Implications for clinical practice

Given the prevalence of malnourishment among adults with chronic wounds, the low cost of vitamin C and zinc, and the low incidence of side-effects associated with supplementary water-soluble vitamins and minerals, it would certainly be reasonable to provide vitamin C and zinc supplements to patients. However, little evidence exists to support this practice, and clinicians should not feel compelled to provide patients with vitamins and minerals, particularly those who appear to be nutritionally replete.

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