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Endocrinopathies are less common than skin or gastrointestinal irAEs, but they can have serious consequences if not recognized and properly treated (Byun, Wolchok, Rosenberg, & Girotra, 2017)

The maintenance frequency approach offers middle ground where users completing intensive initial treatment (6-12 months daily) transition to reduced frequency (2-4 times weekly) maintaining copper supplementation at lower intensity and cost while avoiding complete discontinuation allowing some benefit decline