Effects of Replacing Medical Zinc Oxide with Different Ratios of Inorganic: Organic Zinc or Reducing Crude Protein Diet with Mixed Feed Additives in Weaned Piglet Diets

Simple Summary Piglets frequently experience post-weaning diarrhea (PWD) due to various stress factors at the weaning stage. PWD affects the growth performance and mortality of piglets, and they face various diseases due to reduced immunity response. A high dose of zinc oxide (ZnO) is used as a feed additive to prevent diarrhea occurrence and to promote immune system development. However, most of ZnO is discharged as manure, causing soil heavy metalization, accumulation in pork, increased and antimicrobial resistance. For this reason, research to reduce zinc excretion and prevent PWD through the supplementation of low-dose zinc in feed is essential; moreover, it is essential to develop alternatives to ZnO addition. Therefore, we hypothesized that different ratios of inorganic zinc and organic zinc at 1000 mg/kg or a low-protein diet with commercial feed additives containing either essential oils, protease, and xylanase (MFA) could replace high-dose ZnO by preventing diarrhea and improving growth performance, nutrient digestibility, and gut health. We found that inorganic and organic zinc at a ratio of 500:500 mg/kg and a low-protein diet with essential oil, protease, and xylanase can be used to replace medical ZnO in weaned piglet diets. Abstract One hundred twenty weaned piglets (9.34 ± 0.74 kg) were used in a four-week experiment to investigate the effects of replacing medical ZnO with a different ratio of inorganic and organic zinc (IZ:OZ) or a low-crude-protein diet (LP) with mixed feed additives (MFAs) in the weaned piglets’ diet. The dietary treatments included a control (CON), T1 (T1; ZnO 1000 mg/kg), T2 (IZ:OZ 850:150), T3 (IZ:OZ 700:300), T4 (IZ:OZ, 500:500), and T5 (LP with MFAs (0.1% essential oils + 0.08% protease + 0.02% xylanase)). The growth performance was decreased (p < 0.05) in the CON treatment compared with the T4 treatment. The diarrhea incidence was decreased (p < 0.05) in the T4 and the T5 treatment compared with the CON and the T1 treatments. The apparent total tract digestibility (ATTD) of nutrients were increased (p < 0.05) in the T4 and T5 treatments compared with the CON, T1, and T2 treatments. The T4 treatment had a higher (p < 0.05) ATTD of zinc than the T1, T2, and T3 treatments. The fecal microflora was improved (p < 0.05) in the T5 treatment compared with the CON and T3 treatments. In conclusion, IZ:OZ 500:500 could improve growth performance, nutrient digestibility, and zinc utilization while reducing diarrhea incidence in weaned piglets. Moreover, LP with MFA could replace medical ZnO.


