Copper Toxicity and Fibromyalgia - Hair Tissue Mineral Analysis - Hair Test Experts (2022)

Copper Toxicity and Fibromyalgia

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High levels of copper and other mineral imbalances including high calcium, low magnesium can result in the debilitating, chronic pain symptoms of fibromyalgia. Fibromyalgia effects millions of people, especially women which make up 9 out of 10 of those with fibromyalgia.

What Is Fibromyalgia (FMS)?
Fibromyalgia is a syndrome that involves widespread pain in the muscles and joints. In 1990 the American College of Rheumatology published its criteria for diagnosis of fibromyalgia syndrome (FMS) as an official diagnosis.The World Health Organization recognized Fibromyalgia as a real illness, accepting the American College of Rheumatology’s criteria for diagnosis, in 1991. Prior to that time it had been known by other names including fibrositis and rheumatism. At this time the cause is unknown and there are no completely accepted treatments though many drugs are prescribed to ease the symptoms.

(Video) How Mineral Balancing Can Save Your Life - Expert Dr. Rick Malter on Hair Tissue Mineral Analysis

Fibromyalgia is a common chronic widespread pain condition with tenderness at specifically defined points. Pain is often felt very intensely throughout the body because the brain amplifies the pain signals. Often the symptoms will trigger after a physical trauma like a car or other accident or after an emotional trauma. Fibromyalgia is thyroid related or viral related or hormonal related. Thyroid dysfunction can be linked to fibromyalgia and thyroid hormone resistance.

Fibromyalgia Symptom Triggers
Trauma, infection or stress can aggravate or tip susceptible individuals into fibromyalgia but are not the basic causes. Fibromyalgia symptoms can intensify depending on the time of day — morning, late afternoon and evening tend to be the worst times. Symptoms may also get worse with many factors. This includes fatigue, tension, inactivity, changes in the weather, cold or drafty conditions, overexertion, hormonal fluctuations such as before your period, or in menopause, stress or other emotional factors like grief or trauma. Many people report that their fibromyalgia symptoms started after a car accident.

(Video) Understanding Hair Tissue Mineral Analysis (HTMA) | Hair Test

High Copper Levels and Fibromyalgia
There is a often strong correlation to those high in copper with other altered minerals and heavy metals relationships than can trigger symptoms of fibromyalgia. Doing a hair test will inform you of your exact mineral status and help you determine our level of copper as well as other nutrient imbalances. Once these are corrected with nutritional rebalancing, the symptoms of fibromyalgia can be reduced.

These are the main symptoms and issues related to fibromyalgia and can include other diagnoses:

(Video) Hair mineral analysis reasons, symptoms, minerals, metal toxicity, and testing

  • Abdominal pain, bloating, nausea, and constipation alternating with diarrhea
  • Anxiety
  • Chronic fatigue syndrome – extreme fatigue
  • Deep muscle pain and soreness
  • Depression
  • Difficulty concentrating
  • Difficulty thinking clearly – “fibro fog”
  • Difficulty performing everyday tasks
  • Difficulty concentrating
  • Digestive problems
  • Endometriosis
  • Flu-like aching
  • Hashimoto’s Thyroiditis
  • Jaw pain
  • Joint stiffness
  • Increase in urinary urgency or frequency (irritable bladder)
  • Irritable bowel syndrome (IBS)
  • Lupus
  • Migraine headaches
  • Myofascial Pain Syndrome (muscle pain)
  • Morning stiffness
  • Muscle twitching
  • Muscle spasms
  • Muscle tightness
  • Numbness or tingling in the face, arms, hands, legs, or feet
  • Osteoarthritis
  • Pain – radiating
  • Pain – burning
  • Pain – stinging
  • Painful menstruation – menstrual cramps
  • Post-traumatic stress disorder
  • Problems sleeping
  • Reduced tolerance for exercise and muscle pain after exercise
  • Restless legs syndrome
  • Rheumatoid arthritis
  • Sensitivity to touch
  • Sensitivity to noises, odors, and lights
  • Sleep disturbances
  • Swelling feeling (without actual swelling) in the hands and feet
  • Stress – feeling stressed chronically and/or reacting poorly to stress

Key Triggers Points Used for Diagnosing Fibromyalgia

Pain at key locations in at least 11 out of the 18 tender points is part of a formal diagnosis for fibromyalgia in these locations, though pain can be anywhere:

