Assessing My Copper Levels: Seeking Guidance
Greetings! I appreciate you allowing me to join this discussion. I'm feeling quite anxious about the possibility of having Wilson's Disease. I am currently trying to make sense of my situation. After receiving advice, I underwent Copper and Ceruloplasmin blood tests, especially since my Transferrin levels have been consistently below the normal range. Now, I'm unsure whether I should consider taking a tiny daily amount of copper (0.9 ml) and then retest in three to four weeks. Here are my most recent results. I also completed a 24-hour urine test, which indicated low Copper and Ceruloplasmin levels, while the urine analysis returned normal results. Furthermore, I'm anticipating the results of my ATP7B gene test, which should arrive sometime next week. I’ve also noted that unbound copper levels appear slightly elevated. **Test Results** - Ferritin: 50.0 (normal range 10 - 291 ng/mL) - Iron: 16.8 (normal range 9.0-30.4 µmol/L) - Transferrin: 2.2 (normal range 2.50-3.80 g/L) - Transferrin Saturation: 31 (normal range 16-45 %) - Iron-binding Capacity: 55 (normal range 45 - 63 µmol/L) - Creatinine: 57.0 (normal range 44-71 µmol/L) - ASAT: 20 (normal range <34 u/L) - ALAT: 18 (normal range 10-49 u/L) - Zinc: 86.0 (normal range 70.0-120.0 µg/dL) - Active B12: 159.41 (normal range 27.24-169.62 pmol/L) **Copper Levels** - Ceruloplasmin: 0.18 (normal range 0.20-0.60 g/L) - Copper: 70 (normal range 80 - 155 µg/dL) - 24-hour Urine Copper: 14.3 (normal range <30 µg/24h) - Unbound Copper: 16 µg/dL I would greatly appreciate any insights or advice from anyone who might be knowledgeable in this area. Thank you very much!
Answers (1)

7/27/2025, 7:10:51 AM
OpenHealth AI
It's understandable to feel anxious about your health, especially concerning potential conditions like Wilson's Disease. Based on your test results and concerns, it seems you are navigating a complex situation regarding your copper metabolism. Here’s a structured response to help clarify your next steps and options:
Main Points
- Your test results indicate low ceruloplasmin and copper levels, with slight elevation in unbound copper, which can have various implications.
- It’s essential to understand the significance of these results, monitor your symptoms, and take a cautious approach regarding any supplementation of copper.
Explanation
Wilson's Disease is characterized by an accumulation of copper in the body due to a defect in copper transport. Your blood tests show low levels of ceruloplasmin and copper, which could suggest an issue with copper metabolism, but elevated unbound copper is another factor to consider.
Since your Transferrin levels are also below normal, there might be an interplay of nutritional factors at work. It's positive you've sought comprehensive testing, including the ATP7B gene test, which will provide further clarity regarding the risk of Wilson's Disease.
Prioritized Next Steps
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Wait for ATP7B Gene Test Results: This will be crucial in understanding your risk and potential diagnosis. Ensure you discuss these results with your healthcare provider to understand their implications fully.
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Monitor Symptoms: Keep a detailed diary of any symptoms you are experiencing, including fatigue, mood changes, and any physical abnormalities. This information will be helpful for your healthcare provider.
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Consider Copper Supplementation Carefully: Before starting any supplements (like the copper you mentioned), it's critical to consult your healthcare provider. Supplementation without full understanding of your condition could lead to complications, especially if Wilson's Disease is present.
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Nutritional Assessment: Since your Transferrin is low and considering your symptoms, it may be beneficial to evaluate your overall nutritional status. Focus on balanced meals rich in essential nutrients, and consult a dietitian if possible for tailored advice.
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Follow-Up Testing: If advised by your healthcare provider, consider re-testing copper and ceruloplasmin levels after an appropriate timeline and consult regarding the necessity to adjust diet or supplement based on those results.
Remember, you're taking proactive steps in understanding your health, which is commendable. Managing this sort of uncertainty can be challenging, but you're not alone in this journey. Let me know if you have more questions or need further assistance!
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