Introduction
Post-weaning diarrhea (PWD) is caused by a variety of factors, such as the isolation of piglets from sows, the mixing of pigs in cages, adaptation to new environments, and intestinal morphological changes due to solid diet feeding [1]. These stress factors may negatively affect the immune response system and the intestinal dysfunction in weaned piglets; moreover, the undigested protein in the intestine promotes the proliferation of Escherichia coli, and the intestinal barrier is damaged by the enterotoxin generated by E. coli [2]. This condition produces enterotoxin and accretion, which are the main causes of disease outbreaks, and causes damage to the swine industry for two weeks after weaning [2]. To prevent PWD, Poulsen [3] suggested the addition of 2500 mg/kg of zinc oxide (ZnO) to piglet diets, which resulted in tremendous growth in piglet nutrition, management, breeding, and genetics [4]. The medical supplementation of the piglet diet with 2500 mg/kg ZnO promoted performance and prevented PWD for a period of two weeks after weaning. However, most ZnO is discharged as manure, causing soil heavy metalization, increased antimicrobial resistance, and accumulation in pork, which is a global problem [5,6]. Therefore, the European Union has limited the use of ZnO to 150 mg/kg and is phasing out the use in weaned piglet diets by 2022. China limits ZnO to 1600 mg/kg in weaned piglet diets [7]. However, studies on the effect of adding ZnO at concentrations of less than 2500 mg/kg are very limited and have shown conflicting results [8,9]. Thus, research to reduce zinc excretion and prevent diarrhea through the addition of low-dose zinc in feed is essential.
In our previous study, we conducted different forms of Zn such as Zn chelated with glycine and nano-particle size to replace high doses of inorganic Zn (IZ) in weaned piglet diets [10]. In our results, organic zinc (OZ) chelated with glycine had a higher utilization in weaned piglets than IZ and nanoparticle-sized zinc [10]. Moreover, many studies suggested that OZ has high stability and bioavailability, and it prevented precipitation compared to IZ [6,11,12]. It can be used as an alternative to high-dose ZnO at a lower dose.
Currently, low-protein diets, plant extracts, and enzymes have been studied as methods that do not add zinc to the diet. The recommended crude protein (CP) concentration in a piglet diet is 20-23% [13], but piglets aged 3-4 weeks lack sufficient endogenous enzymes to digest this amount of protein [14]. As the undigested protein in the intestine is the main cause of diarrhea, many researchers have investigated the effect of reducing diarrhea by using a low-protein diet (CP concentration in basal diet: 20-23% vs. low protein diet: 17.8~20.2%) [15][16][17][18]. As a feed additive, essential oil (EO) helped to improve growth performance and intestinal morphology and reduce the incidence of diarrhea in weaned piglets [19,20]. In our previous studies, a dietary supplementation of 0.1-0.2% essential oils complex in the piglet diet was shown to improve immune response and intestinal microflora [21,22]. The addition of 300-800 mg/kg protease increased the enzymatic activity and improved the apparent total digestibility of CP and amino acids, thereby improving piglet growth performance and reducing diarrhea incidence [23][24][25]. Xylanase hydrolyzes xylan in fibrin helps the proliferation of probiotic microorganisms and suppresses the proliferation of pathogenic microorganisms in the intestines, thereby improving intestinal health and enhancing immunity [26][27][28][29]. Moreover, Patráš et al. [30] reported that supplementation of 100-200 mg/kg xylanase effectively degrades non-starch polysaccharides in the upper digestive tract and improves amino acid availability in weaning piglets.
Therefore, we hypothesized that high-dose ZnO could be replaced by IZ and OZ ratios within zinc concentrations of 1000 mg/kg or by the mixed addition of EO, protease, and xylanase (MFA) in a low-protein diet (LP) by improving growth performance and reducing zinc excretion and diarrhea incidence. Thus, we conducted a study to investigate (1) the effects of replacing medical ZnO with different ratios of inorganic:organic zinc (IZ:OZ) on growth performance, diarrhea scores, nutrient digestibility, zinc utilization, blood profiles, and fecal microflora and (2) whether a low-protein diet (CP content: 0 to 2 weeks, basal diet 20.8 vs. LP diet 18.7%; 2 to 4 weeks, basal diet 18.8% vs. LP diet 16.9%) supplemented with a mixture of 0.1% EO, 0.08% protease, and 0.02% xylanase could replace medical ZnO by showing similar effects.

Dietary Treatments
The dietary treatments consisted of CON (control; no additional added zinc oxide in diet), T1 (positive control; CON + 1000 mg/kg zinc oxide), T2 (CON + IZ:OZ 850:150 mg/kg), T3 (CON + IZ:OZ 700:300 mg/kg), T4 (IZ:OZ 500:500 mg/kg), and T5 (low-protein diet (LP) + mixed additives (0.1% EO + 0.08% protease + 0.02% xylanase, MFA)) in each experiment. All diets were formulated to meet or exceed the NRC (Table 1). A total of 120 weaned piglets ((Yorkshire × Landrace) × Duroc, 28 day of age) with an initial body weight (BW) of 9.34 ± 0.74 kg were used in a four-week experiment. Pigs were blocked based on initial body weight into a complete block design. There were four pigs' in a pen and five replicate pens per diet. All pigs were housed in an environmental controlled room (30 ± 1 • C). Each pen was equipped with a single-sided stainless self-feeder and a nipple drinker, and feed and water were freely available. Feed intake was recorded every 8:00 and 17:00, and individual pig BW was recorded at the end of weeks 0, 2, and 4 to determine the average daily gain (ADG), the average daily feed intake (ADFI), and the feed efficiency ratio (G:F). The subjective score of diarrhea was checked at 9:00 and 18:00 by the same person. We used Trckova et al.'s [31] methods to check the diarrhea score, which was assigned as follows: 0, well-formed feces; 1, normal feces; 2, sloppy feces; and 3, diarrhea. The diarrhea scores were recorded as an average daily diarrhea score for each pen and were reported as the diarrhea scores by period.

