Silver reliably kills many microbes in the laboratory and on the skin, but evidence that swallowing it helps general health or longevity is thin, with no clear benefit shown. The documented harms outweigh the proven benefits: permanent blue-grey skin staining that cannot be reversed, rare nerve and organ effects, and reduced absorption of some medicines. (Full Review)
| Marker | Target | Why |
|---|---|---|
| Serum silver | < 1–2 µg/L | Tracks silver accumulation from exposure |
| Serum creatinine and eGFR | > 90 mL/min/1.73m² | Impaired kidney function reduces silver clearance |
| ALT and AST | ALT < 25 U/L; AST < 25 U/L | Silver deposits in the liver; screens for liver stress |
| Complete blood count | Within standard reference range | Screens for bone-marrow effects raised in isolated reports |
Cadence: Baseline, then roughly every 3–6 months, with a skin and mucous-membrane exam at each visit