Supplement
Zinc is an essential mineral that helps immune cells develop and work properly, and it also supports cell division and tissue repair. Most people look at it for immune health, and the evidence for acute respiratory infections is strong: a large review found people had fewer infections, and cold symptoms eased in a smaller body of research. Much of the cold data came from small studies, and one small trial in older adults found no clear difference in upper respiratory infections.
Sources: PMID 34728441; PMID 17344507
- Updated
- How we grade
- 79 studies cited
- Best evidence
- Grade A
- Conditions studied
- 47
- Outcomes
- 148
- Graded outcomes
- 13166
Evidence by condition
- Strong
- Moderate
- Limited
- Very limited
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Acute Respiratory Tract Infection Risk Moderate Improvement | Improves (the measure goes down) | Moderate effect | 1 study | 5,446 people | ||
Studies that measured acute respiratory tract infection risk | ||||||
| Acute Respiratory Tract Infection Symptoms | Improves (the measure goes down) | 5,446 people | ||||
| Common Cold Risk | Changes; see studies | 5,446 people | ||||
Diarrhea
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Diarrhea Symptoms Small Improvement | Improves (the measure goes down) | Small effect | 4 studies | 3,865 people | ||
Studies that measured diarrhea symptoms
| ||||||
| Vomiting | Improves (the measure goes down) | 7,043 people | ||||
Common Cold
- Common Cold Symptoms: improves
- Diarrhea Symptoms: improves
- Upper Respiratory Tract Infection Symptoms: improves
Type 2 Diabetes
- Blood glucose: improves
- IGF-1: improves
- Glycemic Control: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood glucose Small Improvement | Improves (the measure goes down) | Small effect | 1,452 people | |||
| IGF-1 | Improves (the measure goes up) | 2 studies | 120 people | |||
Studies that measured igf-1
| ||||||
| Glycemic Control | Improves (the measure goes up) | 1 study | 129 people | |||
| HbA1c | Improves (the measure goes down) | 1 study | 1,209 people | |||
Studies that measured hba1c | ||||||
| Insulin | Changes; see studies | 1 study | 435 people | |||
| Blood Pressure | Improves (the measure goes down) | 113 people | ||||
| Body Mass Index (BMI) | Improves (the measure goes down) | 475 people | ||||
| High-density lipoprotein (HDL) | Improves (the measure goes up) | 558 people | ||||
| Insulin Resistance | Improves (the measure goes down) | 331 people | ||||
| LDL Oxidation | Improves (the measure goes down) | 60 people | ||||
| Low-density lipoprotein (LDL) | Improves (the measure goes down) | 908 people | ||||
| Total cholesterol | Improves (the measure goes down) | 908 people | ||||
Premenstrual Syndrome (PMS)
- Anti-Oxidant Enzyme Profile: improves
- Depression Symptoms: improves
- PMS Symptoms: improves
Metabolic Health
- C-Reactive Protein (CRP): improves
- Iron Absorption: improves
- Testosterone: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| C-Reactive Protein (CRP) Small Decrease | Improves (the measure goes down) | Small effect | 1 study | 40 people | ||
Studies that measured c-reactive protein (crp) | ||||||
| Iron Absorption | Improves (the measure goes up) | 4 studies | 28 people | |||
Studies that measured iron absorption
| ||||||
| Testosterone | Improves (the measure goes up) | 3 studies | 10 people | |||
Studies that measured testosterone
| ||||||
| Cell Adhesion Factors | Improves (the measure goes down) | 1 study | 40 people | |||
Studies that measured cell adhesion factors | ||||||
| Oxidative Stress Biomarkers | Improves (the measure goes down) | 1 study | 40 people | |||
Studies that measured oxidative stress biomarkers | ||||||
| Free Testosterone | Improves (the measure goes up) | 10 people | ||||
| Interleukin 6 | Improves (the measure goes down) | 40 people | ||||
| Serum T3 | Improves (the measure goes up) | 10 people | ||||
| Serum T4 | Improves (the measure goes up) | 10 people | ||||
Metabolic Syndrome
- Anti-Oxidant Enzyme Profile: improves
- Apolipoprotein A: improves
- C-Reactive Protein (CRP): improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Anti-Oxidant Enzyme Profile Small Increase | Improves (the measure goes up) | Small effect | 1 study | 40 people | ||
Studies that measured anti-oxidant enzyme profile | ||||||
| Apolipoprotein A | Improves (the measure goes up) | 1 study | 60 people | |||
Studies that measured apolipoprotein a | ||||||
| C-Reactive Protein (CRP) | Improves (the measure goes down) | 1 study | 60 people | |||
Studies that measured c-reactive protein (crp) | ||||||
| Glycemic Control | Improves (the measure goes up) | 1 study | 120 people | |||
| Insulin | Changes; see studies | 1 study | 120 people | |||
