Thursday, July 18, 2024

Power Up Your Health: Why You Might Need More Zinc


A popularity-based ranking of herbs and supplements listed on MedlinePlus[3] (a service of the U.S. National Library of Medicine and the National Institutes of Health) has shown that Zinc maybe is one of the most important nutrients that our body needs.

Let me explain my methodology used in coming up with the ranking first. On MedlinePlus, it lists most of the popular herbs and supplements that have been studied by scientists. For each herb or supplement, it provides a grade which reflects the level of available scientific evidence in support of the efficacy of a given therapy for a specific indication. For example, zinc supplement is used to treat malnourished children with acute diarrhea in multiple studies and it shows that zinc supplement may reduce the severity and duration of diarrhea with strong evidence. Therefore, an evidence grade "A" is assigned to zinc in treating diarrhea among malnourished children.

For each use of herb or supplement in a specific therapy, a grade is given based on an objective criteria. There are 6 grades in the evaluation as shown in the following table:

Level of Evidence GradeCriteria
A (Strong Scientific Evidence)Statistically significant evidence of benefit from >2 properly randomized trials ( RCTs ), OR evidence from one properly conducted RCT AND one properly conducted meta-analysis, OR evidence from multiple RCTs with a clear majority of the properly conducted trials showing statistically significant evidence of benefit AND with supporting evidence in basic science, animal studies, or theory.

B (Good Scientific Evidence)


Statistically significant evidence of benefit from 1-2 properly randomized trials, OR evidence of benefit from > 1 properly conducted meta-analysis OR evidence of benefit from >1 cohort/case-control/non-randomized trials AND with supporting evidence in basic science, animal studies, or theory.
C (Unclear or conflicting scientific evidence)Evidence of benefit from > 1 small RCT (s) without adequate size, power, statistical significance, or quality of design by objective criteria,* OR conflicting evidence from multiple RCTs without a clear majority of the properly conducted trials showing evidence of benefit or ineffectiveness, OR evidence of benefit from > 1 cohort/case-control/non-randomized trials AND without supporting evidence in basic science, animal studies, or theory, OR evidence of efficacy only from basic science, animal studies, or theory.
D (Fair Negative Scientific Evidence)Statistically significant negative evidence (i.e., lack of evidence of benefit) from cohort/case-control/non-randomized trials, AND evidence in basic science, animal studies, or theory suggesting a lack of benefit.
F (Strong Negative Scientific Evidence)Statistically significant negative evidence (i.e. lack of evidence of benefit) from > 1 properly randomized adequately powered trial(s) of high-quality design by objective criteria.
Lack of EvidenceUnable to evaluate efficacy due to lack of adequate available human data.

As you can see that grade "A", "B", "C" have been assigned to a herb or supplement for its benefit of a given therapy with the strongest to the weakest positive scientific evidence. In my tabulation, I have counted total number of therapies using a herb or supplement listed on MedlinePlus with a grade "A", "B", or "C". The higher the count is, the more popular that herb or supplement is in the eyes of scientists. Based on the counting, zinc comes up to the top as shown in the following table:


Zinc is necessary for the functioning of more than 300 different enzymes and plays a vital role in an enormous number of biological processes. For example, Zinc
  • Is a cofactor for the antioxidant enzyme superoxide dismutase 

  • Is in a number of enzymatic reactions involved in carbohydrate and protein metabolism

  • Plays a critical role in regulating how neurons communicate with one another, and could affect how memories form and how we learn[2]

  • May lead to symptoms of night blindness[4]

    • Without the proper amount of zinc, vitamin A may not be absorbed as well as it should be


Zinc has gained popularity for its use in the prevention of the common cold. However, we need zinc in only tiny amounts. Most of people eating a zinc-rich diet may not need a supplement. Who needs zinc? Pregnant and breast-feeding women must ensure they are getting adequate supplies of zinc from their diet and/or from supplements, as a lack of this mineral could lead to fetal abnormalities and stunted growth in their babies. Finally, be warned that too much zinc has been linked to a suppression of the immune response.

As I always advocate for getting important nutrients from natural sources — whole foods, not supplements, I'll conclude this article by listing foods that are rich sources of zinc.


