Copper, WB

Whole Blood

Other names: Copper, Whole Blood

check icon Optimal Result: 0.5 - 1.5 ug/ml.

The "Copper, Whole Blood" test by Labcorp measures the concentration of copper in whole blood, providing insight into the body's copper status. Copper is an essential trace mineral involved in various physiological processes, including energy production, iron metabolism, immune function, and the synthesis of collagen and neurotransmitters.

Clinical Significance:

  • Wilson's Disease: A genetic disorder leading to copper accumulation in tissues, potentially causing liver and neurological damage.

  • Menkes Disease: A genetic condition resulting in copper deficiency, leading to neurological and connective tissue abnormalities.

  • Copper Deficiency: May present with anemia, neutropenia, and bone abnormalities.

  • Copper Toxicity: Excessive copper intake can lead to gastrointestinal distress, liver damage, and neurological symptoms.

Test Methodology:

Labcorp employs Inductively Coupled Plasma/Mass Spectrometry (ICP/MS) for precise measurement of copper levels in whole blood.

Reference Range:

Copper levels vary by age and sex:

  • 0 to 6 months: 0.54–1.19 μg/mL

  • 7 months to 1 year: 0.71–1.33 μg/mL

  • 2 to 5 years: 0.70–1.23 μg/mL

  • 6 to 12 years: 0.69–1.18 μg/mL

  • 13 to 70 years (Male): 0.60–1.02 μg/mL

  • 13 to 70 years (Female): 0.68–1.19 μg/mL

  • 71 to 110 years (Male): 0.63–1.11 μg/mL

  • 71 to 110 years (Female): 0.68–1.19 μg/mL

Interpretation:

Abnormal copper levels may indicate various health conditions:

  • Elevated Copper: Could suggest acute or chronic copper toxicity, conditions like Wilson's disease, or hepatic dysfunction.

  • Low Copper: May point to copper deficiency, which can affect hematopoiesis and connective tissue integrity.

It's essential to interpret copper levels alongside clinical findings and other diagnostic tests. Consultation with a healthcare provider is recommended for personalized assessment and guidance.

What does it mean if your Copper, WB result is too high?

Elevated levels of copper in the blood can indicate several potential conditions or health issues, including:

  1. Wilson's Disease: This is a genetic disorder where copper accumulates in the liver and other organs, leading to liver damage, neurological symptoms, and psychiatric issues. Elevated copper levels, along with low ceruloplasmin (a copper-binding protein), are key indicators of this disease.

  2. Copper Toxicity: Excessive copper intake from supplements, certain foods, or environmental exposure can lead to copper toxicity. Symptoms may include gastrointestinal issues (nausea, vomiting, abdominal pain), liver damage, and neurological symptoms like tremors or confusion.

  3. Liver Disease: Elevated copper levels can be seen in liver diseases such as hepatitis or cirrhosis. The liver's ability to process and excrete copper may be compromised, leading to higher levels in the bloodstream.

  4. Acute or Chronic Inflammation: Conditions involving inflammation or infection, such as rheumatoid arthritis, may lead to increased copper levels. Copper is an acute-phase reactant, meaning its concentration rises in response to inflammation.

  5. Neurodegenerative Disorders: Certain neurodegenerative conditions, like Alzheimer's disease, have been associated with altered copper metabolism, though the relationship between copper and these diseases is still being studied.

It's important to interpret elevated copper levels in the context of other lab results and symptoms. A healthcare provider can help determine the underlying cause of elevated copper and recommend appropriate treatment.

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What does it mean if your Copper, WB result is too low?

Decreased levels of copper in the blood can be indicative of several potential conditions or health issues, including:

  1. Copper Deficiency: A lack of sufficient copper in the body can lead to various health problems, as copper is essential for many enzymatic processes, including iron metabolism, energy production, and immune function. Copper deficiency may manifest in symptoms such as:

    • Anemia (due to impaired iron metabolism)

    • Fatigue

    • Bone abnormalities (such as osteoporosis or fractures)

    • Impaired wound healing

    • Neurological symptoms like numbness, tingling, and weakness

  2. Menkes Disease: This is a rare genetic disorder that results in copper deficiency due to the body's inability to properly transport copper to cells. It leads to neurological and connective tissue abnormalities, often causing developmental delays, seizures, and brittle hair.

  3. Malabsorption Syndromes: Conditions like celiac disease, Crohn's disease, or other gastrointestinal disorders that impair nutrient absorption can lead to copper deficiency. If the gut cannot absorb copper properly, levels may drop.

  4. Excessive Zinc Intake: High levels of zinc can interfere with copper absorption in the intestines, leading to a secondary copper deficiency. This is because zinc and copper compete for absorption in the gastrointestinal tract.

  5. Protein Deficiency: Copper is transported in the blood by a protein called ceruloplasmin. If there is a protein deficiency (due to malnutrition or liver disease), copper levels may appear low due to reduced transport and binding.

  6. Chronic Illness or Inflammatory Conditions: Chronic illnesses or inflammation can disrupt copper metabolism, leading to reduced copper levels in the blood. Inflammation often increases the need for copper in certain enzymatic processes, but this can lead to a relative deficiency in some cases.

Decreased copper levels should be investigated with a healthcare provider to determine the underlying cause, as copper plays a crucial role in many bodily functions.

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