| Oxidative Stress Biomarkers | Improves (the measure goes down) | 1 study | 100 people | |||
| Apolipoprotein B | Improves (the measure goes down) | 60 people | ||||
| Blood glucose | Improves (the measure goes down) | 120 people | ||||
| High-density lipoprotein (HDL) | Improves (the measure goes up) | 60 people | ||||
| LDL Oxidation | Improves (the measure goes down) | 60 people | ||||
| Leptin | Improves (the measure goes up) | 60 people | ||||
| Low-density lipoprotein (LDL) | Improves (the measure goes down) | 120 people | ||||
| Total cholesterol | Improves (the measure goes down) | 60 people | ||||
| Triglycerides | Improves (the measure goes down) | 60 people | ||||
| Weight | Improves (the measure goes down) | 120 people | ||||
Cognitive Improvement
- Cognition: improves
- Depression Symptoms: improves
- Serum BDNF: improves
End-Stage Renal Disease
- C-Reactive Protein (CRP): improves
- Testosterone: improves
- Luteinizing Hormone: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| C-Reactive Protein (CRP) Small Decrease | Improves (the measure goes down) | Small effect | 1 study | 55 people | ||
Studies that measured c-reactive protein (crp) | ||||||
| Testosterone | Improves (the measure goes up) | 3 studies | 95 people | |||
Studies that measured testosterone
| ||||||
| Luteinizing Hormone | Improves (the measure goes up) | 95 people | ||||
| Prolactin | Improves (the measure goes up) | 95 people | ||||
Stroke
- Cognition: improves
- Stroke Recovery: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Cognition Small Improvement | Improves (the measure goes up) | Small effect | 1 study | 26 people | ||
Studies that measured cognition | ||||||
| Stroke Recovery | Improves (the measure goes up) | 26 people | ||||
Depression
- Aggression: improves
- Depression Symptoms: improves
- Serum BDNF: improves
Infertility
- Seminal Motility: improves
- Sperm Count: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Seminal Motility Small Improvement | Improves (the measure goes up) | Small effect | 2,168 people | |||
| Sperm Count | Improves (the measure goes up) | 2,168 people |
Type 1 Diabetes
- Blood glucose: improves
- HbA1c: improves
- Insulin: changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood glucose Small Improvement | Improves (the measure goes down) | Small effect | 10 people | |||
| HbA1c | Improves (the measure goes down) | 1 study | 10 people | |||
| Insulin | Changes; see studies | 1 study | 10 people | |||
| Insulin Resistance | Improves (the measure goes down) | 10 people |
Frailty
- Functionality in Elderly or Injured: improves
- IGF-1: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Functionality in Elderly or Injured Small Improvement | Improves (the measure goes up) | Small effect | 61 people | |||
| IGF-1 | Improves (the measure goes up) | 2 studies | 61 people |
Gestational Diabetes
- Blood glucose: improves
- HbA1c: improves
- Insulin: changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood glucose Small Improvement | Improves (the measure goes down) | Small effect | 10 people | |||
| HbA1c | Improves (the measure goes down) | 1 study | 10 people | |||
| Insulin | Changes; see studies | 1 study | 10 people | |||
| Insulin Resistance | Improves (the measure goes down) | 10 people |
Prediabetes
- Blood glucose: improves
- HbA1c: improves
- Insulin: changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood glucose Small Improvement | Improves (the measure goes down) | Small effect | 10 people | |||
| HbA1c | Improves (the measure goes down) | 1 study | 10 people | |||
| Insulin | Changes; see studies | 1 study | 10 people | |||
| Insulin Resistance | Improves (the measure goes down) | 10 people |
Thyroid Health
- Free Testosterone: improves
- Testosterone: improves
- Serum T3: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Free Testosterone Small Increase | Improves (the measure goes up) | Small effect | 10 people | |||
| Testosterone | Improves (the measure goes up) | 3 studies | 10 people | |||
| Serum T3 | Improves (the measure goes up) | 10 people | ||||
| Serum T4 | Improves (the measure goes up) | 10 people |
Wrestling Performance
- Free Testosterone: improves
- Testosterone: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Free Testosterone Small Increase | Improves (the measure goes up) | Small effect | 10 people | |||
| Testosterone | Improves (the measure goes up) | 3 studies | 10 people |
General Athletic Performance
- Free Testosterone: improves
- Testosterone: improves
- Serum T3: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Free Testosterone Small Increase | Improves (the measure goes up) | Small effect | 10 people | |||
| Testosterone | Improves (the measure goes up) | 3 studies | 10 people | |||
