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Patients with liver disease may be at risk of this poisoning-so be sure to check.
“Any patient with evidence of liver disease may have increased hepatic copper concentrations, either as a primary disorder or secondary to heptaocellular dysfunction and cholestasis. If a liver biopsy is performed for histologic analysis, submit a second sample for quantitative copper analysis-especially in known copper hepatopathy-associated breeds-since diagnosis and treatment may mitigate or reverse copper-associated changes.”
-Brier Bostrom, DVM, and Audrey K. Cook, BVM&S, MRCVS, DACVIM, DECVIM-CA
From Diagnosing and treating canine copper-associated hepatopathies