When the Iron/Copper and Manganese/Zinc Ratios Are Both Low

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Fe/Cu under 0.7, Mn/Zn under 0.0015

Two trace mineral ratios below their cutoffs on the same chart

The pattern workbook pairs a low Fe/Cu with a low Mn/Zn. Both ratios put a stimulatory mineral over a sedative one.

  • Fe/Cu under 0.7
  • Mn/Zn under 0.0015
  • Second four minerals

The definition

The pattern workbook Eileen reads charts against defines a double low ratio on the second four minerals as an iron/copper (Fe/Cu) ratio less than 0.7 together with a manganese/zinc (Mn/Zn) ratio less than 0.0015. The workbook reads the pattern as an indicator of past trauma that often appears with the other trauma indicators, a calcium shell or a Four Lows pattern, and ranks it as deeper than a double low ratio on the first four minerals.

On the first four, the workbook's double low ratio is a low calcium/magnesium (Ca/Mg) ratio with a low sodium/potassium (Na/K) ratio (Na/K under 2.5 with Ca/Mg under about 4 in the workbook's double inversion), the combination ARL also calls a double inversion. The second-four version applies the same two-ratio test to iron, copper, manganese and zinc.

The Fe/Cu cutoff of 0.7

Trace Elements (TEI) sets the ideal Fe/Cu at 0.9 with an acceptable range of 0.2 to 1.6 (Nov-Dec 2010); its 1993 figure was 1.12. Analytical Research Labs does not use Fe/Cu among its interpretive ratios, so this ratio is read on TEI's figures alone. The workbook's 0.7 sits below TEI's 0.9 ideal and inside its acceptable range.

TEI's 2010 description: a low Fe/Cu points to iron deficiency and thyroid disturbance, and an elevated Fe/Cu to increased free-radical production. Its endocrine rule tables use the same ratio: Fe/Cu below 1.1 among the lowered-thyroid criteria (1993), Fe/Cu below 0.9 in the reduced-thyroid set (2000), and Fe/Cu above 2 among the increased-thyroid criteria. The iron/copper ratio article covers the high side.

Copper and iron interact in both directions. Copper is needed for ceruloplasmin to mobilize iron, and copper deficiency decreases iron elimination. In excess, copper competes with iron for absorption.

The Mn/Zn cutoff of 0.0015

Neither laboratory publishes an Mn/Zn ratio in its ratio table, so the published element levels are the reference. Calculated from them:

Basis Manganese Zinc Mn/Zn
Trace Elements ideals 0.15 mg% 20 mg% 0.0075
ARL case-material figures 0.04 mg% 20 mg% 0.002
Manganese deficiency line, zinc at ideal 0.03 mg% 20 mg% 0.0015

The workbook cutoff equals manganese at the 0.03 mg% deficiency line used in the hair-test thyroid indicators divided by zinc at its 20 mg% ideal. With zinc at 20 mg%, an Mn/Zn below 0.0015 means manganese below 0.03 mg%. A zinc reading above 20 mg% lowers the ratio further for the same manganese.

Watts records that "manganese deficiency appears to be as prevalent as iron deficiency," and that TEI commonly finds low manganese with hypoglycemia, hypothyroidism, adrenal insufficiency and diabetes trends. Zinc is one of manganese's antagonists: prolonged excess zinc produces deficiencies of chromium, copper, iron and manganese.

What the two ratios have in common

In both ratios the numerator is a stimulatory mineral and the denominator a sedative one. Watts (Trace Elements) classifies iron and manganese as stimulatory (sympathetic) minerals and copper and zinc as sedative minerals. ARL's Fatigue Document lists manganese among the minerals that raise the oxidation rate and copper and zinc among those that lower it.

TEI's 1993 retention table points the same way. Thyroid and anabolic adrenal cortical activity increase retention of iron and manganese and increase excretion of copper. Estrogen increases retention of copper and excretion of zinc, iron and manganese.

Checks before the ratios are read

  • Copper below 1.0 mg%. ARL reads it as often indicating a hidden copper toxicity. A low copper raises Fe/Cu, so hidden copper can keep Fe/Cu above 0.7 while copper is stored.
  • Zinc displaced upward. ARL records that cadmium elevates the zinc reading and that a zinc loss into the hair raises it. Either one lowers Mn/Zn.
  • Iron contamination. TEI requires high-grade stainless scissors because rusty blades add iron to the sample.
  • Manganese and iron together. Watts notes that an elevated manganese can be secondary to iron toxicity, and that manganese is always read against iron.

The readings side by side

Reading Cutoff or ideal Source
Fe/Cu Below 0.7 (pattern); ideal 0.9, range 0.2 to 1.6 Workbook; TEI 2010
Mn/Zn Below 0.0015 (pattern) Workbook
Manganese 0.15 mg% ideal; below 0.03 mg% deficiency TEI; ARL
Zinc 20 mg% ideal; below 12 mg% absolute deficiency TEI and ARL; Watts
Copper 2.5 mg% ideal; below 1.0 mg% hidden copper TEI and ARL; ARL
Iron 2.2 mg% (TEI since 1999); 3.5 mg% (ARL case material) TEI; ARL

The calcium shell the workbook pairs with this pattern is calcium above 200 mg%, or above 165 mg% in women and 155 mg% in men.

Chart reading order for this pattern

The four levels come first: iron, copper, manganese and zinc against their ideals, with copper checked against 1.0 mg% and zinc checked beside cadmium. Then Fe/Cu against 0.7 and Trace Elements' 0.9, and Mn/Zn against 0.0015.

Next: the first four. A first-four double low ratio (low Ca/Mg with low Na/K), a calcium shell above 200 mg%, or a Four Lows pattern on the same chart is read together with the second-four ratios.

Questions people ask

What does an Fe/Cu under 0.7 with an Mn/Zn under 0.0015 mean?

An iron/copper ratio below 0.7 together with a manganese/zinc ratio below 0.0015, as the pattern workbook defines it.

What is the ideal Fe/Cu ratio?

Trace Elements uses 0.9 with an acceptable range of 0.2 to 1.6 (2010); its 1993 figure was 1.12. Analytical Research Labs does not use the ratio.

Where does the 0.0015 Mn/Zn figure come from?

It equals manganese at the 0.03 mg% deficiency line divided by zinc at its 20 mg% ideal. At the Trace Elements ideals the ratio is 0.0075.

Can a hidden copper change the Fe/Cu reading?

Yes. ARL reads copper below 1.0 mg% as copper held in storage. A low copper reading raises Fe/Cu, so stored copper does not show in the ratio.

Explore More

The iron/copper ratio Zinc to copper on a hair test Calcium shell on a hair analysis

Iron, copper, manganese and zinc with their ratios

A full hair tissue mineral analysis reports the four trace minerals and the Fe/Cu and Zn/Cu ratios, so a double low on the second four can be checked against the levels underneath it.

Hair analysis kitMore articles

Published 2026-10-27 · Updated 2026-10-27

By Eileen Durfee — Practitioner, NBS (Nutritional Balancing Science), NASM-CPT; wellness educator, inventor and author.

These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease. Hair tissue mineral analysis is a screening test and is not diagnostic. This article is for educational purposes only. Wellness Shopping Online is operated by Nuco Enterprise Solutions LLC.

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