Zinc Deficiency: Causes, Symptoms, Who Is at Risk and Testing
Who is at risk of low zinc, which symptoms are linked to it, what a plasma zinc test can and cannot show, and why a clinician, not a supplement shelf, should decide what to do.
Content last updated . This page has not been medically reviewed.
See a clinician first
Zinc deficiency has no signs that belong to it alone. Hair loss, a skin rash, slow wound healing, repeated infections, poor appetite or changes in taste can all have other causes, so do not diagnose yourself or start zinc to "test" the idea. Severe or unexplained symptoms, especially a spreading rash, ongoing diarrhea or weight loss, need a clinician. Taking zinc without advice can lower copper over time, covered in Zinc Toxicity, Copper Deficiency and Upper Limits.The short answer
True zinc deficiency is real, but it is hard to spot. One review says clinical identification "remains problematic" because symptoms may not appear until organs are affected. [1] The Biomarkers of Nutrition for Development (BOND) expert panel calls zinc a nutrient with no characteristic signs, with general effects on growth, infections and skin. [2] Evidence labels used below: established nutritional role / deficiency treatment (the deficiency itself is documented) and limited or observational (associations, not proof of cause).Who is at risk
| Group | What the sources say | Strength of evidence |
|---|---|---|
| People with malabsorption, Crohn's disease, liver disease, chronic kidney disease or sickle cell disease | A review by Prasad lists "conditioned" zinc deficiency in these conditions. [3] | Established role; review |
| Older adults with inflammatory bowel disease | In one single-center study of 204 patients, zinc deficiency was found in 40.5% of those aged 60 or older. [4] | Observational |
| Residents of aged-care homes | In 285 New Zealand residents, plasma zinc deficiency was found in 72%. [5] | Observational, one country |
| People who drink heavily | Moderate deficiency is mainly found in patients with low intake, alcohol abuse, malabsorption and kidney disease. [6] | Review |
| Vegetarians and vegans | Meta-analysis of 26 studies: lower zinc intake and lower serum zinc than non-vegetarians. [7] | Observational; varies by diet type |
| Pregnancy and breastfeeding | Needs rise. [8] Pregnant vegetarians had lower zinc intakes, but no difference in blood zinc or pregnancy outcomes. [9] | Observational |
Plant foods such as grains and legumes contain phytate, which binds zinc; the same review notes older adults taking acid-reducing medicines may absorb less. [8] See Foods High in Zinc and Minerals for Vegetarians and Vegans.
Symptoms linked to zinc deficiency
A review of moderate deficiency lists growth retardation in children, hypogonadism in men, skin changes, poor appetite, delayed wound healing and taste changes. [6] A rare inherited form, acrodermatitis enteropathica, causes a skin rash, diarrhea and infections in infants. [3] A 2025 case report described a man with alcohol-related liver disease and ulcerative colitis whose widespread rash improved after low zinc was found and treated; it shows a possibility, not a pattern. [10] Every item here overlaps with other conditions.Testing and what results can show
A blood test for plasma or serum zinc is the usual measure. The BOND panel suggests lower cutoffs for assessing the risk of deficiency: for a fasting morning sample, 70 micrograms per deciliter (mcg/dL) for females aged 10 and over and 74 mcg/dL for males, with lower values for afternoon samples. [2] Limits to know:- Results are affected by recent meals, time of day, inflammation, some drugs and hormones. [2]
- A damaged blood sample can read falsely high. [2]
- The cutoffs are statistical (below the usual range of a reference group) and can overestimate deficiency, so a low value alone does not prove it. [2]
- The panel did not recommend hair, nail or urine zinc for judging status because data are insufficient. [2] See hair mineral analysis.
Laboratory ranges differ by lab and country; your clinician reads the result with your history. At-home or "mineral panel" kits are not described as diagnostic in the sources we read.
