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Toxic Elements 21 - Blood
Hormone/ Element
Report in 12Hrs
At Home
No Fasting Required
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Panel for 21 metals.
₹740₹1,057
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Toxic Elements 21- Blood Test Information Guide
- Why is it done?
- Detects and measures levels of 21 toxic heavy metals and harmful elements in the bloodstream, including lead, mercury, arsenic, cadmium, chromium, nickel, and other potentially hazardous substances
- Identifies occupational or environmental exposure to toxic substances in workplace or residential settings
- Evaluates patients with suspected heavy metal poisoning or acute toxic exposure symptoms
- Assesses chronic low-level exposure effects and bioaccumulation of toxic elements
- Monitors patients undergoing chelation therapy or detoxification treatment
- Investigates unexplained symptoms such as neurological issues, anemia, kidney dysfunction, or developmental delays
- Screens individuals in high-risk occupations such as mining, manufacturing, painting, battery production, or pesticide application
- Normal Range
- General Normal Range: Most toxic elements should be absent or present in trace amounts near zero or undetectable levels
- Units of Measurement: mcg/dL (micrograms per deciliter) or mcg/L (micrograms per liter), depending on the laboratory and specific element
- Typical Reference Ranges by Element:
- Lead: <5 mcg/dL (children), <10 mcg/dL (adults)
- Mercury: <5-10 mcg/L (most laboratories)
- Arsenic: <10-15 mcg/L
- Cadmium: <5 mcg/L
- Other elements: Typically <1-5 mcg/L depending on the specific substance
- Result Interpretation:
- Negative/Normal: Levels below reference range or undetectable, indicating safe exposure levels
- Positive: Detectable levels above reference range, indicating exposure to toxic substances
- Elevated: Levels significantly above normal, suggesting toxic exposure or poisoning requiring medical intervention
- Interpretation
- Undetectable or Trace Levels: Indicates minimal or no exposure to toxic elements; considered safe and normal for healthy individuals
- Slightly Elevated (Low-Level Exposure): Suggests chronic low-level environmental or occupational exposure; warrants investigation of exposure source and recommendation for remediation
- Moderately Elevated: Indicates significant exposure requiring urgent investigation; clinical symptoms likely present; medical management and source elimination necessary
- Severely Elevated: Indicates acute or severe chronic poisoning; represents medical emergency; immediate chelation therapy or intensive treatment may be required
- Factors Affecting Results:
- Occupational exposure duration and intensity
- Environmental factors such as contaminated water, soil, or air
- Dietary sources (seafood for mercury, rice for arsenic)
- Body's ability to eliminate toxins (renal function, metabolism)
- Time since last exposure (blood levels reflect recent exposure)
- Age and developmental stage of the individual
- Clinical Significance of Result Patterns:
- Multiple elevated elements suggest environmental contamination or occupational setting exposure
- Single elevated element may indicate specific exposure source or dietary intake
- Elevated levels correlating with symptom onset confirm toxic exposure as etiology
- Associated Organs
- Primary Organ Systems:
- Central Nervous System (CNS): Heavy metals accumulate in brain tissue, causing cognitive dysfunction, memory impairment, behavioral changes, developmental delays in children, and neurodegenerative diseases
- Kidney/Renal System: Toxic elements damage glomeruli and tubules, causing proteinuria, reduced GFR, chronic kidney disease, and renal failure with chronic exposure
- Hematopoietic System: Heavy metals interfere with hemoglobin synthesis, causing anemia, reduced oxygen transport, fatigue, and decreased exercise capacity
- Gastrointestinal System: Nausea, vomiting, abdominal pain, constipation or diarrhea, and malabsorption occur from direct toxic injury
- Hepatic System: Liver dysfunction, cirrhosis, fibrosis, and impaired detoxification capacity result from chronic toxic element accumulation
- Diseases and Conditions Associated with Abnormal Results:
- Lead Poisoning (Plumbism): Encephalopathy, peripheral neuropathy, anemia, hypertension, renal disease, developmental disabilities in children