| Serum T3 | Improves (the measure goes up) | 10 people | ||||
| Serum T4 | Improves (the measure goes up) | 10 people |
Upper Respiratory Tract Infection
- Upper Respiratory Tract Infection Risk
- Upper Respiratory Tract Infection Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Upper Respiratory Tract Infection Risk No effect | NoneNo effect | 1 study | 100 people | |||
| Upper Respiratory Tract Infection Symptoms | Improves (the measure goes down) | 11 studies | 348 people |
Weight Loss & Maintenance
- Body Fat
- Insulin: changes; see studies
- Interleukin 2: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Body Fat No effect | NoneNo effect | 1 study | 9 people | |||
| Insulin | Changes; see studies | 1 study | 9 people | |||
| Interleukin 2 | Improves (the measure goes up) | 9 people | ||||
| Leptin | Improves (the measure goes up) | 9 people | ||||
| Serum DHEA | Improves (the measure goes up) | 9 people | ||||
| TNF-Alpha | Improves (the measure goes down) | 9 people |
Infant Health
- Infant Birth Weight
- Iron Absorption: improves
- Infant Growth: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Infant Birth Weight No effect | NoneNo effect | 6,757 people | ||||
| Iron Absorption | Improves (the measure goes up) | 4 studies | 5 people | |||
| Infant Growth | Improves (the measure goes up) | 2 studies | 955 people | |||
| Preterm Birth Risk | Changes; see studies | 1 study | 7,637 people |
General Cardiovascular Health
- Blood Flow
- C-Reactive Protein (CRP): improves
- Cell Adhesion Factors: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood Flow No effect | NoneNo effect | 40 people | ||||
| C-Reactive Protein (CRP) | Improves (the measure goes down) | 1 study | 80 people | |||
| Cell Adhesion Factors | Improves (the measure goes down) | 1 study | 40 people | |||
| Insulin | Changes; see studies | 1 study | 40 people | |||
| Oxidative Stress Biomarkers | Improves (the measure goes down) | 1 study | 80 people | |||
| Blood glucose | Improves (the measure goes down) | 40 people | ||||
| Blood Pressure | Improves (the measure goes down) | 40 people | ||||
| High-density lipoprotein (HDL) | Improves (the measure goes up) | 40 people | ||||
| Interleukin 6 | Improves (the measure goes down) | 40 people | ||||
| Low-density lipoprotein (LDL) | Improves (the measure goes down) | 40 people | ||||
| Plasma Nitrate | Improves (the measure goes up) | 40 people | ||||
| Total cholesterol | Improves (the measure goes down) | 40 people | ||||
| Triglycerides | Improves (the measure goes down) | 40 people |
Low Birth Weight
- Infant Birth Weight
- Preterm Birth Risk: changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Infant Birth Weight No effect | NoneNo effect | 6,757 people | ||||
| Preterm Birth Risk | Changes; see studies | 1 study | 7,637 people |
Pregnancy and Delivery Health
- Infant Birth Weight
- Preterm Birth Risk: changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Infant Birth Weight No effect | NoneNo effect | 6,757 people | ||||
| Preterm Birth Risk | Changes; see studies | 1 study | 7,637 people |
Pneumonia
- Pneumonia Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Pneumonia Symptoms | Improves (the measure goes down) | 8 studies | 7,082 people |
Acne
- Acne Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Acne Symptoms | Improves (the measure goes down) | 4 studies | 462 people |
Chemotherapy Side Effects
- Mucositis Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Mucositis Symptoms | Improves (the measure goes down) | 4 studies | 194 people |
Head and Neck Cancer
- Mucositis Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Mucositis Symptoms | Improves (the measure goes down) | 4 studies | 30 people |
Iron Deficiency Anemia
- Iron Absorption: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Iron Absorption | Improves (the measure goes up) | 4 studies | 22 people |
Mucositis
- Mucositis Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Mucositis Symptoms | Improves (the measure goes down) | 4 studies | 60 people |
Optimal Nutrient Levels
- Iron Absorption: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Iron Absorption | Improves (the measure goes up) | 4 studies | 28 people |
Rosacea
- Rosacea Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Rosacea Symptoms | Improves (the measure goes down) | 2 studies | 69 people |
Warts
- Wart Severity: changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Wart Severity | Changes; see studies | 2 studies | 133 people |
General Cancer Care and Prevention
- Dysgeusia: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Dysgeusia | Improves (the measure goes up) | 2 studies | 58 people |
Carbonic Anhydrase VI Deficiency
- Dysgeusia: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Dysgeusia | Improves (the measure goes up) | 2 studies | 14 people |
