The reference ranges on the Toxin Zoomer (Heavy Metals, Environmental Toxins, Mycotoxins, and PFAS Chemicals Panels) are based either on Vibrant America's internal validation study or results from the National Health and Nutrition Examination Survey (NHANES).
NHANES survey conducts urine and blood biomonitoring in a nationally representative sample of Americans. NHANES measures several heavy metals and several environmental toxins. The use of NHANES data for reference ranges allows ordering providers and patients to compare heavy metal and environmental toxin exposure results to the general population.
NHANES does not conduct biomonitoring for mycotoxins, so all reference ranges on the Mycotoxin test are derived from the Vibrant Wellness internal validation study of 1,000 adults.
The PFAS Chemicals Panel uses reference ranges derived from the Vibrant Wellness internal validation study.
The tests below use NHANES data. All other tests in the Heavy Metals, Environmental Toxins, and Mycotoxins reports use the Vibrant Wellness internal validation study of 1,000 adults.
| PANEL | TEST NAME |
| Heavy Metals (Creatinine) | Antimony |
| Heavy Metals (Creatinine) | Arsenic |
| Heavy Metals (Creatinine) | Barium |
| Heavy Metals (Creatinine) | Beryllium |
| Heavy Metals (Creatinine) | Cadmium |
| Heavy Metals (Creatinine) | Cesium |
| Heavy Metals (Creatinine) | Lead |
| Heavy Metals (Creatinine) | Mercury |
| Heavy Metals (Creatinine) | Platinum |
| Heavy Metals (Creatinine) | Thallium |
| Heavy Metals (Creatinine) | Tin |
| Heavy Metals (Creatinine) | Tungsten |
| Heavy Metals (Creatinine) | Uranium |
| Environmental Toxins | 2,4-Dichlorophenoxyacetic Acid (2,4-D) |
| Environmental Toxins | Perchlorate |
| Environmental Toxins | Diethyldithiophosphate (DEDTP) |
| Environmental Toxins | Dimethyldithiophosphate (DMDTP) |
| Environmental Toxins | Diethylthiophosphate (DETP) |
| Environmental Toxins | Dimethylphosphate (DMP) |
| Environmental Toxins | Diethylphosphate (DEP) |
| Environmental Toxins | Dimethylthiophosphate (DMTP) |
| Environmental Toxins | Atrazine |
| Environmental Toxins | Atrazine mercapturate |
| Environmental Toxins | 3-Phenoxybenzoic Acid (3PBA) |
| Environmental Toxins | mono-2-ethylhexyl phthalate (MEHP) |
| Environmental Toxins | mono-(2-ethyl-5-hydroxyhexyl) phthalate (MEHHP) |
| Environmental Toxins | mono-(2-ethyl-5-oxohexyl) phthalate (MEOHP) |
| Environmental Toxins | Mono-ethyl phthalate (MEtP) |
| Environmental Toxins | Methylparaben |
| Environmental Toxins | Propylparaben |
| Environmental Toxins | Butylparaben |
| Environmental Toxins | Ethylparaben |
| Environmental Toxins | N-acetyl-S-(2-carbamoylethyl)-cysteine (NAE) |
| Environmental Toxins | N-Acetyl (2-Cyanoethyl) Cysteine (NACE) |
| Environmental Toxins | N-Acetyl (2,Hydroxypropl) Cysteine (NAHP) |
| Environmental Toxins | N-Acetyl (3,4-Dihydroxybutyl) Cysteine (NADB) |
| Environmental Toxins | 2-Hydroxyethyl Mercapturic Acid (HEMA) |
| Environmental Toxins | N-Acetyl Propyl Cysteine (NAPR) |
| Environmental Toxins | Bisphenol A (BPA) |
| Environmental Toxins | Triclosan |
| Environmental Toxins | 2-Methylhippuric Acid (2MHA) |
| Environmental Toxins | Phenylglyoxylic Acid (PGO) |
| Environmental Toxins | N-acetyl phenyl cysteine (NAP) |