Yes many counterfeit formulations contain free copper ions from copper sulfate or copper chloride, which can cause oxidative stress, inflammation, and contact dermatitis when applied topically at concentrations above 0.5%
Chen JH, Chao YH, Lu SF, Shiung TF, Chao YF
Your Elase provider will determine which approach is appropriate for you and provide detailed instructions for use
Additionally, a recent study (198) suggests that R-SH, an OSM, could serve as a biomarker for IBD, proving more sensitive than C-reactive protein (CRP) in detecting moderate endoscopic activity, though less sensitive than fecal calprotectin, with age and albumin levels as potential confounding factors, and indicates that R-SH may improve IBD monitoring