Weight Loss Forum / Low Carb / March 2004
Leg cramps and potassium question
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Eileen Dougal - 20 Mar 2004 08:10 GMT I have read on here about taking potassium for leg cramps. I had such bad leg cramping last night while I was sleeping, it woke me up twice. So after work today, I stopped at the store and bought a bottle of potassium. ( I also take a multivitamin daily). The potassium tablets are 550mg. So is one of those daily sufficient? I know I have also read in this group that you should take extra calcium but why would one need that if they eat plenty of cheese daily? Thanks for all the stuff I am learning on here!
Eileen 198/186/? Atkins since 2/12/04
Harold Groot - 20 Mar 2004 13:01 GMT >I have read on here about taking potassium for leg cramps. I had such bad >leg cramping last night while I was sleeping, it woke me up twice. So after [quoted text clipped - 3 lines] >should take extra calcium but why would one need that if they eat plenty of >cheese daily? Thanks for all the stuff I am learning on here! If those are the ones I am thinking of, you are actually getting 550 mg of a compound that is only PARTLY made up of potassium (i.e. potassium gluconate). The highest actual amount of straight potassium per pill that can be sold in the USA without a prescription is 99 mg. 550 mg of potassium gluconate typically has about 90 mg of actual potassium. Each of those pills is only about 3% of your daily need, so you would need to be taking over 30 pills/day to get your full 100%. Your body just won't notice it if you take a single pill.
Fortunately, there is a lot of potassium in various foods, and you can buy salt substitutes to really boost your potassium. The "Lite Salt" is half regular salt (sodium chloride) and half salt substitute (potassium chloride). Most people don't have a problem with the taste, it's very similar to regular salt. You can also get pure salt substitute. While I have no problems with it, some people complain of a slight bitter or metallic taste with the pure salt substitute. But to compare - 1/4 teaspoon of pure salt substitute has 610 mg potassium, more that the amount in six of your pills. That's the amount that many people with cramps start out trying, then adjust from there.
Along with potassium, calcium and magnesium are very helpful too in dealing with leg cramps.
Luna - 20 Mar 2004 17:52 GMT > >I have read on here about taking potassium for leg cramps. I had such bad > >leg cramping last night while I was sleeping, it woke me up twice. So after [quoted text clipped - 12 lines] > you would need to be taking over 30 pills/day to get your full 100%. > Your body just won't notice it if you take a single pill. The reason for that is that if you take too much potassium, even just a little too much, it will stop your heart.
 Signature Michelle Levin http://www.mindspring.com/~lunachick
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rosie - 20 Mar 2004 19:07 GMT > The reason for that is that if you take too much potassium, even just a > little too much, it will stop your heart. luna, too much OR too little potassium, (among other minerals) can cause cardiac irregularities, not necessarily arrest.
Harold Groot - 21 Mar 2004 06:25 GMT >The reason for that is that if you take too much potassium, even just a >little too much, it will stop your heart. Actually, from what I've read the problem is more on the digestion end. Potassium that is bound up in compounds found in foods (say, in bananas) is easily digested, but the potassium in pill form is not.
Also, there is a whole safe =range= before you get into unsafe dosages. After all, the huge majority of people in this world do not go around measuring their potassium intake with the idea that they will stop immediately upon reaching the minimum daily requirement. They don't say "Ohmigod, 3500 is the MDR and I just ate 3600, I'm going to die!" No, they go around eating as much food as it takes to make them feel full. Some eat foods with lots of potassium, others eat little potassium. Some people will not even reach the MDA amounts, others will exceed it by a large amount. The human body has ways to handle modest amounts of excess potassium.
This is not to say that it is IMPOSSIBLE to get too much and have heart problems. It can be done. But if the "minimum" requirement is around 3500 mg, (which is itself an AVERAGE, not a "take this or you die" figure"), you give no yardstick on what the MAXIMUM safe dose is. Is it twice the minimum (7000 mg)? Three times the minimum (10500 mg)? You are waving a big red DANGER flag without giving any sort of guidelines for where the =danger= point really begins.
Here's what one of the online drugstores (drugstores.com) mentions about potassium. You'll notice mention of problems with too little. You'll notice digestive problems with too much in pill form. You'll notice they talk about problems if you already have kidney problems before you begin. But they don't talk about your heart stopping of you have too much.
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Who is likely to be deficient? So-called primitive diets provided much greater levels of potassium than modern diets, which may provide too little. Gross deficiencies, however, are rare except in cases of prolonged vomiting, diarrhea, or use of ?potassium-depleting?diuretic drugs. People taking one of these drugs are often advised by their doctor to take supplemental potassium. Prescription amounts of potassium provide more than the amounts sold over the counter but not more than the amount found in several pieces of fruit.
