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Autism Studies and Related Medical Conditions, January 2009 - TACA

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Liebscher DH, Liebscher DE. About the misdiagnosis of magnesium deficiency. J Am Coll<br />

Nutr. 2004 Dec;23(6):730S-1S.<br />

Self-Help Organisation on Mineral Imbalances, Task Force Magnesium-Deficiency<br />

Tetany, Rummelsburger Str. 13, D-10315 Berlin, Germany. dierckh.liebscher@magnesiumhilfe.de<br />

The experience of our self-help organisation shows that the reason patients with<br />

symptoms of magnesium (Mg) deficiency do not get Mg therapy is acceptance of<br />

an inappropriate lower limit of the reference values for serum Mg concentration.<br />

The commonly designated low limit of the normal range seems to have been<br />

selected from values obtained for symptomatic patients. It is below levels that<br />

exist in patients with marginal deficiencies that can predispose to development of<br />

pathologic findings, so that the prevalence <strong>and</strong> importance of this disease is<br />

insufficiently considered. The lower reference limit of the normal population is<br />

erroneously regarded as a diagnostic criterion that excludes Mg deficiency when<br />

the serum level is even slightly above the reference limit that only excludes<br />

normality at lower levels. It is a statistical error to use the confidence limits of<br />

the normal population as the exclusion limit for those with abnormal Mg status.<br />

PMID: 15637222 [PubMed - indexed for MEDLINE]<br />

Litov RE, Combs GF Jr. Selenium in pediatric nutrition. Pediatrics. 1991 Mar;87(3):339-<br />

51.<br />

Mead Johnson Research Center, Bristol-Myers Squibb Company, Evansville,<br />

Indiana 47721-0001.<br />

Se is an essential nutrient that provides antioxidant protection in concert with<br />

vitamin E. Several selenoproteins have been identified, but only one, SeGSHpx,<br />

has a known function, that of neutralizing toxic hydroperoxides. Plasma Se<br />

concentration, being responsive to changes in Se intake, is the most practical<br />

<strong>and</strong> widely used measure of nutritional Se status. The plasma Se concentrations<br />

of the majority of healthy infants <strong>and</strong> children fall within the range of 50 to 150<br />

micrograms/L. Although SeGSHpx activity measures the metabolically functional<br />

form of Se, the lack of a st<strong>and</strong>ardized analytical method has limited its<br />

usefulness as an index of nutritional Se status. Se deficiency was first observed<br />

in animals, but it is now recognized to occur in humans. Two human diseases<br />

associated with severe nutritional Se deficiency have been reported from China:<br />

a juvenile cardiomyopathy named Keshan disease <strong>and</strong> a chondrodystrophy<br />

<strong>Autism</strong> <strong>Studies</strong> & <strong>Related</strong> <strong>Medical</strong> <strong>Conditions</strong> – <strong>TACA</strong> © Page 203

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