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Heavy Metals

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Also known as: Toxic Metals
Formal name: Heavy Metals Panel
Related tests: Lead, Mercury, Iron, Copper

Board approvedAll content on Lab Tests Online has been reviewed and approved by our Editorial Review Board.

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NOTE: This article is based on research that utilizes the sources cited here as well as the collective experience of the Lab Tests Online Editorial Review Board. This article is periodically reviewed by the Editorial Board and may be updated as a result of the review. Any new sources cited will be added to the list and distinguished from the original sources used. To access online sources, copy and paste the URL into your browser.

Sources Used in Current Review

2016 review performed by Manoj Tyagi, PhD, NRCC CC, Medical Lab Director, Captiva Lab.

(Oct 14, 2010) Food and Drug Administration. FDA issues warnings to marketers of unapproved 'chelation' products. Available online at http://www.fda.gov/newsevents/newsroom/pressannouncements/ucm229320.htmwww.epa.gov/mercury/. Accessed February 2016.

(January 2016) Environmental Protection Agency. Lead. Available online at http://www.epa.gov/lead/. Accessed February 2016.

Sanburn, Josh. Flint's Water Crisis Explained in 3 GIFs (Jan. 24, 2016). Time Magazine. Available online at http://time.com/4191864/flint-water-crisis-lead-contaminated-michigan/. Accessed February 9, 2016.

(July 23, 2013) Centers for Disease Control and Prevention. National Biomonitoring Program, Mercury. Available online at http://www.cdc.gov/biomonitoring/Mercury_FactSheet.html. Accessed February 9, 2016.

Occupational Safety & Health Administration. Toxic Metals. Available online at https://www.osha.gov/SLTC/metalsheavy/. Accessed February 2016.

(Mar 24, 2015) Adal A. Heavy Metal Toxicity. Medscape Reference. Available online at http://emedicine.medscape.com/article/814960-overview. Accessed March 2016.

(©2016) Mayo Medical Laboratories. Heavy Metals Screen, 24 Hour, Urine. Available online at http://www.mayomedicallaboratories.com/test-catalog/Overview/8633. Accessed March 2016.

(©2016) Soloway R. Poison Control, National Capital Poison Center: Chelation Therapy. Available online at http://www.poison.org/articles/2011-mar/chelation-therapy. Accessed March 2016.

Sources Used in Previous Reviews

(Updated 2008 August 07). U.S. Department of Labor Occupational Safety and Health Administration, Toxic Metals. Toxic Metals [On-line information]. Available online at http://www.osha.gov/SLTC/metalsheavy/index.html. Accessed 1/25/09.

Soghoian, S. and Sinert, R. (2008 July 18). Toxicity, Heavy Metals. eMedicine [On-line information]. Available online at http://emedicine.medscape.com/article/814960-overview. Accessed 1/18/09.

(1999 April 14). OSHA Regulated Toxic Metals. U.S. Department of Labor OSHA Safety and Health Topics [On-line information]. Available online at http://www.osha.gov/SLTC/metalsheavy/regulated.html. Accessed 1/25/09.

(2006 September). Aluminium. ATSDR ToxFAQs [On-line information]. PDF available for download at http://www.atsdr.cdc.gov/tfacts22.pdf. Accessed 1/25/09.

(1995 September). Antimony. ATSDR ToxFAQs [On-line information]. PDDF available for download at http://www.atsdr.cdc.gov/tfacts23.pdf. Accessed 1/25/09.

(2007 August). Arsenic. ATSDR ToxFAQs [On-line information]. PDF available for download at http://www.atsdr.cdc.gov/tfacts2.pdf. Accessed 1/25/09.

(2002 September). Berillyum. ATSDR ToxFAQs [On-line information]. PDF available for download at http://www.atsdr.cdc.gov/tfacts4.pdf. Accessed 1/25/09.

(2008 September). Cadmium. ATSDR ToxFAQs [On-line information]. PDF available for download at http://www.atsdr.cdc.gov/tfacts5.pdf. Accessed 1/25/09.

(2008 September). Chromium. ATSDR ToxFAQs [On-line information]. PDF available for download at http://www.atsdr.cdc.gov/tfacts7.pdf. Accessed 1/25/09.

(2008 May 23). Hexavalent Chromium. OSHA Safety and Health Topics [On-line information]. Available online at http://www.osha.gov/SLTC/hexavalentchromium/index.html. Accessed 1/25/09.

(2004 April). Cobalt. ATSDR ToxFAQs [On-line information]. PDF available for download at http://www.atsdr.cdc.gov/tfacts33.pdf. Accessed 1/25/09.

(2004 September). Copper. ATSDR ToxFAQs [On-line information]. PDF available for download at http://www.atsdr.cdc.gov/tfacts132.pdf. Accessed 1/25/09.

