Supplements · Minerals
Zinc: Benefits, Supplements, Dosage, Foods and Side Effects
What zinc does for your immune system, skin, gut lining and hormones, how zinc lozenges shorten a cold, which zinc supplement to take and how much, the best food sources, and how to keep zinc and copper in balance.

Why this score?
Weighting: Evidence 30% · Bioavailability & Absorption 25% · Clinical Effectiveness 25% · Safety & Tolerability 20% (7.4×0.30 + 6.8×0.25 + 7.6×0.25 + 7.2×0.20 = 2.22 + 1.70 + 1.90 + 1.44 = 7.26, shown as 7.3). Interactions are rated separately and don't change the score. How we score
Interaction check: Moderate. Zinc can lower how well some medicines are absorbed, and one class of diuretic raises the zinc you lose. Interactions are rated separately and don't change the score.
Quinolone antibiotics, such as ciprofloxacin: zinc lowers how much of the antibiotic you absorb.36 Take the antibiotic at least 2 hours before or 4 to 6 hours after your zinc.41
Tetracycline antibiotics, such as tetracycline: zinc taken at the same time lowers how much of the antibiotic you absorb.37 Use the same spacing, with the antibiotic at least 2 hours before or 4 to 6 hours after your zinc.41
Penicillamine, used for Wilson's disease and rheumatoid arthritis: zinc lowers how much of the drug you absorb, so take the two at least 1 hour apart.1
Thiazide diuretics, such as hydrochlorothiazide: these raise the zinc you lose in your urine, so if you take one long term, ask the doctor who prescribes it to check your zinc.1
On this page

Is zinc one of your top 5?
What's your biggest goal right now?
Zinc is the mineral your body uses to defend itself and to repair tissue, from the T cells that fight infection to the new skin that closes a cut, and you need a steady supply of it from food every day. Build your meals on grass-fed beef, lamb and pumpkin seeds, and when food falls short, a daily zinc supplement fills the gap.123
- What it does: helps run more than 300 enzymes and supports your immune defenses, skin, gut lining and testosterone21
- For colds: lozenges started at the first symptoms shortened colds by 33% in a meta-analysis of 7 placebo-controlled trials4
- How much: 15 to 30 mg a day as zinc picolinate, citrate or glycinate, and no more than 50 mg a day long term3
- How to use it: take it with a meal, apart from calcium and iron supplements, and add 1 to 2 mg of copper when you take it long term2
Zinc is an essential mineral that your immune system, skin, gut lining and hormones depend on, and it helps your body fight off infections, close wounds and repair tissue every day.12 I call zinc your immune mineral and your repair mineral, and my approach starts with zinc-rich foods like grass-fed beef, lamb and pumpkin seeds, then, when you need more, adds 15 to 30 mg a day with food, plus a little copper for long-term use.523
Catching every cold that goes around, cuts that are slow to close and skin that keeps breaking out can all trace back to too little zinc reaching your cells, and that shortfall usually has a cause you can fix, starting with what's on your plate.2 Your body was designed to heal, and zinc is part of the raw material it uses for that work.2
This matters most from November through February, when colds and flu move through homes, schools and offices, and when a cold does start, zinc lozenges have a long line of placebo-controlled trials behind them.4
Zinc is your immune mineral. It's your repair mineral. In order to repair and heal your gut, you have to have zinc.Dr. Josh Axe, DC, DNM, CNSFrom Complete Guide to Healing Leaky Gut Naturally, The Dr. Josh Axe Show (2026)
Get the free 25 Root-Cause Bloodwork Markers guide
RBC zinc and the copper-to-zinc ratio both have their own entries in my free bloodwork guide, so you can see where your zinc stands before you choose a dose. It lays out:
- What each of the 25 markers says about your health
- The root causes behind a low zinc or high copper result
- The foods, zinc dose and copper pairing I use for each zinc marker
Free with your Dr. Axe account (email or Google). You'll also get the protocol's short email series and the Dr. Axe newsletter; unsubscribe anytime.
Open the free guide →Did you know?
Your whole body holds only about 1.5 grams of zinc if you're a woman and 2.5 grams if you're a man, most of it in your muscles and bones.1
When the raw data from 3 placebo-controlled lozenge trials were pooled, zinc acetate shortened colds by 2.73 days, and the benefit held whether or not people had allergies or smoked, and across age, sex and ethnic background.7
Your senses of taste and smell rely on zinc, so food that starts to taste flat can be one of the signs you're running low.2
What is zinc?
Zinc is an essential trace mineral, which means your body can't make it and needs only small amounts from food each day: 11 mg for adult men and 8 mg for adult women.1 Inside your cells it helps run more than 300 enzymes, and it's needed for T-cell function, wound healing, taste, smell and making testosterone.2
Zinc plays a part in your immune function, in building protein and DNA, in wound healing, in cell signaling and division, and in growth and taste, so a shortfall can show up in several places at once.1 How much of the zinc in a meal you absorb ranges from about 5% to more than 50%, depending mostly on how much phytate, a compound in grains and beans, the meal carries.1
In supplements, zinc always comes bound to a partner compound, such as zinc gluconate, citrate, picolinate or acetate, and that partner changes how well it absorbs and what it's best used for, which the supplements section covers. Zinc oxide is the form you'll find in many skin creams, and it has its own guide, zinc oxide benefits.
A short history of zinc
For most of history, nobody knew a person could run short of zinc, and the discovery began in Shiraz, Iran, where Dr. Ananda Prasad was asked to see a 21-year-old man who looked like a 10-year-old boy. He was severely anemic, his sexual development had stalled, and he lived on whole wheat bread, with no animal protein at all.6 Prasad found the same pattern was common in the villages around Shiraz and suspected that zinc was missing along with iron, and he described the syndrome in 1961.6
In his later studies in Egypt, zinc gave young men 12.7 to 15.2 cm (about 5 to 6 inches) of growth in a year, and their sexual development returned to normal within 3 to 6 months.6 Even so, for nearly a decade, the idea that people could be zinc-deficient stayed controversial, until other researchers confirmed it.6 Prasad went on to spend his career on zinc and the immune system, and several of the trials on this page came from his group.8910
What is zinc good for?
