How would you work up an elevated copper level without cytopenias in a patient with history of bariatric surgery not on supplements or using copper utensils?

Topics: Hematology • Benign Hematology

Often see bariatric surgery ordering these tests, is there any clinical relevance?

Answer from: at Community Practice

Would make sure they are not on supplements as these are often recommended post bariatric surgery. Otherwise, not sure of a connection with bariatric surgery. Would check ceruloplasmin level to rule out Wilson's disease. A low copper level is more likely and can cause leucopenia and sideroblastic a...

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