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GH Guidelines

Volume 19, Issue 1, March 2003
Table of Contents 19-1
Letter to the Editor: Zinc Supplementation
 
Omer Tarim, MD
Director of Pediatric Endocrinology
Uludag University Faculty of Medicine
Bursa, Turkey
 
Refer to abstract: Serum Zinc in Infants and Preschool Children in the Jeddah Area: Effect of Diet and Diarrhea in Relation to Growth

letter

I would like to add a precaution before suggesting zinc supplementation to anyone with nutritional growth retardation who lives in places where zinc deficiency may be prevalent. Iron deficiency which may co-exist with zinc deficiency may be aggravated during zinc therapy because these two minerals may block the intestinal absorption of each other.1 Consequently, iron deficiency may also worsen growth retardation. Therefore, I suggest excluding iron deficiency, which is easier to diagnose than zinc deficiency, before initiating zinc supplementation.

Reference

1.    Lifshitz F, et al. Nutritional Growth Retardation. In: Lifshitz F, ed. Pediatric Endocrinology 3rd Edition. New York: Marcel Dekker, 1996:103-120.

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