Zinc is good for your immune defenses and your body's repair work: started early, zinc lozenges shortened colds, and in placebo-controlled trials daily zinc cut infections in older adults, helped acne and steadied blood sugar.481112 It's also one of the nutrients that slowed macular degeneration in a large eye trial, and it raised testosterone in men who were low in zinc.1310
Zinc has been tested in people for colds, infections, acne and other inflammatory skin conditions, wounds, blood sugar, testosterone, the gut lining, children's diarrhea and the eyes, in placebo-controlled trials and Cochrane reviews.14811151210161713 The cold, infection, blood sugar and eye results are the most developed, while the testosterone and gut-lining studies are smaller and earlier.
| Use | Evidence | Product studied | What the research shows |
|---|---|---|---|
Colds | Moderate | Zinc acetate or gluconate lozenges, more than 75 mg zinc a day | Colds 33% shorter than on placebo across 7 trials4 |
Infections in older adults | Moderate | Zinc gluconate, 45 mg zinc a day for a year | |
Acne and inflammatory skin | Moderate | Oral zinc supplements | Helped in 10 of 14 acne studies and 3 of 3 hidradenitis suppurativa studies11 |
Blood sugar | Moderate | Zinc supplements | Lower fasting blood sugar and HbA1c across 32 placebo-controlled comparisons12 |
Children's diarrhea | Moderate | Oral zinc, children 6 months to 5 years | About half a day shorter, and about a day shorter with malnutrition17 |
Macular degeneration | Moderate | 80 mg zinc with 2 mg copper and antioxidant vitamins | 28% lower odds of advanced macular degeneration over 6.3 years13 |
Testosterone | Emerging | About 30 mg zinc a day in men low in zinc | Testosterone rose from 8.3 to 16.0 nmol/L in 9 older men10 |
Gut lining | Emerging | Zinc sulfate for 8 weeks | Leaky gut normalized in 10 of 12 people with Crohn's disease in remission16 |
Wound healing | Mixed | Oral zinc sulfate | Needed in every phase of repair; no more leg ulcers healed than on placebo in 6 trials1815 |
How does zinc work in your body?
You can think of zinc as a tool your cells pick up for two kinds of work, defending you and repairing you. It's part of cell division, so it shows up wherever your body is busy making new cells: your immune cells, your skin and the lining of your gut.21
Beef, lamb and pumpkin seeds supply zinc, and soaking, sprouting or fermenting grains and beans frees more of the zinc they carry.193
Inside your cells, zinc helps run more than 300 enzymes, including the ones involved in building protein and DNA.21
T cells need zinc to develop, and when nursing-home residents low in zinc took 30 mg a day for 3 months, their T cells increased.320
In a year-long trial in older adults, zinc lowered TNF-α, an inflammatory messenger, and markers of oxidative stress, along with infections.8
That's why the same mineral turns up in a cold remedy, an acne plan and a gut-healing protocol, and for you it adds up to an immune system that answers faster and tissue that repairs more readily, as long as enough zinc keeps arriving and its partner mineral, copper, stays in balance, which the copper section explains.4818
Zinc benefits, ranked by evidence
I rank zinc's top uses by the strength of the research in people: shorter colds, fewer infections, clearer skin and steadier blood sugar lead the list, and the research on wound repair, testosterone and the gut lining is still growing.
Shorter colds
Moderate evidenceHuman studyMeta-analysis of 7 placebo-controlled trials (575 people); pooled data from 3 trials (199 people); 2024 Cochrane review of 34 trialsStarted at the first sign of a cold, zinc lozenges help your body clear it faster, and across 7 placebo-controlled trials they made colds about a third shorter.4 The cold section below covers the doses, how to choose a lozenge and when to start.
Study takeaway: colds about a third shorter with early lozenges.
Fewer infections
Moderate evidenceHuman studyPlacebo-controlled trials · 50 healthy adults aged 55 to 87 for 12 months; 31 nursing-home residents low in zinc for 3 monthsZinc helps build and run the T cells that recognize and fight infection, and when older adults topped up their zinc, they got sick less often.220 At a Detroit senior center, 50 healthy adults aged 55 to 87 took 45 mg of zinc a day or a placebo for a year in a trial in which neither the people nor the researchers knew who got what, and among the 49 who finished, the zinc group averaged 0.29 infections per person, against 1.4 on placebo.86 Their blood also showed less TNF-α, an inflammatory messenger, and lower markers of oxidative stress.8 In a second placebo-controlled trial, 31 nursing-home residents with low blood zinc took 30 mg of zinc a day or a low 5 mg dose for 3 months, and on 30 mg their blood zinc rose more and they had more T cells, which raised their overall T-cell response.20 Zinc is one of my top supplements for immune health, because it's essential for T-cell development and antiviral defense, and running low can make an illness drag on.3
Study takeaway: 0.29 infections a year on zinc, against 1.4 on placebo.
Fewer infections in a year for older adults taking zinc
Clearer skin
Moderate evidenceHuman study2020 meta-analysis of acne studies; 2020 review of 22 trials in inflammatory skin disease; a 3-month trial of 332 people against minocyclineZinc calms the red, inflamed bumps of acne, and people with acne tend to run lower in zinc to begin with. A 2020 meta-analysis found lower blood zinc in people with acne and fewer inflamed papules with zinc treatment, with side effects no different from the treatments it was compared with.22 A 2020 review of 22 trials found zinc helped in 10 of 14 acne studies and in all 3 studies of hidradenitis suppurativa, a painful inflammatory skin condition.11 In my experience, what clears acne depends on the person, since for some of my patients a change in diet did it, and for others the acne went away once I gave them a zinc supplement.23
When zinc went head-to-head with the antibiotic minocycline, the antibiotic did better. In a 3-month trial of 332 people with inflammatory acne in which neither the people nor the researchers knew who got what, 63.4% on minocycline had more than two-thirds fewer inflamed lesions, against 31.2% on 30 mg of zinc a day.24 Give zinc and diet changes a few months, as the 3-month trial did, alongside the steps in our guide to home remedies for acne.
