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Copper

Proper name Copper
Category Trace mineral
Functions Copper is involved in hemoglobin synthesis and facilitates the absorption of iron. For this reason, it has been called the "iron twin". Copper is needed for the formation of elastin and collagen, the materials that provide structural integrity and elasticity to tendons, ligaments, bone, skin and the connective tissue component of organs and blood vessels. Many enzymes are made with copper, including one of the most powerful free-radical scavengers, superoxide dismutase and dopamine beta-hydroxylase, needed to synthesize norepinephrine. Copper's role in superoxide dismutase may account for its anti-inflammatory effect on arthritis. Copper deficiency is associated with elevated cholesterol and triglycerides. Abnormally high and low levels of copper increase the risk of cardiovascular abnormalities. Copper deficiency may be involved in osteoporosis and also in diabetes.
RDA 1.5 to 3 mg per day for adults
Therapeutic dose 2 to 4 mg per day.
Deficiency symptoms Frank copper deficiency is rare, although some surveys indicate that the diet of most Americans provides only half the required amount of copper. Deficiency may be caused by ingestion of zinc supplements. Symptoms of copper deficiency include loss of hair and skin color (lack of melanin), anemia, fatigue, kinky hair, low body temperature, weak connective tissue, reduced resistance to infection, nervous system disorder and cardiovascular problems. A genetic defect of copper absorption is characterized by kinky hair (like steel wool), stunted growth, cardiovascular and skeletal abnormalities, progressive cognitive decline and premature death. Copper deficiency has also been associated with emphysema.
Toxicity Toxicity rarely occurs unless intake is 300-500 times normal. The most common copper toxicity is a genetic disorder called Wilson's disease. Copper workers, welders and persons with corroded copper water pipes may be at risk. The common symptoms of copper poisoning are metallic taste in mouth, headache, gastrointestinal disturbances, dizziness and weakness. Severe cases may cause liver damage, kidney failure, hypertension and death. Wilson's disease causes schizophrenia in addition to other symptoms.
Best forms  Not known. Copper gluconate may not be bioavailable.
Food sources Liver and other organ meats, oysters, nuts and seeds, whole grains, dried legumes, green leafy vegetables and chocolate.
Lab tests Serum copper, ceruloplasmin
Drug interactions Copper is depleted by ingestion of Ethambutol, Penicillamine and Zidovudine. Nutrient interactions Excessive zinc increases copper excretion.
Nutrient interactions Vitamin E inhibits the absorption of iron. It is better to take iron and Vitamin E at different meals.
Metabolism

Copper is absorbed in the small intestine and transported to the liver on transcuprein and albumin. Copper is then secreted into the blood as ceruloplasmin, a powerful antioxidant.



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