Chemical Analysis for Diet and Feces
We used the method of Fenton and Fenton [32] to determine the apparent total digestibility (ATTD) of gross energy (GE), dry matter (DM), and crude protein (CP). The piglet diets were mixed with 0.2% chromium oxide and fed within 10 to 14 and 24 to 28 days. Three pigs per pen were randomly selected, and fresh fecal matter was collected via rectal massage on days 14 and 28. Samples were mixed and stored in a freezer at −20 • C until analyzed. Before chemical analysis, samples were dried at 70 • C for 72 h and then finely ground to a size that could pass through a 1 mm screen. We analyzed GE, DM, and CP for all feed and fecal samples using the AOAC [33] procedure outlined. We analyzed chromium by ultraviolet absorption spectrophotometry (Shimadzu, UV-1201; Shimadzu, Kyoto, Japan) according to the chromium analysis method described by Williams et al. [34]. We used an adiabatic oxygen bomb calorimeter (Parr Instruments, Moline, IL, USA) to analyze GE in diet and feces. Diets and feces samples were wet-digested using nitricperchloric acid and then diluted with deionized, distilled water for analyses of minerals. Concentrations of zinc were analyzed using UV absorption spectrophotometry (Shimadzu, UV-1201; Shimadzu, Kyoto, Japan).
For the blood profiles, two pigs per pen were sampled at the end of experiment. Blood samples were collected into both nonheparinized tubes and vacuum tubes containing K3EDTA (Becton, Dickinson and Co., Franklin Lakes, NJ, USA) to obtain serum and whole blood. After collection, serum samples were centrifuged (3000× g) for 20 min at 4 • C. The red blood cells (RBC), white blood cells (WBC), lymphocyte, monocyte, eosinophil, basophil, glucose, cholesterol, and blood urea nitrogen (BUN) levels in the whole blood were determined by using an automatic blood analyzer (ADVIA 120, Bayer, Tarrytown, NY, USA). The immunoglobulin G (IgG) and immunoglobulin M (IgM) were determined by using an automatic biochemistry blood analyzer (HITACHI 747; Hitachi, Tokyo, Japan). The zinc concentration of blood was determined according to the method described by Hill et al. [9].

Procedures of Microbial Shedding
Microbial analysis was immediately carried out according to the method described by Hu et al. [35]. We collected fresh fecal samples directly via rectal massage from two pigs per pen. After that, they were placed on ice and transported directly to the lab, and 1 g of a composite fecal sample from each treatment was diluted in 9 mL of 1% peptone broth (Becton, Dickinson and Co., Franklin Lakes, NJ, USA) and then homogenized. Then, viable bacteria were counted in fecal samples by placing serial 10-fold dilution on MacConkey agar plates (Difco Laboratories, Detroit, MI, USA) and lactobacilli medium III agar plates (Medium 638, DSMZ, Braunschweig, Germany) to isolate the Escherichia coli and Lactobacillus. The MacConkey agar plates were incubated for 24 h at 37 • C, and the lactobacilli medium III agar plates were then incubated for 48 h at 39 • C under anaerobic conditions. The E. coli and Lactobacillus colonies were counted immediately after removal from the incubator.

Statistical Analysis
Data of growth performance, nutrient digestibility, zinc utilization, and blood profiles were statistically analyzed as a randomized complete block design using the general linear model's procedure of SAS. The diarrhea score and fecal microflora were compared with a chi-squared test, using the FREQ procedure of SAS. The pen was used as the experimental unit for growth performance, and the diarrhea score and the individual pig were used as an experimental unit for nutrient digestibility, zinc utilization, blood profiles, and fecal microflora. Orthogonal contrasts were used to compare the possible relationship about the effect of treatments: CON vs. other treatments; T1 vs. T2, T3, and T4; T5 vs. T2, T3, and T4. Variability in the data was expressed as the pooled standard error, and p < 0.05 was considered statistically significant.