Study takeaway: helped in 10 of 14 acne studies.
Steadier blood sugar
Moderate evidenceHuman study2019 meta-analysis of 32 placebo-controlled interventions from 36 publications · about 1,700 people in 14 countriesZinc is part of how your body handles blood sugar, and in trials, people taking it ended up with steadier numbers. A 2019 meta-analysis pooled 32 placebo-controlled interventions reported in 36 publications, with about 1,700 people in 14 countries, and found that zinc lowered fasting blood sugar, blood sugar two hours after a glucose drink, fasting insulin, insulin resistance and HbA1c, your average blood sugar over about three months, with the biggest drop in fasting blood sugar in people with diabetes.12 Ayurveda reached for zinc here long before those trials, preparing it as yashada bhasma, a calcined zinc ash, and using it traditionally for diabetes and for eye and urinary complaints.25 If blood sugar is your main concern, my Insulin Resistance & Prediabetes Protocol is the place to go next.
Wound healing support
Mixed evidenceHuman studyReview of zinc in wound repair; Cochrane review of 6 trials in 183 people with leg ulcersZinc is part of every stage of wound repair, from sealing damaged cell membranes and defending against infection to growing new skin across the wound.18 Slow-healing cuts are one of the classic signs of running low in zinc, so keeping enough of it coming in gives your body what it needs for that work.2 The trials of zinc pills for wounds are small, and in a Cochrane review of 6 trials with 183 people with leg ulcers, oral zinc sulfate didn't heal more ulcers than placebo.15 While you're healing, keep zinc-rich protein foods like beef, lamb and bison on your plate, and our guide to wound care covers the rest of the plan.
Healthy testosterone in men
Emerging evidenceHuman studyHuman studies · 9 older men low in zinc, with no comparison group; 4 young men on a zinc-restricted dietYour body needs zinc to make testosterone, and in men who were low in zinc, restoring it brought their testosterone up.210 In a small study with no comparison group, 9 older men who were marginally low in zinc took about 30 mg of zinc a day for up to six months, and their average testosterone nearly doubled, from 8.3 to 16.0 nmol/L (about 240 to 460 ng/dL, the units U.S. labs use).10 The same researchers cut the zinc in the diets of 4 young men for 20 weeks, and their testosterone fell from 39.9 to 10.6 nmol/L.10
When a man's testosterone runs low, I put the natural work first, with 8 hours of sleep, strength training, magnesium, vitamin D, less alcohol and zinc. Pumpkin seeds are one of the best foods for that, because they're high in zinc, which is critical for testosterone production.26 With many of the men I take care of, I put together an eating plan built on foods like these, and I'll sometimes have them add a tablespoon of sprouted pumpkin seed butter to a morning smoothie.26 Our guide on how to increase testosterone has the rest of the plan.
Study takeaway: testosterone nearly doubled in 9 older men low in zinc.
A stronger gut lining
Emerging evidenceHuman study12 people with Crohn's disease in remission · no comparison groupZinc helps hold your gut lining together, and in people whose lining had become leaky, zinc helped tighten it. In a small study with no comparison group, 12 people with Crohn's disease in remission and a leaky gut took 110 mg of zinc sulfate three times a day for 8 weeks. Their gut permeability scores fell by more than a third, from 0.041 to 0.026, 10 of the 12 reached normal permeability, and none of those 10 relapsed over the next 12 months.16 Zinc carnosine, zinc bound to carnosine, a compound made from the amino acids beta-alanine and histidine, is one of the key supplements in my Healing Leaky Gut Protocol. I use 75 mg of the zinc carnosine complex twice a day with food, and I've worked with many patients on this dose to help heal the gut.275
Does zinc help with colds?
Yes. Zinc lozenges started within 24 hours of your first symptoms shortened colds by about a third in placebo-controlled trials, as long as they released enough free zinc: about 80 to 92 mg of zinc a day, one lozenge dissolved slowly every 2 to 3 hours while you're awake.4928
A cold virus settles first into the lining of your nose and throat, and that's where a lozenge does its work. As it dissolves, it releases zinc ions into your throat, and researchers propose that those ions block ICAM-1, the receptor many cold viruses use to attach to your cells, a little like a cap slipped over a keyhole before the key arrives.214
Two well-known trials came from Dr. Prasad's group in Detroit. In a placebo-controlled trial of 50 adults who started within 24 hours of their first symptoms, one lozenge with 12.8 mg of zinc acetate every 2 to 3 hours while awake shortened colds to 4.5 days, against 8.1 days on placebo, and coughing lasted 3.1 days instead of 6.3.9 A second trial by the same team found the same pattern, 4.0 days against 7.1, and in both, neither the people nor the researchers knew who got what.299
When a 2017 meta-analysis pooled 7 placebo-controlled trials with 575 people, lozenges supplying more than 75 mg of zinc a day made colds 33% shorter, and both common salts worked, with zinc acetate shortening colds by 40% and zinc gluconate by 28%, a difference too small to be sure of.4 Pooling the raw data from three zinc acetate trials, 199 adults taking 80 to 92 mg of zinc a day, showed that by day 5, 70% of the people on zinc had recovered, against 27% on placebo.28
Zinc lozenges: 70% over their cold by day 5, against 27% on placebo
Higher doses didn't add much in that review, since the 5 trials that used 80 to 92 mg of zinc a day shortened colds by 33% and the 2 trials that used 192 to 207 mg a day by 35%, with no statistically significant difference between them.4
Lozenge zinc at 192 to 207 mg a day added little to 80 to 92 mg
