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Purpose of running this test:

A number of individuals tend to excrete toxins more readily through their stool rather than in urine or via hair. Particularly when there are imbalances in gut microbes and you are working to address the gut, you may see more excretion of toxins in the stool than in urine.

Unfortunately, the Fecal Toxic Metals Test (FMT) does not include aluminum. Since aluminum retention may be an issue with non-ideal gut microbes, if this is a concern, you should also run either a UTM/UEE or a HMT to follow aluminum excretion. Aluminum can negatively impact BH4 levels, so it is important to know what is happening with aluminum in your system to determine proper support for BH4 levels.

TOXIC METALS This table contains the rationale behind my suggestions. These suggestions are for your consideration. Defer your choices to your own health care practitioner, as always.
Mercury In addition to a wide range of neurological symptoms, mercury can also cause increased salivation, rashes, and metallic taste in your mouth. It can impact cytochrome P450, and may replace selenium in the T4 to T3 reaction, thus causing thyroid hormone imbalances.Consider support with Selenium or MetalAway. If more detox is desired, consider DetoxAway. Also, GSH and Indole-3-carbinol may be used. Ultimately, you can support re-myelination with Sphingolin. Work on methylation cycle support to help allow the natural detox of mercury. Also, the use of low dose Ion Transport compound may help support detox because it contains Selenocysteine and Wasabi to aid in escorting mercury from your system.Basic methylation support includes All in One, Phosphatidyl Serine Complex (PS/PE/PC), DHA and Methylation Support nucleotide blend. Once lithium is shown to be in balance on a HMT, then consider low dose Methylmate A and Methylmate B, along with extra B12.
Antimony Antimony can bind to ‘thiol’, which means SH groups, which are needed to help escort mercury from your system. Also, antimony may inhibit the MAO enzymes, which may interfere with the natural breakdown of dopamine and serotonin. Antimony can accumulate in your adrenals and thus play a role in fatigue. Consider adding sources of ‘thiol’ groups, such as Selenium, MetalAway, or DetoxAway. Consider low dose Wasabi, low dose Selenocysteine, and/or low dose Ion Transport compound, which has both Wasabi and Selenocysteine. Broccoli and Garlic are also options. Also, consider OraAdrenal for adrenal support.
Arsenic Methylation cycle function is needed for arsenic excretion. If arsenic is consistently high, consider running a Water Elements Test. Arsenic can bind both to thiol, which are SH groups, as well as phosphate groups. It can cause vitamin A deficiency. Symptoms of arsenic toxicity can include white streaked nails, a garlic odor emanating from your body, and/or under pigmentation. Arsenic toxicity may also cause hair loss, problems with folate uptake, or weakness, among other symptoms. At the very least, use short cut methylation support, support for the pathway that goes from homocysteine to methionine using the BHMT enzyme. All in One, Phosphatidyl Serine Complex (PS/PE/PC), DHA and Methylation Support nucleotide blend all support the short cut. If lithium is in balance, also support the long route, the route that uses the MTR and MTRR enzymes. These supports include low dose Methylmate A, Methylmate B, and B12. Also, thiol supports may be useful, such as Selenium, MetalAway, or DetoxAway; low dose Wasabi, low dose Selenocysteine, or low dose Ion Transport compound, which has both Wasabi and Selenocysteine. Broccoli may also be helpful. To support phosphate, use phospholipids such as Phosphatidyl Serine Complex (PS/PE/PC) and Riboflavin-5-Phosphate.
Beryllium High levels of beryllium may affect lymphocyte proliferation and respiratory function, as well as cause adrenal insufficiency and fatigue. Consider T cell and B cell support capsules for immune support. OraAdrenal may also be used for additional support. The Muscle Fatigue Support compound supplement can be considered if fatigue is an issue. Low dose Respiratory Support nucleotide blend may also be helpful.
Bismuth High level excretion of bismuth, in the absence of any bismuth supplementation, may be an indicator for H. pylori, so testing to rule out H. pylori should be considered. Since high level bismuth excretion in the absence of any support can lead to depletion of bismuth over time, consider low level bismuth support with Peptimycin or its equivalent. Rule out H. pylori.
Cadmium High levels of cadmium can cause significant symptoms. Your body uses zinc as a cofactor for over 50 critical enzymes. However, if zinc is deficient, your body will replace it with cadmium. Cadmium is just below zinc in the periodic table, so it fits perfectly into zinc binding sites. Enzymes that make protein, such as RNA transferase, and alcohol dehydrogenase, the enzyme involved in alcohol processing, are impacted by this problem. Other important enzymes are also negatively impacted. Cadmium may also bind to glutathione (GSH) making it ineffective. It may also negatively impact bone health and cause respiratory symptoms. Consider supporting with Zinc Lozenges, or Krebs Zinc, if your Krebs intermediates are low on a MAP test. Also, consider MetalAway and/or EDTA to help escort cadmium from your system. Since cadmium can bind GSH, consider supporting with GSH. Low dose Bone Support nucleotide blend may also be helpful. Cadmium may decrease the Cytochrome P450 enzyme system, so consider Indole-3-carbinol to support CYP 450. Since cadmium replaces zinc in arteries, adults may want to consider low dose Heart Support nucleotide blend and Hawthorn Extract. Also, consider Vitamin E and low dose Ion Transport support capsules for cadmium, as it may help to prevent the cadmium induced suppression of the CFTR enzyme. Also, work on supporting methylation, as weak methylation capacity is related to susceptibility to cadmium.In addition, lithium, which is in both BeCalm Spray and All in One, may help to protect against the negative impacts of cadmium, especially with respect to hormones such as testosterone, LH, and FSH.
Copper Ideally, your copper levels should be lower than zinc to favor a higher zinc to copper ratio. High copper has been implicated in ADD. Copper is the cofactor that works with the enzymes MAO A and MAO B to break down dopamine and serotonin, so high copper may engender a higher degree of degradation of these two neurotransmitters. Running a Neurotransmitter Urine Test and a MAP test gives you an indication of both the levels of serotonin and dopamine, and a measure of their breakdown. Excess copper has also been reported to cause fearful thoughts. If copper replaces zinc in your brain, it may be a factor in migraines, so zinc support may help you with this, as well as bring your copper into better balance.

