Prolonged Hypercupremia after Laparoscopic Vertical Sleeve Gastrectomy Successfully Treated with Oral Zinc

Table 1

Summary of biochemical findings.

Months after surgery	Copper	Ceruloplasmin	Zinc	Iron
5 months	45	4.9	14	10
12 months	41		12
14 months†	41	4.8
17 months‡	36
24 months	39			16
27 months¥	28	2.9	12
33 months	28	2.9	15
	(Normal range: 11-26 µmol/L)	(Normal range: 1.4-2.9 µmol/L)	(Normal range: 8.6-21 µmol/L)	(Normal range: 4.8-28 µmol/L)

Multivitamin had been stopped.
†Taking a copper-free multivitamin containing 15 mg/day zinc.
‡Using a low copper diet and taking a copper-free multivitamin with 15 mg/day zinc.
¥Two months after starting 115 mg/day zinc; eight months after starting 115 mg/day zinc.