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I guess the copper question depends on if the low copper is the cause of or the result of some of what's going on with the RBCs.
As for altitude, one year we went from Ottawa (400 ft above sea level) to Las Vegas and Zion National Park (4000 ft) and were so fatigued from the altitude that people in wheelchairs were passing us on walking trails.
Exjade. I don't have MDS, but it's a good question. I take it because my doctor told me my ferritin was too high, but I haven't a clue what that is based on, or what is an unsafe level.
When I had my EPO tested I was 40x normal, but still had low RBCs, the EPO wasn't working even though my kidneys were cranking it out.
Deb
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