Zinc Deficiency
Zinc is a trace mineral your body needs for growth, wound healing, taste and a working immune system. True deficiency is uncommon with a varied diet, but vegetarians, heavy drinkers and people with gut conditions are at higher risk. More isn’t better: too much zinc causes problems of its own.
The zinc ladder
Food first. Supplements for proven or likely deficiency, for a set time. And always ask why you’re low.
- Step 1 · Self-careZinc-rich foodOysters (the richest source), red meat, poultry, seafood and fortified cereals. Legumes, nuts, seeds and wholegrains add smaller, less well absorbed amounts.
- Works
- Enough for most people. Adults need about 14 mg a day (men) or 8 mg (women); more in pregnancy and breastfeeding
- Cost
- Your usual grocery bill
- How long
- Ongoing
- Watch for
- Vegetarians, especially vegans, need up to 50% more, because plant zinc is harder to absorb
One oyster beats a bowl of salad on zinc. Sorry, salad.
- Step 2 · Allied healthDietitian reviewChecks whether your diet is short, especially if you’re vegetarian or vegan, have a restricted diet, or are recovering from illness.
- Works
- Not trial-tested for zinc itself, but fixes the cause for diet-related deficiency
- Cost
- About $100–200 a visit; Medicare rebates with a GP chronic condition plan if eligible
- How long
- One to a few visits
- Watch for
- Restrictive “clean eating” plans that cut out whole food groups
A plan you can stick to beats a supplement you forget.
- Step 3 · PharmacyZinc supplement, for a set timeFor confirmed or likely deficiency, at a dose agreed with your doctor or pharmacist.
- Works
- Corrects deficiency; skin, taste and wound healing usually improve over weeks
- Cost
- About $10–20 a month
- How long
- Usually weeks to a few months, then review
- Watch for
- Nausea and a metallic taste. Long-term doses over 40 mg a day can cause low copper, with anaemia and nerve damage. Keep 2 hours away from iron tablets and some antibiotics
Zinc is a course, not a lifestyle.
- Step 4 · PrescriptionTreat the causeCommon causes include coeliac disease, Crohn’s disease and other bowel conditions, weight-loss surgery, heavy drinking, kidney disease and some water tablets (thiazide diuretics).
- Works
- Treating the cause often fixes zinc and other deficiencies at the same time
- Cost
- Varies with the cause
- How long
- Depends on the cause
- Watch for
- Low zinc often travels with low iron, B12 or vitamin D: ask whether they’ve been checked
Low zinc is a clue. Follow it.
- Step 5 · SpecialistSpecialist care for severe or ongoing deficiencyRarely, a gut condition, long-term drip feeding or a rare inherited condition needs specialist care, sometimes with lifelong zinc.
- Works
- Very effective when the underlying problem is identified
- Cost
- Public is free (with waits); private fees vary, with Medicare rebates on referral
- How long
- Sometimes lifelong
- Watch for
- A baby or child with a stubborn rash around the mouth, nappy area, hands and feet, plus diarrhoea, needs a doctor promptly
Rare, serious, and very treatable when found.
Save your money
Popular, heavily marketed or often asked about, but the evidence is weak or says no.
- Zinc tablets to prevent coldsA 2024 Cochrane review found zinc probably makes little or no difference to your chance of catching one.
- Zinc nasal sprays and gelsLinked to loss of smell, sometimes permanent. Lozenges haven’t shown this risk.
- Zinc “taste tests” and hair mineral analysisNot reliable ways to diagnose deficiency. Your diet history and a blood test, read in context, beat both.
- High-dose zinc long term for “immunity”Long-term high doses can lower copper and weaken immunity, the opposite of the plan.
What you can do
- Include a zinc-rich food most days: meat, seafood, eggs, dairy, legumes, nuts or fortified cereal.
- If you’re vegan or vegetarian, plan your zinc. Soaked or sprouted legumes and grains and fermented foods like sourdough may help absorption.
- Keep supplements to the dose and time agreed. Check combination products: zinc hides in cold remedies, multivitamins and eye supplements.
- Separate zinc from iron tablets and from tetracycline or quinolone antibiotics by at least 2 hours.
- Store supplements out of children’s reach.
See your GP if
- You have hair loss, a rash around the mouth or on the hands, wounds that are slow to heal, or a reduced sense of taste or smell
- You have coeliac disease, Crohn’s disease, have had weight-loss surgery, or drink heavily
- A child is growing slowly or has poor appetite and frequent diarrhoea
- You’ve taken zinc supplements for months and notice numbness, tingling, unsteady walking or tiredness (signs of low copper)
See a doctor the same day for a child with diarrhoea who is drowsy, passing little urine or can’t keep fluids down. Call 000 (or your local emergency number) if a child may have swallowed a lot of supplements, or call Poisons Information on 13 11 26 (Australia, 24/7).
Common questions
What are the signs of zinc deficiency?
Often vague: poor appetite, a reduced sense of taste or smell, slow wound healing, hair loss, frequent infections, diarrhoea and a scaly rash, often around the mouth, hands or bottom. In children, slow growth. Many of these have other causes, so it’s worth a check.
Who is at risk of low zinc?
Vegetarians and vegans, people with coeliac or inflammatory bowel disease, after weight-loss surgery, people who drink heavily, older people with poor diets, pregnant and breastfeeding women, and breastfed babies over 6 months who aren’t yet eating zinc-rich foods.
How is zinc deficiency tested?
With a blood test, ideally in the morning. It’s not perfect: zinc levels fall during infections and inflammation, and mild deficiency can be missed. Your doctor reads the result alongside your diet, symptoms and other tests.
Does zinc help colds?
Maybe a little. Taken within a day of symptoms starting, zinc lozenges or syrup may shorten a cold by about 2 days, but the evidence is low certainty, and side effects such as a bad taste and upset stomach are common. It doesn’t prevent colds.
Can you take too much zinc?
Yes. The upper limit for adults is 40 mg a day from all sources. Too much causes nausea and stomach cramps, and over months can cause low copper, with anaemia and nerve damage.
Is zinc used for diarrhoea in children?
Yes, in countries where zinc deficiency and malnutrition are common: the WHO recommends 10–14 days of zinc for children with diarrhoea. In children over 6 months it shortens diarrhoea by about 11 hours on average, and more in malnourished children. It isn’t routinely needed for well-nourished children.
Helpful resources
- Eat for Health: Zinc nutrient reference valuesHow much zinc you need at every age, plus safe upper limits. Free, Australia.
- healthdirectFree Australian health advice line (1800 022 222) and symptom checker, 24/7.
Evidence and more information
- NHMRC: Nutrient reference values for Australia and New Zealand, zinc
- US National Institutes of Health: Zinc fact sheet for consumers
- Cochrane (2024): Zinc for preventing and treating the common cold
- Cochrane (2016): Oral zinc for treating diarrhoea in children
maladywise.com/zinc/