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Copper and ceruloplasmin tests

Also called: Ceruloplasmin, Serum copper

Copper and ceruloplasmin tests help diagnose Wilson disease and copper deficiency.

SampleA small tube of blood from a vein in your arm
Fasting?Usually not needed
ResultsSeveral days
Good to knowOne result rarely tells the whole story. Your provider looks at your results together with your symptoms, exam, and other tests.

What the test is

Wilson disease is a rare inherited condition where copper builds up in the liver and brain.

Why it's done

  • Unexplained liver disease in a young person
  • Tremor, mood changes, or movement problems with liver disease
  • Numbness or anemia after weight-loss surgery or high zinc intake

Getting ready and what happens

  • None.

How the test is done

  • A health worker cleans the skin, puts a band around your arm, and draws blood from a vein with a small needle. It takes a few minutes.

What the results mean

Low ceruloplasmin

Can point to Wilson disease; a 24-hour urine copper and eye exam may follow.

Low copper

Can cause anemia and nerve problems.

Questions to ask your provider

  • What do my results mean for me?
  • Do I need to repeat this test or have other tests?

Risks

A blood draw is very safe. You may have slight pain or a small bruise where the needle went in.

Related conditions

Related tests

Sources

Last updated 2026-11-13.