A 2024 Cochrane review of 34 trials, which mixed lozenges with other forms such as nasal sprays and syrups, estimated from its 8 treatment trials with 972 people that colds treated with zinc may run about 2.37 days shorter.14 Results vary by setting, though, and in a 2020 placebo-controlled trial in Finland, in which 88 of the 253 people enrolled caught a cold, 13 mg zinc acetate lozenges taken six times a day for 5 days didn't speed recovery compared with placebo.30 Lozenges are a treatment for a cold you already have, and in the Cochrane review's 9 prevention trials with 1,449 people, those taking zinc every day were about 7% less likely to catch a cold, a gap small enough that it may be chance.14 Even so, I keep zinc in my cold-season plan as one part of the defenses you build, alongside vitamin C and vitamin D, good sleep, exercise and time outdoors.31
I follow the same early timing when I'm sick, typically taking 60 mg of zinc twice a day for the first three days, and in my prescriptions for the common cold, I recommend 30 mg three to four times a day.3132 Both come to about 90 to 120 mg of zinc a day, against the 80 to 92 mg a day used in the lozenge trials, where the lozenges dissolved slowly in the mouth, so pick one route, the lozenges or a zinc supplement, rather than both: start at the first scratchy throat, keep the higher amounts to those first few days, then go back to your everyday 15 to 30 mg.313243
How to choose a zinc lozenge
Pick lozenges made with zinc acetate or zinc gluconate, and read the ingredient list before you buy. Citric acid and tartaric acid bind zinc ions, so lozenges that contain them release little or no free zinc, and in the 7-trial review, most lozenges on the market seemed to have either too little zinc or a zinc-binding ingredient like citric acid.4 Let each lozenge dissolve slowly instead of chewing it, take one every 2 to 3 hours while you're awake, and start within 24 hours of your first symptoms.928
Zinc fits beside the rest of your cold kit, from elderberry syrup to the other natural cold remedies we cover. Keeping a box of the right lozenges in the cupboard before the holidays means you can start the same day a cold shows up.
Signs you may be low in zinc
Frequent infections, slow wound healing, fading taste or smell, hair loss, acne and low testosterone are the classic signs that your body is running low on zinc, and our full guide to zinc deficiency walks through each one.2 If a few of these sound familiar, look at the causes below, because they're ones you can work on.
The root causes I look for are meals built on grains and beans that were never soaked or sprouted, chronic stress, high copper, long-term use of acid blockers or antacids, and heavy drinking.2 Gut conditions such as Crohn's disease and celiac disease cut how much zinc you absorb, and needs climb during pregnancy and breastfeeding.1
To find out where you stand, I prefer an RBC zinc test, which measures the zinc inside your red blood cells, over the standard serum test.2 Serum zinc shifts with the time of day, recent meals and infection, so a single reading can mislead you.1
Check your zinc and copper
A blood test shows where you're starting before you settle on a dose.
- RBC zinc: Zinc measured inside your red blood cells, the test I prefer for zinc status.
- Copper and the copper-to-zinc ratio: How well your zinc and copper are balanced, which matters most when you take zinc long term.
See the cellular bloodwork panel
Have results? Analyze them free →Which foods are high in zinc?
Grass-fed beef, lamb, bison and pumpkin seeds are the richest everyday sources of zinc: 3 ounces of braised beef chuck has 6.6 mg, 60% of the 11 mg daily value, and an ounce of roasted pumpkin seeds has 2.2 mg.19
Our list of foods high in zinc ranks many more, and the table below covers the everyday ones.19
| Food | Serving | Zinc | % Daily Value |
|---|---|---|---|
Beef chuck, lean, braised | 3 oz (85 g) | 6.6 mg | 60% |
Grass-fed ground beef, raw | 4 oz (113 g) | 5.1 mg | 47% |
Bison, grass-fed ground, cooked | 3 oz (85 g) | 4.5 mg | 41% |
Beef liver, pan-fried | 3 oz (85 g) | 4.4 mg | 40% |
Lamb leg, lean, roasted | 3 oz (85 g) | 4.2 mg | 38% |
Hemp seeds, hulled | 3 tbsp (30 g) | 3.0 mg | 27% |
Chickpeas, boiled | 1 cup (164 g) | 2.5 mg | 23% |
Lentils, boiled | 1 cup (198 g) | 2.5 mg | 23% |
Pumpkin seeds, roasted | 1 oz (28 g) | 2.2 mg | 20% |
Cashews, raw | 1 oz (28 g) | 1.6 mg | 15% |
Calculated from USDA FoodData Central records (FDC IDs 170615, 168608, 173847, 168627, 174314, 170148, 173757, 172421, 170557 and 170162) at the serving weights shown; the daily value for zinc is 11 mg.19
Animal foods give you the most usable zinc.1 When red meat is on your plate, keep it fresh, unprocessed and grass-fed. The International Agency for Research on Cancer classifies processed meat as Group 1, carcinogenic to humans, and red meat as Group 2A, probably carcinogenic.33 As I've said on my show, the studies that link red meat to poor health mostly reflect grain-fed and processed meat, not the fresh, grass-fed red meat I recommend.34
Beef liver brings zinc together with a large dose of copper, about 12.4 mg in 3 ounces.19 It's also one of the richest foods in B vitamins and iron, and I recommend about 3 ounces once a week, unless your bloodwork shows vitamin A running high.
Plant foods carry zinc too, but grains, beans, nuts and seeds also contain phytic acid, one of the antinutrients that binds zinc in your gut.1 I recommend soaking, sprouting and fermenting them, because that lowers the phytic acid and frees up more of the zinc, iron, calcium and magnesium they carry, so a pot of soaked chickpeas or sprouted lentils gives you more usable zinc than the same beans cooked straight from the bag.3
Oysters top most zinc charts, but they're shellfish, and I follow the fins-and-scales standard for seafood from the biblical diet, so I build zinc on beef, lamb and pumpkin seeds instead.