Zinc Rich Foods List

Milligrams

Portion
Oysters25 +100g
Shellfish20100g
Brewers Yeast17100g
Wheat Germ17100g
Wheat Bran16100g
All Bran cereal6.8100g
Pine Nuts6.5100g
Pecan Nuts6.4100g

Ok Sources of Zinc

Milligrams

Portion
Liver6100g
Cashew Nuts5.7100g
Parmesan Cheese5.2100g
Fish3100g
Eggs2100g

Resources

  1. List of Foods Rich in Zinc
  2. Zinc's role in the brain: Research gives insight into 50-year-old mystery
  3. MedlinePlus - Health Information from the National Library of Medicine
  4. How can I improve my night vision?

Magnesium: The Unsung Hero for Your Health

Mineral of the Year--Magnesium (YouTube link)

Dr. David Brownstein[1] has found the following top 10 nutrients are deficient among his patients[2]:

  1. Iodine

  2. Vitamin B12

  3. Magnesium (Mg)

  4. Vitamin C

  5. Vitamin B1

  6. Vitamin D

  7. Sulfur

  8. Zinc

  9. Chromium

  10. Potassium

Other data from the government also show that: Approximately 50% of the U.S. population consume less than the required amount of magnesium for health[6, 7].  This inadequate intake applies to all Americans – regardless of age, gender, race, education or economic status. Because magnesium is vital to so many functions in the body, this suboptimal intake of magnesium has many scientists and healthcare professionals concerned[7, 8].

Health Benefits of Magnesium

Magnesium, a vital element abundantly present in daily meals, is crucial for DNA and RNA synthesis, cell growth, and protein production, ranking as the human body’s fourth most important mineral.[25,26] Approximately 50% of total body magnesium is found in bone. The other half is found predominantly inside cells of body tissues and organs. Only 1% of magnesium is found in blood, but the body works very hard to keep blood levels of magnesium constant[8,16].

Magnesium is needed for more than 300 biochemical reactions in the body. It helps maintain normal muscle and nerve[5] function, keeps heart rhythm steady, supports a healthy immune system, and keeps bones strong. Magnesium also helps regulate blood sugar levels, promotes normal blood pressure[13], and is known to be involved in energy metabolism and protein synthesis[17,18]. There is an increased interest in the role of magnesium in preventing and managing disorders such as hypertension, cardiovascular disease, and diabetes. Dietary magnesium is absorbed in the small intestines. Magnesium is excreted through the kidneys[16-19].

Additional benefits of Mg include:

  • Pelvic Inflammatory Disease (PID)

    • A study analyzing data from the National Health and Nutrition Examination Survey found a significant link between increased magnesium consumption and reduced PID risk.[24]. 

  • Constipation

    • Magnesium is needed for normal muscle function, including intestinal muscles. One recent study examined the intake of magnesium with constipation in 3835 women. Low magnesium intake was associated with constipation[12]. 

  • Anti-stress mineral[20]

    • Relaxes your muscles, including the heart.

    • Used for poor sleep, anxiety, menstrual cramps, muscle cramps or spasms, high blood pressure[13], asthma attacks, and abnormal heartbeats.

  • Diabetes

    • Magnesium plays an important role in carbohydrate metabolism. It may influence the release and activity of insulin[21].

    • In older adults, correcting magnesium depletion may improve insulin response and action[22].

    • In the Nurses' Health Study (NHS) and the Health Professionals' Follow-up Study (HFS), it shows that: Over time, the risk for developing type 2 diabetes was greater in men and women with a lower magnesium intake[23]

Overall, magnesium is essential for optimum health[3-5].  



What are magnesium sources?

  • Food sources (preferred)

    • Green leafy vegetables, legumes (beans and peas), nuts, whole unrefined grains, soy foods, seeds and dried fruits, such as figs, apricots, and dates are good sources of Mg

    • However, the modernization of food has led to a decrease of magnesium, making it important to eat these foods on a consistent basis[9, 10].

  • Supplements

    • For those who are falling short in their diet, Mg supplementation may be recommended to fill in the nutrient gaps[8].

    • The best supplements are probably magnesium glycinate or other amino acid chelates.

    • These supplements are best taken with food and spread out in divided doses over the day, with meals. For example, you might take 120 milligrams of magnesium glycinate with each meal.

  • Intravenous (i.e. by IV) magnesium replacement

    • When blood levels of magnesium are very low, intravenous (i.e. by IV) magnesium replacement is usually recommended[8]

Warning

Struvite, or infected, stones are among the most difficult and dangerous problems in stone disease because of the potential of life-threatening complications from infection[15].  Struvite stones form readily in the urine of patients that are infected with ammonia-producing organisms. They are potentiated by alkaline urine and high magnesium excretion (high magnesium/plant-based diets).   Other facts include:

  • 10% kidney stones contain struvite stones.

