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Letter to the Editor: Zinc Supplementation

Omer Tarim, MD
 
Volume 19, Issue 1, 2003
© 2003 Prime Health Consultants, Inc.

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.