Question:
How is tx of WD?
Author: H KAnswer:
Dietary (avoid liver, shellfish (mushrooms,nuts chocolote are conroversial), intake vitamin B6, water purification) Drugs (Reduce Cu storage (penicillamine [chelates Cu- no longer used due to side effects] or trientine HCL [complexes in blood and kidney eliminated by liver]) Reduce intestinal absorption (Zn acetate/Zn sulphate compete w/carrier protein metallothionine)
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H K