Dr. Purser covers the relationship between fibromyalgia and chronic fatigue syndrome. He also discusses the most common causes he sees of chronic fatigue and how he treats them.
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MAKE SENSE OF YOUR COPPER RESULTS
Use your zinc, total copper, and ceruloplasmin blood results to estimate NCC and the copper:zinc ratio.
This uses the formula in Dr. Purser’s handout: NCC (µg/dL) = total copper (µg/dL) − 3 × ceruloplasmin (mg/dL). NCC percentage = NCC ÷ total copper × 100. Copper:zinc ratio = total copper ÷ zinc, using the same units.
Calculated NCC is an estimate. Test methods and how much copper is bound to ceruloplasmin can affect it. It differs from a direct lab measurement of labile or exchangeable copper. It cannot diagnose fibromyalgia or copper toxicity, or choose treatment for you. Read about the limits of calculated NCC at Mayo Clinic Laboratories ↗
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