Professional Documents
Culture Documents
com
http://examine.com/supplements/Zinc/
(/)
SUMMARY THINGS TO KNOW HOW TO TAKE EDITORS' THOUGHTS Zinc is an essential mineral (/supplements FAQ /Essential+Vitamin+or+Mineral/) involved in regulating a large HUMAN EFFECT amount of enzymes in the body. It is known as an antioxidant MATRIX and immune boosting supplement, and is most commonlyCOMPLETE supplemented to reduce the frequency of sickness and to support optimal SUMMARY CITATIONS testosterone levels.
This page features 243 unique references to scientific papers.
Quick Summary:
Zinc is an essential mineral (/supplements
Check Out The Supplement-References Guide (http://examine.com/referfriend /Essential+Vitamin+or+Mineral/) involved in regulating a /examinecom/top)
large amount of enzymes in the body. It is known as an antioxidant and immune boosting supplement, and is most commonly supplemented to reduce the frequency of sickness and to support optimal testosterone levels.
Edit (/edit/supplements /Zinc/) History (/history /Zinc/) Discussion (/discussion/Zinc/) Back to Top (http://examine.com /supplements/Zinc/)
Tweet
1 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
Zinc is one of the 24 classical micronutrients needed for survival. It can be SUMMARY found THINGS TO in various meat, egg, and legume products and is especially high in KNOW oysters. Zinc is known as an aphrodisiac and Testosterone Booster (/supplements/Testosterone+Booster/), although the former is anecdotal HOW TO TAKE and the latter only applies to the deficient (directly). EDITORS' THOUGHTS Zinc is highly involved in many enzyme systems in the body. Keeping FAQ normal zinc levels helps with the maintenance of these enzyme systems HUMAN EFFECT and acts as a hormonal and immune system aid. In very high doses, zinc can act as an aromatase inhibitor and lower estrogen levels but is a potent MATRIX oxidant; especially in the male prostate. It is also implicated in repair of the COMPLETE intestinal mucosa at similarily high levels. SUMMARY CITATIONS Zinc is also lost in sweat, as are many minerals, making mineral supplementation almost a necessity for athletes underconsuming the nutrient through food.
Quick Zinc has it's intestinal uptake hindered by the other divalent minerals Summary:
Zinc is ancalcium, essential Magnesium (/supplements/Magnesium/), and iron when all four mineral (/supplements together exceed their transporter's uptake limit (around 800mg or so). /Essential+Vitamin+or+Mineral/) Consuming these involved in regulating a large amount of enzymes fine. in the body. It is known as an antioxidant and immune boosting supplement, and is most commonly supplemented to reduce the frequency of sickness and to support optimal testosterone levels.
Things to Know
Note Is a Form of
Essential Vitamin or Mineral (/supplements /Essential+Vitamin+or+Mineral/) Immune Booster (/supplements /Immune+Booster/)
Edit (/edit/supplements Things to /Zinc/) History (/history /Zinc/) Discussion (/discussion/Zinc/) Back to Top (http://examine.com /supplements/Zinc/)
Zinc is non-stimulatory
Stacks Part Of
2 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
THOUGHTS FAQ Does Not Go Well With HUMAN EFFECT Iron (impaired absorption of MATRIX COMPLETE iron when both supplements exceed 10mg and it is taken on SUMMARY an empty stomach; no relevant CITATIONS inhibition otherwise)
Chlorogenic Acid (/supplements /Chlorogenic+Acid/) (Decreased absorption of Zinc)
Quick Summary:
Notice
be taken when
large amount of using enzymes zinc supplementation in the body. It is known as surpassing the Tolerable an antioxidant and
Upper Limit of Intake (TUL) of immune boosting supplement, and is most and if possible alternate 40mg, commonly supplemented
to reduce the frequency of sickness and toxicology to support optimal testosterone levels.
profiles should be
Edit (/edit/supplements /Zinc/) History (/history /Zinc/) Discussion (/discussion/Zinc/) Back to Top (http://examine.com /supplements/Zinc/)
Note: The phrase 'elemental zinc' refers to the weight of just the zinc molecule by itself, and is what the following doses refer to. Different chelations and forms have different weights and dosing protocols
Zinc is most commonly dosed in either the 'low dosage' range of 5-10mg or
3 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
the 'high dosage' range of 25-45mg. The low dosage is a daily preventative
SUMMARY used to prevent deficiency in persons who have more than just a dietary THINGS TO deficiency working against them (athletes, diabetics, etc.). KNOW There is zinc 'superloading' protocol using up to 100mg zinc daily, and HOW TO TAKE while this is confirmed to be safe for short term usage (2-4 months) it is EDITORS' well above the tolerable upper limit (TUL) of 40mg and thus not advisable THOUGHTS for prolonged supplementation. FAQ Variants of Zinc Supplementation HUMAN EFFECT MATRIX Zinc citrate is approximately 34% zinc by weight, and thus 50mg elemental zinc in this form is 146 mg zinc citrate. COMPLETE Zinc sulfate is approximately 22% zinc by weight, and thus 50mg elemental zinc in SUMMARY this form is 220 mg zinc sulfate. CITATIONS
Zinc gluconate is approximately 13% zinc by weight, and thus 50mg elemental zinc in this form is 385 mg zinc gluconate.
that reduces the risk for deficiency, and the high dosage range is the one
Quick Summary:
Zinc is an essential mineral (/supplements
/Essential+Vitamin+or+Mineral/) involved in regulating a large amount of enzymes in the body. It is known as an antioxidant and
immune boosting One of the more common micronutrient deficiencies in athletes, supplement, and is most vegetarians/vegans, and those who sweat a ton. Not really a common commonly supplemented deficiency otherwise. to reduce the frequency of sickness and to Although theoretically it competes for absorption with Magnesium (which would be problematic given the ZMA formulation) if taken on an empty stomach there support optimal
should be enough transporters for both minerals. Just don't take with calcium testosterone levels. (as that micronutrient is much more abundant and, thus, can use up said transporters)
Edit (/edit/supplements Kurtis Frank (/user/KurtisFrank/) /Zinc/) History (/history /Zinc/) Discussion (/discussion/Zinc/) Back to Top (http://examine.com /supplements/Zinc/)
4 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
SUMMARY THINGS TO KNOW HOW TO TAKE EDITORS' The Human Effect Matrix looks at human studies (excluding animal/petri-dish THOUGHTS studies) to tell you what effect Zinc has in your body, and how strong these effects are. FAQ HUMAN EFFECT LEVEL OF EVIDENCE MATRIXGRADE COMPLETE Robust research conducted with repeated double blind clinical trials A SUMMARY Multiple studies where at least two are double-blind and placebo CITATIONS
C Quick Summary:
Zinc is an essential mineral (/supplements
CHANGE ()
SCIENTIFIC CONSENSUS
COM MENTS
50%
Minor
See all 4 studies (/show_rubric_effect.php?id=21& effect=Mucositis&selection=all)
Decreases in the severity but not occurrence of mucositis have been reported in cancer patients undergoing both radiotherapy and chemotherapy, although the benefits seem
immune boosting supplement, and is most commonly supplemented to reduce the frequency of sickness and to support optimal testosterone levels.
Edit (/edit/supplements /Zinc/) History (/history /Zinc/) Discussion (/discussion/Zinc/) Back to Top (http://examine.com /supplements/Zinc/)
unreliable
Pneumonia (/topics/Pneumonia/)
87%
See all 8 studies (/show_rubric_effect.php?id=21& effect=Pneumonia&selection=all)
In regards to pneumonia in particular, zinc does not appear to have any appreciable benefit either when superloaded by itself or taken as an adjuvant alongside antibiotics
5 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
EFFECT SUMMARY IGF-1 (/topics/IGF-1/) B THINGS TO KNOW HOW TO TAKE EDITORS' THOUGHTS FAQ Insulin (/topics/Insulin/) B HUMAN EFFECT MATRIX COMPLETE SUMMARY CITATIONS
SCIENTIFIC CONSENSUS
COM MENTS
66%
Minor
See all 3 studies (/show_rubric_effect.php?id=21&effect=IGF1&selection=all)
increase in IGF-1
66%
Minor
See all 4 studies (/show_rubric_effect.php?id=21& effect=Insulin&selection=all)
reduced following
B
Quick Summary:
Acne (/topics/Acne/)
Minor
100%
See all 4 studies (/show_rubric_effect.php?id=21& effect=Acne&selection=all)
Orally supplemented zinc (in the dosage range of 30-130mg elemental zinc) appears to be effective in reducing symptoms of acne, although the effects are modest at best.