Human Papillomavirus (HPV)
- Wart Severity: changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Wart Severity | Changes; see studies | 2 studies | 90 people |
Attention Deficit Hyperactivity Disorder (ADHD)
- ADHD Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| ADHD Symptoms | Improves (the measure goes down) | 1 study | 52 people |
Nonalcoholic Fatty Liver Disease (NAFLD)
- Cirrhosis Severity: changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Cirrhosis Severity | Changes; see studies | 1 study | 52 people |
Psoriasis
- Psoriasis Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Psoriasis Symptoms | Improves (the measure goes down) | 1 study | 60 people |
Dental Health
- Dental Health Metrics: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Dental Health Metrics | Improves (the measure goes up) | 1 study | 52 people |
Gum Health
- Dental Health Metrics: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Dental Health Metrics | Improves (the measure goes up) | 1 study | 52 people |
Immune Health
- Upper Respiratory Tract Infection Risk: changes; see studies
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Upper Respiratory Tract Infection Risk | Changes; see studies | 1 study | 100 people |
Mood Improvement
- Subjective Well-Being: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Subjective Well-Being | Improves (the measure goes up) | 1 study | 387 people |
Obsessive-Compulsive disorder (OCD)
- OCD Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| OCD Symptoms | Improves (the measure goes down) | 1 study | 23 people |
Tinnitus
- Tinnitus Symptoms: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Tinnitus Symptoms | Improves (the measure goes down) | 1 study | 41 people |
Uremic Pruritus
- Itching: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Itching | Improves (the measure goes up) | 1 study | 40 people |
What the published studies found
8 automated readings
LDL cholesterol
The studies disagree. A Cochrane review (2015, 3 studies, 128 people) found little or no difference in LDL cholesterol, while 3 of the 9 studies read found an improvement. The evidence is very weak.
Possible harm: 1 study read reported a worse result for LDL cholesterol with Zinc. One abstract says: "LDL cholesterol showed a modest increase (MD = 3.46; 95% CI 1.48 to 5.43)" Check the studies below, and ask a doctor or pharmacist if this applies to you.
9 studies counted of 9 read: 7 reviews and 2 trials (54 people in the trials).
- Systematic review, 2015; 3 studies, 128 people; adults with insulin resistance: no clear difference (the review the verdict rests on).
neutral effects for trials comparing zinc supplementation with placebo for total cholesterol
Zinc supplementation for the prevention of type 2 diabetes mellitus in adults with insulin resistance - Meta-analysis, 2026; 18 studies, 1,023 people; individuals with diabetes, gestational diabetes or prediabetes: worsens. Effects of Zinc Supplementation on Glycemic Control, Insulin Resistance, Inflammation and Oxidative Stress in Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
- Meta-analysis, 2023; 14 studies, 1,067 people; patients with type 2 diabetes mellitus: improves.
Following zinc supplementation, a significant decrease was observed in TC (weighted mean difference [WMD]: -16.16; …
The Effect of Zinc Supplementation on Lipid Profiles in Patients with Type 2 Diabetes Mellitus: A Systematic Review and Dose-Response Meta-Analysis of Randomized Clinical Trials - Meta-analysis, 2021; 27 studies, 2,016 people: improves.
significantly benefited fasting blood glucose, insulin resistance, triglycerides, total cholesterol, and LDL cholesterol
Effects of Dose and Duration of Zinc Interventions on Risk Factors for Type 2 Diabetes and Cardiovascular Disease: A Systematic Review and Meta-Analysis - Meta-analysis, 2020; 9 studies, 424 people; patients with type 2 diabetes mellitus: no clear difference.
overall effect of zinc supplementation on LDL-C levels was not significant
Effects of zinc supplementation on lipid profile in patients with type 2 diabetes mellitus: A systematic review and meta-analysis of randomized controlled trials - Meta-analysis, 2015; 24 studies, 14,515 people: improves.
LDL-c between Zinc supplemented and placebo group
Effects of Zinc supplementation on serum lipids: a systematic review and meta-analysis - Systematic review, 2006: no clear difference.
concentrations of LDL-cholesterol (c), total cholesterol and triglycerides in plasma are unaffected
The effect of zinc supplementation in humans on plasma lipids, antioxidant status and thrombogenesis - Crossover trial, 1995; 10 people; healthy male volunteers: no clear difference.