Official intake levels
These are published levels for healthy people, not instructions.| Group | Level | Source and year |
|---|---|---|
| Adult men / women, US and Canada (RDA) | 11 mg / 8 mg zinc a day | Health Canada table, dated 2025 [11] |
| Pregnancy / breastfeeding, ages 19-30 (RDA) | 11 mg / 12 mg a day | Health Canada, 2025 [11] |
| Adult men / women, EU (Population Reference Intake) | 9.4-16.3 mg / 7.5-12.7 mg, rising with dietary phytate | EFSA, version 2017 [12] |
| Adult men / women, UK | 9.5 mg / 7 mg a day | NHS, reviewed 2020 [13] |
Treatment is clinician-led
A clinician decides whether testing is needed, what is causing low zinc and what, if anything, to give. Check with a pharmacist before taking zinc with other medicines; some antibiotics interact (Medication Interactions). Quality varies, see quality testing. More on zinc: Zinc.Frequently asked questions
What are the signs of zinc deficiency?
Sources list slow growth in children, skin changes, poor appetite, delayed wound healing and taste changes, but these are not specific. [6] [2] A clinician needs to look for other causes.
Can a blood test confirm zinc deficiency?
A plasma zinc test helps assess risk, but meals, time of day and inflammation change the result. [2]
Do vegetarians need zinc supplements?
A meta-analysis found lower zinc intake and serum zinc in vegetarians on average, and listed fortified foods or low-dose supplements among strategies to consider for those with low intakes or status. [7] It does not set a rule for everyone, so ask a clinician or dietitian.
Does alcohol affect zinc?
Reviews list alcohol abuse among the settings where moderate zinc deficiency is found. [6]
Can I treat suspected low zinc myself?
No. Long-term high zinc can cause copper deficiency, and symptoms may have other causes. [6] Talk to a clinician or pharmacist first.
References
- Mechanistic Impact of Zinc Deficiency in Human Development. Frontiers in Nutrition 2022. PubMed 35356730. Read 2026-10-23.
- King JC, Brown KH, Gibson RS, et al. The Journal of Nutrition 2016. Biomarkers of Nutrition for Development (BOND)-Zinc Review. Read 2026-10-23.
- Prasad AS. Advances in Nutrition 2013. Discovery of Human Zinc Deficiency: Its Impact on Human Health and Disease. Read 2026-10-23.
- Micronutrient deficiencies in older patients with inflammatory bowel disease are not associated with worse adverse clinical outcome rates. Annals of Gastroenterology 2024. PubMed 39238798. Read 2026-10-23.
- Multiple Micronutrients, Including Zinc, Selenium and Iron, Are Positively Associated with Anemia in New Zealand Aged Care Residents. Nutrients 2021. PubMed 33806205. Read 2026-10-23.
- Plum LM, Rink L, Haase H. International Journal of Environmental Research and Public Health 2010. The Essential Toxin: Impact of Zinc on Human Health. Read 2026-10-23.
- Effect of vegetarian diets on zinc status: a systematic review and meta-analysis of studies in humans. Journal of the Science of Food and Agriculture 2013. PubMed 23595983. Read 2026-10-23.
- Schoofs H, Schmit J, Rink L. Molecules 2024. Zinc Toxicity: Understanding the Limits. Read 2026-10-23.
- Zinc Status of Vegetarians during Pregnancy: A Systematic Review of Observational Studies and Meta-Analysis of Zinc Intake. Nutrients 2015. PubMed 26056918. Read 2026-10-23.
- Rash decisions: diagnosing zinc deficiency in unexplained dermatitis. BMJ Case Reports 2025. PubMed 41475879. Read 2026-10-23.
- Health Canada. Table page details dated 2025-11-19. Dietary reference intakes tables: Reference values for elements. Read 2026-10-23.
- European Food Safety Authority. Version 4, September 2017. EFSA, Summary of Dietary Reference Values (PDF). Read 2026-10-23.
- NHS (UK). Page last reviewed 3 August 2020. NHS, Vitamins and minerals: Others (zinc, copper, manganese and more). Read 2026-10-23.