Zinc is an essential mineral (/supplements /Essential+Vitamin+or+Mineral/) involved in regulating a large amount of enzymes in the body. It is known as an antioxidant and immune boosting supplement, and is most Testosterone (/topics/Testosterone/) B commonly supplemented to reduce the frequency of sickness and to support optimal testosterone levels.
Minor
75%
See all 5 studies (/show_rubric_effect.php?id=21& effect=Testosterone&selection=all)
Both exercise as well as a zinc deficiency are associated with abnormally low testosterone
chronic/excessive
Edit (/edit/supplements /Zinc/) History (/history /Zinc/) Discussion (/discussion/Zinc/) Back to Top (http://examine.com /supplements/Zinc/) B
LDL-C (/topics/LDL-C/)
Minor
33%
See all 3 studies (/show_rubric_effect.php?id=21& effect=LDL-C&selection=all)
A decrease in LDL cholesterol may occur when a zinc deficiency in obese persons is being normalized.
6 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
EFFECT SUMMARY C-Reactive Protein (/topics B THINGS TO /C-Reactive+Protein/) KNOW HOW TO TAKE EDITORS' THOUGHTS Blood Glucose (/topics/Blood+Glucose/) FAQ B HUMAN EFFECT MATRIX COMPLETE SUMMARY CITATIONS
SCIENTIFIC CONSENSUS
COM MENTS
75%
Minor
See all 4 studies (/show_rubric_effect.php?id=21&effect=CReactive%20Protein&selection=all)
of zinc in persons
C-reactive protein
66%
Minor
See all 3 studies (/show_rubric_effect.php?id=21& effect=Blood%20Glucose&selection=all)
A reduction in blood glucose has been observed alongside improvements in insulin sensitivity in obese persons who may have been zinc deficient.
Quick B Summary:
100%
Minor
See all 3 studies (/show_rubric_effect.php?id=21& effect=Lipid%20Peroxidation&selection=all)
A slight decrease in lipid peroxidation has been noted with supplementation who may be deficient.
/Essential+Vitamin+or+Mineral/) involved in regulating a large amount of enzymes in the body. It is known as an antioxidant and immune boosting Dysgeusia (/topics/Dysgeusia/) C is most supplement, and commonly supplemented to reduce the frequency of sickness and to support optimal testosterone levels.
50%
Minor
See all 3 studies (/show_rubric_effect.php?id=21& effect=Dysgeusia&selection=all)
of zinc in persons
Although there may be an improvement in symptoms of persons who are specifically deficient in carbonic anhydrase VI
Edit (/edit/supplements /Zinc/) History (/history /Zinc/) Discussion (/discussion/Zinc/) Back to Top (http://examine.com /supplements/Zinc/)
100%
See study (/show_rubric_effect.php?id=21& effect=Symptoms%20of%20OCD&selection=all)
High dose zinc (220mg twice minor additive role to standard OCD therapy (fluoxetine), magnitude of benefit and the high dose used suggest... show
7 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
EFFECT SUMMARY Oxidation of LDL (/topics C THINGS TO /Oxidation+of+LDL/) KNOW HOW TO TAKE EDITORS' THOUGHTS FAQ HUMAN EFFECT MATRIX COMPLETE Leptin (/topics/Leptin/) C SUMMARY CITATIONS
SCIENTIFIC CONSENSUS
COM MENTS
50%
Minor
See 2 studies (/show_rubric_effect.php?id=21& effect=Oxidation%20of%20LDL&selection=all)
Although there may not be an inherent protective effect deficiency does oxidation of LDL, if the body becomes more insulin... show
and normalizing a
-Minor
See 2 studies (/show_rubric_effect.php?id=21& effect=Leptin&selection=all)
Normalizing a zinc deficiency increases leptin (which is suppressed during deficiency), but elsewhere the abnormal elevation of zinc seen in morbid obesity has been reduced... show
Quick Summary:
Zinc is an essential mineral (/supplements /Essential+Vitamin+or+Mineral/) involved in regulating a large amount of enzymes in the body. It is as Symptoms of Pruritus (/topics Cknown an antioxidant and /Symptoms+of+Pruritus/) immune boosting supplement, and is most commonly supplemented to reduce the frequency of sickness and to support optimal testosterone levels.
100%
Minor
See study (/show_rubric_effect.php?id=21& effect=Symptoms%20of%20Pruritus&selection=all)
High dose (440mg) zinc sulphate appears to be effective in hemodialysis patients in reducing pruritis.
50%
See 2 studies (/show_rubric_effect.php?id=21& effect=Symptoms%20of%20Rosacea&selection=all)
Although efficacy cannot yet be evidence currently does for zinc supplementation in the treatment of rosacea
Edit (/edit/supplements /Zinc/) History (/history /Zinc/) Discussion (/discussion/Zinc/) Back to Top (http://examine.com /supplements/Zinc/)
50%
Minor
See 2 studies (/show_rubric_effect.php?id=21& effect=Subjective%20Well-being&selection=all)
Although the currently, zinc has been previously associated with an improvement has mechanisms by which it can work. It likely has a... show
evidence is mixed
8 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
Studies Excluded from Consideration SUMMARY THINGS TO Confounded with the inclusion of Magnesium (/supplements/Magnesium/) and KNOW vitamin B6 (used the formulation known as ZMA (/supplements/ZMA/))[1] HOW TO TAKE EDITORS' Disagree? Join the Zinc Discussion (/discussion/Zinc/) THOUGHTS FAQ HUMAN EFFECT MATRIX COMPLETE SUMMARY Table of Contents: CITATIONS
Complete Summary
1. Sources and Biological Significance 1.1. Source and Origin Quick 1.2. Biological Significance Summary: 1.3. Intake and Requirements 1.4. Zinc Status and Deficiency Zinc is an essential
mineral (/supplements /Essential+Vitamin+or+Mineral/) involved in regulating a2.1. Absorption
2. Pharmacology
2.2. Serum large amount of enzymes in the body. It is known as 3. Neurology an antioxidant and
immune boosting 3.2. Glutaminergic Neurotransmission supplement, and is most 3.3. Ischemia and Hypoxia commonly supplemented
3.1. Distribution
3.4. Depression and Mood Disorders to reduce the frequency of sickness and to 3.5. Appetite support optimal 3.6. Attention
testosterone levels.
4. Cardiovascular Health
6. Immunology and Inflammation 6.1. Tumor Necrosis Factor 6.2. Interleukins 6.3. T-Cells 6.4. Rhinovirus and URTIs 6.5. Pneumonia 6.6. Virology 7. Interactions with Oxidation 7.1. Interventions
9 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
HOW TO TAKE 9. Interactions with Aesthetics EDITORS' 9.1. Skin THOUGHTS 10. Interactions with Organ Systems 10.1. Tongue and Mouth FAQ 10.2. Stomach HUMAN EFFECT 10.3. Liver MATRIX 10.4. Intestines COMPLETE 10.5. Ears 10.6. Testes SUMMARY CITATIONS 11. Interactions with Cancer Metabolism
11.1. Adjuvant Therapies 12. Interactions with Other Disease States 12.1. Celiac Disease Quick 12.2. Pruritus Summary: 13. Forms of Zinc Supplementation Zinc is an essential mineral (/supplements 13.1. Zinc Citrate
/Essential+Vitamin+or+Mineral/) 13.2. Zinc Gluconate involved in regulating a13.3. Zinc Picolinate large amount of enzymes 14. Nutrient-Nutrient Interactions in the body. It is known as an antioxidant and 14.1. Vitamin B6 immune boosting 14.2. Ethanol supplement, and is most 14.3. Iron commonly supplemented to reduce the frequency of sickness and to 15. Safety and Toxicology support optimal 15.1. General testosterone levels.
14.4. Copper
1. Sources
found in high levels in animal tissues and eggs, legumes, and fish; it is exceptionally high in shellfish such as oyster[2][3] and may also be fortified into cereal grains in developed countries.[4] Zinc is most commonly touted to be important as it is a cofacter in over 300 enzymes involved in gene expression, cell proliferation and signal transduction[5][6][7] and deficiencies of zinc may reduce the activity of these enzymes.