Zinc supplements and pills: which form, how much and when
Zinc pills are tablets or capsules of zinc bound to a partner compound, and for daily use I recommend zinc picolinate, citrate or glycinate at 15 to 30 mg a day, taken with food.3 For a cold, zinc acetate and zinc gluconate lozenges are the forms the trials used.4
A zinc pill tops up the zinc your diet supplies, so your immune cells, skin, gut lining and hormones have what they need, and it's most useful when your meals run light on zinc-rich foods or a test shows you're low.2 Zinc comes as small tablets and capsules, as lozenges you dissolve in your mouth and as liquid drops, and the label lists the zinc compound along with the elemental zinc, the amount of zinc itself in each serving, which is the number to dose by.
| Form | Best for | What to know |
|---|---|---|
Zinc picolinate, citrate or glycinate | Everyday use | The forms I recommend for daily zinc; citrate is about 61% absorbed31 |
Zinc gluconate | Everyday use and cold lozenges | About 61% absorbed; gluconate lozenges shortened colds by 28%14 |
Zinc acetate | Cold lozenges | The salt in the strongest lozenge trials, with colds 40% shorter4 |
Zinc carnosine | The gut lining | 75 mg of the zinc carnosine complex twice a day with food in my leaky gut protocol27 |
Zinc sulfate | Older, widely sold tablets | |
Zinc oxide | Skin creams | About 50% absorbed when taken as a pill1 |
Take your zinc with a meal, and keep it apart from calcium and iron supplements, since 25 mg or more of iron taken at the same time lowers how much zinc you absorb.21 If you take a multivitamin, check its label for zinc first and count it in your daily total.
Pair long-term zinc with copper
Zinc and copper compete for absorption in your gut, and taking 50 mg or more of zinc a day for weeks can pull your copper down.1
If you do a zinc supplement that only has zinc, it almost always imbalances copper.Dr. Josh Axe, DC, DNM, CNSFrom Skin Care Mistakes That Are Aging Your Skin (and Wrecking Your Hormones), The Dr. Josh Axe Show (2025)
That's why, for long-term use, I pair zinc with 1 to 2 mg of copper.2 When you can, let food bring the two together, and I'd point you to pumpkin seed butter before a supplement, because food brings along the co-factors that help your body absorb and use both minerals, and an ounce of roasted pumpkin seeds carries 0.36 mg of copper with its 2.2 mg of zinc.3519 For more ideas, see these foods high in copper, and our guide to copper deficiency explains the other side of the balance.
How much zinc per day?
Adults need 11 mg of zinc a day for men and 8 mg for women, from food and supplements combined, and when you need more, I recommend 15 to 30 mg a day with food, and no more than 50 mg a day for long-term use.13
| Who | Recommended daily amount |
|---|---|
| Men 19 and older | 11 mg |
| Women 19 and older | 8 mg |
| Pregnancy | 11 mg (12 mg under age 19) |
| Breastfeeding | 12 mg (13 mg under age 19) |
| Upper limit for adults, food and supplements combined | 40 mg |
Recommended Dietary Allowances and the adult upper limit from the NIH Office of Dietary Supplements.1
These are the amounts most adults need to stay out of deficiency, and food can cover them, since 3 ounces of braised beef chuck alone brings 6.6 mg.119 Vegetarians may need as much as 50% more, because phytate in plant foods lowers how much zinc they absorb.1
When you need more than food provides, my everyday range is 15 to 30 mg a day of zinc picolinate, citrate or glycinate, with no more than 50 mg a day long term, the dose Dr. Will Cole and I give for immune health in Heal Your Cells.3 A cold calls for a different, short plan: a lozenge every 2 to 3 hours while you're awake for the first few days, as the cold section lays out.49
Ask Dr. Axe AI. Answers are grounded in this library, with sources shown.
Zinc-rich recipes for cold season and every day
Cooking with zinc-rich foods is the simplest way to cover your daily zinc, and fall makes it easy, with lamb and beef stews back on the stove and fresh seeds coming out of the pumpkins you carve. These five recipes bring zinc-rich foods to the table, and four of them build on foods from the table above:
- Garlic lamb roast: Lean roasted lamb leg has 4.2 mg of zinc in 3 ounces, and this roast makes a Sunday dinner with leftovers for the week.19
- Crockpot beef stew: Braised beef chuck is the richest food in the table, at 6.6 mg of zinc in 3 ounces, and a slow cooker turns it tender while you're out.19
- Herbed turkey breast: A Thanksgiving-ready centerpiece that adds lean protein to the holiday table.
- Spicy pumpkin seeds: An ounce of roasted pumpkin seeds gives you 2.2 mg of zinc, and this is the snack to make the night you carve your pumpkins.19
- Slow cooker bison chili: Grass-fed bison brings 4.5 mg of zinc in 3 ounces, and chili is a cold-night meal the whole family will eat.19
For mornings, this smoothie is built around a tablespoon of sprouted pumpkin seed butter, the same addition I sometimes give the men I work with.26
Ingredients
- 1 cup unsweetened coconut milk or water
- 1 tablespoon sprouted pumpkin seed butter
- 1 tablespoon hulled hemp seeds
- ½ frozen banana
- ½ cup frozen mixed berries
- 1 handful baby spinach
- A pinch of Ceylon cinnamon (optional)
Instructions
- Put the coconut milk or water in a blender first, then add the pumpkin seed butter, hemp seeds, banana, berries and spinach.
- Blend on high for about 1 minute, until smooth.
- Add the cinnamon, if using, blend for a few more seconds and drink right away.
Coconut milk gives the smoothie a creamy base, and each tablespoon of hemp seeds adds about 1 mg of zinc.19
Zinc side effects and how much is too much
Copper loss at high doses. Taking 50 mg or more of zinc a day for weeks can lower your copper, and low copper can bring on anemia and nerve symptoms.138 In an audit of 70 patients prescribed zinc, 62% were on doses high enough to cause copper deficiency, yet copper had been checked in only 2 of them.38 Pair long-term use with copper as the copper section describes.2
How much is too much. The upper limit for adults is 40 mg of zinc a day from food and supplements combined.1 The sick-day lozenge courses on this page run higher, so keep them to the first few days of a cold.
