Copper, Urine Test
Tracks how much copper your body is excreting, central to evaluating Wilson disease and copper overload.
Consider this test if:
- Workup for Wilson disease, especially with a family history or unexplained liver enzyme elevations
- Tremor, coordination problems, or behavioral changes alongside abnormal liver findings
- Monitoring copper excretion during chelation therapy
- Suspected copper overexposure from occupational dust, fumes, or contaminated food or water
- HSA/FSA eligible
- Typical results in 2-4 days · Reviewed by a real clinician
- No blood draw needed. Urine sample processed by a CLIA/CAP-accredited lab · Find labs
Pre-test considerations
No fasting required. For the 24-hour collection, void and discard the first morning sample, then collect all urine through the same time the next morning into a preservative-free container; an incomplete collection lowers the measured total. Note any copper-containing supplements or recent chelation treatment, since both affect excretion.
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What this test is for
Urine copper measures the amount of copper cleared into the urine, reported as a concentration, a 24-hour total, and a copper-to-creatinine ratio to correct for how dilute the sample is. Elevated urinary copper is a hallmark of Wilson disease, an inherited disorder where copper accumulates in the liver and brain, and it also rises with biliary cirrhosis, chronic active hepatitis, and copper overexposure. The 24-hour collection is the more reliable form for diagnosis and for monitoring chelation therapy, since it captures total daily excretion rather than a single snapshot. Symptoms that prompt copper evaluation cluster around the liver and nervous system: unexplained liver enzyme abnormalities, tremor, difficulty with coordination, behavioral or mood changes, and in younger people, early neurological signs.
This urine test reflects copper being excreted, which complements the serum copper test that measures circulating levels; in Wilson disease, serum copper and ceruloplasmin are often low while urine copper is high, so the two are read together.
Biomarkers tested
Includes 3 biomarkers, 1 of them calculated from your results
- Specimen
- Urine
- Measures
- Mass concentration
- Specimen
- Urine
- Measures
- Ratio
Urine creatinine tracks a waste product muscle breaks down at a steady rate, which makes it the reference point for judging whether a urine sample is concentrated or diluted. Labs use it to normalize other urine markers, most importantly albumin, into a ratio (ACR) that actually reflects kidney filtering rather than how much water you drank that morning. On its own it is rarely the number you care about, but pair it with albumin and it becomes one of the earliest ways to catch kidney strain from diabetes, high blood pressure, or high-protein training loads before symptoms show up.
- Specimen
- Urine
- Measures
- Mass concentration
What you'll learn
Insights that connect the dots. A clinician reads your whole picture, not one result in isolation, connecting family history, past results, and lifestyle into clear next steps.
Your personalized action plan. Nutrition, supplements, and training in one clinician-reviewed protocol, updated as your results change.
Track your trends. Upload results from any lab and see each biomarker trend over time, so you know what is working.
Never miss a recheck. Mito tells you what is worth retesting and when, then reminds you so nothing slips.
What to expect
- 1 Book instantly
Click, book, done. Choose a convenient lab location near you. Transparent, up-front pricing.
- 2 Quick lab visit
Testing to fit your busy schedule, usually 15 minutes or less. Walk-in and appointments available.
- 3 Typical results in 2-4 days
Your results post straight to your dashboard as soon as the lab completes them.
- 4 Expert guidance
Included with Mito membership. A clinician reviews your results and your personalized action plan follows, with clear next steps.
What members are saying
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@nasdaily
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15/10 experience - I felt actually taken care of
Super impressed with my Mito experience - the thoroughness of the intake, the data tracking and the doctor's visit.
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Helped show an overall picture
I would highly recommend this service to anyone that wants a more in-depth picture of their health and labs. The platform is super user friendly.
BS Bo Sal -
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Specific and actionable advice
It felt like, for the first time, I had real data guiding me to make meaningful changes and I've definitely noticed the difference.
MH Maya Hickey -
@bryce_witmer
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Tired of arguing with my PCP
After extensive research, I decided Mito was the best option. The insights were clear and make sense. Mito gave me peace of mind and a path to follow.
JO Josh -
@alexandradawson
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3x the tests for less money
A great alternative to the basic blood work at your local clinic. Love the report card format. Much better value.
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Best $9 a month I spend
The action plan changes every time new results come in. I've actually never had a health company recommend doing less. Refreshing.
DP Devi Patel -
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Finally, prices that make sense
Every test is published. I can see what it costs and what I save as a member. No surprises.
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Everything your health needs,
in one membership
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Every test at our cost
Members pay our cost on every test, with lab fees passed straight through. The full receipt is itemized, never padded.
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Continuous tracking, all in one place
Upload past labs and watch your trends over time. Every marker and visit lives in one longitudinal record, so all your care stays together.
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Year-round clinician support
Text anytime and get clinician-reviewed answers. When you want to go deeper, 1:1 consultations are available at affordable rates.
All for $9/month
Order any test or consult without joining. For $9/month, members unlock member prices, trend tracking, and year-round clinician guidance.
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Frequently asked questions
View all FAQsHow does pricing work?
Every test shows the member price next to the standard non-member price, so you can see what membership saves you. The member price is our cost, covering the lab and what it takes to run the service. It is never a profit on the test itself. Mito makes its money on the membership, not on marking up your tests. Membership is $9 per month or $99 per year, and any applicable lab order or draw fee is itemized before you pay.
Where do I get tested?
Choose an available partner lab at checkout. If your cart contains multiple blood tests, Mito helps consolidate the eligible tests at one lab when possible. At-home kits and scans follow the collection or appointment process shown on their product page.
Is this eligible for HSA/FSA?
Yes. Mito's lab tests are HSA/FSA eligible, so you can pay with pre-tax dollars.
Add the test to your cart and select "Pay with HSA/FSA" at checkout. You'll finish on the secure checkout page of Flex, our HSA/FSA payments partner, and Flex emails you an itemized receipt from notifications@withflex.com for your records.
Most Mito tests are auto-substantiated, so you usually won't need a Letter of Medical Necessity. If your HSA/FSA administrator asks for more, contact us and we'll help.
When will I get my results?
Your results appear in your Mito dashboard after the laboratory completes processing. A clinician then reviews them before your analysis and personalized action plan are finalized. Timing varies by test, and specialty assays and at-home kits may take longer.
Do I need a physician's order?
No. Mito provides the laboratory order when one is required, so you do not need to arrange a separate physician visit before purchasing.
How do availability and prices vary by state?
Available in 46 states and Washington, DC.
| States | Provider | Availability | Member price | Non-member price |
|---|---|---|---|---|
| All states and DC except HI, NJ, NY, and RI | Labcorp | Available | $92.14 | $129.00 |
| HI, NJ, NY, and RI | Not currently available |
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