Deficiency Guide

Zinc deficiency

Symptoms, at-risk groups, and clinical context for zinc deficiency. Sourced from NIH Office of Dietary Supplements and StatPearls.

Zinc deficiency affects an estimated 17% of the global population, with mild-to-moderate deficiency more common than overt cases. In the US, deficiency is most often seen in vegetarians, older adults, people with malabsorption, and those on long-term diuretics. Symptoms can be subtle and develop gradually.

Common symptoms

  • Frequent infections, slow wound healing
  • Hair loss or thinning
  • Loss of taste or smell
  • Loss of appetite
  • Diarrhea (in severe cases)
  • Eye and skin lesions (in severe cases)
  • Delayed growth and development in children
  • Hypogonadism, impotence, or delayed puberty
  • Difficulty concentrating, mental fog

At-risk groups

  • Vegetarians and vegans (plant zinc has lower bioavailability due to phytates)
  • Older adults (a substantial share consume less zinc than recommended, and absorption declines with age)
  • Pregnant and breastfeeding women
  • Exclusively breastfed infants over 6 months without complementary feeding
  • People with GI conditions (Crohn's, ulcerative colitis, short bowel)
  • People with sickle cell disease
  • People with chronic kidney disease
  • People with alcohol use disorder
  • People taking long-term diuretics, ACE inhibitors, or penicillamine
When to see a doctorSlow wound healing that persists together with hair loss, frequent infections or loss of taste or smell is a reason to ask your doctor about a zinc test. Taking 50 mg of zinc or more a day for weeks can lower copper status, and the adult upper limit is 40 mg a day, so do not take high doses without medical advice.
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Related deficiencies

Nutrients with overlapping symptoms — useful when investigating an unclear clinical picture.