No changes in the oxidizability of LDL
The effect of zinc supplementation on plasma lipids and low-density lipoprotein oxidation in males - Randomised trial, 1984; 44 people; sedentary and endurance-trained men: no clear difference.
low-density-lipoprotein cholesterol, and triglyceride levels did not change
Zinc ingestion and lipoprotein values in sedentary and endurance-trained men
- Systematic review, 2015; 3 studies, 128 people; adults with insulin resistance: no clear difference (the review the verdict rests on).
Acne
The best available review (2026) found an improvement in acne. That review studied patients with acne vulgaris. All 7 studies read agree. The evidence is limited.
7 studies counted of 10 read: 4 reviews and 3 trials (108 people in the trials).
- Systematic review, 2026; patients with acne vulgaris: improves (the review the verdict rests on).
available data support a potential clinical benefit
Oral Zinc Supplementation in Acne Vulgaris and Hidradenitis Suppurativa: An Updated Comprehensive Review - Systematic review, 2020; 22 studies; patients with inflammatory dermatologic conditions: improves.
beneficial in ten of 14 studies evaluating its effects on acne vulgaris
Effects of Zinc Supplementation on Inflammatory Skin Diseases: A Systematic Review of the Clinical Evidence - Meta-analysis, 2020; patients with acne vulgaris: improves.
significant improvement in mean inflammatory papule count
Serum zinc levels and efficacy of zinc treatment in acne vulgaris: A systematic review and meta-analysis - Systematic review, 2013; patients with acne vulgaris: improves.
zinc has antibacterial and anti-inflammatory effects
The clinical effects of zinc as a topical or oral agent on the clinical response and pathophysiologic mechanisms of acne: a systematic review of the literature - Randomised trial, 1989; patients with inflammatory acne: improves.
significantly different result between zinc and placebo groups
Low doses of zinc gluconate for inflammatory acne - Randomised trial, 1980; 54 people; 54 patients with acne vulgaris: improves.
Compared to placebo this result is slightly better
Clinical evaluation in acne - Randomised trial, 1978; 54 people; patients suffering from acne vulgaris: improves.
Clinical comparison with placebo showed the result of zinc sulphate therapy to be slightly, but …
Oral zinc in acne vulgaris: a clinical and methodological study
- Systematic review, 2026; patients with acne vulgaris: improves (the review the verdict rests on).
Blood pressure
The best available review (2024, 22 studies, 1,442 people) found an improvement in blood pressure. That review studied adults with type 2 diabetes. 2 of the 4 studies read agree; 2 found no clear difference. The evidence is moderate.
4 studies counted of 10 read: 3 reviews and 1 trial (242 people in the trials).
- Meta-analysis, 2024; 22 studies, 1,442 people; adults with type 2 diabetes: improves (the review the verdict rests on).
Systolic blood pressure (SBP) (MD): -3.64 mmHg
Effect of zinc supplementation in the management of type 2 diabetes: A grading of recommendations assessment, development, and evaluation-assessed, dose-response meta-analysis of randomized controlled trials - Meta-analysis, 2020; 20 studies, 1,141 people: no clear difference.
effects of zinc supplementation on blood pressure
Effects of Zinc Supplementation on Cardiometabolic Risk Factors: a Systematic Review and Meta-analysis of Randomized Controlled Trials - Meta-analysis, 2020; 9 studies: improves.
Zinc supplementation significantly reduced SBP compared to the control
The effect of zinc supplementation on blood pressure: a systematic review and dose-response meta-analysis of randomized-controlled trials - Randomised trial, 2017; 242 people; peruvian children aged 4.5 years: no clear difference.
No difference in measures of child cardiometabolic risk
Effect of maternal zinc supplementation on the cardiometabolic profile of Peruvian children: results from a randomized clinical trial
- Meta-analysis, 2024; 22 studies, 1,442 people; adults with type 2 diabetes: improves (the review the verdict rests on).
Hair growth
The 1 study read (200 people in all) mostly found an improvement in hair growth. The evidence is limited.
1 study counted of 9 read: 1 trial (200 people in the trials).
- Randomised trial, 2003; 200 people; healthy men with androgenetic alopecia: improves. The effects of minoxidil, 1% pyrithione zinc and a combination of both on hair density: a randomized controlled trial
Muscle soreness
Too few usable studies were found to tell whether Zinc changes muscle soreness. 3 studies were read and none could be counted.
Respiratory infections
A Cochrane review (2024, 34 studies, 8,526 people) found little or no difference in respiratory infections. That review studied children and adults with or at risk of common cold. 3 of the 6 studies read agree; 3 found an improvement. The evidence is limited.
6 studies counted of 8 read: 6 reviews.
