An essential trace mineral that runs a few clean-up enzymes, most importantly one that clears sulfite, a reactive by-product of breaking down protein. Plentiful in legumes, grains, nuts, and water, so genuine shortage is almost unheard of outside rare medical situations. Ordinary food supplies what the body needs, with no clear added benefit from more, while too much lowers copper. (Full Review)
| Marker | Target | Why |
|---|---|---|
| Serum copper | ~80–155 µg/dL (functional mid-range preferred) | Detect copper depletion from high molybdenum |
| Ceruloplasmin | ~20–35 mg/dL | Functional copper status, more stable than serum copper |
| Uric acid | ~3.5–5.5 mg/dL (functional); women lower end | Molybdenum-dependent xanthine oxidase affects uric acid |
| eGFR / creatinine | eGFR >90 mL/min/1.73 m² | Molybdenum is renally cleared; impaired clearance raises retention |
| Complete blood count | Within standard reference range | Copper depletion can cause anemia/neutropenia |
Cadence: Only if high-dose molybdenum is used or risk factors are present: copper status and uric acid at ~3 months after starting, then every 6–12 months; review kidney function every 6–12 months in older adults or those with renal concerns