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Head-to-head

Lithium orotate vs Magnesium L-Threonate

Two minerals sold in a special salt for the brain. In both cases the salt is the marketing and the evidence sits somewhere else.

Lithium orotate

Preclinical / minimal

The intriguing signal is epidemiological — regions with higher lithium in drinking water show lower suicide rates — at doses far below prescription lithium; no RCT has tested the low-dose orotate salt actually sold as a supplement.

Full Lithium orotate evidence review

Magnesium L-Threonate

Magtein

Clinical data

The 'raises brain magnesium and memory' story rests on one 2010 rat study plus one small industry-linked human trial; for repletion, cheap glycinate/citrate work just as well.

Full Magnesium L-Threonate evidence review

Side by side

 Lithium orotateMagnesium L-Threonate
Marketed forMood, cognition, neuroprotection, longevityMemory, brain magnesium
Evidence gradePreclinical / minimalClinical data
FamilymTOR & othermTOR & other
Key human sourceWater-lithium epidemiology, Br J Psychiatry 2009MMFS-01 RCT, J Alzheimers Dis 2016

marks a row where the two differ. Evidence grades come from our evidence matrix, which grades each molecule on the human data for the use it is marketed for.

Our verdict

Neither has a randomized trial of the product actually on the shelf. Magnesium L-threonate's 'raises brain magnesium and memory' story rests on one 2010 rat study plus one small industry-linked human trial, and for simple repletion cheap glycinate or citrate work just as well. Lithium orotate's interesting signal is epidemiological — regions with more lithium in drinking water show lower suicide rates, at doses far below prescription lithium — but no RCT has tested the low-dose orotate salt sold as a supplement. Lithium is also a drug with a narrow therapeutic window, which makes missing trial data a heavier problem on that side.

Lithium orotate fits if

You are reading the water-lithium epidemiology and want to understand what it does and does not imply about a supplement.

Magnesium L-Threonate fits if

You want magnesium and are weighing whether the threonate form justifies its price over glycinate or citrate.

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