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
Zinc's main role in the body is as a prosthetic group for several enzymes
SUMMARY enzyme; an endogenous anti-oxidant involving both zinc and copper.[8][9][10] THINGS TO Zinc is also involved in regulating the immune system.[11][12] KNOW 1.3. Intake and Requirements HOW TO TAKE The RDA values for zinc are an Estimated Average Requirement (EAR) of EDITORS' 6.5mg for females, 8.5-10mg for pregnant or lactating females, and 12mg a THOUGHTS FAQ day for men. The Recommended Daily Intake (RDI) values are 8mg for females, 10-12mg for pregnant or lactating females, and 14-15mg for HUMAN EFFECT males, and the Tolerable Upper intake Limit (TUL) is in the range of MATRIX 35-40mg for adults of both genders (all numbers daily requirements).[13][14] COMPLETE 1.4. Zinc Status and Deficiency SUMMARY CITATIONS A deficiency in zinc is related to delayed growth in youth and
hypogonadism in adult males[15] as well as general mental lethargy and skin abnormalities.[16]
Quick Summary: Zinc deficiency is mostly associated with cognitive deficits (memory and mood)
Zinc is an essential as well as growth impairments in youth mineral (/supplements /Essential+Vitamin+or+Mineral/) involved in regulating a When looking at zinc
deficiency rates, it has been noted that around 10% of less than half the RDA of are over 50% (due to high
large amount of enzymes of persons (USA) have a dietary intake in the body. It is known as [17][18] while global deficiency rates zincand an antioxidant
immune boosting deficiency rates in third world countries).[18] It has been reported (WHO, supplement, and is most to be a major factor contributing to 1.4% deaths worldwide commonly2002) supplemented [19] to reduce the frequency
although this
In general, while zinc deficiency does seem to be an issue the overall rates of
Edit (/edit/supplements zinc deficiency are significantly less than other vitamins or minerals of concern /Zinc/) History (/history (such as Vitamin D (/supplements/Vitamin+D/)) and it is wholly possible to /Zinc/) Discussion consume enough zinc via the diet (/discussion/Zinc/) Back to Top (http://examine.com /supplements/Zinc/)
Zinc is lost during sweat and exercise[21][22] and may be a contributing factor to why testosterone levels seem to be depressed after exhaustive exercise.[23][24]
Excessive sweating over a prolonged period of time (seen in athletes) may predispose athletes to zinc deficiencies
In diabetic individuals (following information seems to apply equally to type I and type II diabetics), urinary zinc excretion rates are increased[25][26][27] and although serum zinc concentrations are unreliably influenced (increased,[25][28] decreased,[29][30][31] or not different from non-diabetic
11 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
controls[32])
SUMMARY reduced relative to nondiabetic controls.[29][33][30] THINGS TO KNOW Diabetics (both type I and type II) appear to be at higher risk for zinc deficiencies than do non-diabetic persons HOW TO TAKE EDITORS' THOUGHTS FAQ Edit (/edit-section/supplements/Zinc/?section=Pharmacology) 2. Pharmacology HUMAN EFFECT MATRIX 2.1. Absorption COMPLETE The regulation of bodily zinc levels tends to occur at the level of the SUMMARY intestines secondary to regulated absorption and fecal excretion[34][35] and CITATIONS [34]
in instances of zinc deficiency intestinal absorption can near 100%. deficiency and is attenuated with sufficiency.[36][37][38] This has been replicated in humans where zinc absorption during instances of
Quick Summary: At least one animal study has suggested that dysregulation occurs with
Zinc is anintestinal essential zinc mineral (/supplements
turn be metabolically insufficient due to poorer absorption.[39] Absorption of zinc tends to be regulated, with higher oral intakes being
large amount of enzymes associated with lower bioavailability and approximately 5mg absorbed in in the body. It is known as an antioxidant and postmenopausal women regardless of dietary or supplemental intake.[40] immune boosting supplement, and is most 2.2. Serum commonly supplemented to reduce In theotherwise frequency healthy men supplemented with zinc, fasting plasma of sickness and to concentrations can increase within five days of supplementation regardless support optimal [41] testosterone levels.
equivalent in their ability to heighten plasma zinc levels, and were normalized two weeks after zinc supplementation.[41]
Edit (/edit/supplements /Zinc/) History (/history /Zinc/) Discussion (/discussion/Zinc/) Back to Top (http://examine.com /supplements/Zinc/)
3. Neurology
3.1. Distribution
Zinc, as a trace mineral, is present in the cerebral cortex, pineal gland, and hippocampus where it acts as an atypical neuromodulator.[42][43][44] In the hippocampus, particularly the vesicles of mossy fibers, zinc can reach concentrations of 220-300M which is around 8% of total brain zinc[45] (concentrations of free zinc are more modest at 1-20M[46][47]) and is sensitive to prolonged (but not acute) zinc deficiency,[48] while in the pineal gland it may regulate the response of this organ to leptin.[49] Similar to most neuromodulators, zinc is released from the synapse upon action potentials.[50]
12 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
THINGS TO KNOW 3.2. Glutaminergic Neurotransmission HOW TO TAKE Zinc ions have been reported to be NMDA receptor antagonists.[51] EDITORS' THOUGHTS Zinc may also activate neuronal potassium channels and reduce glutamate FAQ release into the synapse.[52] HUMAN EFFECT MATRIX Zinc ions appear to be antiglutaminergic modulators, able to reduce the release of glutamate and its signalling through glutaminergic receptors COMPLETE SUMMARY 3.3. Ischemia and Hypoxia CITATIONS
Despite its importance in the brain, high concentrations of zinc can be excitotoxic[53] and this is sometimes seen in ischemic injury where an
Quick excess amount of zinc is released from the synapse and mediates cell Summary: death[53][54] and infarctions.[55] This is why zinc chelators are therapeutic in
Zinc is aninstances essential mineral (/supplements
of stroke rehabilitation.[56]
/Essential+Vitamin+or+Mineral/) Although involved in regulating a likely not reflective of supplementation (unless abnormally high doses of large amount zinc of enzymes are ingested), zinc may be a mediator of cell death when ischemia or in the body. Ithypoxia is known occur as an antioxidant and immune boosting supplement, and is most 3.4. Depression commonly supplemented
to reduce Depressed the frequency patients appear to have reduced circulating zinc concentrations of sickness and to [57] in serum which is further reduced in treatment resistant persons relative support optimal to treatment non-resistant (treatment being imipramine)[58] and the testosterone levels. [59][60]
magnitude of zinc deficiency correlating with severity of depression. Overall, persons with depression seem to usually have lower zinc
zinc concentration tends to be. the depressive[61] and behavioural symptoms (increased
are normalized upon supplemetnation of zinc. Interestingly, deprivation of zinc causes rats to be resistant to fluoxetine (SSRI) therapy.[61]
Serum zinc concentrations and zinc status are negatively correlated with the risk of developing depression, and in persons who are depressed zinc status is further negatively correlated with the severity of depression
Zinc has been reported to noncompetitively inhibit glycogen synthase kinase-3 (GSK3) with an IC50 of 15M.[63] As GSK3 is a molecular target of mood disorders[64] and mood disorders being associated with
13 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
[65]
[17]
SUMMARY THINGS TO Zinc is an endogenous inhibitor of glycogen synthase kinase-3, which is KNOW involved in mood disorders and depression HOW TO TAKE EDITORS' In otherwise healthy young women given 7mg of elemental zinc in a THOUGHTS multivitamin format (placebo given the same multivitamin), depressive and FAQ aggressive symptoms were modestly but significantly reduced relative to [66] HUMAN placebo. EFFECT This modest benefit to mood has failed to occur in healthy elderly perosns (70-87yrs) given 15-30mg zinc as assessed by POMS.[67] MATRIX COMPLETE In persons given imipramine but were resistant to treatment, SUMMARY supplementation of 25mg elemental zinc for twelve weeks is able to reduce CITATIONS depressive symptoms relative to placebo to the levels seen with
non-resistant persons as assessed by BDI, HAMD, and CGI.[68]
Quick Zinc appears to be notably effective in treatment resistant depression alongside Summary: other pharmaceuticals, although it does not seem to inhernetly have an effect in
depression that is responsive to treatment. The per se antidepressant effects of Zinc is an essential mineral (/supplements zinc supplementation in persons without treated depression are modest at best
/Essential+Vitamin+or+Mineral/) involved in regulating a large amount of Appetite enzymes 3.5. in the body. It is known as A deficiency of an antioxidant and
immune boosting appetite, not the same as anorexia nervosa), and is usually the first supplement, and is most of a zinc deficiency[69] and is shortly followed by depressive commonlysymptom supplemented to reduce symptoms the frequency and anhedonia.[70] of sickness and to support optimal
Zinc deficiencies are known to reduce appetite, and this is usually the first testosterone levels. symptom of a zinc deficiency
this effect was not observed with other bivalent cations.[71] zinc seem ineffective,[71] even in deficient rats.[72]
appears to stimulate the vagal nerve (effects abolished by which then increase mRNA translation of the two appetite
vagotomy[71])
stimulating neural factors orexin and neuropeptide Y (also abolished by antagonists of these receptors[71]). Zinc is known to activate the GPR39 receptor (a Ghrelin receptor)[73] and since ghrelin is known to stimulate these two neural fators via the vagus nerve[74][75] it is thought that this receptor is the molecular target of zinc.