  • These stones are found mainly in women with recurring urinary infections, paralyzed patients, and patients with abnormal urinary tracts.

  • Struvite stones are often called triple phosphate stones because they contain 3 different elements: 

    • magnesium

    • ammonium

    • calcium

References

  1. Dr. David Brownstein

  2. 5 Signs you'll Get Cancer And 7 Smart Ways to Prevent It!

  3. Rude RK, Shils ME. Magnesium. In: Shils ME, Shike M, Ross AC, Caballero B, Cousins RJ, eds. Modern Nutrition in Health and Disease. 10th ed. Baltimore: Lippincott Williams & Wilkins; 2006:223-247.

  4. Food and Nutrition Board, Institute of Medicine. Magnesium. Dietary Reference Intakes: Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride. Washington D.C.: National Academy Press; 1997:190-249. 

  5. Vink, R (2012). Magnesium in the Central Nervous System. The University of Adelaide Press. Retrieved from 

  6. What We Eat in America. NHANES 2005-2006; usual nutrient intakes from food and water compared to 1997 dietary reference intakes for Vitamin D, Calcium, Phosphorus, and Magnesium. U.S. Department of Agriculture Agricultural Research Service Beltsville Human Nutrition Research Center Food Surveys Research Group. July 2009. 

  7. Rosanoff, A., C. Weaver, et al. 2012. “Suboptimal Magnesium Status in the United States: Are the Health Consequences Underestimated?” Nutrition Reviews 70(3): 153–64. 

  8. Office of Dietary Supplements. Dietary Supplement Fact Sheet: Magnesium. National Institutes of Health. 2009.

  9. Rosanoff A. Changing crop magnesium concentrations: impact on human health August 2012; Plant Soil. DOI 10.1007/s11104-012-1471-5 

  10. Thomas D. A study on the mineral depletion of the foods available to us as a nation over the period 1940 to 1991. Nutr Health. 2003; 17(2):85-115.

  11. Costco Connection (May 2013, Vol. 28, No. 5)

  12. Remedies for Constipation Relief

  13. Ultra-Longevity by Dr. Mark Liponis

  14. Dr. Oz’s 3 Key Supplements

  15. Types of Kidney Stones (Travel and Health)

  16. Rude RK. Magnesium deficiency: A cause of heterogeneous disease in humans. J Bone Miner Res 1998;13:749-58.

  17. Wester PO. Magnesium. Am J Clin Nutr 1987;45:1305-12. [PubMed abstract]

  18. Saris NE, Mervaala E, Karppanen H, Khawaja JA, Lewenstam A. Magnesium: an update on physiological, clinical, and analytical aspects. Clinica Chimica Acta 2000;294:1-26.

  19. Institute of Medicine. Food and Nutrition Board. Dietary Reference Intakes: Calcium, Phosphorus, Magnesium, Vitamin D and Fluoride. National Academy Press. Washington, DC, 1999.

  20. Magnesium: The Anti-Stress Nutrient By Christopher Hobbs and Elson Haas from Vitamins For Dummies

  21. Kobrin SM and Goldfarb S. Magnesium Deficiency. Semin Nephrol 1990;10:525-35.

  22. Paolisso G, Sgambato S, Gambardella A, Pizza G, Tesauro P, Varricchio H, D'Onofrio F. Daily magnesium supplements improve glucose handling in elderly subjects. Am J Clin Nutr 1992;55:1161-7.

  23. Lopez-Ridaura R, Willett WC, Rimm EB, Liu S, Stampfer MJ, Manson JE, Hu FB. Magnesium intake and risk of type 2 diabetes in men and women. Diabetes Care 2004;27:134-40.

  24. Association between dietary magnesium intake and pelvic inflammatory disease in US women: a cross-sectional study of NHANES

  25. Garrison, SR, Korownyk, CS, Kolber, MR, Allan, GM, Musini, VM, Sekhon, RK, et al. Magnesium for skeletal muscle cramps. Cochrane Database Syst Rev. (2020) 2020:Cd009402.

  26. Gröber, U, Schmidt, J, and Kisters, K. Magnesium in prevention and therapy. Nutrients. (2015) 7:8199–226.