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. 2014 Apr 10;1(1):14–23. doi: 10.1002/mdc3.12003

Table 4.

Dos and don'ts of WD treatment

Intervention Recommendation
Drinking bottled water Not necessary
Strict copper‐free or low‐copper diet Not necessary
Combination of zinc and decoppering (penicillamine/trientine) To be avoided
Large initial or rapid escalation of decoppering To be avoided
Administering penicillamine and trientine away from meal times Essential
Supplementation of zinc during penicillamine or trientine therapy Not necessary
Supplementation of iron or calcium during penicillamine or trientine therapy To be avoided
Lifelong decoppering Essential