Growth Performance and Diarrhea Score
Pigs fed the CON and T5 diets had significantly lower (p < 0.05; contrast p < 0.05) BW than did pigs fed the T1 and T4 diets at week 2 ( Table 2). The final BW was significantly decreased in the CON treatment compared with the T1, T2, T4, and T5 treatments. At 0 to 2 weeks, pigs fed with the CON and T5 diets had significantly lower (p < 0.05; contrast p < 0.01) ADG than did pigs fed the T1 and T4 diets. At 2 to 4 weeks, there was a high tendency (p = 0.064) for ADG in the T5 treatment compared with CON treatment. Table 2. Effects of replacing medical zinc oxide with different ratios of inorganic:organic zinc or reducing crude protein diet with mixed feed additives on growth performance and diarrhea score in weaned piglets.  At 0 to 2 weeks, pigs fed the CON and T1 diet had a significantly higher (p < 0.05; contrast p < 0.01) diarrhea score than did pigs fed the T4 and T5 diets. At 2 to 4 weeks, pigs fed the CON and T1 diet had a significantly higher (p < 0.05; contrast p < 0.05) diarrhea score than did pigs fed other diets. In the overall period, pigs fed the CON diet had a significantly lower (p < 0.05; contrast p < 0.05) ADG than did pigs fed the other diets. The feed efficiency was significantly decreased (p < 0.05; contrast p < 0.05) in the CON treatment compared with the T4 treatment. Pigs fed the CON and T1 diets had a significantly higher (p < 0.05; contrast p < 0.05) diarrhea score than did pigs fed the T4 and T5 diets.

Nutrient Digestibility
The ATTD of DM and GE were significantly decreased (p < 0.05; contrast p < 0.05) in the CON treatment compared with the other treatments at 2 weeks (Table 3). Moreover, pigs fed the T1 and T2 diets had significantly lower (p < 0.05) ATTD of DM than did pigs fed the T3, T4, and T5 diets. The ATTD of CP was significantly increased (p < 0.05; contrast p < 0.05) in the T4 and T5 treatments compared with the CON, T1, and T2 treatments. Pigs fed the T4 diet had a significantly increased (p < 0.05; contrast p < 0.05) ATTD of GE than did pigs fed the CON, T1, and T2 diets. At 4 weeks, pigs fed the CON and PC diets had a significantly lower (p < 0.05; contrast p < 0.05) ATTD of DM than did pigs fed the T3 and T4 diets.

Zinc Utilization
Pigs fed with the PC and T1 diets had a significantly higher (p < 0.05; contrast p < 0.05) zinc intake than did pigs fed with the T3 and T4 diets at 2 weeks when the CON and T5 treatments were excluded (Table 4). Pigs fed with the PC diet had a significantly higher (p < 0.05; contrast p < 0.05) zinc excrete and a lower (p < 0.05; contrast p < 0.05) ATTD of zinc than the T2, T3, and T4 diets at 2 weeks. The zinc excrete was significantly decreased (p < 0.05; contrast p < 0.05) in the order of the T4, T3, and T2 diets according to the order of the highest OZ content at 2 weeks. The ATTD of zinc was significantly increased (p < 0.05; contrast p < 0.05) in the order of the T4, T3, T2, and T1 diets according to the order of the highest OZ content in the same period. At 4 weeks, when the CON and T5 treatments were excluded, pigs fed with the T2 diet had a significantly higher (p < 0.05) zinc excrete than did pigs fed with the T1, T3, and T4 diets. Pigs fed with the T4 diet had a significantly lower (p < 0.05) zinc excrete than did pigs fed with the T1, T2, and T3 diets. The ATTD of zinc was significantly decreased (p < 0.05; contrast p < 0.05) in the T1 treatment compared with other treatments at 4 weeks. Pigs fed with the T4 diet had a significantly higher (p < 0.05) ATTD of zinc than did pigs fed with other diets. Table 3. Effects of replacing medical zinc oxide with different ratio of inorganic:organic zinc or reducing crude protein diet with mixed feed additives on nutrient digestibility in weaned piglets.

Blood Profiles
There was a high tendency (p = 0.084) for the blood concentration of monocytes in the T3 treatment compared with the CON, T1, and T2 treatments ( Table 5). The BUN concentration in blood was significantly decreased (p < 0.05; contrast p < 0.05) in the T5 treatment compared with other treatments. Pigs fed with the T3 diet had a significantly higher (p < 0.05) blood concentration of BUN than did pigs fed with the CON and T1 diets. The zinc concentration in blood was significantly decreased (p < 0.05; contrast p < 0.05) in the CON and T4 treatments compared with the T1, T2, T3, and T4 treatments. Pigs fed with the T1 diet had a significantly higher (p < 0.05) zinc concentration in blood than did pigs fed with the T2 and T4 diets. Table 4. Effects of replacing medical zinc oxide with different ratio of inorganic:organic zinc or reducing crude protein diet with mixed feed additives on zinc utilization in weaned piglets.  Abbreviation: CON, no additional added zinc oxide in diet; T1, CON +1000 mg zinc oxide; T2, CON + inorganic:organic zinc 850:150 mg/kg; T3, CON + inorganic:organic zinc 700:300 mg/kg; T4, CON + inorganic:organic zinc 500:500 mg/kg; T5, low-CP diet + 0.1% essential oil + 0.08% protease + 0.02% xylanase; SE, standard error. a-c Means within column with different superscripts differed significantly (p < 0.05).

