Wilson’s disease, also called hepatolenticular degeneration, is a hereditary disorder that affects the body’s ability to regulate its copper absorption and storage. Instead of excreting excess copper into the intestines and eventually out of the body, Wilson’s disease causes the body to store it in your kidneys, liver, eyes and brain. Wilson’s disease is a treatable condition, but caution must be taken as too much copper in the liver can be life-threatening.
Copper is important for the development of health bones, collagen, nerves and melanin in the skin. Excess copper is usually excreted through bile, but for people with Wilson’s disease this mechanism does not function effectively.
For patients with Wilson’s disease, it is important to avoid copper-rich foods, like organ meats and shellfish. However, dietary restrictions are usually not enough to control Wilson’s disease on their own. Drinking alcohol should also be avoided as it can further harm the liver, which may already be damaged from cirrhosis as a result of excessive copper storage. If necessary, your physician can prescribe medicines to help the body excrete excess copper. Treatment may also be needed for any existing liver or central nervous system damage.
Dietary Copper Tips
The copper content in food can vary depending on a number of factors:
The copper content and location of the soil in which the food was grown, or the method used to process the food.
Drinking water may contain elevated levels of copper. The copper content of your water should not be more than 0.1 ppm. If you have copper plumbing, the copper content of your water can be reduced by running the water for awhile before using it.
Always check supplement labels to see if they contain copper. Consult your pharmacist for help finding a multivitamin that does not contain copper. Most prenatal vitamins are high in copper and should be avoided. If you are pregnant or intend to become pregnant, please have you obstetrician consult with you hepatologist before prescribing your prenatal vitamin.
Copper cooking utensils can leave trace amounts in food and shouldn’t be used when trying to decrease copper intake.
High Copper Foods
Once copper levels have stabilized to normal, these foods are allowed occasionally. If you are a vegetarian, please consult with our dietitian as many of the foods used for protein in a vegetarian diet are high in copper.
Organ meats including liver, heart, kidney, and brain
Shellfish including oysters, scallops, shrimp, lobster, clams, and crab
Soy protein meat substitutes
Nuts and seeds
Vegetable juice cocktail
Commercially dried fruits including raisins, dates, prunes
Dried beans including soy beans, lima beans, baked beans, garbanzo beans, pinto beans
Cereals with >0.2 mg of copper per serving (check label)
Fresh sweet potatoes
Instant breakfast beverages
Multi-vitamins with copper or minerals
Low Copper Foods
White meat turkey and chicken
Cold cuts and frankfurters that do not contain pork, dark turkey, dark chicken, or organ meats
Most vegetables including fresh tomatoes
Breads and pasta from refined flour
Cereals with less than 0.1 mg of copper per serving (check label)
Salad dressings (made from allowed ingredients)
Most milk products
Milk flavored with carob
Jams, jellies, and candies made with allowed ingredients
Soups made with allowed ingredients
Altering the body’s copper intake can have serious health consequences. Therefore, attempting a low copper diet without physician supervision is not recommended. Your healthcare provider is the best source of information for questions and concerns related to your health. To find a physician near you, please see our locations page.