COPPER TOXICITY SYNDROME

by Lawrence Wilson, MD

                Do you know anyone who suffers from headaches, fatigue, insomnia, depression, skin rashes, spaciness or detachment, learning disorders or premenstrual syndrome?  These can be symptoms of a copper imbalance. It is an extremely common nutritional imbalance, although it is often overlooked, in part because it is not always simple to detect.        Copper is an essential trace mineral that is vitally important for both physical and mental health.  It has been studied for years, including at government laboratories.  However, its importance for health is still largely unappreciated.  The following article is an introduction to the large subject of copper imbalance.  The author is deeply indebted to Dr. Paul C. Eck, an avid copper researcher.

COPPER'S ROLE IN THE BODY        

Copper is critical for energy production in the cells.  It is also involved in nerve conduction, connective tissue, the cardiovascular system and the immune system.  Copper is closely related to estrogen metabolism, and is required for women's fertility and to maintain pregnancy. 

 

Copper stimulates production of the neurotransmitters epinephrine, norepinephrine and dopamine.  It is also required for monoamine oxidase, an enzyme related to serotonin production.

THREE COPPER IMBALANCES

        It is possible for a person to become copper-toxic, copper-deficient or to have a condition called biounavailable copper.  In the latter, copper is present, but cannot be utilized.  When copper is biounavailable, one may have symptoms of both copper toxicity and copper excess.  This occurs because copper is present in excess in certain organs and tissues of the body, but is not usable in other key areas.  Biounavailability often occurs due to a deficiency of the copper-binding proteins, ceruloplasmin or metallothionein.  Without sufficient binding proteins, unbound copper may circulate freely in the body, where it may accumulate primarily in the liver, brain and female organs.

        Copper toxicity and biounavailability are seen most often.  These occur almost always in people who are in a state called slow oxidation.  Copper deficiency occurs most often in people who are in the state called fast oxidation.  This article uses the words copper imbalance when more than one of the three types of copper problems are possible.

DETECTING COPPER IMBALANCE

        Blood, urine, feces and hair testing are used to detect copper imbalance.  Liver biopsy is also used on rare occasions.  Let us examine each method from my experience.        Serum copper levels are not considered a reliable way to detect copper imbalance because copper may not accumulate in the blood.  Serum ceruloplasmin may be more accurate.

         Simple urine testing is also inaccurate because copper is stored deep in organs such as the brain and liver.  Urine challenge testing with penicillamine, a strong copper chelator, is much better.  With this procedure, one first gives a dose of penicillamine and then collects the urine for 24 hours.  However, this still will miss much copper that is stored deep within body organs and tissues.  Chelating agents primarily remove minerals from the blood and arterial walls.

        Liver biopsy for copper is accurate, but costly, invasive and in my experience unnecessary except perhaps in rare cases of Wilson’s disease.

        Hair is not a primary site of copper deposition.  However, if one knows how to interpret the hair analysis, one can often rapidly and non-invasively assess copper status.

 COPPER ASSESSMENT VIA HAIR MINERAL ANALYSIS

        The following is accurate in my experience, based mainly on symptom correlation.  Hair must not be washed at the laboratory  for accurate results.  See the article entitled Hair Analysis Controversy in regards to washing of the hair at the laboratory.

Assessing Low Copper.  Following are hair indicators for a need for copper supplementation:

1) A fast oxidation rate.  This is identified for you on tests from Analytical Research Laboratories.  The criteria are a calcium/potassium ratio less than 4:1 and a sodium/magnesium ratio greater than 4.17;1.

2) When the sodium/potassium ratio is less than about 2.2-2.5:1, one often needs copper in some amount.  Copper may be low or biounavailable.

Assessing Biounavailable Copper.  When copper is present in excess, often it is biounavailable as well.  This may give rise to a combination of symptoms of toxicity and deficiency.  Primary indicators of biounavailability include:

1) A copper level less than 1.0 in a slow oxidizer.
2) A sodium/potassium ratio less than about 2.5:1.

Read more about Copper Imbalance here:

 

 

 

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