(Video) Vitamin A and Copper Toxicity: Opposing Thoughts on Dietary Interventions - Dr. Garrett Smith

  • Back of the head
  • Between shoulder blades
  • Top of shoulders
  • Front sides of neck
  • Upper chest
  • Outer elbows
  • Upper hips
  • Sides of hips
  • Inner knees
  • Pain on the right and left sides of the body
  • Pain above and below the waist
  • Pain in the axial skeleton
  • Pain that interferes with quality sleep

Fibromyalgia, like copper toxicity has many combinations of issues in the body:

  • Central Nervous System:Fatigue, irritability, nervousness, depression, apathy, listlessness, impaired memory and concentration, anxieties and suicidal thoughts. Insomnia and frequent awakening due to pain result in non restorative sleep.
  • Musculoskeletal:Pain and generalized morning stiffness could arise from muscles, tendons, ligaments and fascia of the shoulders, neck, entire back, hips, thighs, knees, ankles, feet, inner and outer elbows, wrists, fingers, and chest. Injured or old operative sites are commonly affected. Though fibromyalgia is described as a “non-articular” disease many know better: Joint pains with or without swelling, redness and heat are frequent. The litany includes foot or calf cramps, numbness and tingling of the face or extremities.
  • Irritable Bowel: Often called leaky gut, spastic colon or mucous colitis or Irritable Bowel Syndrome (IBS). Symptoms include nausea often brief, repetitive waves, indigestion, gas, bloating, pain, cramps, constipation alternating with diarrhea and sometimes mucous stools.
  • Genitourinary:Common are pungent urine, frequent urination, bladder spasms, burning urination (dysuria) with or without repeated bladder infections and interstitial cystitis. Vulvodynia (vulvar pain syndrome) includes vaginal spasms, irritation of the vaginal lips (vulvitis) or opening (vestibulitis) and painful intercourse (dyspareunia). It typically mimics a yeast infection but without the cottage-cheese discharge. Intense PMS and uterine cramping are common. Symptoms of fibromyalgia are worse premenstrual.
  • Dermatological:Various rashes may appear with or without itching: Hives, red blotches, itchy bumps or blisters, eczema, seborrheic or neurodermatitis, and rosacea. Nails are often brittle and of poor quality and hair falls out prematurely. Strange sensations are common such as cold, heat (especially palms, soles and thighs), crawling, electric vibrations, prickling, super-sensitivity to touch, and flushing that is sometimes accompanied by sweating.
  • Head, Eye, Ear, Nose, and Throat:Headaches (migraines), dizziness, vertigo (spinning) or imbalance; dry eyes as well as itching and burning with or without sticky or crusty discharge upon awakening; blurred vision; nasal congestion and post-nasal drip; painful, burning tongue, mouth and abnormal tastes (scalded, bad or metallic); ringing in the ears (tinnitus) or lower-pitched sounds; ear and eyeball pain; sensitivity to light, sounds and odors.
  • Miscellaneous Symptoms:Weight gain; low grade fever; lowered immunity to infections; morning eyelid and hand swelling from fluid retention that gravitates to the lower extremities by evening where it stretches tissues causing the restless leg syndrome.
  • Hypoglycemia Syndrome:This is a separate entity. Thirty percent of female and twenty percent of male fibromyalgics suffer both conditions (fibroglycemia). Symptoms greatly overlap those of fibromyalgia, but sugar craving accompanied by tremors, sweating, anxiety, panic attacks, heart pounding, faintness, and frontal headaches, especially if hunger induced, are solid clues to the diagnosis.

Nutritional Supports for Fibromyalgia In Addition To Mineral Balancing Based on Hair Testing