- Mercury Toxicity (Mercurialism): Tremors, personality changes, cognitive impairment, kidney damage, autoimmune disorders
- Arsenic Poisoning: Acute gastroenteritis, peripheral neuropathy, cardiovascular disease, skin lesions, increased cancer risk
- Cadmium Exposure: Chronic kidney disease, bone disease (osteomalacia), anemia, hypertension, increased malignancy risk
- Chromium Toxicity: Respiratory disease, dermatitis, nasal ulceration, increased cancer risk
- Nickel Sensitivity: Contact dermatitis, respiratory sensitization, immune-mediated reactions
- Potential Complications of Abnormal Results:
- Acute toxicity requiring emergency medical intervention and hospitalization
- Chronic organ failure requiring dialysis, transplantation, or long-term management
- Developmental and cognitive impairment in children with permanent neurological sequelae
- Increased cancer risk and malignancy development over time
- Reproductive toxicity affecting fertility and pregnancy outcomes
- Follow-up Tests
- Additional Tests Based on Positive Results:
- Urine Toxic Elements Testing: Measures urinary excretion of heavy metals; helps differentiate between recent exposure and body burden; useful for monitoring chelation therapy efficacy
- Hair Analysis: Provides assessment of long-term heavy metal accumulation; useful for determining historical exposure patterns over months
- Complete Blood Count (CBC): Assesses for anemia, abnormal white blood cells, platelet disorders related to heavy metal exposure
- Comprehensive Metabolic Panel (CMP): Evaluates kidney and liver function to assess organ damage from toxic exposure
- Electrocardiogram (ECG): Detects cardiac arrhythmias or conduction abnormalities caused by heavy metal cardiotoxicity
- Neuropsychological Testing: Evaluates cognitive function and psychological effects of neurotoxic exposure
- Nerve Conduction Studies (NCS) and Electromyography (EMG): Assess peripheral neuropathy from heavy metal toxicity
- Brain Imaging (MRI/CT): Evaluates for structural brain damage or lesions in cases of significant CNS toxicity
- Lead Abdominal X-ray: In pediatric cases, may reveal lead particles in gastrointestinal tract
- Monitoring Frequency for Ongoing Conditions:
- During Chelation Therapy: Blood testing every 1-4 weeks to monitor clearance rates and adjust treatment protocols
- Post-Treatment Monitoring: Repeat testing at 1 month, 3 months, and 6 months after treatment completion to ensure levels remain normalized
- Occupational Surveillance: Annual or biannual testing for workers in high-risk occupations to monitor cumulative exposure
- Symptomatic Patients: Testing every 2-4 weeks while symptoms persist and underlying exposure continues
- Related Tests Providing Complementary Information:
- Toxic Elements Hair Panel: Complements blood testing for chronic exposure assessment
- Toxic Elements Urine Panel: Provides additional data on body burden and elimination pathways
- Micronutrient Panel: Assesses depletion of essential minerals caused by heavy metal competition and impaired absorption
- Oxidative Stress Markers: Measures free radical damage from toxic element exposure
- Fasting Required?
- Fasting Required: No - Toxic Elements Blood Test does not require fasting; patient can eat and drink normally before the test
- Timing Considerations: Test can be performed at any time of day; morning collection is preferred for consistency but not mandatory
- Medications: No need to stop or hold medications; take all regular medications as prescribed unless physician specifically directs otherwise
- Special Preparation Instructions:
- Avoid wearing jewelry, watches, or items that may contain toxic metals (optional, depends on laboratory requirements)
- Inform phlebotomist of any acute exposures or suspected poisoning situations prior to collection
- Report recent chelation therapy or detoxification treatments to laboratory staff
- Drink adequate water on day of test to ensure proper hydration and adequate blood volume
- Arrive for appointment with clean skin and arms to minimize contamination from external sources
- Consider avoiding known toxic exposures or contaminated environments on day of testing when possible
- Specimen Collection Details: Blood is collected via venipuncture into specialized trace metal-free collection tubes to prevent contamination; typically 5-10 mL of blood is drawn; collection should be performed using careful aseptic technique to avoid external heavy metal contamination
How our test process works!

