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He definitely needs his copper level checked. Low copper can cause severe anaemia and high sideroblasts.
My sideroblasts were 58% before I had copper replacement. If the doctor won't order the test, you could always try giving him a copper supplement for a short time and see what happens but be very careful because too much copper can cause problems too.
Chirley
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Copper deficiency bone marrow failure (MDS RAEB 1), neuromyelopathy.
FISH reported normal cytogenetics but gene testing showed
Xq 8.21 mutation
Xq19.36 mutation
Xq21.40. mutation
1p36. Mutation
15q11.2 deletion
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