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there's no requirement to reach the 15 mg maximum

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Symptoms of Menkes include sparse and de-pigmented hair, seizures and developmental delays

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doi: 10.1371/journal.pone.0010614 127

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doi:10.1097/01.cmr.0000382797.99333.66

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Carbohydrate metabolism was shifted towards increased glucose and gluconeogenesis with reduced alanine and glutamine as substrates for energy production

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