Stomach upset and taste. Too much zinc can cause nausea, vomiting, stomach cramps, diarrhea, headaches and loss of appetite.1 Lozenges often leave a bad taste, and mild side effects were more common on zinc than on placebo in the cold trials.1430 Take daily zinc with a meal, and if it still bothers your stomach, lower the dose or split it in two.
Never put zinc in your nose. Zinc gluconate nasal gel has caused loss of smell, so use lozenges, tablets or capsules only.39
Pregnancy, breastfeeding and children. During pregnancy and breastfeeding, aim for the daily amounts in the dosage table, mostly from food, and confirm any supplement dose with your OB.1 For children, use the dose their pediatrician gives.
The bottom line
Should you take zinc?
Yes, if your meals run light on zinc-rich foods, colds seem to find you every season, or your skin and gut need support to repair. Zinc is the mineral your immune defenses and your body's repair work run on, and in people, early lozenges shortened colds, daily zinc cut infections in older adults, and it also helped acne and steadied blood sugar.
Build your meals on grass-fed beef, lamb, bison and pumpkin seeds; when you need more, take 15 to 30 mg a day with food, with 1 to 2 mg of copper for long-term use; and keep the right lozenges on hand this season so you can start within 24 hours of a cold. Your body was designed to heal, and a steady supply of zinc, from your plate first, is one of the simplest things you can give it.
Get the free 25 Root-Cause Bloodwork Markers guide
My free guide to the 25 bloodwork markers that tell you the most, including RBC zinc and the copper-to-zinc ratio, with the root causes behind an off result and what to do about each one. Free with your Dr. Axe account (email or Google). You'll also get the protocol's short email series and the Dr. Axe newsletter; unsubscribe anytime.
Open the free guide →Zinc: frequently asked questions
Does zinc help with colds?
What do zinc pills do?
How much zinc should I take a day?
Is 50 mg of zinc a day too much?
Should men take zinc?
Men who run low in zinc can benefit, because your body needs zinc to make testosterone. In a small study with no comparison group, 9 older men low in zinc took about 30 mg a day, and their testosterone rose from 8.3 to 16.0 nmol/L.10 Men need 11 mg a day, and I recommend 15 to 30 mg with food when more is needed.13
What is ionic zinc good for?
Ionic zinc is zinc in its free, charged form, the form a well-made lozenge releases into your throat during a cold. Researchers propose that these zinc ions block the receptor many cold viruses use to attach to your cells, which is why lozenge ingredients that bind zinc ions, such as citric acid, matter so much.214
What's the best time to take zinc?
Can you take zinc every day?
Which form of zinc is best?
Should you take zinc with copper?
Does zinc help acne?
Yes, for many people. A 2020 review of 22 trials found zinc helped in 10 of 14 acne studies.11 In a 3-month trial of 332 people in which neither the people nor the researchers knew who got what, 31.2% on 30 mg of zinc a day had more than two-thirds fewer inflamed lesions, while the antibiotic minocycline did that for 63.4%.24
Does zinc help diarrhea in children?
Yes, in children older than 6 months. In a Cochrane review of 33 trials with 10,841 children, mostly in Asian countries where zinc deficiency is common, oral zinc shortened diarrhea by about half a day, and by about a day in children with malnutrition, though it didn't help babies younger than 6 months.17 Our guide on how to stop diarrhea covers the rest of the plan.
Does zinc help your eyes?
Yes, zinc is one of the nutrients that slowed age-related macular degeneration in a landmark trial. In a placebo-controlled trial of 3,640 adults aged 55 to 80 followed for an average of 6.3 years, 80 mg of zinc with 2 mg of copper plus antioxidant vitamins lowered the odds of advanced macular degeneration by 28%.13 Our guide to eye vitamins covers the full formula.
Is zinc good for your heart?
Zinc may matter for your heart, since in a meta-analysis of 27 case-control studies, people with heart failure tended to have lower blood zinc than people without it, which shows a connection rather than cause and effect.40
Can zinc upset your stomach?
Can you take zinc and vitamin C together?
Yes. Through the fall and winter, I keep zinc and vitamin C together in my cold-season plan, along with vitamin D.31
Freshness & update log
November 12, 2026 — Rewrote the page in full under Dr. Axe's byline. The previous version, "Top Zinc Benefits to Improve Health & How to Regulate Levels," said zinc taken for at least five months may lower your risk of catching a cold (a claim that matches a Cochrane review withdrawn in 2015), cited a study of male hemodialysis patients for its women's hormone and gynecologic cancer claims, a rat study for its blood vessel claims and a severe-deficiency paper for its muscle and post-exercise testosterone claims, stated that ionic zinc blocks cold viruses as a fact, advised taking zinc away from meals, listed oysters as a zinc food, and credited the daily intakes to the USDA. This version keeps its immune, colds, antioxidant, blood sugar, diarrhea, testosterone, vision, acne and wound healing uses, each at its evidence level with each study's design and size; keeps its deficiency, foods, supplements and dosage, and side effects sections, its interactions and its three recipes, with two more recipes and a smoothie; keeps its heart claim as an association; reframes its digestion claim as gut-lining repair; adds Dr. Axe's own doses and his approach to zinc and copper, how zinc works in your body, the lozenge trials and how to choose a lozenge, a head-to-head acne trial against minocycline, a Dr. Axe Score (7.3) with an interaction check (Moderate), three charts and a step diagram; and drops the cancer fatigue, tumor, women's hormone, liver, muscle growth and fatigue claims, the "enzyme activated" supplement form and the oyster entry, with 40 references.
February 20, 2025 — Previous version updated.
References
- Office of Dietary Supplements, National Institutes of Health. Zinc: Fact Sheet for Health Professionals. Updated January 6, 2026.