- Systematic review, 2024; 34 studies, 8,526 people; children and adults with or at risk of common cold: no clear difference (the review the verdict rests on).
little or no reduction in the risk of developing a cold
Zinc for prevention and treatment of the common cold - Systematic review, 2026; 19 studies, 11,576 people; children under 18 years old: no clear difference.
Direct comparison meta-analysis showed no statistically significant differences between low-dose vitamin D, vitamin A, vitamin …
Comparative efficacy of nutritional supplements for the prevention of respiratory tract infections in children: a systematic review and network meta-analysis - Systematic review, 2026; children with respiratory infections: improves.
reducing the incidence and burden of respiratory infections
The Role of Zinc in Pediatric Respiratory Infections: Evidence from Clinical Trials and Real-World Studies - Meta-analysis, 2022; 14 studies, 9,940 people; preterm or low birth weight infants: no clear difference.
no effect on acute respiratory infections
Enteral Zinc Supplementation in Preterm or Low Birth Weight Infants: A Systematic Review and Meta-analysis - Meta-analysis, 2016; 6 studies, 5,193 people; children aged 2 months to 59 months: improves. Zinc supplementation for the prevention of pneumonia in children aged 2 months to 59 months
- Meta-analysis, 2013; 18 studies, 1,781 people; healthy people with common cold symptoms: improves.
The incidence rate ratio (IRR) of developing a cold (IRR 0.64, 95% CI 0.47 to …
Zinc for the common cold
- Systematic review, 2024; 34 studies, 8,526 people; children and adults with or at risk of common cold: no clear difference (the review the verdict rests on).
Stress
The best available review (2026, 18 studies, 1,023 people) found a moderate improvement in stress. That review studied individuals with diabetes, gestational diabetes or prediabetes. 2 of the 3 studies read agree; 1 found no clear difference. The evidence is moderate.
3 studies counted of 10 read: 2 reviews and 1 trial (40 people in the trials).
- Meta-analysis, 2026; 18 studies, 1,023 people; individuals with diabetes, gestational diabetes or prediabetes: improves (the review the verdict rests on). Effects of Zinc Supplementation on Glycemic Control, Insulin Resistance, Inflammation and Oxidative Stress in Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
- Meta-analysis, 2021; 25 studies, 1,428 people: improves. Effects of zinc supplementation on inflammatory biomarkers and oxidative stress in adults: A systematic review and meta-analysis of randomized controlled trials
- Randomised trial, 2011; 40 people; male type 2 diabetic patients with normal zinc levels: no clear difference.
markers of oxidative damage, levels of hydroxyeicosatetraenoic acid products and vascular indices were unchanged by …
Oral zinc supplementation does not improve oxidative stress or vascular function in patients with type 2 diabetes with normal zinc levels
Warts
The best available review (2025, 33 studies, 2,728 people) found little or no difference in warts. That review studied patients with viral warts and cervical HPV infection. 3 of the 7 studies read agree; 4 found an improvement. The evidence is moderate.
7 studies counted of 10 read: 3 reviews and 4 trials (318 people in the trials).
- Meta-analysis, 2025; 33 studies, 2,728 people; patients with viral warts and cervical HPV infection: no clear difference (the review the verdict rests on).
log OR was 2.97 [95% CI: 0.96; 4.97]
Clinical Use of Zinc in Treatment of Human Papillomavirus Cervical Infection and Viral Warts: A Systematic Review and Meta-Analysis - Meta-analysis, 2025; 7 studies; patients with viral warts: improves.
total clearance rate of warts was significantly higher
Oral zinc sulphate reduces the recurrence rate and provides significant therapeutic effects for viral warts: A systematic review and meta-analysis of randomized controlled trials - Systematic review, 2012; people with cutaneous warts: improves.
limited evidence was found for the efficacy of zinc
Systemic treatments for cutaneous warts: a systematic review - Crossover trial, 2023; 50 people; patients suffering from genital warts: no clear difference.
no significant differences were observed between treatment with zinc and placebo
The Efficacy of Cryotherapy and Zinc Gluconate in Management of Anogenital Warts: A Randomized Double-Blind, Split-Side, Placebo-Controlled Trial - Randomised trial, 2020; 105 people; patients with plantar warts: improves. Intralesional zinc sulfate 2% vs intralesional vitamin D in plantar warts: A clinicodermoscopic study
- Randomised trial, 2018; 83 people; patients with common warts: no clear difference.
