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McIntosh explains

The concern scales up if a patient is simultaneously taking copper-containing multivitamins (often 2 mg per tablet), using multiple copper peptides, or has Wilson disease with impaired biliary copper excretion 17

A weakened gut barrier allows bacterial components to leak into the bloodstream, interferes with metabolic function, and may result in poor blood sugar regulation, struggles with weight management, food cravings, brain fog, and energy crashes after meals