Mercury is a poisonous heavy metal that in nature, is widely spread. Fish consumption or dental amalgam results in most human exposure. Mercury appears in many chemical types, with pharmacokinetics that are complex. A broad range of clinical presentations can be induced by Mercury. Mercury toxicity diagnosis can be complicated but can be achieved with fair reliability. Successful clinical toxicity therapies have been defined. No consensus guidelines are currently in place for the diagnosis of mercury excess or overload of other toxic metals. A provoked urine metal production of more than 2 standard deviations above the NHANES reference range is usually considered a positive result by clinicians who specialise in this field. To explain the relationship between provoked urine outcomes and clinical disease and to record clinical outcomes, further research is required.
Robin A. Bernhoft
Bernhoft Center for Advanced Medicine, Suite A, 1200 Maricopa Highway, Ojai, California, USA and Los Angeles Center for Advanced Medicine, 2128 Pico Boulevard, Santa Monica, California 90405, USA.
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