Much less frequently, the issue is actually low copper. Low copper may cause high histamine. The enzyme that breaks down histamine is a copper containing MAO type of enzyme, so if your copper is low, check to see if your histamine is high. Quercetin may help pull down histamine but inhibits COMT, so use quercetin in moderation. A natural source of quercetin is cherries. Cherries are also a source of melatonin. Tart Cherry Extract is reported to be helpful for gout.

Low copper may also be a factor in de-pigmentation of hair and skin.

Ways to help bring copper into better balance include the use of Molybdenum, Zinc, Carnosine, and increased EDTA. EDTA is found in MetalAway, EDTA soap or soak, and DetoxAway. You can also use BactiSolve if you have NO shellfish allergies.

Check molybdenum levels, because often copper will be high when molybdenum is too low. Molybdenum can be low due to high taurine, which is measured on a UAA test. When taurine is processed via sulfite oxidase, molybdenum can become depleted. In addition, high levels of sulfur can have the same effect of depleting molybdenum. Molybdenum may also be depleted due to chronic yeast infections, which can be checked on a Vaginosis Test, or in the gut via a CSA test or a GI function test.

An alkaline environment limits copper, so work to get pH in balance, meaning having a pH close to 7. You can use Buffer pH, Stomach pH Balancing nucleotide blend, Potassium Bicarbonate or sodium bicarbonate, depending on your need for either sodium or potassium. VitaOrgan also helps to balance your pH.