Zinc appears to positively influence appetite in rats who are not zinc deficient, and this may be related to activating a receptor (GPR39) that is involved in ghrelin signalling
14 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
3.6. Attention
In children with ADHD, 30mg elemental zinc daily for 13 weeks (final five SUMMARY weeks THINGS TO used alongside D-amphetamine) was able to reduce the amount of KNOW D-amphetamine that was needed by 37% and reduced affective blunting from 21% (placebo with amphetamine) to 11%; however, zinc HOW TO TAKE supplementation inherently failed to benefit symptoms of ADHD.[76] EDITORS' THOUGHTS While zinc at 30mg elemental zinc appears to be slightly effective as an addition FAQ to D-amphetamine therapy, it does not appear to inhernetly have a significant HUMAN EFFECT therapeutic benefit MATRIX COMPLETE 3.7. Obsession SUMMARY Obsessive compulsive disorder is known to at least be associated with CITATIONS glutaminergic abnormalities, particular an excessive level of synaptic glutamate and signalling thereof[77][78] which positively correlates with
Quick implicated in treating OCD[80] and zinc has the potential to be Summary:
Zinc is an essential mineral (/supplements
symptom severity.[79] As glutamate antagonists have been previously anti-glutaminergic, it is investigated for possible benefits. The addition of zinc (220mg twice daily) to fluoxetine therapy (20mg) for disorder is able to reduce symptoms of OCD as although the benefits were present
large amount of enzymes assessed by the Y-BOCS rating scale, in the body. It is known as at weeks two and eight but not 4-6.[81] an antioxidant and
immune boosting 3.8. Memory and Cognition supplement, and is most commonlyZinc supplemented is known to be highly concentrated to reduce the frequency deficiency of zinc of sickness and to support optimal impaired memory testosterone levels.
In instances of severe zinc deficiency in rats, supplementation of zinc is able to normalize the impairment in memory formation.[82]
Edit (/edit/supplements /Zinc/) History (/history /Zinc/) Discussion
Zinc deficiency is associated with impaired memory formation, and supplementation of zinc to normalize bodily stores is associated with improved (/discussion/Zinc/) Back memory to Top
(http://examine.com /supplements/Zinc/)
In persons who experienced subacute stroke and had suboptimal dietary intake of zinc (6.6mg or less), supplementation of 10mg elemental zinc was associated with greater improvements than placebo on cognition as assessed by the NIH stroke scale after 30 days.[83]
In persons who suffered from stroke and have inadequate dietary intake, cognitive improvements following stroke appear to be accelerated relative to placebo
15 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
4. Cardiovascular
Edit (/edit-section/supplements/Zinc/?section=Cardiovascular+Health)
SUMMARY Health THINGS TO KNOW 4.1. Artherosclerosis HOW TO TAKE Zinc is thought to be an anti-artherogenic agent[84] and in particular a zinc EDITORS' deficiency is thought to be a risk factor for artherogenesis with THOUGHTS supplementation alleviating this risk.[85] Dietary zinc intake is known to be FAQ inversely associated with artherosclerotic buildup in arteries.[86] HUMAN EFFECT In otherwise healthy elderly persons (higher risk of zinc deficiency), MATRIX supplementation of 45mg elemental zinc daily (as gluconate) daily for six COMPLETE months is associated with reductions in cell adhesion factors (ICAM-1 and SUMMARY vCAM-1) and inflammatory cytokines including C-reactive protein, IL-6, and CITATIONS [87]
MCP-1.
Normalizing a zinc deficiency appears to be assoiated with a reduced risk for
and Triglycerides
of 20mg elemental zinc in obese insulin resistant children is associated with a reduction in total cholesterol and
over weeks large amount of eight enzymes in the body. It is known [88] as LDL-C. an antioxidant and
immune boosting Oxidized LDL-C appears to be reduced when insulin resistant children are supplement, and is most 20mg elemental zinc for eight weeks, possibly secondary to reducing commonlygiven supplemented [88] to reduce the frequency
5.
Edit (/edit/supplements /Zinc/) History (/history /Zinc/) Discussion
Edit (/edit-section/supplements/Zinc/?section=Interactions+with+Glucose+Metabolism)
Due to inhibiting GSK-3, zinc can increase the activity of glycogen synthesis
5.2. Insulin
Zinc has been reported to act via the insulin receptor[89] and phosphorylate Akt in vitro, which is downstream of the insulin receptor.[30] The inhibition of glycogen synthase kinase-3 (GSK3) that occurs with zinc[63] is able to preserve insulin signalling, as GSK3 is a negative regulator of insulin
16 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
[90]
SUMMARY THINGS TO Zinc may positively influence insulin signalling via preventing a negative regulator KNOW (GSK3) from suppressing insulin signalling. This seems to occur at low enough concentrations that it is physiologically relevant HOW TO TAKE EDITORS' 5.3. Diabetes THOUGHTS FAQ In diabetic individuals (following information seems to apply equally to type HUMAN I and EFFECT type II diabetics), urinary zinc excretion rates are increased[25][26][27] and although serum zinc concentrations are unreliably influenced MATRIX (increased,[25][28] decreased,[29][30][31] or not different from non-diabetic COMPLETE controls[32]) cellular concentrations of zinc as measured in immune cells SUMMARY (mononuclear cells, granulocytes, lymphocytes and leucocytes) tend to be CITATIONS
reduced relative to nondiabetic controls.[29][33][30] Beyond measuring zinc concentrations themselves (as serum markers are
Quick not thought to be overly reliable for subclinical deficiencies[91]), a sensitive Summary: [92]
biomarker for zinc deficiency (Ecto 5' nucleotidase diabetic persons relative to control.[93] ) is also known to be
Zinc is an essential reduced in mineral (/supplements
large amount of enzymes chelation) appears to be sufficient in the body. It is known as deficiency in diabetics.[93] an antioxidant and
immune boosting supplement, and is mostsomewhat unreliable in plasma measurements, it is more likely than not Although commonly supplemented that persons with diabetes (both type I and type II) are at an increased risk for to reduce the zinc frequency deficiency which can be remedied fairly rapidly with zinc supplementation of sickness and to support optimal testosterone levels.