- Axe J. The 25 Root-Cause Bloodwork Markers That Matter Most. DrAxe.com protocol. 2026 (Marker 14, RBC zinc: what zinc does, the signs and root causes of low zinc, and actions: beef, lamb, pumpkin seeds; 15 to 30 mg zinc picolinate with food; 1 to 2 mg copper for long-term use; take away from calcium and iron. Marker 16, copper-to-zinc ratio).
- Axe J, Cole W. Heal Your Cells. Avery; 2026 (Reversing Immune Age: Top Supplements and Herbs for Immune Health, #3 Zinc: dosage and forms; and on lowering phytic acid by sprouting and fermenting).
- Hemilä H. Zinc lozenges and the common cold: a meta-analysis comparing zinc acetate and zinc gluconate, and the role of zinc dosage. JRSM Open. 2017;8(5):2054270417694291. doi:10.1177/2054270417694291. PMID:28515951
- Axe J. Complete Guide to Healing Leaky Gut Naturally. The Dr. Josh Axe Show. 2026 (zinc as the immune and repair mineral, at 38:40; zinc carnosine at 75 mg twice daily and his patients, at 38:47; YouTube: https://www.youtube.com/watch?v=5Y4g5CgMDoU).
- Prasad AS. Discovery of human zinc deficiency: its impact on human health and disease. Adv Nutr. 2013;4(2):176-90. doi:10.3945/an.112.003210. PMID:23493534
- Hemilä H, Petrus EJ, Fitzgerald JT, Prasad A. Zinc acetate lozenges for treating the common cold: an individual patient data meta-analysis. Br J Clin Pharmacol. 2016;82(5):1393-1398. doi:10.1111/bcp.13057. PMID:27378206
- Prasad AS, Beck FW, Bao B, Fitzgerald JT, Snell DC, Steinberg JD, et al. Zinc supplementation decreases incidence of infections in the elderly: effect of zinc on generation of cytokines and oxidative stress. Am J Clin Nutr. 2007;85(3):837-44. doi:10.1093/ajcn/85.3.837. PMID:17344507
- Prasad AS, Fitzgerald JT, Bao B, Beck FW, Chandrasekar PH. Duration of symptoms and plasma cytokine levels in patients with the common cold treated with zinc acetate. A randomized, double-blind, placebo-controlled trial. Ann Intern Med. 2000;133(4):245-52. doi:10.7326/0003-4819-133-4-200008150-00006. PMID:10929163
- Prasad AS, Mantzoros CS, Beck FW, Hess JW, Brewer GJ. Zinc status and serum testosterone levels of healthy adults. Nutrition. 1996;12(5):344-8. doi:10.1016/s0899-9007(96)80058-x. PMID:8875519
- Dhaliwal S, Nguyen M, Vaughn AR, Notay M, Chambers CJ, Sivamani RK. Effects of Zinc Supplementation on Inflammatory Skin Diseases: A Systematic Review of the Clinical Evidence. Am J Clin Dermatol. 2020;21(1):21-39. doi:10.1007/s40257-019-00484-0. PMID:31745908
- Wang X, Wu W, Zheng W, Fang X, Chen L, Rink L, et al. Zinc supplementation improves glycemic control for diabetes prevention and management: a systematic review and meta-analysis of randomized controlled trials. Am J Clin Nutr. 2019;110(1):76-90. doi:10.1093/ajcn/nqz041. PMID:31161192
- Age-Related Eye Disease Study Research Group. A randomized, placebo-controlled, clinical trial of high-dose supplementation with vitamins C and E, beta carotene, and zinc for age-related macular degeneration and vision loss: AREDS report no. 8. Arch Ophthalmol. 2001;119(10):1417-36. doi:10.1001/archopht.119.10.1417. PMID:11594942
- Nault D, Machingo TA, Shipper AG, Antiporta DA, Hamel C, Nourouzpour S, et al. Zinc for prevention and treatment of the common cold. Cochrane Database Syst Rev. 2024;5(5):CD014914. doi:10.1002/14651858.CD014914.pub2. PMID:38719213
- Wilkinson EA. Oral zinc for arterial and venous leg ulcers. Cochrane Database Syst Rev. 2012;(8):CD001273. doi:10.1002/14651858.CD001273.pub2. PMID:22895918
- Sturniolo GC, Di Leo V, Ferronato A, D'Odorico A, D'Incà R. Zinc supplementation tightens "leaky gut" in Crohn's disease. Inflamm Bowel Dis. 2001;7(2):94-8. doi:10.1097/00054725-200105000-00003. PMID:11383597
- Lazzerini M, Wanzira H. Oral zinc for treating diarrhoea in children. Cochrane Database Syst Rev. 2016;12(12):CD005436. doi:10.1002/14651858.CD005436.pub5. PMID:27996088
- Lin PH, Sermersheim M, Li H, Lee PHU, Steinberg SM, Ma J. Zinc in Wound Healing Modulation. Nutrients. 2017;10(1):16. doi:10.3390/nu10010016. PMID:29295546
- U.S. Department of Agriculture, Agricultural Research Service. FoodData Central (SR Legacy, 2019): Beef, chuck, arm pot roast, separable lean only, trimmed to 0" fat, choice, cooked, braised (FDC 170615); Beef, grass-fed, ground, raw (FDC 168608); Bison, ground, grass-fed, cooked (FDC 173847); Lamb, leg, whole (shank and sirloin), separable lean only, trimmed to 1/4" fat, choice, cooked, roasted (FDC 174314); Beef, variety meats and by-products, liver, cooked, pan-fried (FDC 168627); Seeds, pumpkin and squash seed kernels, roasted, without salt (FDC 170557); Seeds, hemp seed, hulled (FDC 170148); Nuts, cashew nuts, raw (FDC 170162); Chickpeas (garbanzo beans, bengal gram), mature seeds, cooked, boiled, without salt (FDC 173757); Lentils, mature seeds, cooked, boiled, without salt (FDC 172421); Egg, whole, cooked, hard-boiled (FDC 173424).
