The short answer
If you want the form with the best-documented absorption, choose citrate. If citrate or oxide upsets your stomach, glycinate is a reasonable thing to try, but the evidence that it absorbs better is one small study with a mixed result. If you want magnesium for constipation, oxide is the form a gastroenterology guideline names. We found no trial showing one form beats another on a health outcome a reader would feel.
What NIH says
The NIH Office of Dietary Supplements' magnesium fact sheet, updated January 6, 2026, makes three points about forms. Forms that dissolve well in liquid are more completely absorbed in the gut than less soluble forms. Small studies have found magnesium in the aspartate, citrate, lactate and chloride forms absorbed more completely than magnesium oxide and sulfate. And the forms most commonly reported to cause diarrhea are carbonate, chloride, gluconate and oxide.
The words glycinate, bisglycinate, threonate and malate do not appear in that fact sheet. Federal guidance has no position on them.
The studies, one by one
| Study | People | What was compared | What it measured | Result |
|---|---|---|---|---|
| Lindberg 1990 | Healthy volunteers (lab study plus a urine test) | Citrate vs oxide | Solubility in simulated stomach acid; rise in urine magnesium after one dose | Oxide was almost insoluble in water and 43% soluble at peak acid; citrate dissolved far better and raised urine magnesium more |
| Firoz and Graber 2001 | Healthy volunteers | Oxide, chloride, lactate, aspartate | Rise in urine magnesium | Oxide's fractional absorption was 4%; the other three were higher and equal to each other |
| Walker 2003 | 46 healthy adults, 60 days | Citrate, amino-acid chelate, oxide, placebo | Urine, blood and saliva magnesium | Citrate and the chelate beat oxide on 24-hour urine at 60 days; citrate gave the highest blood level; oxide did not differ from placebo |
| Schuette 1994 | 12 patients with part of the small intestine removed | Diglycinate vs oxide | Labeled-isotope absorption of one 100 mg dose | No difference overall (23.5% vs 22.8%); glycinate absorbed better in the 4 worst absorbers |
| Pajuelo 2024 | 40 healthy adults on a low-magnesium diet | A microencapsulated product, oxide, citrate, bisglycinate | Blood magnesium over 6 hours after one dose | Oxide rose at 1 hour, citrate at 4 hours, bisglycinate showed no significant rise. Funded by the maker of the microencapsulated product |
Read together, these point one way for citrate versus oxide: both studies that compared them directly over time favored citrate, and Firoz found oxide absorbed poorly against three other soluble forms. For glycinate the picture is thin. The only two-way comparison with oxide, in 12 people after bowel surgery, found no overall difference, and the advantage appeared in a subgroup of four. The newest study found no significant blood rise from bisglycinate at all, though it measured only six hours after a single dose and was funded by the company that makes the product it was promoting.
None of these studies measured anything you would feel. A rise in urine or blood magnesium after a dose is a reasonable sign of absorption, but no trial has compared glycinate with citrate on sleep, cramps, blood pressure or any other outcome.
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Why the number on the bottle differs so much
Each form is a compound, and the magnesium is a fraction of its weight. By our calculation from the molecular formulas, magnesium oxide is about 60% magnesium, magnesium citrate about 12 to 16% depending on the hydrate, and magnesium bisglycinate about 14%. NIH says the Supplement Facts panel must declare the elemental magnesium, and that is the only number to compare.
A real example from our magnesium buyer's guide: a product sold as "Magnesium Glycinate 400 mg" declares 60 mg of magnesium per capsule on its NIH label record. You would need about four of those capsules to match one 250 mg oxide tablet.
Absorption has a ceiling, whatever the form
A classic study fed volunteers a standard meal with increasing amounts of magnesium. Absorption rose with each step, but the fraction absorbed fell from 65% at the lowest intake to 11% at the highest. The same study found magnesium from almonds as bioavailable as a soluble magnesium salt, and enteric-coated magnesium chloride much less so. Bigger doses mostly mean more unabsorbed magnesium in the gut, which is what causes diarrhea.
What each form is actually good for
Citrate: the best-documented absorption among common forms, per NIH and the studies above. A reasonable default.
Oxide: the most magnesium per tablet and the lowest cost per milligram, poorer absorption, and more diarrhea. The 2023 joint guideline of the American Gastroenterological Association and American College of Gastroenterology makes a conditional recommendation for magnesium oxide in chronic constipation, where the laxative effect is the point.
Glycinate and bisglycinate: often marketed as gentler on the stomach. Schuette's patients tolerated the glycinate better, which is one small observation. The best sleep trial of any magnesium used bisglycinate, 250 mg of magnesium a day, and found a modest benefit; it also gave about 1.5 g of glycine a day, so the result is not purely about magnesium. Our magnesium evidence guide reads that trial and the others.
Threonate: about 7% of the label weight is magnesium in the product we checked (144 mg from 2 g), so it is the most expensive way to buy magnesium.
Safety
The upper limit for magnesium from supplements and medicines is 350 mg a day for adults, per NIH; food magnesium does not count. People with reduced kidney function should ask a clinician before supplementing. NIH says to keep magnesium at least 2 hours away from oral bisphosphonates, and to take tetracycline or quinolone antibiotics at least 2 hours before or 4 to 6 hours after it. Spacing details are in the best time to take magnesium.
Frequently asked questions
Is magnesium glycinate better than citrate?
No study has shown it. NIH ranks citrate among the better-absorbed forms and does not mention glycinate, and no trial has compared the two on any health outcome.
Which magnesium is best absorbed?
Per NIH, the aspartate, citrate, lactate and chloride forms tend to be more bioavailable than oxide and sulfate. In a 60-day trial of 46 adults, citrate produced the highest blood magnesium.
Is magnesium oxide useless?
No. It absorbs less, but it carries about 60% magnesium by weight, and a 2023 gastroenterology guideline conditionally recommends it for chronic constipation.
Which magnesium is least likely to cause diarrhea?
NIH lists carbonate, chloride, gluconate and oxide as the forms most commonly reported to cause diarrhea. Keeping the dose at or under 350 mg matters more than the form.
Which magnesium is best for sleep?
The best sleep trial used bisglycinate and found a modest benefit, with glycine in the capsule too. No form has been shown better than another for sleep.