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This is not a speculative concern it is precisely why parenteral nutrition copper dosing is an order of magnitude lower than oral intake, at 0.30.5 mg/day, and why the dose is reduced, with monitoring of serum concentrations, in cholestasis where biliary excretion is impaired

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PMID: 25065484

Contaminated instruments (eg, those used for surgery, body piercing, acupuncture, or tattooing) also represent possible sources of infection (Hou 2005)