(Video) Copper Toxicity is a Myth w: Jason Hommel | Mitolife Radio Ep #164

  • Apple Cider Vinegar, the natural malic acid
    • Rather than taking synthetic dietary supplements, one natural source is apple cider vinegar. The recommendation is to make a tart beverage containing eight (8) ounces distilled water, one tablespoon raw, organic apple cider vinegar and two teaspoons raw honey.
    • This beverage should be consumed three times a day for a multitude of health benefits.
    • Adding Epsom salt into this beverage to bowel tolerance has the same effect as a malic acid and magnesium dietary supplement.
    • Many naturopathic physicians recommend making fresh apple juice with Granny Smith apples to get the daily dose of malic acid. Freshly juiced, raw, unsweetened cranberries are also high in malic acid and provide a tart beverage. The two juices may be blended together for another option.
  • GABA, glutamine and glycine
    • These are which are inhibitory neurotransmitters have been helpful in lowering stress levels by controlling limbic firing in the brain.
  • Malic Acid
    • Clinical tests are proving malic acid to be a great asset in the treatment of fibromyalgia and chronic pain.
    • In one clinical study, reported in “The Journal of Nutritional Medicine,” 15 patients (aged 32-60) taking a dosage of 200-2400 mg. of malic acid with 300-600 mg of magnesium for four to eight weeks, reported significant pain relief within 48 hours. These positive effects continued to increase over the test period.
    • If takinga malic acid and magnesium supplement, it is suggested that it is best to start with 600 mg malic acid combined with 150 mg magnesium twice a day.
    • Over time, this can be increased to as much as 1200 mg malic acid and 300 mg magnesium.
    • There are confirmed studies that have found that taking at least 2400mg of malic acid a day will help with fatigue and the pain associated with fibromyalgia. But you have to start out slow.
  • Manganese and B complex vitamins
    • These have also been shown to be deficient in both Chronic Fatigue Syndrome and fibromyalgia sufferers.

FAQs

Are hair mineral tests accurate? ›

Hair analysis provides good evidence in the fields of forensic and clinical toxicology, doping control, and occupational medicine, but do not demonstrate clear evidence in the fields of general health screening.

What are the signs of copper toxicity? ›

Copper toxicity can lead to various symptoms , including:
  • stomach pain.
  • nausea and vomiting.
  • diarrhea.
  • blue- or green-colored stool.
  • dark, sticky stool containing blood.
  • headache.
  • dizziness.
  • fatigue.
30 Nov 2020

How do you get rid of high copper? ›

Some treatment options for acute and chronic copper toxicity include:
  1. Chelation. Chelators are medications injected into your bloodstream. ...
  2. Gastric lavage (stomach pumping). This procedure removes copper you ate or drank directly from your stomach using a suction tube.
  3. Medications. ...
  4. Hemodialysis.
8 Mar 2019

What does a mineral hair analysis test for? ›

Hair mineral analysis is a toxicology screen for metals including uranium, lead, mercury, cadmium, arsenic, aluminum and nickel. No test, including urine, stool or blood tests, can show all your heavy metals toxicities as they are buried deep in the bones, brain and organs.

Is hair tissue mineral analysis real? ›

HTMA is a safe and non-invasive pathology test. It measures the levels and comparative ratios of nutrient and toxic minerals found in hair. HTMA is one of the most valuable screening tools available in preventative health care.

Can hair be tested for toxins? ›

Test Overview

Forensic hair analysis can be done to help identify a person who may have been present at a crime scene. Hair samples are tested with specific chemicals and looked at under a microscope. Hair analysis can also be used to check for poisoning caused by metals such as lead or mercury.

Which of these diseases is a possible cause of copper toxicity? ›

Wilson's disease is a rare inherited disorder that causes copper to accumulate in your liver, brain and other vital organs. Most people with Wilson's disease are diagnosed between the ages of 5 and 35, but it can affect younger and older people, as well.

How do you test for copper poisoning? ›

Symptoms of long-term exposure include:
  1. Anemia (low red blood cell count)
  2. Burning sensation.
  3. Chills.
  4. Convulsions.
  5. Dementia.
  6. Diarrhea (often bloody and may be blue in color)
  7. Difficulty speaking.
  8. Fever.

What causes high levels of copper in the body? ›

You can get too much copper from dietary supplements or from drinking contaminated water. You can also get too much copper from being around fungicides that have copper sulfate. You can also have too much copper if you have a condition that stops the body from getting rid of copper.

Is coffee high in copper? ›

Coffee contains a small level of copper. But, it was discovered that coffee can help reduce the levels of copper found in the human body. Naturally, coffee is a very healthy drink, to begin with. It has a lot of goodies that are very good for the human body.

Does vitamin C deplete copper? ›

In the other study, supplements of 605 mg/day of vitamin C for three weeks resulted in decreased ceruloplasmin oxidase activity, although copper absorption did not decline (19). Neither of these studies found vitamin C supplementation to adversely affect copper nutritional status.

