Manganese is important in the formation and maintenance of bone and connective tissue (tendons, ligaments), so it’s commonly taken for osteoporosis, sprains, and strains. It also is needed for carbohydrate metabolism; diabetics and pre-diabetics tend to have low levels and need supplemental manganese. It’s involved in energy production, and it’s a necessary cofactor in making superoxide dismutase, an antioxidant enzyme your body makes. It is necessary for your body to make thyroid hormone. Taking supplemental iron, calcium, and/or zinc without adding manganese can cause manganese deficiency.
I feel PPS may increase your need for manganese, because these are symptoms of deficiency:
1. Prone to strained knees and elbows
2. Loss of ligament tone or strength
3. Muscular weakness
4. Creaking or clicking of joints
5. Knee, hip or ankle pain
Including what is in your multivitamin, you may need 5 to 15 mg. a day. Don’t exceed 15 mg.