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clinically significant if timing is ignored Monitoring / recheck TSH 6 to 8 weeks after adding or changing magnesium Most affected forms / magnesium oxide, magnesium hydroxide (antacids) Safer timing / magnesium at lunch, dinner, or bedtime Prevalence of low magnesium / approximately 48% of the U.S

Severe gastroparesis or other severe stomach problems

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Some fluid accumulation is expected and typically resolves over time