How does copper leave the body? ›

Scientists have long known that the body rids itself of excess copper and various other minerals by collecting them in the liver and excreting them through the liver's bile.

What can interfere with a hair follicle test? ›

Hair treatments: Hair treatments, including shampooing, coloring, relaxing, and bleaching the hair, can affect the concentration of drugs and drug metabolites detected during testing. Chemically treated hair may not be appropriate for testing, and untreated hair may need to be taken from another part of the body.

What can be found out from a hair sample? ›

You can't wash them out. Because of that, your hair can reveal if you've been using drugs like opioids, cocaine, amphetamines, and cannabis. While a urine test will reveal if you've used drugs in the last several days, hair testing can show if you've done drugs over the past 3 months.

What are the three major types of hair analysis? ›

Forensic scientists perform 3 major types of hair analysis: (1) testing the hair shaft for drugs or nutritional deficiencies in a person's system, (2) analyzing DNA collected from the root of the hair, and (3) viewing hair under a microscope to determine if it's from a particular person or animal.

How much does a hair analysis cost? ›

How much does it cost? Normally, nutrient testing through blood work can cost up to $300, but with hair analysis, it's only $150. What if you are not local? Demand for mineral tissue analysis is growing, however, it can be challenging to find a practicioner to perform the test near you.

Can you test heavy metals in hair? ›

Heavy metals, such as lead, mercury, cadmium, copper, iron and arsenic, can be measured in hair but, at present, hair levels are not considered a good marker of either exposure or health. Therefore, results of hair monitoring should be treated with caution.

How long can toxins be detected in hair? ›

In other words, a forensic toxicologist can segment the strand of hair and examine what chemicals or toxins were present in the subject across a longer period of time. Depending on the length of the hair, the window of detection can range from a few months to a year.

Are hair scans accurate? ›

Hair analysis has been widely promoted to identify or monitor trace minerals or toxins in the body, but is not reliable for these purposes. (It is more reliably used to determine usage of illicit drugs.)

How do toxins get into the hair? ›

First, chemicals already in your body may get into your hair. These chemicals might have been in something you ate, the water you drank, or the air you breathed. Alternatively, the source of the chemicals could be from other exposures, or they could simply occur naturally in your body.

Can copper toxicity reversed? ›

The authors concluded that the mitochondrial changes in the hepatocytes of WD patients are the consequence of copper toxicity and can be reversed by chelation therapy.

What blocks the absorption of copper? ›

High dietary intakes of zinc can interfere with copper absorption, and excessive use of zinc supplements can lead to copper deficiency.

What food is highest in copper? ›

Copper is found in highest amounts in protein foods like organ meats, shellfish, fish, nuts, and seeds as well as whole grains and chocolate.

What does vitamin C do to copper? ›

High-dose vitamin C can potentially lower copper levels, although the effect seems to be modest, as described in the Concerns and Cautions section of the Vitamin C Supplements Review.

Is there a blood test for copper levels? ›

What is a ceruloplasmin test? This test measures the amount of ceruloplasmin in your blood. Ceruloplasmin is a protein that is made in the liver. It stores and carries copper from the liver into the bloodstream and to the parts of your body that need it.

What is copper toxicity called? ›

[5] Copperiedus

Copperiedus
Copper toxicity (or Copperiedus) is a type of metal poisoning caused by an excess of copper in the body.
https://en.wikipedia.org › wiki › Copper_toxicity
(copper toxicity) can be caused by consuming acidic foods cooked in uncoated copper cookware or exposure to excess copper in drinking water or other environmental sources.

Can Too much copper cause weight gain? ›

In conclusion, we showed that consumption of drinking water containing iron and copper led to intensified weight gain and increase in adipose tissue mass.

How does Wilson's disease affect the eyes? ›

Eye symptoms

Many people with Wilson disease

Wilson disease
Organizations. Publications. Definition. Wilson disease (WD) is a rare inherited disorder of copper metabolism in which excessive amounts of copper accumulate in the body. The buildup of copper leads to damage in the liver, brain, and eyes.
https://www.ninds.nih.gov › disorders › wilson-disease
have Kayser-Fleischer rings
Kayser-Fleischer rings
Kayser–Fleischer rings are dark rings that appear to encircle the iris of the eye. They are due to copper deposition in part of the Descemet's membrane as a result of liver diseases.
https://www.ncbi.nlm.nih.gov › books › NBK459187
, which are greenish, gold, or brownish rings around the edge of the corneas
link. A buildup of copper in the eyes causes Kayser-Fleischer rings. A doctor can see these rings during a special eye exam called a slit-lamp exam link.

