Answer

What supplements should not be taken together?

Supplement Interactions interactions absorption timing

Verdict

Conflicting

High-dose zinc lowers copper because the two compete for absorption.

12 sources: 6 positive, 2 partly, 4 negative

12 sources: 6 positive, 2 partly, 4 negative

By Arun AgrahriLast reviewed 3 timecoded sources

Based on what researchers say in public interviews on YouTube. Educational only, not medical advice. Ask a qualified clinician before changing a supplement, medication, treatment, or testing plan.

Short answer

Three pairings matter most. Zinc and copper compete for absorption, so a high zinc dose pushes copper down. Iron is absorbed at roughly 10% of what you eat, so what sits alongside it matters. Vitamin D wants about 180 mcg of K2 and some fat with it. Magnesium and zinc together are fine.

What the evidence says

positive partly neutral negative Each researcher and each study counts once per claim, however often they come up.

  1. Conflicting

    High-dose zinc lowers copper because the two compete for absorption.

    12 sources: 6 positive, 2 partly, 4 negative.

    Researchers say

    2 positive

    Studies show

    4 positive, 2 partly, 4 negative

    10 papers we read

    16 more not counted · see why
    Show the receipts from 12 sources
    1. Dr. Gabrielle Lyon, on Huberman Lab, at 2:30:37 Video · positive · Opinion

      “supplementation with one or the other will typically deplete the other”

    2. Mark Hyman, on The Dr. Hyman Show, at 27:05 Video · positive · Opinion

      “high copper actually reduces zinc absorption and vice versa and they compete for absorption”

    3. Other primary study, J Lab Clin Med, 1992, PMID 1517684 Study · positive

      These findings support our hypothesis that intestinal metallothionein induction mediates decreased copper absorption observed during zinc therapy.

    4. Trial or observed group, Am J Clin Nutr, 1989, PMID 2912000 Study · positive

      Supplementation with Zn poses a risk to Fe and Cu status.

    5. Trial or observed group, Am J Clin Nutr, 1985, PMID 3969937 Study · positive

      Thus, an intake of zinc only 3.5 mg/day above the RDA for men reduced apparent retention of copper at an intake of 2.6 mg/day.

    6. Trial or observed group, Eur J Clin Nutr, 1993, PMID 8319668 Study · positive

      Hence, a detrimental effect on copper metabolism (as measured by the marker enzyme E-SOD) can be detected within 12 days of supplementation with a moderate amount of zinc.

    7. Trial or observed group, Atherosclerosis, 1988, PMID 3365292 Study · partly

      No such changes were seen in males in either lipoproteins or these indicators of Cu status.

    8. Trial or observed group, Am J Clin Nutr, 1984, PMID 6486080 Study · partly

      No significant differences in the plasma copper levels or the ferroxidase activities between the supplemented and control groups could be detected at 2, 4, or 6 wk.

    9. Other primary study, Nutrition, 2001, PMID 11527655 Study · negative

      The findings indicate that an inadequate intake of zinc (45.9 micromol/d; 3 mg/d) was more effective than a moderately high intake of zinc (811 micromol/d; 53 mg/d) in inducing changes associated with a decreased copper status in postmenopausal women.

    10. Other primary study, Biol Trace Elem Res, 2015, PMID 25877802 Study · negative

      Thus, for the conditions of this study, Zn glycinate effectively changed Zn status better than Zn gluconate, but neither impacted copper status.

    11. Trial or observed group, Med J Aust, 1987, PMID 3547053 Study · negative

      Our study also shows no detrimental effect of 150 mg of zinc a day on plasma copper levels in healthy volunteers over a period of six weeks.

    12. Other primary study, BMC Oral Health, 2023, PMID 36934261 Study · negative

      Serum Zn levels increased without reducing serum copper levels in patients with hypozincemia-induced dysgeusia treated with ZAH (50 mg/day) and taste improvement was observed in about 60% patients at 24 weeks of ZAH administration, suggesting Zn replacement using ZAH in patients with dysgeusia and lower serum Zn levels (< 80 µg/dL) might be considered as a new therapeutic approach.

Where the sources disagree

Conflicting

High-dose zinc lowers copper because the two compete for absorption.

Supports it 6 sources

Researchers

Studies

Partly 2 sources
Against it 4 sources

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Detailed Answer

The short version

High-dose zinc lowers copper because the two compete for absorption. Very few supplement pairs are dangerous together. A handful compete for the same absorption pathway, and a few work better together than apart.

Zinc and copper

The two minerals use the same absorption route, so pushing one up pulls the other down. Mark Hyman, on his own show, uses that on purpose: when copper runs high, extra zinc brings it back. The problem comes when someone takes a high zinc dose for months for immune support and never checks copper.

If you take zinc daily at an immune-support dose rather than a food-level dose, the copper question is worth a blood test.

Iron sits on its own

Iron is the mineral most people should not add without testing. Peter Attia's point is about scale: of the 10 to 20 mg you eat in a day, roughly a tenth crosses the gut wall. Your body tightly controls that absorbed fraction, which is why iron behaves less like a dial and more like a gate.

Andrew Huberman, on his own show, says to have your blood iron measured before you start, because too much can be toxic and too little means anemia. Iron is also the supplement where too much does real harm rather than going to waste.

Vitamin D wants company

The pairing actively recommended is vitamin D with K2. Hyman puts roughly 180 mcg of K2 in the same capsule as D, and Rhonda Patrick takes the MK-7 form at 50 mcg a day for its longer half-life. Vitamin D is fat-soluble, so it also wants a meal with some fat in it; taken dry on an empty stomach, less of it gets in.

What is fine together

Magnesium and zinc at ordinary doses do not meaningfully block each other, and neither does magnesium with vitamin D. Huberman's practical rule covers most of the rest. Take a vitamin-mineral supplement with food, early in the day, and put zinc and CoQ10 with a meal rather than on an empty stomach.

Related Questions

Can you take zinc and magnesium together?
Yes. At ordinary supplement doses they do not block each other. The competition worth watching is zinc against copper, not zinc against magnesium.
Should vitamin D and K2 be taken together?
Yes, as a pair. Hyman formulates roughly 180 mcg of K2 alongside vitamin D, and Patrick takes 50 mcg of the MK-7 form daily. Take D with a meal containing fat.
Is it bad to take iron with other supplements?
Iron is the one to isolate, and more importantly the one to test for first. You absorb only about 10% of dietary iron, and unlike most minerals, excess iron causes real harm rather than being excreted.
Does taking supplements at different times of day help?
For a few of them, yes. Fat-soluble vitamins want a meal with fat, zinc and CoQ10 sit better with food, and anything sedating belongs at night. For the rest, consistency beats timing.

More Questions About Supplement Interactions

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