Altura, B T, Burack, J L, Cracco, R Q et al. · Scandinavian journal of clinical and laboratory investigation. Supplementum · 1994 · DOI
Researchers used a specialized test to measure magnesium levels in the blood of people with various conditions, including ME/CFS. The study found that many conditions like migraines, diabetes, and asthma showed low levels of a specific form of magnesium, but interestingly, people with ME/CFS did not show these same magnesium changes. This suggests that magnesium abnormalities may not be a key feature of ME/CFS.
This study directly examined whether ME/CFS patients have magnesium abnormalities—a hypothesis sometimes proposed in the ME/CFS community. The null finding in CFS patients (unlike in other chronic conditions) helps clarify that ME/CFS may not share the same magnesium dysregulation mechanisms as other syndromes, informing future research directions.
This study does not prove that magnesium plays no role in ME/CFS, as the measurement technique may not capture all relevant magnesium dynamics, intracellular stores, or bioavailability. The observational design cannot establish causation, and the lack of matched controls and standardized case definitions limits the strength of conclusions about CFS specifically.
About the PEM badge: “PEM required” means post-exertional malaise was an explicit required diagnostic criterion for participant inclusion in this study — not that PEM was studied, observed, or discussed. Studies using criteria that do not require PEM (e.g. Fukuda, Oxford) are tagged “PEM not required”. How the atlas works →
The first block is for the primary paper and is the citation you should use in research work. The atlas-snapshot line only applies if you are specifically referring to this atlas’s reading of the paper on the date shown.
Primary citation
Altura, B T, Burack, J L, Cracco, R Q, Galland, L, Handwerker, S M, Markell, M S, et al. (1994). Clinical studies with the NOVA ISE for IMg2+.. Scandinavian journal of clinical and laboratory investigation. Supplementum. https://doi.org/10.3109/00365519409095211
BibTeX
@article{mecfsatlas-altura-1994-clinical-studies,
author = {Altura, B T and Burack, J L and Cracco, R Q and Galland, L and Handwerker, S M and Markell, M S and Mauskop, A and Memon, Z S and Resnick, L M and Zisbrod, Z},
title = {Clinical studies with the NOVA ISE for IMg2+.},
journal = {Scandinavian journal of clinical and laboratory investigation. Supplementum},
year = {1994},
doi = {10.3109/00365519409095211},
note = {PubMed: 7939386},
url = {https://www.mecfsatlas.com/evidence/altura-1994-clinical-studies},
}Atlas snapshot reference
ME/CFS Atlas. Generator v1 / Scanner v1.4 / policy v0.1. Accessed 2026-05-30. https://www.mecfsatlas.com/evidence/altura-1994-clinical-studies
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