- Barnett JB, Dao MC, Hamer DH, Kandel R, Brandeis G, Wu D, et al. Effect of zinc supplementation on serum zinc concentration and T cell proliferation in nursing home elderly: a randomized, double-blind, placebo-controlled trial. Am J Clin Nutr. 2016;103(3):942-51. doi:10.3945/ajcn.115.115188. PMID:26817502
- Hulisz D. Efficacy of zinc against common cold viruses: an overview. J Am Pharm Assoc (2003). 2004;44(5):594-603. doi:10.1331/1544-3191.44.5.594.hulisz. PMID:15496046
- Yee BE, Richards P, Sui JY, Marsch AF. Serum zinc levels and efficacy of zinc treatment in acne vulgaris: A systematic review and meta-analysis. Dermatol Ther. 2020;33(6):e14252. doi:10.1111/dth.14252. PMID:32860489
- Axe J. Skin Care Mistakes That Are Aging Your Skin (and Wrecking Your Hormones). The Dr. Josh Axe Show. 2025 (zinc alone and copper, at 35:25; acne cleared by diet for some patients and by zinc for others, at 54:01; YouTube: https://www.youtube.com/watch?v=CsKuJ9EWueY).
- Dreno B, Moyse D, Alirezai M, Amblard P, Auffret N, Beylot C, et al. 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. Dermatology. 2001;203(2):135-40. doi:10.1159/000051728. PMID:11586012
- Pareek A, Bhatnagar N. Physico-chemical characterization of traditionally prepared Yashada bhasma. J Ayurveda Integr Med. 2020;11(3):228-235. doi:10.1016/j.jaim.2018.11.004. PMID:30962052
- Axe J. Women NEED to Know This Before Getting on HRT. The Dr. Josh Axe Show. 2026 (pumpkin seeds, high in zinc, for testosterone production, at 33:51; an eating plan for the men he takes care of and sprouted pumpkin seed butter in a morning smoothie, at 34:14; YouTube: https://www.youtube.com/watch?v=rcPa3Wnl_CI).
- Axe J. Healing Leaky Gut Protocol: The 30-Day System. DrAxe.com protocol. 2026. Supplement stack (zinc carnosine 75 mg twice daily with food).
- Hemilä H, Fitzgerald JT, Petrus EJ, Prasad A. Zinc Acetate Lozenges May Improve the Recovery Rate of Common Cold Patients: An Individual Patient Data Meta-Analysis. Open Forum Infect Dis. 2017;4(2):ofx059. doi:10.1093/ofid/ofx059. PMID:28480298
- Prasad AS, Beck FW, Bao B, Snell D, Fitzgerald JT. 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. J Infect Dis. 2008;197(6):795-802. doi:10.1086/528803. PMID:18279051
- Hemilä H, Haukka J, Alho M, Vahtera J, Kivimäki M. Zinc acetate lozenges for the treatment of the common cold: a randomised controlled trial. BMJ Open. 2020;10(1):e031662. doi:10.1136/bmjopen-2019-031662. PMID:31980506
- Axe J. How to Prevent & Heal Cold & Flu Naturally (Foods, Supplements, & Herbs for Rapid Recovery). The Dr. Josh Axe Show. 2024 (his sick-day zinc dose, 60 mg twice a day for the first three days, at 31:30; preventive supplements through fall and winter, vitamin C, zinc and vitamin D, with sleep, exercise and time outdoors, at 33:41; YouTube: https://www.youtube.com/watch?v=jw-cciZ5TTY).
- Axe J. Ancient Remedies: Secrets to Healing with Herbs, Essential Oils, CBD, and the Most Powerful Natural Medicine in History. Little, Brown Spark; 2021 (Prescriptions for 70+ Conditions: Common cold, p. 231).
- Bouvard V, Loomis D, Guyton KZ, Grosse Y, Ghissassi FE, Benbrahim-Tallaa L, et al. Carcinogenicity of consumption of red and processed meat. Lancet Oncol. 2015;16(16):1599-600. doi:10.1016/S1470-2045(15)00444-1. PMID:26514947
- Axe J. 10 Biblical Superfoods That Can Add Years to Your Life. The Dr. Josh Axe Show, Episode 393. 2026 (grass-fed versus grain-fed and processed red meat, at 21:03).
- Axe J. Top 10 Reasons You're Not Healing. The Dr. Josh Axe Show. 2025 (zinc and copper together from pumpkin seed butter, with their co-factors, at 16:33; YouTube: https://www.youtube.com/watch?v=bjU77gf__x4).
- Polk RE, Healy DP, Sahai J, Drwal L, Racht E. Effect of ferrous sulfate and multivitamins with zinc on absorption of ciprofloxacin in normal volunteers. Antimicrob Agents Chemother. 1989;33(11):1841-4. doi:10.1128/AAC.33.11.1841. PMID:2610494
- Penttilä O, Hurme H, Neuvonen PJ. Effect of zinc sulphate on the absorption of tetracycline and doxycycline in man. Eur J Clin Pharmacol. 1975;9(2-3):131-4. doi:10.1007/BF00614009. PMID:786686
- Duncan A, Yacoubian C, Watson N, Morrison I. The risk of copper deficiency in patients prescribed zinc supplements. J Clin Pathol. 2015;68(9):723-5. doi:10.1136/jclinpath-2014-202837. PMID:26085547
- Davidson TM, Smith WM. The Bradford Hill criteria and zinc-induced anosmia: a causality analysis. Arch Otolaryngol Head Neck Surg. 2010;136(7):673-6. doi:10.1001/archoto.2010.111. PMID:20644061
- Yu X, Huang L, Zhao J, Wang Z, Yao W, Wu X, et al. The Relationship between Serum Zinc Level and Heart Failure: A Meta-Analysis. Biomed Res Int. 2018;2018:2739014. doi:10.1155/2018/2739014. PMID:29682528
- Office of Dietary Supplements, National Institutes of Health. Zinc: Fact Sheet for Consumers. Updated October 4, 2022.
This article is for educational purposes. See our medical disclaimer.


