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With proper diagnosis and treatment, the progress of the disease can be stopped and symptoms may improve. Drug therapy is usually continued for life. Treatment involves medications that promote excretion of copper from the body and prevent it from reaccumulating. Drugs like penicillamine and trientine work by binding to copper (a process called chelation) and causing it to be excreted through the urine.
Once the existing copper is removed from the body, taking zinc may help to prevent it from reaccumulating. Zinc helps to block the body's absorption of copper. Dietary changes may also be recommended in conjunction with medication therapy, including taking vitamin B6 supplements (only if taking penicillamine) and avoiding foods high in copper such as mushrooms, nuts, chocolate, dried fruit, liver and shellfish.
It is important to diagnose and treat Wilson's disease as early as possible. Symptoms of the disease are progressive and, left untreated, may cause irreversible damage. In advanced stages of liver disease brought on by Wilson's disease, liver transplantation may be necessary.
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