In obese insulin resistant children (who were likely deficient in zinc) given 20mg elemental zinc for eight weeks supplementation was associated with a betterment of all biomarkers of glucose metabolism including blood reduction), fasting insulin (23% reduction), and insulin in a replication.[94] sensitivity as assessed by HOMA-IR (31% improvement)[88] which has been
In diabetics /supplements/Zinc/)
further supplementation of high dose zinc (240mg elemental zinc as gluconate) for three months has failed to have any appreciable benefit.[95]
In diabetics or insulin resistant persons who are deficient in zinc can help normalize parameters of glucose metabolism including glucose, insulin, and sensitivity to insulin; if the same persons are already sufficient in zinc, further supplementation has no additional benefit
17 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
6. Immunology
SUMMARY and THINGS TO Inflammation KNOW 6.1. Tumor Necrosis Factor HOW TO TAKE Tumor necrosis factor alpha (TNF-) is a cytokine that is reduced in states EDITORS' of zinc deficiency (restored upon zinc replenishment[96]). THOUGHTS FAQ Ex vivo production of TNF from macrophages in elderly persons who supplemented 45mg elemental zinc for a year appears to be reduced.[97] HUMAN EFFECT 6.2. Interleukins MATRIX COMPLETE IL-2 is known to be decreased with zinc deficiency[96] and restored upon SUMMARY replenishment.[96] CITATIONS
Ex vivo production of IL-2 (assessed by the induction of IL-2 mRNA from stimulated immune cells) is increased with supplementation of zinc at 45mg for a year, despite basal concentrations of IL-2 being unaffected.[97]
is known to lead to a reduced count of T-cells and humoral and cell-mediated immunity.[98]
6.4. and URTIs large amount of Rhinovirus enzymes in the body. It is known as an antioxidant and Rhinovirus is known as the common cold, and URTI is the acronym for 'Upper immune boosting respitatory tract infection' supplement, and is most commonly supplemented
to reduce the frequency A meta-analysis of 15 trials including 1360 persons overall of sickness and to in the form of lozenges (gluconate) or syrup (sulfate), was support optimal testosterone levels. less duration
of onset that, after a week, had an odds ratio of 0.45 (less than half the risk).[99] Edit (/edit/supplements /Zinc/) History (/history
/Zinc/) Discussion High dose zinc in response to the common cold (not taken preventatively, but (/discussion/Zinc/) Back only at the onset of sickness) appears to be effective in reducing the duration to Top and severity of sickness (http://examine.com /supplements/Zinc/)
Supplementation of 45mg zinc in elderly persons (with lower zinc concentrations in serum relative to young controls) for a year is associated with a reduced rate of upper respiratory tract infections (50% reduction that failed to be significant) and general infections (88% occurrence reduced to 29%).[97] Prolonged supplementation of zinc over five months is associated with a reduced incidence of sickness (RR 0.64) although with a high variability.[99]
18 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
SUMMARY THINGS TO KNOW 6.5. Pneumonia In children HOW TO TAKE with acute pneumonia, 10-20mg elemental zinc (as acetate syrup) over two weeks failed to outperform placebo in reducing the length EDITORS' of sickness.[100] THOUGHTS FAQ In studies where zinc is used by itself (monotherapy) in response to pneumonia, HUMAN EFFECT it seems to usually fail to outperform placebo MATRIX COMPLETE Supplementation of zinc at 20mg as adjuvant therapy (alongside SUMMARY antibiotics) was effective in further reducing recovery time in children under CITATIONS
two years old with very severe pneumonia, but due to having no effect in severe pneumonia and the benefit in very severe being lost when
Quick controlling for underweight children the authors concluded no significant overall effect of treatment.[101] Other studies using the same dose that Summary:
between severe and nonsevere pneumonia note a failure of Zinc is andifferentiate essential mineral (/supplements zinc therapy outright relative to placebo[102][103][104] or that the beneficial
/Essential+Vitamin+or+Mineral/) effects were insignificant involved in regulating a
evidence suggests a lack of efficacy, there is some counter evidence with large amount of enzymes in the body. It is known as the same protocol noting efficacy in reducing the length of sickness for an antioxidant and severe pneumonia[106] and a study that noted a failure overall with zinc immune boosting supplement, and is most supplementation did report reduced mortality with severe pneumonia commonly supplemented [104]
to reduce the frequency of sickness and to support optimal When zinc is used as an adjuvant (alongside another drug, with the placebo testosterone levels. group given the drug in isolation), it still appears to be mostly ineffective against
pneumonia
Edit (/edit/supplements The usage /Zinc/) History (/history /Zinc/) Discussion
of zinc as a preventative for two weeks (10-20mg elemental zinc the following six months.[107]
Limited evidence on the usage of zinc as preventative for pneumonia has failed to find a protective effect
6.6. Virology
Adults with diagnosed HIV appear to be at greater relative risk for zinc deficiencies at up to 50%[108][109][110] and those who are deficient seem to have faster disease progression[111][112] and mortality;[113] a dietary surplus of zinc also appears to be associated with negative effects in this cohort, specifically an increased disease progression rate to AIDS.[114]
19 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
SUMMARY supplementation was associated with a four-fold reduced risk of THINGS TO immunological failure relative to placebo without affecting viral load[115] and KNOW has elsewhere been associated with significantly less opportunistic HOW TO TAKE regardless of whether or not subjects were on antiretroviral infections EDITORS' therapy.[116] THOUGHTS In children diagnosed with HIV who also experience severe pneumonia, FAQ supplementation of zinc appears to be effective in reducing mortality (7 HUMAN EFFECT deaths in control and none noted with zinc at 20mg daily for seven MATRIX days).[104] COMPLETE SUMMARY Zinc appears to be more likely to be deficient in persons with HIV, and while low doses are seen as protective higher doses exceeding the tolerable upper limit CITATIONS
(TUL) might also be adverse. It is recommended to low-ball zinc supplementation at 10-15mg elemental zinc
(0.75g/mL or less) given 12-15mg elemental zinc daily for 18 months, zinc
Quick Summary:
Zinc is an essential mineral (/supplements
large amount of enzymes in the body. It is known as 7.1. Interventions an antioxidant and
immune boosting In a study dividing athletes and sedentary persons into a zinc supplement supplement, and is most zinc sulfate daily), both athletic and sedentary persons given zinc commonly(5mg/kg supplemented to reduce experienced the frequency a reduction in levels of lipid peroxidation of sickness and to and an increase in levels of the enzymes glutathione support optimal [117] SOD. testosterone levels.
Bodily zinc stores are positively associated with serum testosterone[118][119] and increased urinary excretion negatively associated (as well as Magnesium (/supplements/Magnesium/)).[120] Zinc deficiency is also associated with an impairment of converting cholesterol and lipid precursors into sex hormones despite testicular cell uptake being unaffected[121] and other side-effects associated with zinc deficiency include the population of androgen receptors being reduced overall (59% of control)[122] and in male sex organs (36% of control);[123] this may be related to how the androgen receptors have a zinc binding
20 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
site,
[124]
SUMMARY A zinc deficiency can reduce the expression of androgen receptors and the THINGS TO synthesis of testosterone in cells, both of which reduce the overall effects of KNOW testosterone HOW TO TAKE When looking at rat studies that are not models of deficiency, zinc EDITORS' supplementation is able to increase circulating testosterone and free THOUGHTS [125] and oral intake of 20mg/kg zinc FAQ testosterone when injected at 3mg/kg chloride has increased testosterone to levels higher than baseline in HUMAN EFFECT rats.[126] MATRIX COMPLETE Some animal research suggests that high doses of zinc (or moderate doses of SUMMARY injections) can increase circulating testosterone concentrations CITATIONS
In human studies of zinc deficiency supplementation of zinc is able to
Quick increase circulating testosterone concentrations, with this study noting that 250mg zinc sulfate for six weeks is able to increase testosterone by 84% Summary:
Zinc is an(1.55nM/dL essential mineral (/supplements
Infertile men who also have low testosterone (less than 4.8ng/mL) /Essential+Vitamin+or+Mineral/) involved in regulating a an increase in testosterone following zinc supplementation, experience
large amount of enzymes this is not observed in the body. It is known as an antioxidant and
but
[128]
immune boosting In human instances of zinc deficiency, relatively modest supplemental dosages supplement, and is most appear to be able to increase circulating testosterone concentrations commonly supplemented to reduce the frequency of sickness and to Supplementation support optimal
of ZMA in persons with an adequate zinc intake in the to significantly increase circulating testosterone or and this failure to increase basal testosterone
concentrations is also seen with 15mg elemental zinc in cyclists[129] and sulfate in elite wrestlers.[130]
When measuring testosterone acutely following exercise, there is a slight testosterone associated with zinc supplementation at 15mg are not otherwise deficient[129] and the decrease in
testosterone and free testosterone that may occur with exhaustive exercise is attenuated with zinc sulphate supplementation at 3mg/kg in elite wrestlers[130] and in sedentary men subject to cycling.[131]
In men who are not deficient in zinc, there can be a preservation (not necessarily increase) in zinc concentrations when combined with strenous exercise. If exercise is not a factor, then zinc doesn't appear to have any influence on testosterone
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
SUMMARY although concentrations as low as 500M are minimially effective THINGS TO [132] It is synergistic with vitamin B6 in this regard despite B6 not (30%). KNOW possessing any inherent inhibitory properties, which may explain the HOW TO TAKE of ZMA (/supplements/ZMA/). formulation EDITORS' Injections of 10-20mg zinc (gluconate and arginine included in the weights THOUGHTS here) into the prostate of rats has noted inhibitory effects on 5-reductase FAQ (50.48% at 20mg)[133] although a study in human prostate tissue in vitro HUMAN EFFECT noted that low concentrations (300nM) increased activity of this enzyme MATRIX while higher concentrations (3mM) were potently inhibitory.[134] COMPLETE When looking at the subdivisions of 5-reductase, the type I variant is SUMMARY effectively inhibited in skin cells with an IC50 of 2M while it is fairly CITATIONS
ineffective on type II[135] and in these tissues it is still synergistic with B6.[132]
Quick Zinc appears to be a 5-reductase inhibitor, and in vitro appears to be fairly Summary:
Zinc is an essential since low concentrations actually increase enzyme activity (with higher mineral (/supplements
concentrations being potent in inhibiting the enzyme) and these high /Essential+Vitamin+or+Mineral/) concentrations may not occur in the body involved in regulating a
large amount of enzymes in the body. It is known as In infertile men, an antioxidant and
immune boosting or below the predetermined threshold (4.8ng/mL) supplemental supplement, and is most to increase circulating concentrations of DHT.[128] commonlyable supplemented
to reduce the frequency of sickness and to In infertile men, an increase in DHT is noted which suggests that the lower support optimal testosterone levels.
