Guest guest Posted April 27, 2006 Report Posted April 27, 2006 wow- im glad you posted that. I get my labs drawn in June- they have to check my iron levels becaue im anemic and i am really feeling it today. Ive been off my calcitriol for about a week now- have to have it refilled. Could going off that make me tired or could this be PMS?? VIcki Jo wrote: For educational purposes I thought I'd pass on some Bits and pieces of an article about Copper taken from Beyond Change, Author Jacques, N.D. ========================= Conditions known to contribute to copper deficiency are: Prolonged infection or inflammation, pregnancy, liver disease, use of estrogenic drugs, celiac disease, surgical resection of the bowel, nephritic syndrome and generalized malnutrition. As well as with excessive or prolonged intake of iron or zinc supplements. When Copper is depleted, iron is not properly transported from storage to the bone marrow for production of red blood cells. Chronic Copper deficiency could therefore, result in disordered iron metabolism and an anemia that mimics that of iron deficiency. In these cases, serum iron and ferritin should still be normal and neutropenia would still be expected. In the case of WLS it might be possible to see true COMBINED deficiency since both nutrients can be malabsorbed. Copper Deficiency might become more suspect if anemia did not correct as expected with iron therapy or in any way worsened and in any case with anemia and neutropenia. Copper deficiency leading to myelopathy was only first described in 2001. Since that time most cases have been associated with zinc excess. Patients described by the Mayo Clinic, presented with mild anemia that had been presumed to be due to iron deficiency. They then manifested ataxia, decreased sensation in the hands and lower legs, lower limb weakness and hyper-reflexia. MRI studies done in other cases has revealed subacute combined degeneration very similar to that seen in B12 deficiency. which would explain the similar symptoms. Other possible signs of deficiency include generalized weakness and fatigue, decreased skin pigmentation, skin sores, increased cholesterol, poor immune function, impaired glucose tolerance and myocardial disease. Copper, iron and zinc compete for absorption so should be taken separately. Much like iron copper relies on stomach acid to free it from its bound state in food and to help maintain the optimal ionic state for absorption. Good dietary sources for copper include organ meats, shellfish, nuts, beans/legumes, dark chocolate, enriched grains, dried fruits, mushrooms, tomatoes, potatoes, bananas, grapes and avocados. It is expected they will be finding more cases of copper deficiency among WLS patients in the future. Hugs Jo My Notes: Dr. K test for copper...so do your labs! Also since you need stomach acids to absorb copper and it is primarily absorbed in the proximal (top portion) of the bowel, this is a bigger problem for the RNYers...however it most certainly does not exclude us. Quote
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