Urine Magnesium (24-Hour)

Urine Chemistry

Normal Reference Ranges

Adult

6.0 - 10.0 mEq/day

Pediatric

Varies by age mEq/day

Clinical Significance

Helps differentiate renal vs. extra-renal causes of hypomagnesemia. Elevated 24-hr excretion indicates renal wasting.

Causes of High

  • Renal magnesium wasting (Gitelman / Bartter syndrome)
  • Diuretics
  • Hypercalcemia

Causes of Low

  • Gastrointestinal magnesium malabsorption
  • Low dietary intake