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At the cellular level it acts as a high-affinity copper carrier that delivers the ion to and from cells, and in fibroblast and keratinocyte models it has been reported to stimulate collagen, elastin and glycosaminoglycan synthesis while modulating matrix metalloproteinases and their tissue inhibitors, which together regulate extracellular-matrix turnover

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They can then advise on a suitable treatment plan, which typically focuses on addressing the anemia directly.