Are blueberries high in copper? ›

Blueberries also contain small amounts of vitamin E, vitamin B6, and copper. Blueberries are a good source of manganese and vitamins C and K1. They also provide small amounts of copper, as well as vitamins E and B6.

Do eggs have copper? ›

Egg is rich in phosphorus, calcium, potassium, and contains moderate amounts of sodium (142 mg per 100 g of whole egg) (Table 3). It also contains all essential trace elements including copper, iron, magnesium, manganese, selenium, and zinc (Table 3), with egg yolk being the major contributor to iron and zinc supply.

Does magnesium reduce copper? ›

Magnesium and selenium supplementation of diets resulted in increased apparent fecal losses of copper while no effect of manganese supplementation was found.

Does dark chocolate have copper in it? ›

Dark Chocolate

When it comes to chocolate's nutritional value, darker is better. Per 100-gram bar, 70-85% dark chocolate contains 1,766 micrograms of copper and 60-69% dark chocolate has 1,248 micrograms.

Where is copper absorbed in the body? ›

Copper taken in through the diet might be absorbed partially in the stomach, where the highly acidic environment frees the bound copper ions from partially digested food particles. However, the largest portion of ingested copper passes into the duodenum and ileum, which are the major sites of absorption.

Can copper absorb through the skin? ›

Copper can be absorbed into the systemic circulation from the gastrointestinal tract, the lungs, and skin (U.S. EPA, 1987).

What does a 10 panel hair follicle test for? ›

Standard 10-panel test: typically looks for cocaine, marijuana, PCP, amphetamines, opiates, benzodiazepines, barbiturates, methadone, propoxyphene, & Quaaludes.

What can cause false positive hair test? ›

Prescription medications and certain foods, such as poppy seeds, may contain compounds that might lead to false positive results. Hair samples undergo a two-step process to ensure accurate test results. The first step involves an enzyme-linked immunosorbent assay (ELISA) test, which is a rapid screening method.

How often are hair follicle tests wrong? ›

In fact, it is estimated that over 15% of all hair drug test interpretations will yield inaccurate results - a worrying figure that could have huge implications for your client. It might sound counterintuitive, but positive doesn't always mean positive, and this is where complications emerge.

What information could be gained from analysis of that hair? ›

Examination of hair by microscopy can help to establish whether a hair was forcibly removed, diseased or treated with an artificial substance such as a hair dye.

Can a hair test detect one time use? ›

If an individual is an infrequent or first-time drug user, a hair follicle test may not detect drug use a few days before the test because it takes time for hair to grow. Employers need to weigh that fact into their choice of a drug test method. This test could be a reprieve for a sporadic or one-time user, however.

How do you analyze hair evidence? ›

The hair can be analyzed by determining the chemical makeup of the hair or extracting DNA from the hair follicle. Hair can also be analyzed through the use of a microscope or by simply comparing two or more hairs against one another.

What two things can human hair reveal? ›

Characteristics within these regions are used to determine whether the hair is human or animal, racial origin and body area. A microscopic hair examination can also determine if a hair was forcibly removed, artificially treated or diseased.

Why are hair composition analysis results controversial? ›

Because hair can be moved from location to location by physical contact, the presence of a specific person's hair can link a suspect or a victim to a crime scene. If hair is transferred directly from the region of the body from which it originates, it is considered a primary transfer.

What are the 6 types of hairs that can be found on humans? ›

Forensic scientists distinguish six types of hair on the human body: (1) head hair, (2) eyebrows and eyelashes, (3) beard and mustache hair, (4) underarm hair, (5) auxiliary or body hair, and (6) pubic hair. Each hair type has its own shape and characteristics.

Can hair be tested for vitamin deficiency? ›

Hair testing for nutrient deficiencies and allergies is common among practitioners of complementary and alternative medicine. The popularity of hair testing is understandable as it is a simple, non-invasive test and the ability to determine nutrient deficiencies and allergies easily is certainly appealing.

