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Zinc Continued
Diets lacking in certain nutrients, including zinc, may be linked to abnormalities in immune function. This may make certain individual more likely to contract tuberculosis (TB), particularly the elderly, children, alcoholics, the homeless, and HIV-infected individuals.
A recent well-designed study of people with tuberculosis in Indonesia found that zinc (together with vitamin A) may actually enhance the effects of certain TB drugs. These changes were demonstrated just two months after starting the supplements. More research is warranted. Until then, your doctor will determine if the addition of zinc and vitamin A is appropriate and safe.
Although results of studies have been somewhat mixed, the antioxidant properties of zinc may help prevent this debilitating but very common eye condition or delay its progression. More research is needed.
Zinc levels may be low in women with PMS. Zinc is required for synthesis and action of many hormones, including sex hormones. This change to sex hormones may explain the possible connection between zinc and PMS. However, it is not currently known whether zinc supplements or increased zinc in the diet will lessen the symptoms of PMS.
High levels of zinc in the blood may correspond to an improved chance for the changes in the cervix seen with cervical dysplasia (a precancerous condition screened for by pap smear) to revert to normal. How this relates to zinc or vitamin A supplements is not known; more research is needed.
The following is a partial list of health problems that may increase the need for zinc or affect how the body absorbs or uses this mineral. It is not known, however, whether zinc supplementation will aid the treatment of most of these conditions.
Acrodermatitis enteropathica (a skin disorder that is due to an inherited inability to absorb zinc properly; generally affects the limbs, mouth, or anus and may include hair loss and diarrhea)
Alcoholism
Cirrhosis (liver disease)
Kidney disease
Celiac disease
Inflammatory bowel disease (ulcerative colitis and Crohn's disease)
High blood pressure
Pancreatic conditions
Prostate problems (zinc levels tend to be low in men with inflammation of the prostate [prostatitis] and prostate cancer; the relationship between zinc and enlarged prostate [called benign prostatic hyperplasia or BPH] is less clear; some studies of men with BPH have shown low zinc levels while others have shown high levels of this mineral)
Pregnancy
Breast feeding
Birth control pills
Dietary Sources:
The body absorbs 20% to 40% of the zinc present in food. Zinc from animal foods like red meat, fish, and poultry is more readily absorbed by the body than zinc from plant foods. Dietary fiber, particularly phytates, can interfere with the body's ability to absorb zinc. Zinc is best absorbed when taken with a meal that contains protein.
The best sources of zinc are oysters (richest source), red meats, poultry, cheese (ricotta, Swiss, gouda), shrimp, crab, and other shellfish. Other good, though less easily absorbed sources of zinc include legumes (especially lima beans, black-eyed peas, pinto beans, soybeans, peanuts), whole grains, miso, tofu, brewer's yeast, cooked greens, mushrooms, green beans, tahini, and pumpkin and sunflower seeds.
Available Forms:
Zinc sulfate is the most frequently used supplement. This is the least expensive form, but it is the least easily absorbed and may cause stomach upset. Health care providers usually prescribe 220 mg zinc sulfate, which contains approximately 55 mg of elemental zinc.
The more easily absorbed forms of zinc are zinc picolinate, zinc citrate, zinc acetate, zinc glycerate, and zinc monomethionine. If zinc sulfate causes stomach irritation, another form, such as zinc citrate, should be tried.
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Precautions
The amount of elemental zinc is listed in milligrams on the product label. Usually this will be between 30 and 50 mg. In determining if there is a need for supplemental zinc, the fact that the average daily intake of zinc from food sources is 10 to 15 mg should be taken into account.
Zinc lozenges, used for treating colds, are available in most drugstores. There are also nasal sprays developed to reduce nasal and sinus congestion, but studies using this method have not been successful. Nasal gels seem to work better than the spray.
Because of the potential for side effects and interactions with medications, dietary supplements should be taken only under the supervision of a knowledgeable healthcare provider.
Research has shown that less than 50 mg a day is a safe amount to take over time, but researchers are not sure what happens if more is taken over a long period. Taking more than 150 mg per day may interfere with the body's ability to use other minerals.
Common side effects of zinc include stomach upset, nausea, vomiting, and a metallic taste in the mouth. Other reported side effects of zinc toxicity are dizziness, headache, drowsiness, increased sweating, loss of muscle coordination, alcohol intolerance, hallucinations, and anemia.
Unlike the reasonable doses described, very high doses of zinc may actually weaken immune function. High doses of zinc may also lower HDL ("good") cholesterol and raise LDL ("bad") cholesterol. This may be due to a copper deficiency brought on by the long-term use of zinc. To prevent a copper deficiency and avoid a lowering of HDL cholesterol, be sure to supplement both minerals in a ratio of zinc:copper = 2:1.
Possible Interactions:
If you are currently being treated with any of the following medications, you should not use zinc without first talking to your healthcare provider.
A class of medications called ACE Inhibitors, such as captopril and enalpril, used for high blood pressure may deplete zinc stores.
Zinc may decrease the absorption of oral quinolones, a class of antibiotics that includes ciprofloxacin, norfloxacin, ofloxacin, and levofloxacin, as well as tetracycline antibiotics (including tetracycline, doxycycline, and minocycline).
HRT, consisting of estrogen and progesterone derivatives may reduce loss of zinc in the urine, particularly in women with osteoporosis.
There has been at least one report of an interaction between zinc and hydralazine, a medication used to treat high blood pressure, which resulted in a lupus-erythematosus-like syndrome (characterized by a facial butterfly rash, fever, leg and mouth ulcers, and abdominal distress).
Since zinc supports immune function, it should not be taken with corticosteroids, cyclosporine, or other medications intended to suppress the immune system.
Zinc interacts with NSAIDs and could reduce the absorption and effectiveness of these medications. Examples of NSAIDs, which help to reduce pain and inflammation, include ibuprofen, naprosyn, piroxicam, and indomethacin.
This medication, used to treat Wilson's disease (excessive amounts of copper that accumulate in the brain, liver, kidney, and eyes) and rheumatoid arthritis, decreases zinc levels.
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