How much is usually taken? The best way to obtain extra potassium is to eat several pieces of fruit per day, as well as liberal amounts of vegetables. The amount of potassium found in the diet ranges from about 2.5 grams to about 5.8 grams per day. The amount allowed in supplements?99 mg per tablet or capsule?is very low, considering that one banana can contain 500 mg. One should not attempt to achieve higher potassium levels by taking large numbers of potassium pills. This concentrated form of potassium can irritate the stomach?a problem not encountered with the potassium in food.
Are there any side effects or interactions? High potassium intake (several hundred milligrams at one time in tablet form) can produce stomach irritation. People using potassium-sparing drugs should avoid using potassium chloride-containing products, such as Morton Salt Substitute?, No Salt?, Lite Salt?, and others and should not take potassium supplements, except under the supervision of a doctor. Even eating several pieces of fruit each day can sometimes cause problems for people taking potassium-sparing drugs, due to the high potassium content of fruit.
Potassium and sodium work together in the body to maintain muscle tone, blood pressure, water balance, and other functions. Many researchers believe that part of the blood pressure problem caused by too much salt (which contains sodium) is made worse by too little dietary potassium.
People with kidney failure should not take potassium supplements, except under careful medical supervision.
Are there any drug interactions? Certain medications may interact with potassium. Refer to the drug interactions safety check for a list of those medications.
References:
1. Wahr JA, Parks R, Boisvert D, et al. Preoperative serum potassium levels and perioperative outcomes in cardiac surgery patients. JAMA 1999;281:2203?10.
Jean M. - 21 Mar 2004 07:54 GMT >>The reason for that is that if you take too much potassium, even just a >>little too much, it will stop your heart. > >Actually, from what I've read the problem is more on the digestion >end. Potassium that is bound up in compounds found in foods (say, in >bananas) is easily digested, but the potassium in pill form is not. My potassium levels are always a little lower than the recommended range. Right now I take potassium (80mg/day) and a potassium-raising drug (Altace.) I take some strong diuretics that cause the depletion. My last level taken a few weeks ago was 3.4. It was 3.1 a month before that. 3.5-5.3 is normal at my lab.
The only digestion thing I can relate is that when I take a couple of extra 10 mg pills, my.. um.. regularity is more regular. I'd imagine that if someone didn't have a tendency toward constipation, it might cause some undesired results.
I have done searches to find out just how much is too much, blood level-wise, to cause symptoms that one would notice and what the symptoms would be, but I haven't found a good source yet. Since I don't have an EKG available, looking at that is out. General weakness? Pick a day. Muscle cramps are usually a late symptom. Lots of EKG changes occur over 6. Your heart can stop at 10. That's a long way from my 3, but still not very specific.
-- Jean M. New food of the week: water chestnuts
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Eileen Dougal - 21 Mar 2004 08:31 GMT Thanks for the info. I am still unsure about how much potassium to take. If the potassium glutamate I bought is not any good, well then I am stuck with a bottle of 200 that I would like to use before I buy anymore. So if the bottle says 550mg (which is a mixture of other stuff) and it only equals 90mg. of potassium and one tab is only 3% of RDA, how many pills could I safely take per day? Why would the bottle say take only one daily if one tablet is only 3% of RDA? This stuff confuses the hell out of me. I also got a bottle of magnesium tonight and that says to take 3 tabs daily. Does that sound normal to help leg cramping?
Eileen
> >The reason for that is that if you take too much potassium, even just a > >little too much, it will stop your heart. [quoted text clipped - 28 lines] > before you begin. But they don't talk about your heart stopping of > you have too much. """""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""
> Who is likely to be deficient? So-called primitive diets provided much > greater levels of potassium than modern diets, which may provide too [quoted text clipped - 43 lines] > levels and perioperative outcomes in cardiac surgery patients. JAMA > 1999;281:2203-10. Harold Groot - 21 Mar 2004 09:36 GMT >Thanks for the info. I am still unsure about how much potassium to take. If >the potassium glutamate I bought is not any good, well then I am stuck with [quoted text clipped - 5 lines] >a bottle of magnesium tonight and that says to take 3 tabs daily. Does that >sound normal to help leg cramping? The potential problem is stomach irritation if you take too many of the pills. That will vary a bit from person to person. Let's say that you find that you can take 2 pills with a meal without any problems. You might try 6 per day (assumes 3 meals with 2 pills) and you would get roughly the same amount of potassium as in a single banana (but without the carbs of a banana).