Fecal Microflora
The E. coli concentration in fecal matter was significantly decreased (p < 0.05; contrast p < 0.05) in the T3, T4, and T5 treatments compared with the CON and T1 diets ( Table 6).

Discussion
The main objective of this study was to investigate alternative medical ZnO using different ratios of IZ and OZ under 1000 mg/kg or an LP diet with MFA in weaned piglet diets. Our results showed that pigs fed the T1 diet had higher growth performance than pigs fed the no-additional-ZnO-added diet. Consistent with our results, many studies have reported that supplementation with low-dose ZnO (500 to 1500 mg/kg) improved growth performance compared to no-zinc-added treatment [4,34,36]. In the present study, growth performance was improved when some of the IZ was replaced with OZ. Many researchers and our previous study found that OZ had higher bioavailability than IZ. Moreover, a low dose of OZ could replace IZ such as ZnO and ZnSO 4 [10][11][12]. Barszcz et al. [37] reported that OZ formulations improved growth performance and increased feed intake compared to inorganic sources. Zinc chelated with glycine stimulated appetite and growth due to its role in the activity of metalloenzymes responsible for taste and the regulation of blood leptin levels [38,39]. Similar to our result, Barszcz et al. [37] reported that 460 mg/kg of zinc glycine chelate in weaning diets improved growth performance more than a conventional IZ source in the weaned periods. Wen-bin et al. [40] reported that the supplementation of weaned piglet diet with 200 mg/kg OZ improved growth performance more than high-dose ZnSO 4 . In the overall periods of our present study, the LP diet with MFA showed growth performance similar to IZ: OZ supplementation. However, in zero to two weeks, pigs fed the LP diet with MFA had lower ADG than those fed the T1 and T4 diets. Similarly, Lynegaard et al. [41] and Nyachoti et al. [42] reported that as the CP content in the diet decreased, the growth performance for two weeks after weaning decreased compared to pigs fed general feed. In two to four weeks, LP diet with MFA showed a high tendency to improve ADG compared to CON treatment. The growth performance of piglets was improved due to the high antimicrobial and immuneboosting effects of EO [20,43], and nutrient digestibility and intestinal health improved from supplementation with protease [25,44] and xylanase [30,45]. Through this result, it is thought that it will be a method that can replace high-dose ZnO in piglet diets.
PWD occurs immediately after weaning, lasts for two weeks, and causes economic loss to swine farms by decreasing growth performance and, in severe cases, causing mortality [2]. In the present study, supplementation with ZnO at 1000 mg/kg had no effect on preventing PWD and had similar diarrhea scores as pigs in the CON treatment group. However, the supplementation of weaned piglet diets with IZ:OZ at 500:500 mg/kg or the LP diet with MFA could effectively prevent PWD compared to the CON and T1 treatments. Katouli et al. [46] demonstrated that zinc in weaned piglet diets suppressed the excessive proliferation of pathogenic microorganisms (E. coli) by maintaining stability in the intestinal environment. As a result of this study, IZ:OZ at 500:500 mg/kg and the LP diet with MFA were considered to relieve diarrhea by improving intestinal health. In addition, Medani et al. [47] reported that a decrease in the secretion of chloride and the consequent decrease in the secretion of water in the intestines may also contribute to diarrhea. Many researchers have reported that a low-protein diet in postweaning pigs could have similar effects on preventing PWD as high-dose ZnO for pharmacological use [15,16,48]. It is considered that the addition of OZ [49] and LP diet with EO [43] and xylanase [50] had a positive effect on the immune response and prevented the incidence of diarrhea.
In the present study, weaned piglet diets with IZ:OZ at 500:500 mg/kg and the LP diet with MFA showed higher ATTD of DM and CP. However, another study reported that there was no significant difference in nutrient digestibility when OZ was added to a weaned piglet diet or when IZ was replaced with OZ [37,51]. These findings were considered to be a result of the incidence of diarrhea and the intestinal microbial environment, whereas the LP diet with MFA improved nutrient digestibility by various actions. EO can stimulate and increase digestive enzyme secretions and gastric or intestinal motility [52,53]. The addition of protease can cleave protein chains more readily, increasing the ATTD of CP [44]. Supplementation with xylanase may involve the breakdown of cell wall non-starch polysaccharides, allowing enzymes to access nutrients, enhancing nutrient digestibility [54,55].
