Thank you for this interesting question. Wilson's disease is not based on laboratory copper testing alone. In order to definitively answer your question, I would need to review your entire medical history and perform a thorough physical exam. In addition, I would need to review your additional blood testing, and it would be important to know the reason you underwent this testing in the first place. Only after collecting this information would it be possible to make an accurate diagnosis. Therefore, I strongly encourage you to discuss these issues with a gastroenterologist
Wilson's disease is a genetic disease that affects copper transport, thus leading to abnormal copper deposition within the body. As a result, patients often develop liver disease, neurologic disorders, psychiatric disorders, pathognomonic ocular manifestations, and potential issues with other organs. Testing for Wilson's disease is often prompted by abnormal liver tests or a positive family history. Diagnosis typically depends initially on a high clinical suspicion. Blood testing for copper and ceruloplasmin levels are useful, and a 24 hour urine copper collection can also be used. Liver biopsy
is another possibility. I am unclear of any clinical utility of a free copper level. I encourage you to discuss these issues with a gastroenterologist.