During 18-day fasts undertaken by 19 obese patients, plasma magnesium concentrations decreased in those given no mineral supplements or given calcium or sodium supplements, but did not decrease in those given magnesium supplements. The extent of the decreases ranged from 9% in the nonsupplemented group to 25% in the sodium-supplemented group. Plasma potassium concentrations decreased more gradually in all patients, irrespective of magnesium supplementation. Erythrocyte magnesium concentrations remained unchanged in all patients. Erythrocyte potassium concentrations decreased by between 5% and 9% in those patients who had a decreased plasma magnesium concentration, but did not change in the patients who were given magnesium supplements. These findings indicate a possible effect of extracellular magnesium concentration, or of some other correlate of magnesium supplementation, on potassium distribution and transport between extra- and intracellular compartments.
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