Have your copper/niacin/magnesium levels increased on diet/supplements alone in the past month? Maybe time to visit that hematologist for a follow-up?
I go to the hematologist every week for infusions except when my FREAKING insurance cut me off. Now they wont approve the copper saying the side effects are way worse than being low. Even in the hospital when i got injectofer they put copper too and insurance denied copper for the reason i just told you.