Copper (as Copper Bisglycinate) vs Iron Bisglycinate

Mechanism

Copper is a cofactor for critical cuproenzymes: cytochrome c oxidase (Complex IV, mitochondrial respiration), Cu/Zn-SOD (superoxide dismutation), ceruloplasmin (ferroxidase — converts Fe2+ to Fe3+ for transferrin loading; essential for iron metabolism), lysyl oxidase (collagen and elastin cross-linking), dopamine beta-hydroxylase (dopamine to norepinephrine conversion), tyrosinase (melanin synthesis), and peptidyl-glycine alpha-amidating monooxygenase (neuropeptide processing). Copper is transported by ATP7A/B (Menkes/Wilson proteins) and regulated by metallothionein and glutathione.

Standard Dosing

1-2mg elemental copper daily (when supplementing zinc >25mg)

Timing

With food. Separate from zinc by 2+ hours for optimal absorption of both.

Cycle Duration

ongoing when zinc supplementation is ongoing

Side Effects

• Nausea (on empty stomach)
• GI upset
• Metallic taste
• Copper toxicity at high doses (hepatotoxicity, hemolytic anemia)

Contraindications

• Wilson's disease (genetic copper overload)
• Copper storage disorders
• Copper excess states

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Mechanism

Iron is essential for hemoglobin (oxygen transport), myoglobin (muscle oxygen storage), cytochrome enzymes (electron transport chain — Complexes I, II, III, IV), cytochrome P450 enzymes (drug/hormone metabolism), catalase (H2O2 decomposition), ribonucleotide reductase (DNA synthesis), and aconitase (Krebs cycle). Iron bisglycinate (Ferrochel) uses amino acid chelation to bypass the normal DMT1/ferroportin pathway, instead being absorbed intact via PepT1 transporter. This mechanism avoids the GI side effects of ionic iron (free Fe2+ generates hydroxyl radicals via Fenton reaction in the gut lumen) and is not inhibited by phytates, tannins, or calcium.

Standard Dosing

25-36mg elemental iron (as bisglycinate) daily for deficiency correction

Timing

On empty stomach or with vitamin C for absorption. Alternate day dosing (every other day) may be superior due to hepcidin cycling. Separate from calcium, zinc, tea, coffee by 2+ hours.

Cycle Duration

Until ferritin >50 ng/mL, then reassess (typically 3-6 months). Not for ongoing supplementation unless chronic blood loss.

Side Effects

• GI distress (significantly less than ferrous sulfate)
• Constipation (less common with bisglycinate)
• Dark stools
• Nausea
• Iron overload if supplemented unnecessarily

Contraindications

• Hemochromatosis
• Iron overload conditions
• Thalassemia (without documented deficiency)
• Hemolytic anemias (unless also iron deficient)
• Chronic transfusion therapy

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