Subject: zinc/copper

Submitted by: Simon Dankel, Bergen, Norway

I thoroughly enjoyed your influenza article.

According to your knowledge, can supplementation of high (40/50-150 mg/day, as you suggest) Zinc dosages compromise copper status? In her chapter on Zinc in Modern Nutrition in Health and Disease (Shils et al 2005), Judith Turnlund writes that

"When the diet contains excessive Zinc over a sufficient period, the copper status of animals and humans has been impaired; the effect is reversed by copper supplements. One explanation for this interaction is that high dietary zinc induces intestinal MT [metallothionein]. Copper ... has a stronger affinity for MT than zinc. Copper displaces zinc in intestinal MT and is trapped. Copper depletion was observed in human study subjects when supplements of 50 mg or more of zinc were given for extended periods. The UL [tolerable upper intake level] for zinc was based on the effect of excess zinc on copper status." (pp 294)

Since, for example,

 1) copper is a component of superoxide scavenger extracellular superoxide dismutase

 2) copper and zinc cooperate in the function of copper/zinc superoxide dismutase, which serves as an intracellular antioxidant

I am wondering whether it would be advisable to supplement copper along with zinc. Also, since copper may interfere with iron status, would zinc and copper supplementation require an appropriately increased iron intake as well?

Sincerely,

Simon

PS: I am happy to report that I have 'distributed' your books to professors/researchers here at the Faculty of Medicine, University of Bergen, Norway. The one feedback I got so far was very positive ("impressive")! I owe you thanks because NHE is the reason I am now enrolled in the new Nutrition Master's program. Bergen University is making great efforts towards better education/research in nutrition.

 

 

It is most pleasing to think I directed your educational efforts toward nutrition, because it is a subject of exceptional importance.

Your observations about zinc/copper interaction are accurate, and this constitutes one of a constellation of relevant nutrient interactions. 40-50 mgs. is approximately what a high-potency multivitamin contains. Most multivitamins contain copper, though perhaps not enough if one is taking 40-50 mgs. of zinc (too much according to others – it may depend on how much copper one is getting from dietary or environmental sources). As to taking 150 milligrams of zinc once, well, I can’t see any problem with it, and during infection there may be a greater need for zinc than for copper according to published evidence.

Rob

P.S. I've enclosed an article I wrote that may help you in your studies. 

 

The Power of Nutrition

 

 

Malnutrition impacts upon the economically disadvantaged and advantaged alike; the former by infection, the latter by degeneration.

 

 

 

 

 

 

Destitute populations suffer foremost not from protein-calorie privation but from lack of infinitesimal specks critical to immune defense. Truckloads of empty-calorie bulky rations cannot mitigate famine related mortality as compared with results attainable from concentrated delivery of appropriately formulated micronutrients and minimal provision of food energy. Malnutrition impacts upon the economically disadvantaged and advantaged alike; the former by infection, the latter by degeneration. Epidemics like AIDS/tuberculosis are enabled by multi-nutrient deficiency.

As it is more efficient for animal predators to prey on the weakest of the herd, so it is with micro-predation, explaining why deadly communicable disease epidemics are nearly the exclusive province of the immunocompromised. This may be changing, however, as overuse of antibiotics and the resultant emergence of more virulent pathogenic strains may soon threaten even nutritionally well-fortified societies. Under these circumstances the power of nutrition is not only the best defense, but also the only one.

The power of nutrition resides in ratios and interactions. Though it is the logical and natural extension of studying individual nutrients, progression has been retarded by a drug mentality in which single nutrients are identified with discrete disorders and little or no account is taken of the effect of one nutrient on another. A positive ‘power of nutrition’ implies the existence of an equal and opposite power, and weighing the gravity of the negative offers a glimpse of the upside. The negative power of nutrition derives from the fact that faulty supplementation can be worse than no supplementation. This is due to nutrient interaction, specifically, counteraction.

Counteraction refers to competition between nutrients for uptake and utilization – or, one nutrient adversely affecting bioavailabilty of another. For example, in addition to the detrimental effect on physical and mental health of iron excess, it reduces zinc absorption. This is negative power, corresponding with diminished wellness and heightened risk of disease. Vitamin C supplementation, in addition to intrinsic benefits, increases iron absorption and neutralizes free radical generation associated with elevated unbound non-heme iron. This is positive power, corresponding with lower risk of disease and feeling better.

The best way to supplement X is to supplement Y which increases Xs absorption or enhances its action, thereby reducing the supplemental requirement of X. This operates to the advantage of compliance and cost, including metabolic cost of assimilation. Even with gender differentiation informing split formulations, bioindividuality renders it infeasible to map-out nutrient ratios and interactions with uniform precision. But to the degree nutrient synergy can be harnessed it represents a means of deploying Nature’s assets to profoundly greater effect in the assault on needless sickness and suffering, and the quest for optimal mental and physical well-being.