What serum zinc level constitutes a deficiency in women?

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From the Guidelines

Zinc deficiency in women is generally defined as a serum zinc level below 70 μg/dL (or 10.7 μmol/L). This threshold applies to morning fasting samples in non-pregnant women. During pregnancy, slightly lower levels are normal, with deficiency typically considered below 65 μg/dL.

Key Points to Consider

  • Zinc status can also be assessed through clinical signs including impaired taste and smell, poor wound healing, hair loss, skin lesions, and increased susceptibility to infections.
  • Women require approximately 8 mg of zinc daily (11 mg during pregnancy and 12 mg when breastfeeding) to maintain adequate levels, as indicated by the EFSA 2014 guidelines for zinc intake 1.
  • Zinc deficiency is more common in women with restrictive diets, malabsorption conditions, or during periods of increased demand like pregnancy.
  • If deficiency is confirmed, supplementation with 15-30 mg of elemental zinc daily is typically recommended, though this should be guided by a healthcare provider, as suggested by the espen micronutrient guideline 1.
  • Zinc is essential for immune function, wound healing, DNA synthesis, and cell division, making adequate levels crucial for overall health.

Recommendations for Zinc Supplementation

  • In patients with acquired zinc deficiency, 0.5-1 mg/kg per day of elemental zinc (Zn2+) can be given orally for 3-4 months, as recommended by the espen micronutrient guideline 1.
  • Organic compounds such as zinc histidinate, zinc gluconate, and zinc orotate show a comparatively better tolerability than inorganic zinc sulfate and zinc chloride.
  • In acrodermatitis enteropathica, a life-long oral intake of 3 mg/kg per day of elemental zinc (Zn2+) may be provided, with the dosage adjusted accordingly to plasma or serum zinc levels, as recommended by the espen micronutrient guideline 1.

From the Research

Zinc Deficiency in Women

  • Zinc deficiency is a common issue in various populations, including those with celiac disease 2 and type 2 diabetes mellitus 3.
  • A study on celiac disease found that zinc was deficient in 59.4% of patients with celiac disease compared to 33.2% of controls 2.
  • The normal zinc level is considered to be above 70 mcg/dL, and levels below this are considered deficient 3.
  • In the context of type 2 diabetes mellitus, a study found that the mean serum zinc was significantly lower in diabetic patients (66.54 +11.328 mcg/dL) than in healthy subjects (82.63 +12.194 mcg/dL) 3.
  • However, there is no specific study provided that directly addresses the zinc level that constitutes a deficiency specifically in women.
  • It can be inferred that a zinc level below 70 mcg/dL may be considered deficient in women, similar to the general population 3.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Zinc Deficiency is Associated with Poor Glycemic Control.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2019

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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