Along with the other things mentioned, 400 I.U. of vitamin E can help.
As for magnesium - that would probably depend on the amount in each tablet. My magnesium is 250 mg per tablet out of a daily requirement of around 400 mg (if memory serves). But I have seen higher amounts recommended for people with leg cramps or diabetes. For example, in PROTEIN POWER (one of the Low Carb eating plans), the recommendation was for 400 mg for people in normal health but 600 mg for people with diabetes. Dr. Atkins starts with a lower amount of magnesium in his Basic #3 pills (48 mg if you take 6, 72 mg if you take 9) but likewise says that "extra" magnesium is helpful for those with diabetes (though he doesn't say how much).
Here's an article that recommends higher doses:
====================================================================== Before recommending magnesium supplements to ease muscle cramps, Dr. McLean does a blood test to determine an individual?s blood magnesium level, to make sure that it is not unexpectedly high. If the blood level is low or even normal, then body magnesium stores may be low. Unfortunately, a normal blood level does not ensure that body magnesium stores are adequate.
Based on the results of the tests as well as the person?s muscle cramp symptoms, Dr. McLean usually recommends taking one 400-milligram magnesium capsule two or three times a day. ?I wouldn?t go higher than that, because too much magnesium can cause you to develop diarrhea,? he says. (Magnesium salt is the ingredient that makes Phillips? Milk of Magnesia, a popular bowel cleanser, do its job.)
But be careful: If you have kidney problems, taking magnesium supplements may make you accumulate the mineral too quickly, which could be toxic, says Dr. McLean. If you have kidney or heart problems, you should check with your doctor before taking magnesium supplements.
Some people taking magnesium may get relief from leg cramps right away, but a long-standing deficiency can take weeks to overcome with supplements, says Dr. Brilla. ?We like to recommend supplementing for four weeks,? she says. ?That?s how long we feel it takes before we have some kind of measurable outcome.? =======================================================================
So that article recommends up to 1200 mg.
LCer09 - 21 Mar 2004 16:18 GMT >So if the >bottle says 550mg (which is a mixture of other stuff) and it only equals >90mg. of potassium and one tab is only 3% of RDA, how many pills could I >safely take per day? I know some say 3% won't help you, but I SWEAR taking two a day (morning and evening) during induction made me feel better almost immediately after taking the first one, and the yucky feeling didn't come back. I've switched to lite salt, and still do fine.
LCing since 12/01/03- Me- 5'7" 265/219/140 & hubby- 6' 310/238/180
Greg Teets - 22 Mar 2004 02:58 GMT >Thanks for the info. I am still unsure about how much potassium to take. If >the potassium glutamate I bought is not any good, well then I am stuck with [quoted text clipped - 7 lines] > >Eileen I am calling my doctor on this very issue. I went to the pharmacy the other day to get potassium and found out that you can only buy the 99 mg maximum. He told me to call my doc and see if he wants to give me a scrip for more and to do what the doc says.
I suugest you do the same.
Greg in Cincinnati
bookalley - 22 Mar 2004 03:26 GMT Forget the pills.
3 oz of canned salmon: 277 mg of potassium<---- zero carb choice 1 cup of mashed acorn squash: 644 mg of potassium 6 oz tomato juice : 416 mg of potassium 1 California avocado: 877 mg of potassium.<-low carb choice (3 grams carb)
revek - 21 Mar 2004 23:26 GMT Harold Groot burbled across the ether:
> References: > > 1. Wahr JA, Parks R, Boisvert D, et al. Preoperative serum potassium > levels and perioperative outcomes in cardiac surgery patients. JAMA > 1999;281:2203-10. Saved! Where were you when all the nonsense about the death of the Missouri girl who was lowcarbing was being hysteria'd about? It also would have been nice to have whilst a former ng participant was being hounded out of the group over this very issue.
 Signature revek www.geocities.com/tanirevek/LowCarb.html lowcarbing since June 2002 5'2" 41 F 165+/too much/size seven petite please Now and then an innocent man is sent to legislature. - Kin Hubbard
jpatti - 22 Mar 2004 09:26 GMT Morton Lite Salt is the easiest way to get potasium.
That being said, I don't salt most foods. French fries (which I don't eat anymore) and hard-boiled eggs (which I sometimes eat, sometimes don't) are the only foods I really like salt on. I have to try to *remind* myself to salt additional foods.
So... sometimes, if I've forgotten to use the stuff, I will wake up with cramps. And that is why I keep Morton Lite Salt right in my bedroom. It literally stops the cramps within a few seconds or so.
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