This commentary will focus on clinical research for which Prasad et al.[1] is a plausible progenitor. My assessment is personal because I participated in the studies conducted in Egypt that tested Prasad's hypothesis.When Ananda Prasad [1,2] discussed a patient at the medical-grand-rounds of the Saadi Hospital, Shiraz, Iran in 1958, at the invitation of James Halsted, he was presented a 21-year old farmer with weakness, easy fatigability, dyspnea, and palpitation of ten years' duration. For four years he had been unable to work, was pale, and had frequent nocturnal "fever." He had always been small and sexually underdeveloped. Since childhood had practiced geophagia. His diet had consisted mainly of village bread prepared from wheat, milk, and potatoes. He rarely ate meat of any kind, eggs, or vegetables. He had two living brothers and two sisters, who as far as he knew were well. A sister, age 18 years, had died with edema and jaundice. Two sisters died in early childhood. A third brother, aged 22 years, was short, sexually underdeveloped, had malformed extremities, was mentally retarded and practiced geophagia.The patient's vital signs were pulse 100/minute, blood pressure 105/55 mm Hg, temperature 37.4°C, height 135 cm and weight 29.5 kg. Acral, perioral, perineal, or other regional hyperkeratosis, other dermatitis, cheilosis or angular oral fissures were not described. He was pale and had koilonychia. His genitalia were infantile and secondary sexual development was absent. His liver and spleen were palpable 4 cm below the costal margin.In Prasad's experience this patient was unusual. He therefore studied 10 additional patients [1]. His interpretation of the findings was assisted by a review of zinc [3] that cited evidence of the essentiality of zinc in several species including humans. Even though the accepted paradigm held that primary human zinc deficiency was unlikely because of zinc's wide distribution in the environment, Prasad et al. proposed that zinc deficiency was the major cause of the stunting and hypogonadism.One suspects that most zinc cognoscenti were unaware of Prasad's report. The article was in a journal that most faculty members of schools of agriculture probably did not read. Thus the major impact of Prasad et al's report was to inspire the research