concentration of zinc (which increases the activity of the 5-reductase enzyme) is more relevant
(/discussion/Zinc/) Back estrogen receptors to Top (http://examine.com 8.4. Insulin-like /supplements/Zinc/) [136][93]
Growth Factors
IGF-1
dietary zinc deficiency, which is normalized upon supplementation. An increase in IGF-1 has been noted in elderly persons given 30mg zinc supplementation daily for four weeks, where the 22.4+/-4.7% increase seen with a Whey Protein (/supplements/Whey+Protein/) supplement was boosted to 48.2+/-14%.[137]
8.5. Leptin
Leptin is known to interact with zinc at the level of the pineal gland [49] and may mediate its actions.[138] A zinc deficiency is known to reduce leptin
22 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
adipocytes[139]
SUMMARY THINGS TO A zinc deficiency is associated with reduced production and secretion of leptin KNOW HOW TO TAKE Leptin secretion can be positively influenced by insulin[141] although as EDITORS' zinc repletion does not influence insulin[96] this is not thought to be a THOUGHTS mechanism of action. TNF- and interleukin-2 (IL-2) have both been found FAQ to be increased when a zinc deficient person has their zinc status [96] HUMAN EFFECT restored and these factors are known to induce leptin expression.[142] MATRIX IL-2 itself is zinc dependent,[143] and it is thought that the influence on COMPLETE leptin couldl also be indirect via these two molecules. SUMMARY The interaction of zinc and leptin may have other proteins (TNF- and CITATIONS
interleukin-2) as mediators
and humans.
[96]
Quick In men with marginal zinc deficiency (restricted to about 5mg daily for 4+/-2 Summary: months), supplementation of 30-60mg elemental zinc (as acetate) daily for
Zinc is an essential 6-12 weeks mineral (/supplements
of zinc is sometimes recommended for the treatment of relative to controls[145][146][147] and thought to be related
acne,
to the ability of zinc to reduce chemotaxis of immune cells to the (http://examine.com /supplements/Zinc/) skin[148][149] and possible its 5-reductase inhibiting potential. 600mg zinc sulphate (138mg elemental zinc) over a period of six weeks in persons with acne appears to reduce symptoms by about a third, which was modestly but significantly more active than placebo.[150] This was later replicated with the same dose over 12 weeks with efficacy,[151] and an increase in serum Vitamin A was associated with zinc. Later studies have confirmed efficacy with zinc gluconate (30mg elemental zinc) with a potency lesser than the reference drug minocycline as the amount of participants that met the primary end-point in the study (two
23 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
thirds symptom reduction) was 31.2% and 63.4% for zinc and minocycline,
SUMMARY elsewhere.[153] THINGS TO KNOW Zinc is known to be circulating at lower levels in persons with acne relative to those without, and it is thought to be therapeutic by reducing the migration of HOW TO TAKE immune cells to the skin and possibly reducing the effects of androgens on the EDITORS' skin. Trials using zinc for acne control note that standard to high supplemental THOUGHTS dosages have a modest protective effect FAQ HUMAN EFFECT In response to viral warts from human papilloma virus (HPV), an open-label MATRIX study using zinc sulfate at doses of 10mg/kg up to a maximum dose of COMPLETE 600mg/kg (132mg elemental zinc) over two months has found that half of SUMMARY the participants experienced complete resolution of their warts and CITATIONS remained free of warts and lesions when followed up at six months.[154]
This has been noted elsewhere with recalcitrant viral warts in response to the same dose of oral supplementation[155] and topical zinc sulphate (42.8-85.7% resolution).
Quick (5-10% of solution) also appears to be effective but to a greater degree Summary: [156]
Zinc is an essential mineral (/supplements Warts that
are not originated from a virus (common warts) have also noted application of zinc, but to a much lesser degree (5-11% sulphate solution).[156]
with large amount of 5-10% enzymes zinc in the body. It is known as an antioxidant and
immune boosting reducing supplement, and is mostviral warts, based on some preliminary evidence. The benefits may persist for a prolonged period of time after supplementation is ceased, and commonly supplemented
zinc also appears effective at high concentrations. Non-viral warts are not to reduce the topical frequency of sickness and asto potently suppressed support optimal
testosterone levels.
Rosacea is a chronic relapsing disease characterized by inflammatory eruption of the flush area of the face, usually manifesting as erythema
Edit (/edit/supplements (reddening) /Zinc/) History (/history
glands).[157] sulfate thrice daily in persons with rosacea has been noted
period between periods of the trial [158] and a later double blind to address this using 220mg zinc sulfate (50.8mg elemental zinc) twice daily for three months failed to find a significant effect.[159]
The human evidence in support of zinc as therapy for rosacea is currently small and mixed. While inefficacy of zinc in this role cannot yet be claimed, the evidence does not support usage of zinc for therapy of rosacea
50mg elemental zinc in psorasis patients thrice daily for six weeks is able to restore impaired chemotaxis of neutrophils.[148]
24 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
SUMMARY (0.25% zinc pyrithione) to persons with psoriasis twice daily for three THINGS TO reported improvements in induration, erythema, and scaling with a months KNOW mean 70.5% reduction in symptoms as assessed by PASI.[161] HOW TO TAKE EDITORS' Limited evidence suggests that topical zinc pyrithione is highly effective for the treatment of psoriasis THOUGHTS FAQ HUMAN EFFECT MATRIX Edit (/edit-section/supplements/Zinc/?se ction=Interactions+with+Organ+Systems) 10. COMPLETE SUMMARY Interactions with Organ Systems CITATIONS
10.1. Tongue and Mouth
Reductions in taste acuity are among the first noticeable signs of zinc
Quick deficiency, usually alongside anorexia (loss of appetite) and impairment in Summary: [162]
cognition. This is likely because of a zinc-dependent enzyme, gustin, supplemental zinc.[164]
Zinc is an essential being reduced mineral (/supplements
Adolescents large amount of enzymes given zinc supplements over the course of ten weeks have in the body. It is known as to experience increases in taste acuity as assessed by been noted an antioxidant and [165]
immune boosting (adolescent supplement, and is most girls in [166][167] commonly supplemented
these subjects
to reduce the frequency a deficiency. of sickness and to support optimal testosterone levels. Zinc deficiency is associated with impaired taste, and supplementation of zinc is
Taste losses (hypogeusia) associated with chemotherapy does not appear to be influenced with oral zinc supplementation, while altered perception of taste (dysgeusia) has mixed evidence (covered in the cancer section)
In low socioeconomic children at risk for zinc deficiency, 15mg elemental zinc daily for ten weeks is associated with reduced plaque formation on teeth.[169]
May reduce dental caries, if normalizing a zinc deficiency; limited evidence
25 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
10.2. Stomach
Zinc chloride appears to be capable of preventing secretagogue-induced SUMMARY acid secretion in rat and human stomach tissue,[170] which although THINGS TO [171] KNOW therapeutic for the stomach may limit its own subsequent absorption. HOW TO TAKE 10.3. Liver EDITORS' Trace minerals appear to be altered in their concentrations in the cirrhotic THOUGHTS liver and serum, with a known decrease in zinc[172][173] and increase in FAQ copper[173][174] relative to healthy controls; the deficiency in zinc appears to HUMAN EFFECT positively correlate with disease progression.[175] MATRIX In persons with liver cirrhosis, supplementation of 50mg elemental zinc (as COMPLETE sulfate) daily for 90 days is associated with improvements in cirrhotic state SUMMARY as assessed by Child-Pugh score (6.56 down to 5.72; 13% improvement) CITATIONS [176] which was associated with less bodily copper levels.
