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Comprehensive Toxic Metal Panel, 24-Hour Urine Test

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The Comprehensive Toxic Metal Panel, 24-Hour Urine Test assesses exposure to potentially toxic elements in a urine sample over 24 hours.


Test Code:


CPT Code(s):



Inductively Coupled Plasma/Mass Spectrometry (ICP/MS)




Patient should avoid seafood consumption for 48 hours prior to collection.

Test Results:

2-8 days. May take longer based on weather, holiday, or lab delays.

Walk-In Lab is prohibited from selling Quest tests to residents in the following states:AZ, NY, NJ, RI

This Comprehensive Toxic Metal Panel, 24-Hour Urine Test screens for the following toxic metals:


  • Arsenic
  • Cadmium | Cobalt
  • Lead
  • Mercury
  • Thallium


What is the purpose of this test?

Order this Comprehensive Toxic Metal Panel, 24-Hour Urine Test assesses exposure to potentially toxic elements in a urine sample over 24 hours. While acute metal poisoning is rare, chronic and low-level exposure to toxic metals is more common and can lead to significant body retention. This can result in adverse health effects and chronic disease. It is important to assess net retention before making conclusions about the impact of metals on one's health.


Having low levels of heavy metals such as iron and zinc is essential for maintaining good health. On the other hand, certain metals may exist in the body in small amounts due to typical environmental exposure. Nevertheless, high concentrations of toxic metals can be hazardous and lead to severe symptoms in individuals who have been exposed. The accumulation of toxic metals can happen over a short or long period, and toxic metal testing can assist in detecting harmful exposure. Testing can be conducted for various purposes, such as screening, diagnosing, and monitoring toxic metal poisoning.


  • Screening is a way to detect signs of toxic metal poisoning even if you haven't experienced any symptoms. It is recommended for individuals who work in environments with potential toxic metal exposure or for children residing in communities where household paint may contain lead.
  • Diagnosing involves identifying the root cause of the illness. In cases where toxic metal poisoning is suspected, undergoing testing can confirm the diagnosis and pinpoint the source of the exposure. A healthcare provider may recommend this step.
  • Monitoring is necessary to assess how well the treatment is working for individuals with toxic metal poisoning.


When should I order a Comprehensive Toxic Metal, 24-Hour Urine Test?

Individuals may order this test if they have experienced symptoms related to metal toxicity. Common signs or symptoms of metal toxicity may include:


  • Abdominal pain
  • Chills
  • Diarrhea
  • Muscle weakness
  • Nausea or vomiting
  • Shortness of breath
  • Tingling of the hands or feet

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