Minerals
Evidence: strong_human
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: 1-2mg elemental copper daily (when supplementing zinc >25mg)
Maintenance: 1-2mg/day
Administration: oral
Timing: With food. Separate from zinc by 2+ hours for optimal absorption of both.
Duration: ongoing when zinc supplementation is ongoing
Copper supplementation is PRIMARILY indicated as a zinc companion — zinc-induced copper deficiency is a real and serious condition causing neutropenia, anemia, and myeloneuropathy. The 1:15 copper:zinc ratio is the standard guideline. Do NOT supplement copper unless zinc intake is elevated or documented copper deficiency exists. Excess copper is associated with Alzheimer's disease and oxidative damage. Serum ceruloplasmin and RBC copper can be tested. Copper pipes and cookware contribute to dietary intake.
Copper bisglycinate or copper sebacate preferred for bioavailability and GI tolerance. Avoid copper oxide (very poor absorption). Copper gluconate is acceptable. Brands: Thorne Copper Bisglycinate, Pure Encapsulations Copper. Most multimineral formulas include 1-2mg copper.
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