Magnesium BHB
Also known as: Magnesium BHB, Magnesium β-hydroxybutyrate salt, Exogenous ketone salt, Magnesium β-hydroxybutyrate
Overview
Magnesium BHB is a compound combining magnesium with β-hydroxybutyrate (BHB), a ketone body produced during ketosis. BHB is naturally synthesized in the liver during fasting, ketogenic diets, or prolonged exercise. As an exogenous ketone supplement, Magnesium BHB elevates blood ketone levels without dietary restriction. It is primarily used to induce or support nutritional ketosis, with potential therapeutic applications in neurological conditions like migraine and metabolic disorders. The magnesium component may contribute to electrolyte balance and muscle function. Administered orally, it raises blood BHB concentrations acutely. Research maturity is moderate, with studies on exogenous ketones including magnesium BHB, and systematic reviews/meta-analyses available on ketone supplementation broadly. Evidence includes randomized controlled trials with adequate sample sizes, though study designs and populations vary.
Benefits
Magnesium BHB supplementation significantly increases blood β-hydroxybutyrate (BHB) levels, as demonstrated in meta-analyses showing consistent dose-dependent elevation of blood BHB concentrations (p < 0.0001). It can also reduce blood glucose and insulin levels acutely, suggesting improved metabolic substrate utilization. Preliminary data suggests a potential reduction in migraine frequency with ketogenic interventions including exogenous BHB, though this is limited by study quality. The magnesium component may aid muscle function and reduce cramping during ketogenic states, but direct evidence specific to magnesium BHB is limited. Individuals on ketogenic diets or with metabolic conditions may benefit from rapid ketosis induction. Blood BHB levels can increase 4-5 fold post ingestion, with significant metabolic effects observed within 1 hour.
How it works
Magnesium BHB dissociates into magnesium ions and BHB in the gut. BHB enters circulation, serving as an alternative energy substrate for the brain, muscle, and other tissues. BHB modulates metabolic pathways, including inhibiting glycolysis and activating mitochondrial energy production. In the central nervous system, BHB crosses the blood-brain barrier, potentially modulating neuronal excitability and inflammation. Metabolically, it shifts energy substrate preference from glucose to ketones. Magnesium supports neuromuscular function and enzyme activity. BHB acts as a signaling molecule influencing histone deacetylases (HDACs), G-protein coupled receptors (e.g., HCAR2), and inflammatory pathways. Oral magnesium BHB salts are absorbed in the gastrointestinal tract, with high BHB bioavailability and rapid elevation in plasma concentrations.
Side effects
Magnesium BHB is generally safe when used at recommended doses, with short-term studies showing good tolerance. Common side effects include gastrointestinal discomfort (e.g., diarrhea, nausea) reported with high doses of ketone salts. Uncommon side effects include electrolyte imbalance if excessive intake occurs, and mild headache or dizziness. Rare side effects include hypermagnesemia in individuals with renal impairment. Caution is advised with medications affecting magnesium levels or renal function, and potential interactions with diuretics or drugs altering electrolyte balance. Contraindications include severe kidney disease and known hypersensitivity to magnesium salts. Pregnant or breastfeeding women should consult healthcare providers, and individuals with cardiac or renal conditions require medical supervision.
Dosage
Studies report effective BHB doses around 10-12 g per serving to raise blood ketones significantly. Typical dosage ranges are 10-25 g BHB salts per day, divided into doses. Magnesium content varies, and doses should not exceed recommended daily magnesium intake (~350 mg elemental magnesium from supplements). The maximum safe dose is limited by gastrointestinal tolerance and magnesium upper intake levels; excessive doses may cause diarrhea or electrolyte disturbances. Doses are typically taken with water, often twice daily, with effects peaking within 30-60 minutes post ingestion. Adequate hydration improves absorption and reduces GI side effects. Taking with food may modulate absorption kinetics.
FAQs
How quickly does Magnesium BHB raise blood ketones?
Blood BHB levels rise significantly within 30-60 minutes after ingestion.
Is Magnesium BHB safe for long-term use?
Short-term use is generally safe; long-term safety data are limited and should be monitored.
Can Magnesium BHB replace a ketogenic diet?
It can elevate ketones acutely but does not replicate all metabolic effects of a ketogenic diet.
Does Magnesium BHB help with migraines?
Preliminary evidence suggests potential benefit, but more rigorous RCTs are needed.
Are there any side effects?
GI discomfort is the most common; magnesium overdose is rare but possible.
Research Sources
- https://pubmed.ncbi.nlm.nih.gov/37327753/ – This meta-analysis of 30 RCTs (n=408) found that exogenous ketones significantly increase blood BHB levels and established a dose-response relationship (p < 0.0001). The study highlights the efficacy of exogenous ketones in raising blood ketone levels, although it acknowledges heterogeneity in ketone types and populations studied.
- https://pmc.ncbi.nlm.nih.gov/articles/PMC10337131/ – This systematic review and meta-regression demonstrated a strong linear correlation between BHB infusion rate and blood BHB concentration, robust across healthy and clinical populations (p < 0.0001). While limited to infusion studies, the findings provide valuable insights into BHB pharmacokinetics and support the use of exogenous ketones for achieving targeted blood ketone levels.
- https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2023.1204700/full – This systematic review and meta-analysis of migraine studies suggests that ketogenic interventions, including exogenous BHB, may reduce migraine frequency. However, the authors note limitations including small sample sizes, few RCTs, and heterogeneity, indicating a need for more high-quality research in this area.
- https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2021.618520/full – This RCT found that daily magnesium BHB supplementation raised blood BHB 4-5 fold, was well tolerated, and resulted in observed metabolic benefits. The study was a small pilot test for blinding and used a racemic BHB mixture, but provides initial evidence for the efficacy and safety of magnesium BHB supplementation.
- https://examine.com/research-feed/study/dxqEb1/ – This meta-analysis of RCTs found that exogenous ketones reduce blood glucose and insulin acutely, indicating beneficial metabolic effects. The study focused on acute dosing, and the long-term effects of exogenous ketone supplementation on glucose and insulin levels remain unclear.
Supplements Containing Magnesium BHB

Real Ketones Natural Lemon Flavor
Keto Science

Keto BHB Powder Mixed Berry Lemonade
Sierra Fit

Keto Orange Mango
XTEND

Keto Strawberry Kiwi Splash
XTEND

Keto Energy Knockout Fruit Punch
XTEND

Keto Energy Ultra Frost
XTEND

Ketones Lemon
Keto Science

KETOVITA
ANS Performance

KETOVITA
ANS Performance

KETOVITA
ANS Performance

Keto+ ACV Gummies
True Form

Keto + ACV Gummies
totalfit®
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