Heavy metal detox, aimed at lowering stored lead and other toxic metals, covers prescription metal-binding drugs, sauna sweating, binding supplements and nutrients. The firmest signal, from one research group, is slower loss of kidney function in chronic kidney disease with raised lead stores; heart benefit failed in a repeat trial. The wrong infused form has caused deaths from low blood calcium. Any benefit appears confined to elevated metal burdens. (Full Review)
| Marker | Target | Why |
|---|---|---|
| Whole-blood lead | Under 3.5 µg/dL | Expected to change; defines need for treatment |
| Urine cadmium (creatinine-corrected) | Under 0.6 µg/g creatinine | Expected to change |
| Blood mercury | Under 10 µg/L | Expected to change |
| Serum calcium | 8.5–10.2 mg/dL | Safety check; low value pauses disodium EDTA |
| Serum creatinine | 0.6–1.3 mg/dL | Safety check |
| Urinalysis (protein, red cells, epithelial cells) | Negative for protein and blood | Safety check; abnormal result stops calcium disodium EDTA |
| ALT/AST | ALT 7–56 U/L, AST 10–40 U/L | Safety check; rise changes succimer dosing |
| Absolute neutrophil count | 1,500–8,000/µL | Safety check; low value interrupts succimer |
| Plasma zinc | 60–120 µg/dL | Safety check; chelators deplete zinc |
Cadence: Baseline testing first. Succimer: blood counts and liver enzymes weekly, blood lead after each 19-day course and then weekly until stable. Calcium disodium EDTA: urinalysis and kidney function before each course and on days 2 and 5. Disodium EDTA: calcium before every infusion. Nutritional or sauna approaches: repeat metal levels at 3 months, then every 6–12 months.