Copper: Benefits, Dosage, Contraindications

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Copper is a trace element whose essential nature was discovered in 1930 following the observation of anemia induced in malnourished children. The human body contains 75 to 100 mg, and the recommended daily intake is around 2 mg. Homeostasis, that is the distribution and physiological circulation of copper, is finely regulated. Various factors can influence it, such as inflammatory reactions or estrogen status in women. Multiple enzymes, involved in neurotransmitter synthesis, connective tissue formation, or the respiratory chain, use copper as a cofactor. Excess as well as deficiency in copper can be potentially harmful, leading to cellular damage in various organs, particularly in the liver and brain. The liver regulates the amount of copper in the blood. Copper is widely distributed in foods, especially in offal, seafood, nuts, seeds, wheat bran, cereal products, and cocoa-based products. Copper deficiency causes anemia, bone fragility, growth delays, and increased susceptibility to infections. However, it is rare and sometimes occurs in people with excessive zinc intake from foods. In therapeutics, copper is recommended for infectious states and osteoarticular diseases, as a long-term treatment.

Other name(s) 

Cu

Family or group: 

Minerals and Trace Elements


Indications

Rating methodology

EFSA approval.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of clinical studies to date that can demonstrate the indication.


Copper Deficiency
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Although rare, copper deficiencies have been noted in conditions likely to reduce copper absorption, such as gastric bypasses or simultaneous use of proton pump inhibitors or during excessive zinc intake. This deficiency manifests as anemia, leukopenia and neutropenia, bone fragility, growth delays, and increased susceptibility to infections. The EFSA defines the average daily intake level of copper at 1.3 mg/day and a maximum chronic daily intake of 5 mg/day for adults over 18 years old.

Posologie

posologieOral

posologie1.3 - 5 mg

formulationCopper citrate, copper gluconate, copper sulfate, copper bisglycinate


Hair Beauty
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Copper seems to play a role in the differentiation and proliferation of dermal papilla cells, a type of fibroblastic cell involved in hair growth. The only study evaluating copper levels in the hair itself (in men with androgenetic alopecia) noted reduced concentrations compared to those not losing hair. The EFSA (European Food Safety Authority and the European Commission) have highlighted copper's role in skin and hair pigmentation.

Posologie

posologieOral

posologie2.5 - 5 mg

formulationCopper citrate, copper gluconate, copper sulfate, copper bisglycinate


Immune Strengthening
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It is known that copper plays an important role in several cellular signaling pathways important for the immune function of macrophages. In macrophages activated by inflammatory cytokines, copper levels tend to increase, while it has been shown that copper deficiency impairs their immune function. Furthermore, copper deficiency in animals has been correlated with increased sensitivity to bacterial infections. The mechanism by which copper reinforces the immune response of macrophages has only recently been discovered. In the context of the innate immune response, activated macrophages (and neutrophils) engulf invading pathogens such as bacteria into membrane-bound phagosomes, in a process called phagocytosis. The oxidative burst inside the phagosomes generates toxic reactive oxygen species (ROS) to kill invading pathogens while protecting the rest of the cell from damage. It was recently discovered that copper plays an important role in this process, where high levels of intracellular copper in macrophages cause the displacement of the copper transport protein ATP7A to the phagosomes, providing additional copper ions that are thought to enhance ROS-generating capacity. By increasing ROS production in phagosomes, copper plays an important role in the ability of macrophages and neutrophils to kill invading pathogens. Moreover, the EFSA (European Food Safety Authority and the European Commission) recognize copper's role in the functioning of the immune system.

Posologie

posologieOral

posologie2.5 - 5 mg

formulationCopper citrate, copper gluconate, copper sulfate, copper bisglycinate


Synergies


Anemia
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In combination with iron and manganese, copper is used in the management of iron-deficiency anemia and iron deficiency.

Posologie

posologieOral route

posologie2.5 - 5 mg

formulationCopper citrate, copper gluconate, copper sulfate, Copper bisglycinate


Synergies


Oxidative Stress
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Copper is a very important co-factor for enzymes that catalyze redox reactions (a chemical reaction during which electron transfer occurs). Among the most important enzymes are copper-zinc superoxide dismutases (Cu,Zn-SOD) where copper works in harmony with zinc to transform toxic superoxides into non-toxic peroxides.

Posologie

posologieOral route

posologie2.5 - 5 mg

formulationCopper citrate, copper gluconate, copper sulfate, Copper bisglycinate


Dental plaque
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Mouth rinsing with a copper solution at 1mmol/l for 4 days significantly reduced dental plaque compared to a placebo treatment.