(2007 August). Lead. ATSDR ToxFAQs [On-line information]. PDF available for download at http://www.atsdr.cdc.gov/tfacts13.pdf. Accessed 1/25/09.

(2008 September). Manganese. ATSDR ToxFAQs [On-line information]. PDF available for download at http://www.atsdr.cdc.gov/tfacts151.pdf. Accessed 1/25/09.

(1999 April). Mercury. ATSDR ToxFAQs [On-line information]. PDF available for download at http://www.atsdr.cdc.gov/tfacts46.pdf. Accessed 1/25/09.

(2005 August). Nickel. ATSDR ToxFAQs [On-line information]. PDF available for download at http://www.atsdr.cdc.gov/tfacts15.pdf. Accessed 1/25/09.

(2003 September). Selenium. ATSDR ToxFAQs [On-line information]. PDF available for download at http://www.atsdr.cdc.gov/tfacts92.pdf. Accessed 1/25/09.

(1999 July). Silver. ATSDR ToxFAQs [On-line information]. PDF available for download at http://www.atsdr.cdc.gov/tfacts146.pdf. Accessed 1/25/09.

(1995 September). Thallium. ATSDR ToxFAQs [On-line information]. PDF available for download at http://www.atsdr.cdc.gov/tfacts54.pdf. Accessed 1/25/09.

(2005 August). Tin and Tin Compounds. ATSDR ToxFAQs [On-line information]. PDF available for download at http://www.atsdr.cdc.gov/tfacts55.pdf. Accessed 1/25/09.

(1995 September). Vanadium. ATSDR ToxFAQs [On-line information]. PDF available for download at http://www.atsdr.cdc.gov/tfacts58.pdf. Accessed 1/25/09.

(2005 August). Zinc. ATSDR ToxFAQs [On-line information]. PDF available for download at http://www.atsdr.cdc.gov/tfacts60.pdf. Accessed 1/25/09.

Podsiki, C. (2008 November). Chart of Heavy Metals, their Salts and Other Compounds. American Institute for Conservation of Historic and Artistic Works [On-line information]. PDF available for download at http://aic.stanford.edu/health/guides/heavy_metals_table_11_08.pdf. Accessed on 1/25/09.

Roth, E. and Quig, D. (2008 May). Toxic Metals, Why Hair Analysis Deserves Another Look. Clinical Laboratory News v 34, (5) [On-line information]. Available online at http://www.aacc.org/publications/cln/2008/may/Pages/series_0508.aspx. Accessed on 1/25/09.

Clarke, W. and Dufour, D. R., Editors (© 2006). Contemporary Practice in Clinical Chemistry: AACC Press, Washington, DC. P. 474.

Tietz Textbook of Clinical Chemistry and Molecular Diagnostics. Burtis CA, Ashwood ER and Bruns DE, eds. 4th ed. St. Louis, Missouri: Elsevier Saunders; 2006, Pp. 1371-1374.

Harrison's Principles of Internal Medicine. 16th ed. Kasper D, Braunwald E, Fauci A, Hauser S, Longo D, Jameson JL, eds. McGraw-Hill, 2005, Pp. 2577-2580.

Methylmercury poisoning. (Updated 2013 Mar 22). MedlinePlus Medical Encyclopedia. Available online at http://www.nlm.nih.gov/medlineplus/ency/article/001651.htm. Accessed on 5/21/13.

Soghoian, S. and Sinert R. (Updated 2011 May 6). Heavy Metal Toxicity. eMedicine Medscape Reference. Available online at http://emedicine.medscape.com/article/814960-overview#a0199. Accessed on 5/14/13.

Martin, C. J., Werntz C. L., and Ducatman A. M. (2004 Dec). The interpretation of zinc protoporphyrin changes in lead intoxication: a case report and review of the literature. National Center for Biotechnology Information PubMed. Available online at http://www.ncbi.nlm.nih.gov/pubmed/15576877. Accessed on 5/14/13.

Centers for Disease Control and Prevention. Lead Prevention Tips. (2012 June 25 Updated). Available online at http://www.cdc.gov/nceh/lead/tips.htm. Accessed on 5/21/13.

China To Review Report Of Cadmium In Kid's Jewelry. By Jeremiah Marquez, AP Business Writer, 01/12/2010. Available online at http://www.manufacturing.net/news/2010/01/china-to-review-report-of-cadmium-in-kids-jewelry. Accessed May 2013.

'One third of Chinese toys contain heavy metals'. By Malcolm Moore, Shanghai and James Hall, 08 Dec 2011. The Telegraph. Available online at http://www.telegraph.co.uk/news/worldnews/asia/china/8944028/One-third-of-Chinese-toys-contain-heavy-metals.html. Accessed May 2013.