Warts completely resolved in 26 patients
Cryotherapy plus oral zinc sulfate versus cryotherapy plus placebo to treat common warts: A double blind, randomized, placebo-controlled trial - Randomised trial, 2002; 80 people; patients with recalcitrant viral warts: improves.
complete clearance of warts observed in 20 patients (86.9%)
Oral zinc sulphate in the treatment of recalcitrant viral warts: randomized placebo-controlled clinical trial
- Meta-analysis, 2025; 33 studies, 2,728 people; patients with viral warts and cervical HPV infection: no clear difference (the review the verdict rests on).
Key findings
- Acute Respiratory Tract Infection RiskImproves (the measure goes down)
- Diarrhea SymptomsImproves (the measure goes down)
- Common Cold SymptomsImproves (the measure goes down)
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- Grade A
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Studies cited
79 studies from PubMed
- Effects of folic acid and folic acid plus zinc supplements on the sperm characteristics and pregnancy outcomes of infertile men: A systematic review and meta-analysis.
- A systematic review and meta-analysis examining the role of zinc supplementation in ameliorating physical and psychological manifestations of premenstrual syndrome in young females.
- Effect of Zinc Supplementation on Physical and Psychological Symptoms, Biomarkers of Inflammation, Oxidative Stress, and Brain-Derived Neurotrophic Factor in Young Women with Premenstrual Syndrome: a Randomized, Double-Blind, Placebo-Controlled Trial
- Effect of zinc sulfate supplementation on premenstrual syndrome and health-related quality of life: Clinical randomized controlled trial
- Effect of zinc supplementation on markers of insulin resistance, oxidative stress, and inflammation among prepubescent children with metabolic syndrome
- Effect of zinc supplementation on insulin resistance and components of the metabolic syndrome in prepubertal obese children
- Effect of zinc supplementation on antioxidant activity in young wrestlers
- Randomized, double-blind trial of 220 mg zinc sulfate twice daily in the treatment of rosacea
- Oral zinc sulfate in the treatment of rosacea: a double-blind, placebo-controlled study
- Prophylaxis and treatment of rhinovirus colds with zinc gluconate lozenges
- Two randomized controlled trials of zinc gluconate lozenge therapy of experimentally induced rhinovirus colds
- Zinc gluconate and the common cold: a controlled clinical study
- Duration and severity of symptoms and levels of plasma interleukin-1 receptor antagonist, soluble tumor necrosis factor receptor, and adhesion molecules in patients with common cold treated with zinc acetate
- Zinc acetate lozenges for the treatment of the common cold: a randomised controlled trial
- Zinc gluconate lozenges for treating the common cold. A randomized, double-blind, placebo-controlled study
- Effect of treatment with zinc gluconate or zinc acetate on experimental and natural colds
- Reduction in duration of common colds by zinc gluconate lozenges in a double-blind study
- Zinc gluconate lozenges for common cold. A double-blind clinical trial
- Duration of symptoms and plasma cytokine levels in patients with the common cold treated with zinc acetate. A randomized, double-blind, placebo-controlled trial
- Zinc supplementation decreases incidence of infections in the elderly: effect of zinc on generation of cytokines and oxidative stress
- Zinc sulfate in the prevention of radiation-induced oropharyngeal mucositis: a prospective, placebo-controlled, randomized study
- Zinc increases the effects of essential amino acids-whey protein supplements in frail elderly
- Effects of zinc supplementation on efficacy of antidepressant therapy, inflammatory cytokines, and brain-derived neurotrophic factor in patients with major depression
- Zinc monotherapy increases serum brain-derived neurotrophic factor (BDNF) levels and decreases depressive symptoms in overweight or obese subjects: A double-blind, randomized, placebo-controlled trial
- Zinc supplementation combined with antidepressant drugs for treatment of patients with depression: a systematic review and meta-analysis
- Effect of zinc supplementation on mood states in young women: a pilot study
- Zinc supplementation augments efficacy of imipramine in treatment resistant patients: a double blind, placebo-controlled study
- Zinc supplementation improved cognitive performance and taste acuity in Indian adolescent girls
- Short-term zinc supplementation in women with non-insulin-dependent diabetes mellitus: effects on plasma 5'-nucleotidase activities, insulin-like growth factor I concentrations, and lipoprotein oxidation rates in vitro
- Effect of zinc supplementation in the management of type 2 diabetes: A grading of recommendations assessment, development, and evaluation-assessed, dose-response meta-analysis of randomized controlled trials.
- Effect of zinc supplementation on glycemic biomarkers: an umbrella of interventional meta-analyses.