Lead Lead can deposit in bone and replace calcium there. Lead can also affect ATPase, which reduces the production of this energy molecule. This negatively impacts both sodium and potassium levels, as well as energy production. Lead can bind melatonin, tryptophan, and serotonin. Consider a MAP test and a Neurotransmitter Urine Test to look at energy markers, as well as neurotransmitter levels.Lead excretion can cause pica, teeth/jaw grinding & aggression. Eating inedible objects may be a sign that lead is being excreted. You may need to consider support to help escort it from your system. Elevated 5-amino levulinic acid (ALA) due to lead toxicity can inhibit Gamma amino butyric acid (GABA), so consider extra GABA if needed.Since lead replaces calcium in bones, consider low dose Bone Support nucleotide blend. Vitamin D and K impact calcium absorption, so add a mineral combination that includes vitamin D and K, such as Cal/Mag/VitD/VitK. Also, for bone health, watch strontium and boron levels. Consider MTR/MTRR/SUOX capsules to support strontium and boron. Also, consider EDTA and MetalAway (or selenium + horsetail grass + low dose EDTA + malic acid) to help escort lead from your system. Also, consider additional EDTA in EDTA soap or soak as tolerated. Consider using BactiSolve if you have no shellfish allergies, as another source of EDTA. Consider ATP and/or MitoForce to support ATPase.
Nickel Nickel can cause significant skin rashes, allergies, dermatitis and inflammation. Consider support with Riboflavin-5-Phosphate, especially when phosphorus is low and nickel toxicity is present. Consider nucleotide blends such as General Support nucleotide blend and Cytokine Balance nucleotide blend to help with itching. Clear Skin spray may be used for topical skin support.
Platinum Platinum can cause wheezing, excessive mucous in your nose, and dermatitis. Consider Zinc Lozenges and low dose Respiratory Support nucleotide blend. Also, Serraflazyme and Air Power may help with mucous.
Thallium Thallium inhibits mitochondrial energy and ATP. It also inhibits DNA and RNA synthesis. It may cause hair loss and anorexia. Thallium can also cause riboflavin to be sequestered in the body. So Riboflavin-5-Phosphate support should be considered, especially if MAP test results show imbalances in the Krebs energy cycle. Consider support with ATP, Riboflavin-5-Phosphate, and/or MitoForce to address the impact on energy. Also, All in One for low dose DNA and RNA support, and AHCY/SHMT compound, or direct addition of nucleotides.
Tungsten Tungsten interferes with molybdenum, may cause DNA damage, and may be a factor in impaired sense of smell. Tungsten can interfere with SUOX, so consider B12, provided that lithium is in balance. Also, watch levels of molybdenum, boron, and manganese. Provided that lithium is in balance, support with B12 formulas like Hydroxy B12 spray, Methyl B12 MegaDrops, Hydroxy B12 MegaDrops, or Adenosyl B12 MegaDrops. Consider MTR/MTRR/SUOX capsules to help support molybdenum, boron and manganese. Consider a DNA oxidation test, and if DNA damage/oxidation is a concern, then consider Ultifend and/or Quercetin. Keep in mind that high dose quercetin may be an issue for those who are COMT ++.
Uranium Uranium can readily combine with nucleotides in your body and can deposit in the bones. Also, it can cause chronic fatigue. Consider testing your home water supply using a Water Elements Test, and do a radon air test if you continue to excrete high levels of uranium over time. Consider All in One for low dose nucleotide support. Use AHCY/SHMT compound for nucleotide support, or direct nucleotide supplementation. Consider using Muscle Fatigue Support compound and low dose Bone Support nucleotide blend. Use Cal/Mag/VitD/VitK so that vitamin D and K are present to help with calcium absorption.

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Related Tests to Run

The Urine Toxic Metals and Urine Essential Elements Test (UTM/UEE) and the Hair Elements Analysis (HMT) can be run along with the FMT to get a more complete picture of the toxic and essential minerals in your body. To save on costs, you can consider rotating the HMT with the FMT and the UTM/UEE so that one of these tests is run every 4 to 8 weeks depending on finances, the degree of your illness, and your need to assess the efficacy of your supplement regime in addressing health concerns.


Next Chapter:

Metabolic Analysis Profile Test

Continue to Chapter 4