Multiple nutritional deficiencies (MND) confound studies designed to assess the role of a single nutrient in contributing to the initiation and progression of disease states. Despite the perception of many healthcare practitioners, up to 25% of Americans are deficient in five-or-more essential nutrients. Stress associated with the COVID-19 pandemic further increases the prevalence of deficiency states. Viral infections compete for crucial nutrients with immune cells. Viral replication and proliferation of immunocompetent cells critical to the host response require these essential nutrients, including zinc. Clinical studies have linked levels of more than 22 different dietary components to the likelihood of COVID-19 infection and the severity of the disease. People at higher risk of infection due to MND are also more likely to have long-term sequelae, known as Long COVID.
KeywordsMultiple nutritional deficiencies • Lymphocyte proliferation assay • Myeloperoxidase • Glutathione peroxidase isozyme 4 • NADPH oxidase 2 Abbreviations MND Multiple nutritional deficiencies LPA Lymphocyte proliferation assay MPO Myeloperoxidase GPX4 Glutathione peroxidase isozyme 4 NOX2 NADPH oxidase 2