A glass dish of white tablets beside pumpkin seeds, almonds and spinach.

NZ GLP-1 hub · Supplements · 5 November 2026 · Official regulatory source

Magnesium: sleep, cramps and constipation, checked

General information, not advice. Supplements can interact with medicines. Talk to your doctor or pharmacist before starting one, especially if you take other medicines, are pregnant, or have a kidney or liver condition.

Why people take it

Magnesium helps regulate muscle and nerve function. People take it for sleep, muscle cramps and constipation.

Why it comes up with GLP-1 medicines

Eating less can mean less magnesium, which is found in nuts, seeds, legumes, wholegrains and leafy greens. Constipation is a common GLP-1 side effect, and some magnesium forms have a laxative effect.

What the evidence shows

Correcting a true deficiency is important. For sleep, trials in older adults are low quality, so they can't support firm conclusions. For cramps, a Cochrane review found magnesium is unlikely to give older adults a meaningful benefit. Magnesium is also a key ingredient in some laxatives.

What it doesn't show

A 2026 analysis of trials found a small fall in body weight, about 0.7 kg, but no significant change in BMI or body fat percentage.

Who should be careful

  • →High intakes from supplements can cause diarrhoea, nausea and abdominal cramping, which can add to GLP-1 gut symptoms.
  • →In healthy people the kidneys clear excess magnesium, so if you have kidney disease, talk to your doctor before taking it.
  • →Magnesium may interact with some antibiotics (tetracyclines and quinolones) and osteoporosis medicines (oral bisphosphonates). Ask your pharmacist about timing.
  • →The Australia–New Zealand upper limit for supplemental magnesium in adults is 350 mg a day; this limit applies to supplements, not food.
  • →If constipation on a GLP-1 medicine is a problem, talk to your prescriber or pharmacist rather than self-treating.

Food first

Nuts, seeds, legumes, wholegrains and leafy greens.

Sources

Review: Founder review via PR merge. General information only; no recommendations, brands, prices or product links; sources verified 5 Nov 2026.

The NZ GLP-1 Brief

GLP-1 news for New Zealand, every month

Medsafe and Pharmac decisions, new trial results, and what each one means here. Checked against primary sources. Free, and you can unsubscribe in one click.

We’ll email you a link to confirm. We use your email only to send this newsletter. We never share it with advertisers or social media platforms. See our privacy policy.

Recomp Health does not prescribe, supply or recommend any medication. This is independent editorial content — educational information, not medical advice. Talk to a qualified health professional before starting, changing or stopping any medication.