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Metals, toxins and medication · Hair

Arsenic in hair

A toxic metalloid that you take in mainly through rice and rice products, and in some areas through groundwater from a private well.

At a glance

  • Measured in hair
  • In 2 test panels
  • No special preparation

Arsenic in hair

  • Explanation
  • Result
  • Reliability
  • Who it is for
  • Test panels
  • Sources

Explanation

Arsenic in hair: what is measured?

This analysis measures how much of an element is in a lock of scalp or pubic hair, per gram of hair. As hair grows, substances from the blood are built into it; hair grows about one centimeter per month, so the hair close to the skin roughly reflects the past few months. Elements also get onto and into the hair from outside, through dust, water, shampoo, hair dye and other care products. The laboratory washes the hair before measuring, but no washing method reliably separates what comes from inside and what comes from outside.

What can it detect?

  • Exposure to arsenic in the past few months, mainly through rice and rice products or, in some areas, through groundwater from a private well

Result

What does the result mean?

Arsenic in hair too high

A raised value means that there was more of the element in or on the hair than in the people the laboratory compares with. This may fit more exposure, through food, drinking water, work or a hobby. Often, however, the element comes from outside: from hair dye, shampoo (some anti-dandruff shampoos contain zinc or selenium), dust or water. For most elements it is not known at what value in hair health damage is to be expected. A raised value in hair is therefore not proof of poisoning.

Arsenic in hair too low

A low value in hair does not mean that your body has a deficiency. The level in hair poorly follows the stores in blood and tissues, and also depends on hair color, washing, hair treatment and how fast the hair grows. For toxic metals, such as lead, mercury or cadmium, a low value is the expected result. Whether there is a mineral deficiency is investigated in blood when there are symptoms or a clear reason, together with your eating pattern.

After an abnormal result

An abnormal value in hair is not a reason for treatment on its own. With symptoms or a sign of exposure, the GP can have the element measured in blood or urine. With confirmed exposure to a metal, the main thing is finding and removing the source, if needed with the occupational physician or the environmental health department of the GGD (municipal public health service).

Reliability

How reliable is the test?

Hair analysis for minerals and metals is not standardized, and there are no agreed limit values with which a deficiency or poisoning can be established in hair; blood and urine are the usual measurements for that. When portions of one hair sample were sent to six American laboratories, the results, the reference values and the advice differed greatly (Seidel et al., 2001). An expert panel of the American health agency ATSDR concluded that for most substances no health effect can be predicted from the level in hair, and that a substance in hair says nothing about its source. Only for methylmercury (from fish) and arsenic is hair used in scientific research as a measure of exposure.

What can affect the result?

  • Dyeing, bleaching and perming change the composition of the hair; chemically treated hair is therefore not suitable.
  • Shampoo and other care products, dust, swimming water and tap water leave elements on the hair that washing in the laboratory does not fully remove.
  • Laboratories use different washing and measurement methods and their own reference values; results from different laboratories, and from scalp hair and pubic hair, are not readily comparable.
  • Hair growth, hair color, age and sex affect the levels; hair that grows slowly, for example with malnutrition, can actually give higher values.

Who it is for

Who is the test useful for?

Useful for

If you want to know whether there is a deficiency, or suspect you have been exposed to a metal (for example through work, old lead water pipes or eating a lot of predatory fish), a measurement in blood or urine is more useful. The analysis can at most give a rough impression of exposure in the past few months, and is only useful if the result is not read as a diagnosis. Chemically treated hair is not suitable.

How common is it?

For most elements it is not known how often a mineral deficiency or too much exposure to metals occurs in the Netherlands. According to the Netherlands Nutrition Centre (Voedingscentrum), you take in heavy metals mainly through predatory fish, rice, organ meat and field-grown vegetables, and eating a varied diet limits this exposure. How often a hair analysis shows an abnormal value says little about how often something is actually wrong.

Netherlands Nutrition Centre (Voedingscentrum)

Get tested

Arsenic in hair: test panels

Arsenic in hair is part of these test panels. You order online and have your blood drawn at a collection point or collect the sample at home.

  • Multi-element analysis of head hair

    Hair

    Multi-element analysis of head hair

    Analyzes 39 elements in scalp hair to provide insight into minerals, trace elements, and heavy metals.

    € 235,00

  • Multi-element analysis of pubic hair

    Hair

    Multi-element analysis of pubic hair

    Analysis of 39 elements in pubic hair, for insight into minerals, trace elements, and heavy metals.

    € 235,00

Evidence

Sources

This explanation is based on Dutch guidelines and independent information. It is general information, not a diagnosis. Discuss an abnormal result with your GP.

More about risks and results
  • ATSDR (Agency for Toxic Substances and Disease Registry): Hair Analysis Panel Discussion, Exploring the State of the Science (2001)
  • Seidel S, Kreutzer R, Smith D, et al. Assessment of commercial laboratories performing hair mineral analysis. JAMA 2001;285(1):67-72
  • Namkoong S, Hong SP, Kim MH, Park BC. Reliability on intra-laboratory and inter-laboratory data of hair mineral analysis comparing with blood analysis. Annals of Dermatology 2013;25(1):67-72
  • CDC, MMWR: Deaths associated with hypocalcemia from chelation therapy, Texas, Pennsylvania, and Oregon, 2003-2005 (2006)
  • Voedingscentrum: Zware metalen
  • Voedingscentrum: Arseen
  • RIVM: Arseen in grondwater

More explanations

Other tests: Metals, toxins and medication

  • Arsenic (blood)
  • Cadmium (blood)
  • CDT
  • Codeine (urine)
  • Cotinine (blood)
  • Cotinine (urine)
  • Lead
  • Lead in hair
  • Lithium (blood)
  • Mercury (blood)
  • Mercury (urine)
  • Mercury in hair
All tests
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