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Trace Elements HTMA Submittal Form 2021-2025 free printable template

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How to fill out Trace Elements HTMA Submittal Form

01
Begin by obtaining the Trace Elements HTMA Submittal Form from the appropriate source.
02
Fill in your personal information at the top of the form, including your name, address, and contact details.
03
Provide relevant demographic information such as age and sex where prompted.
04
Indicate the reason for testing by selecting the appropriate checkbox or writing a brief explanation.
05
Complete the section that asks for medical history, detailing any current medications or health conditions.
06
Carefully follow the instructions for sample collection, ensuring you understand how to collect the sample correctly.
07
Once all sections are filled out, double-check your entries for accuracy.
08
Sign and date the form to verify the information is correct.
09
Submit the completed form along with your sample to the designated laboratory.

Who needs Trace Elements HTMA Submittal Form?

01
Individuals seeking to assess their mineral and heavy metal levels.
02
Health practitioners requiring trace element analysis for patient diagnosis.
03
Researchers conducting studies on trace elements in various populations.
04
People experiencing health issues potentially related to mineral imbalances.
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Trends Associated with the Calcium/Potassium (Ca/K) Ratio: Ratio: Trend: 32+ Severe low thyroid activity 75%+ energy loss. 16 – 32. Sluggish thyroid 50-75% energy loss. 8 – 16. Moderate sluggish thyroid 25-50% energy loss. 4 – 7.99. Mild sluggish thyroid activity 10-25% energy loss. IDEAL – 100% energy. 2 – 4. 1 – 2.
An at-home kits costs between $64.95 and $85. Drug tests performed in a hospital or laboratory may cost between $100 and $125. If you're a current employee and your workplace requires you to take a hair strand drug test, they're required by law to pay you for the time spent taking the test.
Hair tissue mineral analysis (HTMA) measures the mineral content of the hair, providing a blueprint of a person's biochemistry during the period of hair growth and development.
Ideally there should be a 2.4:1 ratio of sodium relative to potassium with a range of 1.4 to 3.4 being acceptable. Sodium and potassium reflect expression of the adrenal cortical hormones as well as renal control.
What does a HTMA test for. A hair tissue mineral analysis will test for the presence and level of any toxic heavy metals in the body, and will show what affect these heavy metals are having on your essential minerals.
Sodium, chromium, sulfur, and cadmium in the hair correlate positively, while zinc correlates negatively with age. Hair sodium, potassium, chromium, and cadmium have positive correlations with BMI. Low hair selenium is believed to hasten disability and degeneration.

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The Trace Elements HTMA Submittal Form is a document used to submit samples for hair tissue mineral analysis (HTMA) in order to evaluate trace element levels in the body.
Individuals who wish to undergo hair tissue mineral analysis for health assessment and are instructed by healthcare professionals or laboratories typically need to file the form.
To fill out the Trace Elements HTMA Submittal Form, one should provide personal information such as name, date of birth, and contact details, along with specific details regarding the sample and any relevant medical history.
The purpose of the Trace Elements HTMA Submittal Form is to facilitate the collection and analysis of hair samples to assess the body’s mineral levels, identify potential deficiencies or toxicities, and aid in health assessments.
The information that must be reported includes personal identification details, sample collection date, type of sample, any medications or supplements being taken, and relevant medical history.
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