- Zinc decreases C-reactive protein, lipid peroxidation, and inflammatory cytokines in elderly subjects: a potential implication of zinc as an atheroprotective agent
- Oral zinc supplementation does not improve oxidative stress or vascular function in patients with type 2 diabetes with normal zinc levels
- New insights about iron bioavailability inhibition by zinc
- Effect of fatiguing bicycle exercise on thyroid hormone and testosterone levels in sedentary males supplemented with oral zinc
- Zinc may regulate serum leptin concentrations in humans
- Oral zinc sulphate in the treatment of recalcitrant viral warts: randomized placebo-controlled clinical trial
- Topical zinc sulphate solution for treatment of viral warts
- The efficacy of zinc supplementation on outcome of children with severe pneumonia. A randomized double-blind placebo-controlled clinical trial
- Efficacy of zinc given as an adjunct in the treatment of severe and very severe pneumonia in hospitalized children 2-24 mo of age: a randomized, double-blind, placebo-controlled trial
- Two weeks of zinc administration to Nepalese children with pneumonia does not reduce the incidence of pneumonia or diarrhea during the next six months
- Role of zinc in severe pneumonia: a randomized double bind placebo controlled study
- A randomized controlled trial of oral zinc in acute pneumonia in children aged between 2 months to 5 years
- Zinc adjunct therapy reduces case fatality in severe childhood pneumonia: a randomized double blind placebo-controlled trial
- A randomized controlled trial of the effect of zinc as adjuvant therapy in children 2-35 mo of age with severe or nonsevere pneumonia in Bhaktapur, Nepal
- A randomized controlled trial of zinc as adjuvant therapy for severe pneumonia in young children
- Normalization of zinc intake enhances neurological retrieval of patients suffering from ischemic strokes
- The role of zinc in the treatment of tinnitus
- The effect of exhaustion exercise on thyroid hormones and testosterone levels of elite athletes receiving oral zinc
- Multicenter randomized comparative double-blind controlled clinical trial of the safety and efficacy of zinc gluconate versus minocycline hydrochloride in the treatment of inflammatory acne vulgaris
- Oral zinc sulphate therapy in acne vulgaris: a double-blind trial
- Low doses of zinc gluconate for inflammatory acne
- Oral zinc in acne vulgaris: a clinical and methodological study
- Failure of zinc gluconate in treatment of acute upper respiratory tract infections
- Elevated intakes of zinc in infant formulas don not interfere with iron absorption in premature infants
- Zinc supplementation for improving pregnancy and infant outcome.
- Zinc supplementation for the promotion of growth and prevention of infections in infants less than six months of age.
- Effect of enteral zinc supplementation on growth and neurodevelopment of preterm infants: a systematic review and meta-analysis
- Effects of low dose zinc supplementation on biochemical markers in non-alcoholic cirrhosis: a randomized clinical trial
- The effect of zinc sulfate in the prevention of high-dose chemotherapy-induced mucositis: a double-blind, randomized, placebo-controlled study
- Treatment of localized psoriasis with a topical formulation of zinc pyrithione
- Supplemented zinc does not alter mood in healthy older European adults--a randomised placebo-controlled trial: the Zenith study
- Impact of oral zinc therapy on the level of sex hormones in male patients on hemodialysis
- Effects of zinc supplementation on serum zinc and C-reactive protein concentrations in hemodialysis patients
- Zinc for attention-deficit/hyperactivity disorder: placebo-controlled double-blind pilot trial alone and combined with amphetamine
- A randomized double-blind, placebo-controlled trial of zinc sulfate supplementation for alleviation of radiation-induced oral mucositis and pharyngitis in head and neck cancer patients
- Evaluation of the efficacy of zinc sulfate in the prevention of chemotherapy-induced mucositis: a double-blind randomized clinical trial
- Evaluation of oral zinc sulfate effect on obsessive-compulsive disorder: a randomized placebo-controlled clinical trial
- A randomized, placebo controlled trial of oral zinc for chemotherapy-related taste and smell disorders
- The effect of systemic zinc supplementation on oral health in low socioeconomic level children
- Zinc sulfate for relief of pruritus in patients on maintenance hemodialysis
- Efficacy of exogenous oral zinc in treatment of patients with carbonic anhydrase VI deficiency
- Zinc inhibits nonheme iron bioavailability in humans
- Effect of increasing concentrations of zinc on the absorption of iron from iron-fortified milk
- Oral zinc for treating diarrhoea in children.
- Oral zinc supplementation for the treatment of acute diarrhea in children: a systematic review and meta-analysis.
- Zinc supplementation for treating diarrhea in children: a systematic review and meta-analysis.
- Zinc supplementation for acute and persistent watery diarrhoea in children: A systematic review and meta-analysis.
- Zinc for the prevention or treatment of acute viral respiratory tract infections in adults: a rapid systematic review and meta-analysis of randomised controlled trials