Very high levels of zinc intake (330mg daily) has been implicated in syndrome in those with Crohn's Disease.[177] It can
large amount of prevent enzymes or alleviate damage to the intestinal mucosa and some to the also in the body. It is known as liver done by alcohol[178][179][180] and due to alcohol causing zinc depletion, an antioxidant and immune boosting can also provide therapeutic-like benefit in treating supplement, and is most damage to the gut and liver.[181][182] Many of these commonly supplemented
dependent, to reduce dose the frequency of sickness and to high dose). support optimal
testosterone levels. 10.5. Ears
Zinc deficiency is associated with impaired hearing in mice and rats, which
Edit (/edit/supplements /Zinc/) History may (/history be related /Zinc/) Discussion (/discussion/Zinc/) Back [185] to Top stessors (http://examine.com component /supplements/Zinc/)
is normalized upon consuming enough dietary levels of zinc.[183][184] This to relatively high concentrations of zinc in some ear structures (cochlea and vestibule) where it exerts protective effects from possibly related to its role as a neuromodulator or as a of Cu/Zn superoxide dismutase;[186] the latter of which is
known to be protective of hearing.[187] It has been hypothesized that zinc could be useful in the treatment of tinnitus,[188][186] although while some evidence suggests that persons with tinnitus are at higher rates of deficiency[189][190] other studies have failed to find an association.[191] At least one study has noted that 50mg zinc supplementation daily for two months is able to reduce the severity of tinnitus in 82% of patients given the supplement, with no significant reduction seen in placebo.[189]
26 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
THINGS TO KNOW In persons with idiopathic sudden sensorineural hearing loss (sudden HOW TO TAKE hearing loss from unknown causes), the addition of zinc (gluconate) to oral EDITORS' corticosterone therapy was associated with a greater improvement in THOUGHTS hearing than corticosterone alone.[192] FAQ HUMAN EFFECT The addition of zinc supplementation to corticosteroids appears to accelerate the MATRIX recovery of hearing after sudden idiopathic hearing loss COMPLETE SUMMARY 10.6. Testes CITATIONS
Zinc deficiency is known to cause testicular apoptosis (regulated cell death,[193] which tends to happen in many tissue types with zinc deficiency[194][195]) and increases protein oxidation in the testes while
morphology and properties (such as motility) become progressively increasing testicular oxidation and apoptosis.
immune boosting supplement, and is most commonly supplemented A zinc deficiency is associated with wide-reaching impairment of testicular to reduce the function frequency including reduced testosterone synthesis and secretion, impaired fertility of sickness and to sperm parameters, and increased rates of cell death and support optimal testosterone levels.
Orally supplemented zinc to research animals is able to reduce oxidative damage to the testicles (and the subsequent reduction in fertility markers)
Edit (/edit/supplements induced by /Zinc/) History (/history /Zinc/) Discussion (/discussion/Zinc/) Back Supplemental zinc may reduce the damage done by oxidative stressors to the to Top (http://examine.com /supplements/Zinc/)
In infertile men, supplementation of zinc can increase sperm count only in men who also have low testosterone concentrations in their blood; this is associated with an increase in fertility, and not observed in men who are infertile with adequate testosterone concentrations.[128]
11.
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
Quick Alterations in taste (Dysgeusia) and smell (Dysosmia) commonly occur Summary: during chemotherapy[207] which are known to be associated with reductions
Zinc is anin essential food intake mineral (/supplements [208]
(compounding cancer cachexia) and reduced quality of carbonic anhydrase VI which is a growth factor for
/Essential+Vitamin+or+Mineral/) of the salivary enzyme involved in regulating a large amount of enzymes [209]
life.
Zinc is thought to be useful for this condition as it is a component if the ageusia is caused form cell death then increasing may be therapeutic, and in persons with carbonic
sensory cells;
immune boosting anhydrase VI deficiencies zinc supplementation at 100mg for 4-6 months supplement, and is most can improve dysgeusic symptoms secondary to proliferating carbonic commonly supplemented [210] to reduce anhydrase the frequency VI. of sickness and to It has been noted that improved dysgeusic symptoms only occur in support optimal testosterone levels. persons
studies have noted that supplementation of zinc (50mg elemental zinc to persons undergoing chemotherapy is not associated with a of symptoms.[168]
Dysgeusia (alterations in taste) and smell associated with chemotherapy may be (http://examine.com beneficially influenced in some persons, but this is not highly reliable /supplements/Zinc/)
12.
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
SUMMARY with celiac disease, this malabsporption may result in a relative zinc THINGS TO [213][214] deficiency although supplementation is not required if a gluten free KNOW diet (and thus less malabsorption) is adhered to.[215] HOW TO TAKE EDITORS' In somebody with celiac disease who consumes gluten (and thus experiences intestinal distress and malabsorption from their gluten intolerance), zinc THOUGHTS absorption can be hindered and a deficiency can ensue. Avoiding gluten will FAQ avoid this complication and would then preclude the need to supplementation HUMAN EFFECT MATRIX 12.2. Pruritus COMPLETE Pruritus (itch) during hemodialysis is alleviated with 440mg zinc sulfate SUMMARY daily over the period of one month to a degree larger than placebo.[216] CITATIONS
Forms of
Edit (/edit-section/supplements/Zinc/?section=Forms+of+Zinc+Supplementation)
Zinc Supplementation
Zinc Citrate, at 50mg elemental Zinc (146mg) daily for 4 weeks is
large amount of enzymes associated with a maintenance of Zinc status while placebo declines over in the body. It is known as an antioxidant and time (told to maintain a low Zinc diet, estimated between 10-12mg).[217] immune boosting supplement, and is most Gluconate 13.2. Zinc commonly supplemented
Gluconate, at 50mg elemental Zinc (385mg), appears to be slightly to reduce Zinc the frequency of sickness and to more effective than Zinc Citrate (nonsignificant) and can increase serum support optimal
testosterone levels.
and erythrocytic stores of Zinc in apparently healthy persons over a period of 4 weeks.[217]
(bound to picolinic acid, a metabolite of tryptophan), at levels greater than placebo and the other two forms
(/discussion/Zinc/) Back to Top urinary and serum (http://examine.com tested (Citrate, /supplements/Zinc/)
Nutrient Interactions
Vitamin B6 (pyridoxine) is commonly supplemented alongside zinc and Magnesium (/supplements/Magnesium/) (as aspartate) in the formulation known as ZMA (/supplements/ZMA/). This formulation is recommended in
29 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
part due to both minerals being common deficiencies for athletes (and thus
SUMMARY (/supplements/Testosterone+Booster/). THINGS TO KNOW It appears that the inhibitor effect of zinc on the 5-reductase enzyme in vitro that can reach 98% at 15mM of zinc sulphate is potentiated by vitamin HOW TO TAKE B6, as the addition of 0.025% B6 to the medium produced a similar levels EDITORS' of inhibition despite only using 1.5-3mM zinc sulphate.[132] Beyond the THOUGHTS combination of those two, 500M zinc sulphate paired with 0.025% B6 with FAQ an additional 100M azelaic acid produced similarly potent inhibition[132] HUMAN EFFECT and this apparent synergism has been noted in skin cells as well[132] which MATRIX is likely due to inhibition of 5-reductase in particular.[135] COMPLETE Complications with the above data is that zinc alone likely does not reach SUMMARY high enough concentrations in the human body to inhibit 5-reductase, CITATIONS
and at lower concentrations (500nM) it actually augments the activity of the enzyme[134] which may underlie increases in DHT seen in humans.[128]
Quick While high dose zinc supplementation paired with vitamin B6 can Summary: potentially be effective, this has not adequately been tested in humans.
Zinc is an essential While studies mineral (/supplements
directly, there doesn't appear to be any increases in testosterone[218] which /Essential+Vitamin+or+Mineral/) involved in regulating a are supposed to be increased when the 5-reductase enzyme is inhibited
large amount of enzymes due to backlog in the body. It is known as an antioxidant and
immune boosting Zinc is inhernetly a potent 5-reductase inhibitor (type I) and this potency is supplement, and is most augmented by the addition of B6. While this leads to the assumption that the commonly supplemented to reduce the frequency doesn't appear to occur following oral supplementation of standard doses of of sickness and to either supplements. This may be due to such a large concentration being support optimal
required for potent inhibition and this concentration just not occurring with oral testosterone levels. supplementation of zinc, even after the requirements are lowered by B6
Edit (/edit/supplements 14.2. Ethanol /Zinc/) History (/history /Zinc/) Discussion Alcohol
(/supplements/Alcohol/) is known to be teratogenic to the fetus, related to zinc metabolism. Specifically, overconsumption of an increase in metallothionein[220] which then sequesters
impairment of the fetus can be attenuated with zinc consumption in mice[223][224][225][226] although this is not yet studied in humans.