What can be found out from a hair sample? ›

You can't wash them out. Because of that, your hair can reveal if you've been using drugs like opioids, cocaine, amphetamines, and cannabis. While a urine test will reveal if you've used drugs in the last several days, hair testing can show if you've done drugs over the past 3 months.

What can interfere with a hair follicle test? ›

Hair treatments: Hair treatments, including shampooing, coloring, relaxing, and bleaching the hair, can affect the concentration of drugs and drug metabolites detected during testing. Chemically treated hair may not be appropriate for testing, and untreated hair may need to be taken from another part of the body.

Can hair be used to determine diet? ›

New hair growth is built on amino acids from foods, which leave markers of the types of protein you consume and can reveal patterns in your eating habits, a study found.

How accurate is a hair strand test? ›

A hair strand drug test is among the most accurate laboratory tests for drugs and alcohol – and is almost impossible to cheat. The method can be used to detect virtually all drug and alcohol substances, between 7 days and 6 months after their use.

How much does a hair analysis cost? ›

How much does it cost? Normally, nutrient testing through blood work can cost up to $300, but with hair analysis, it's only $150. What if you are not local? Demand for mineral tissue analysis is growing, however, it can be challenging to find a practicioner to perform the test near you.

How much hair do you need for mineral hair analysis? ›

The length of the collected hair should not exceed one and one-half inches. The proximal portion (one and one-half inches closest to the root) should be retained and the excess discarded.

What information could be gained from analysis of that hair? ›

Examination of hair by microscopy can help to establish whether a hair was forcibly removed, diseased or treated with an artificial substance such as a hair dye.

What can cause a false positive hair follicle test? ›

If hair is bleached, it may remove some drugs but allow other drugs to be absorbed by the hair. Additionally, some hair dyes contain substances such as hemp and other products that can lead to potential false positive results.

Can a hair test detect one time use? ›

If an individual is an infrequent or first-time drug user, a hair follicle test may not detect drug use a few days before the test because it takes time for hair to grow. Employers need to weigh that fact into their choice of a drug test method. This test could be a reprieve for a sporadic or one-time user, however.

What does a 10 panel hair follicle test for? ›

Standard 10-panel test: typically looks for cocaine, marijuana, PCP, amphetamines, opiates, benzodiazepines, barbiturates, methadone, propoxyphene, & Quaaludes.

How far back does hair drug screen go? ›

How far back can a hair drug test detect drug use? Hair drug tests have the longest detection period, and can typically detect drug use for up to 90 days. Depending on the drugs used, a hair sample can sometimes help determine when drug use occurred and whether it's been discontinued.

Does peroxide take drugs out your hair? ›

Images revealed a loss of detectability of cocaine and its reaction products in hairs already after a short bleaching period. Since all compounds of interest are found in the hydrogen peroxide and wash solution, these findings indicate that all evidence of cocaine use might be lost after a hair bleaching treatment.

Is a hair mineral analysis worth it? ›

Hair analysis has been widely promoted to identify or monitor trace minerals or toxins in the body, but is not reliable for these purposes. (It is more reliably used to determine usage of illicit drugs.)

What is epigenetic hair analysis? ›

Epigenetic mapping uses a small sample of your DNA - four hair follicles from the back of your head or eyebrows - to provide a comprehensive analysis of your overall cell health.

Does horse hair analysis work? ›

Horse Hair Analysis® is more accurate than blood testing

Traditionally mineral levels have always been evaluated via blood tests. Using blood testing to evaluate mineral levels often leads to inaccurate results due to the horse's tremendously variable food and water intake throughout the day.

Videos

1. Copper Toxicity is a Myth w: Jason Hommel | Mitolife Radio Ep #164
(Matt Blackburn)
2. Understanding Copper Toxicity
(Mineral Mastery)
3. The Epidemic of Copper Toxicity: Not A Straightforward Analysis Webinar September 14, 2021
(The Institute of Holistic Nutrition - IHN)
4. Copper Toxicity - The Epidemic
(LPK Health & Performance)
5. Toxicology- Copper Metallic Poisoning MADE EASY!
(Med Made Sirius-ly easy!)
6. Morley's Mentality On Illness, Copper Deficiency, Mold Toxicity, & Iron Overload [The Root Cause]
(Strong.Sistas)

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