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In fact, it is not unusual for the magnesium balance to be normal or even decreased in uraemic patients owing to decreased dietary intake of magnesium combined with the impaired intestinal magnesium absorption characteristic of CKD [36]. The role of magnesium in bone mineralization and in the pathogenesis of renal bone disease has been a matter of some debate in recent years and a hypothesis has been advanced in the [http://en.wikipedia.org/wiki/Notch_signaling_pathway FLI-06] past to the effect that magnesium is directly involved in the development of osteomalacia and/or renal osteodystrophy [9, 85, 87�C89]. This is on the one hand because of magnesium��s known effect on the CaSR and thus on PTH levels, (mentioned earlier in this review) and on the other hand because of its ability to prevent mineralization and/or calcification. Only two small clinical studies involving therapeutic interventions with [http://www.selleckchem.com/products/LY294002.html LY294002 datasheet] magnesium (both in  In the second study, patients switched from a dialysate magnesium concentration of 0.5 mmol/L (1.0 mEq/L) to 0.25 mmol/L (0.5 mEq/L) and their predialysis serum magnesium levels decreased [http://www.selleckchem.com/products/CHIR-99021.html Selleckchem CHIR 99021] from 1.24 �� 0.15 mmol/L (2.47 �� 0.3 mEq/L) to 1.03 �� 0.6 mmol/L (2.05 �� 0.11 mEq/L; P