In our study, the zinc utilization in the zinc-added treatment groups was highest at an IZ:OZ of 500:500 mg/kg, and the zinc utilization increased as the ratio of IZ replaced with OZ increased. This was consistent with previous studies [10,56,57]. Star et al. [56] described that OZ bioavailability was increased compared to IZ owing to the nutrient transport system in the intestine, such as the amino acid or peptide transport systems. The results of this study confirmed that zinc excretion could be reduced when IZ instead of OZ was used in weaned piglet diets. However, in contrast to zinc utilization, the zinc concentrations in blood were lower in IZ: OZ at 500:500 mg/kg compared to the IZ 1000 mg/kg treatment. However, zinc supplementation resulted in higher serum zinc levels than pigs fed the no-additional-zinc-added diets (CON and T5). Many researchers reported that zinc blood concentrations were used as an indicator of zinc status and were linearly increased with zinc supplementation [58][59][60]. Our results showed that the BUN concentration was decreased in pigs fed LP with MFA diets. Consistently, previous studies also reported that the BUN concentration decreased with decreasing CP levels in the diet [15,61]. BUN is a metabolite of protein utilization and is used as an indicator to determine protein digestibility [62]. Low BUN concentrations are considered to indicate an improvement in protein utilization.
Many researchers have reported that the dietary medical addition of high-dose ZnO to diets improved the intestinal microbiota by helping to reduce E. coli, a pathogenic microorganism, and aiding in the growth of beneficial bacteria [63,64]. In the present study, fecal E. coli concentrations, a pathogenic microorganism, were reduced in ratios of IZ:OZ from 700:300 to 500:500, which was consistent with previous studies. However, there was no difference in the Lactobacillus concentration between the zinc treatments (T1, T2, T3, and T4) and the CON treatment. The LP diet with MFA showed the effect of increasing the Lactobacillus concentrations and reducing the E. coli concentrations in feces. The improvement in the intestinal microbiota appeared to be due to the LP and MFA. Reducing dietary CP levels has been considered to prevent excessive protein fermentation in the large intestine and to prevent the growth of E. coli [14]. Peng et al. [65] demonstrated that an LP diet could improve bacterial diversity in the intestinal digesta and mucosa, which may reduce the incidence of intestinal infections from pathogenic microorganisms. The strong antibacterial and intestinal morphology improvement effects of EO have been demonstrated in many studies [19,20,65]. Through this effect of improving intestinal health, the pigs fed the LP with MFA diet in the present study showed a decreased incidence of diarrhea. Supplementation with exogenous enzymes has been shown to improve intestinal microflora due to the use of prebiotics and bioactive compounds in feedstuff [66]. Similarly, Kim et al. [67] demonstrated that the supplementation of piglet diets with multiple enzymes including protease, xylanase, phytase, amylase, and β-mannanase improved the microflora of the ileum, cecum, and feces. Supplementation with xylanase was reported to reduce the E. coli concentrations in the intestine using a phenolic compound cross-linked with xylan [68,69].

Conclusions
The addition of inorganic and organic zinc to the weaned piglet diet at a ratio of 500:500 mg/kg improved growth performance and nutrient digestibility and reduced diarrhea incidence, zinc excretion, and E. coli concentrations in the feces. Likewise, a low-protein diet with 0.1% essential oil, 0.08% protease, and 0.02% xylanase prevented diarrhea incidence and improved nutrient digestibility and fecal microflora with very little zinc excreted. In conclusion, inorganic and organic zinc at a ratio of 500:500 mg/kg and a low-protein diet with essential oil, protease, and xylanase can be used to replace medical ZnO in weaned piglet diets.  Data Availability Statement: Data sharing is not applicable to this article.

Conflicts of Interest:
The authors declare no conflict of interest.