Reductions in zinc concentrations in serum are associated with the adverse effects of alcohol on fetal development
14.3. Iron
Both zinc and iron are transported by the bivalent cation transporter DMT1[227] and Nramp2.[228] As transporters can get saturated to capacity
30 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
SUMMARY Supplementation of zinc in solution appears to inhibit the absorption of THINGS TO KNOW iron. with low doses of iron (500mcg) requiring 5.7-fold as much zinc to inhibit absorption while higher doses (10mg) only required a 1:1 ratio[229] HOW TO TAKE which has been replicated.[230] Elsewhere, nonheme iron specifically, EDITORS' where a solution of zinc and iron caused a dose-dependent inhibition of THOUGHTS 28-40% with increasing zinc ratios (5:1 to 20:1).[231] FAQ HUMAN EFFECT Iron and zinc in solution appear to compete for absorption, and while this is not a MATRIX concern with low levels of iron intake it does appear to be concernable when both minerals are above 10mg. This may be relevant to taking supplements COMPLETE containing them both in a fasted state SUMMARY CITATIONS
Studies using fortified milk (4:1 ratio with 300mcg/kg iron in infants[232] or simply 10mg/L iron with a 2:1 ratio in women[233]) have failed to replicate
14.4. Copper
to reduce the frequency dietary of sickness and to intake of copper; of interest to zinc is how zinc supplementation can support optimal induce a copper deficiency which has been reported in humans using up testosterone levels.
to 600mg elemental zinc daily[234] or excessive usage of zinc-based dental adhesives (a tube a day).[235][234][236]
is through the proteins known as metallothioneins, which The protein seems to be inducable, being increased in
content in response to the minerals that it sequesters[238] and it is thought higher levels of metallothionein can adequately sequester possible toxicity from zinc but overreact in sequestering copper, leading to its deficiency if copper is not also overconsumed.
Excessive zinc usage can increase levels of metallothioneins, which is due to this protein sequestering possible toxic effects of zinc excess. However, since it also sequesters copper it can lead to deficiencies in this latter mineral when the ratio of zinc:copper gets too high
This is sometimes therapeutic, as copper overload has been implicated in some disease states such as Alzheimer's[239][240] and liver cirrhosis.[176]
31 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
THINGS TO KNOW HOW TO TAKE EDITORS' Edit (/edit-se ction/supplements/Zinc/?section=Safety+and+Toxicology) 15. Safety and THOUGHTS FAQ Toxicology HUMAN EFFECT 15.1. General MATRIX A meta-analysis on the usage of zinc preparations for treating the common COMPLETE cold noted that zinc lozenges were associated with altered taste perception SUMMARY and nausea to a degree higher than placebo with a variable dose of CITATIONS [99]
30-160mg elemental zinc. This is seen in a few interventions with zinc for the treatment of pneumonia in children, where nausea and vomiting occurs at a greater frequency than placebo.[102]
Quick Summary:
/Essential+Vitamin+or+Mineral/) involved in regulating a large amount of enzymes in the body. It is known as an antioxidant and immune boosting supplement, and is most commonly supplemented
to reduce the frequency of sickness 1. and to K, et al. Serum testosterone and urinary excretion of steroid hormone metabolites after administration of a Koehler high-dose zinc supplement (http://www.ncbi.nlm.nih.gov/pubmed/17882141). Eur J Clin Nutr. (2009) support optimal
2. Guguen M, et al. Shellfish and residual chemical contaminants: hazards, monitoring, and health risk assessment along French coasts (http://www.ncbi.nlm.nih.gov/pubmed/21541848). Rev Environ Contam Toxicol. (2011) 3. Maret W, Sandstead HH. Zinc requirements and the risks and benefits of zinc supplementation (http://www.ncbi.nlm.nih.gov/pubmed/16632171). J Trace Elem Med Biol. (2006) 4. Brown KH, Hambidge KM, Ranum P; Zinc Fortification Working Group. Zinc fortification of cereal flours: current recommendations and research needs (http://www.ncbi.nlm.nih.gov/pubmed/20629353). Food Nutr Bull. (2010) Edit (/edit/supplements 5. Prasad AS. Zinc: an overview (http://www.ncbi.nlm.nih.gov/pubmed/7749260). Nutrition. (1995) /Zinc/) History (/history 6. Vallee BL, Falchuk KH. The biochemical basis of zinc physiology (http://www.ncbi.nlm.nih.gov/pubmed/8419966). /Zinc/) Discussion Physiol Rev. (1993) (/discussion/Zinc/) H, Back 7. Haase Rink L. Functional significance of zinc-related signaling pathways in immune cells (http://www.ncbi.nlm.nih.gov/pubmed/19400701). Annu Rev Nutr. (2009) to Top 8. Anzellotti AI, Farrell NP. Zinc metalloproteins as medicinal targets (http://www.ncbi.nlm.nih.gov/pubmed/18648687). (http://examine.com Chem Soc Rev . (2008) /supplements/Zinc/) 9. Vallee BL, Auld DS. Zinc metallochemistry in biochemistry (http://www.ncbi.nlm.nih.gov/pubmed/7579976). EXS. (1995) 10. Abreu IA, Cabelli DE. Superoxide dismutases-a review of the metal-associated mechanistic variations (http://www.ncbi.nlm.nih.gov/pubmed/19914406). Biochim Biophys Acta. (2010) 11. Prasad AS. Zinc in human health: effect of zinc on immune cells (http://www.ncbi.nlm.nih.gov/pubmed/18385818). Mol Med. (2008) 12. Prasad AS. Clinical, immunological, anti-inflammatory and antioxidant roles of zinc (http://www.ncbi.nlm.nih.gov /pubmed/18054190). Exp Gerontol. (2008) 13. Nutrient Reference Values for Australia and New Zealand: Zinc (http://www.nrv.gov.au/resources/<em>files /n35-zinc.pdf) 14. Recommended Dietary Allowances: 10th Edition (http://www.nap.edu/openbook.php?record</em>id=1349&page=208) 15. Prasad AS. Clinical manifestations of zinc deficiency (http://www.ncbi.nlm.nih.gov/pubmed/3896271). Annu Rev Nutr. (1985) 16. Prasad AS. Zinc deficiency in human subjects (http://www.ncbi.nlm.nih.gov/pubmed/6361778). Prog Clin Biol Res. (1983) 17. Cope EC, Levenson CW. Role of zinc in the development and treatment of mood disorders (http://www.ncbi.nlm.nih.gov/pubmed/20689416). Curr Opin Clin Nutr Metab Care. (2010) 18. Takeda A, Tamano H. Insight into zinc signaling from dietary zinc deficiency (http://www.ncbi.nlm.nih.gov/pubmed /19747942). Brain Res Rev . (2009)
testosterone levels.
32 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
SUMMARY THINGS TO KNOW HOW TO TAKE EDITORS' THOUGHTS FAQ HUMAN EFFECT MATRIX COMPLETE SUMMARY CITATIONS
Quick Summary:
33 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
SUMMARY THINGS TO KNOW HOW TO TAKE EDITORS' THOUGHTS FAQ HUMAN EFFECT MATRIX COMPLETE SUMMARY CITATIONS
Quick Summary:
34 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
SUMMARY THINGS TO KNOW HOW TO TAKE EDITORS' THOUGHTS FAQ HUMAN EFFECT MATRIX COMPLETE SUMMARY CITATIONS
Quick Summary:
35 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
SUMMARY THINGS TO KNOW HOW TO TAKE EDITORS' THOUGHTS FAQ HUMAN EFFECT MATRIX COMPLETE SUMMARY CITATIONS
Quick Summary:
36 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
SUMMARY THINGS TO KNOW HOW TO TAKE EDITORS' THOUGHTS FAQ HUMAN EFFECT MATRIX COMPLETE SUMMARY CITATIONS
Quick Summary:
37 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
SUMMARY THINGS TO KNOW HOW TO TAKE EDITORS' THOUGHTS FAQ HUMAN EFFECT MATRIX COMPLETE SUMMARY CITATIONS
Quick Summary:
(Common misspellings for Zinc include znc, zimc) (Common phrases used by users for this page include zinc vs dht in aromatase inhibitor, zinc dosage for athletes 2013, zinc citrate daily max, if i workout a lot and sweat a ton how much more zinc should i supplement, bodybuilding zinc dosage, athletes zinc sweat)
38 of 39
1/31/2014 9:19 AM
http://examine.com/supplements/Zinc/
SUMMARY /Sol/)) THINGS TO KNOW HOW TO TAKE EDITORS' THOUGHTS FAQ HUMAN EFFECT Page last updated: Monday July 22, 2013 Back to Top (http://examine.com/supplements/Zinc/) MATRIX About Us (/about/) Contact Us (/contact/) Our Newsletter (/newsletter/) Follow Us (/follow/) COMPLETE 2011-2014 SUMMARY CITATIONS
Quick Summary:
Zinc is an essential mineral (/supplements /Essential+Vitamin+or+Mineral/) involved in regulating a large amount of enzymes in the body. It is known as an antioxidant and immune boosting supplement, and is most commonly supplemented to reduce the frequency of sickness and to support optimal testosterone levels.
Edit (/edit/supplements /Zinc/) History (/history /Zinc/) Discussion (/discussion/Zinc/) Back to Top (http://examine.com /supplements/Zinc/)
39 of 39
1/31/2014 9:19 AM