Posologie

posologieBuccal route

duration4 - days

formulationmouthwash


Osteoporosis
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Clinical research shows that taking 2.5 mg of copper in combination with 15 mg of zinc, 5 mg of manganese, and 1000 mg of calcium, over 2 years, can slow bone loss in postmenopausal women.

Posologie

posologieOral route

posologie2.5 - 5 mg

duration2 - years

populationWomen

formulationCopper citrate, copper gluconate, copper sulfate, Copper bisglycinate


Synergies


Properties


Essential

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European health authorities (EFSA, European Food Safety Authority, and the European Commission) have determined that foods and dietary supplements containing copper can contribute to: energy metabolism, maintenance of connective tissue, nervous system function, skin and hair pigmentation, iron transport in the blood, immune system function, and protection against free radicals (antioxidant effect). Copper is a cofactor of multiple enzymes, including: - Lysyl oxidase, an enzyme necessary for collagen and elastin maturation. Copper thus plays a major role in tissue growth and repair of vessels, bone cartilage, and skin. - Ceruloplasmin, through which copper also plays an important role in iron metabolism. It promotes the binding of iron to transferrin, controlling its susceptibility to induce lipid peroxidation (pro-oxidant and toxic effect of iron). - Dopamine B-hydroxylase, whose activity copper induces, which helps protect against stress. - Tyrosinase, whose activity copper induces, which plays a role in skin and hair pigmentation.

Usages associés

Copper Deficiency, Hair Beauty, Anemia, Immune Strengthening

Antioxidant

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Copper is a very important cofactor for enzymes that catalyze redox reactions (a chemical reaction where electron transfer occurs). The most important enzymes are copper-zinc superoxide dismutases (Cu,Zn-SOD) where copper works in harmony with zinc to convert toxic superoxides into non-toxic peroxides. It is worth noting that S.O.D helps reduce oxidative damage, thereby fighting tissue aging.

Usages associés

Oxidative Stress

Antimicrobial

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Copper deficiency in animals has been correlated with increased sensitivity to bacterial infections. The mechanism by which copper enhances the immune response of macrophages has only recently been discovered. As part of the innate immune response, activated macrophages (and neutrophils) engulf invading pathogens such as bacteria into membrane-bound phagosomes, in a process called phagocytosis. Moreover, copper has recently shown its efficacy in combating nosocomial infections.

Usages associés

Immune Strengthening

Neurological

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Observational studies show that people with Alzheimer's disease have higher levels of free copper in the blood than healthy individuals. This can lead to increased levels of free copper in the brain, which may enhance oxidative stress and contribute to neurological damage.


Dermatological Effect

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Copper appears to play a role in the differentiation and proliferation of dermal papilla cells, a type of fibroblastic cell involved in hair growth. In vitro administration of a copper-containing tripeptide seems to promote the proliferation of dermal papilla cells, while promoting the growth and elongation of human hair follicles.

Usages associés

Hair Beauty

Remineralizing

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In older women, supplementation with trace elements, including copper, in a diet rich in calcium, results in a slowing of bone loss. However, the mechanism of action is unclear, as other human studies do not suggest any effect of copper on various markers of bone metabolism, including serum osteocalcin (a marker of bone formation).

Usages associés

Osteoporosis


Safety dosage

Adult from 18 years: 1.3 mg - 5 mg

Child from 3 to 3 years: 1 mg - 1 mg

Child from 11 to 17 years: 1.1 mg - 4 mg

Child from 4 to 6 years: 1 mg - 2 mg

Child from 7 to 9 years: 1 mg - 3 mg

Lactating woman from 18 years: 1.5 mg

The maximum chronic daily intake is not defined by EFSA.

Pregnant woman from 18 years: 1.5 mg

The maximum chronic daily intake is not defined by EFSA.

Infant from 7 to 11 months: 0.4 mg

The maximum chronic daily intake is not defined by EFSA.

Child from 1 to 2 years: 0.7 mg - 1 mg

Child from 10 to 10 years: 1.1 mg - 3 mg


Interactions

Médicaments

Penicillamine: moderate interaction

Copper chelates penicillamine, which decreases its absorption.

Plantes ou autres actifs

Copper: low interaction

The acidity of vitamin C may convert copper in the intestine into a less absorbable form. This is unlikely to be clinically significant unless dietary copper intake is low.

Copper: moderate interaction

Large amounts of zinc can inhibit copper absorption due to competition for absorption by the intestine. Toxic levels of zinc intake can cause significant copper deficiency and associated anemia. Similarly, relatively large amounts of copper can decrease zinc absorption, although this seems to occur more significantly in infants than in adults.


Contraindications

Wilson's Disease: prohibited

Copper supplements are contraindicated in cases of Wilson's disease, a rare genetic disorder causing copper accumulation in the body.