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Nov 27, 2023Liked by Courtney Snyder MD

May I ask whether one should consider adding copper if MVC is stubbornly high (99 - 101) despite very high intake of B12 and folate (3 - 5 mg)? Daily zinc intake 30mg.

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Hello...That's a really interesting question. I tend to see high copper much more than low copper, but I'd first be curious what the serum copper and plasma zinc are. If copper deficiency were a contributing factor, then I would expect a low level on a serum copper blood test. You might find this article interesting. https://pubmed.ncbi.nlm.nih.gov/16020879/

Because of the rare but possible risk of someone having Wilson's (when their copper and ceruloplasmin are low), I am cautious about giving copper supplementation and will often screen for Wilson's using a 24 hour urine copper and a slit eye exam (to rule out Kaiser Fleischer rings). Those who are seeing me have brain symptoms. Other functional medicine doctor's may approach this differently. Thank you for your question.

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Thank you so much for your prompt response! In this hypothetical case with an imaginary person, let's say the copper and zinc levels are 1020 and 1070 mcg/L, respectively. Looks to me that there is no copper deficiency, correct?

Regarding folate and B12, it should be added that the person is a very slow COMT, so too much methyl supplements cause a lot of inconvenience.

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