another in our community.

With warm regards,


Dr. Nicolas Chronos

Lake Country Medical Group

📞 706-485-4004
🌐 lakecountrymedicalgroup.com

For more information on Atrial Fibrillation you can visit this link for helpful content at the American Heart Association.