Environmental Toxin Testing
Total Toxic Burden Test
Also known as: Combined urinary environmental chemical, mycotoxin, toxic metal & organic acid panels
Also searched as: total toxic load test · toxic burden test · environmental toxin panel
Everyday chemicals, mold toxins, toxic metals, and metabolism — combined in one urine sample.
When exposures could be coming from several directions at once, this combined panel looks at them together: everyday chemicals, mold toxins, toxic metals, and — in most versions — the organic acids that show how your metabolism and detox pathways are coping. Four versions are available, from a toxin-only screen to the most complete option. You may also see it called "total toxic load test", "toxic burden test", or "environmental toxin panel".
What the Total Toxic Burden Test measures
Environmental Chemicals
Twenty-seven everyday chemicals from plastics, pesticides, and products.
- PhthalatesFrom plastics, fragrances, and personal care products.
- Bisphenols (BPA, BPS)From plastics and receipt paper.
- Volatile organic compoundsFrom paints, solvents, and air fresheners.
- ParabensPreservatives in personal care products.
- Pesticides and herbicidesIncluding glyphosate.
- Flame retardantsFrom furniture, electronics, and dust.
- AcrylamideFrom browned and fried foods.
- Perchloroethylene (PERC)From dry cleaning.
- OxybenzoneFrom some sunscreens.
Mold Toxins
Eleven mycotoxins produced by indoor molds.
- Aflatoxin M1A mycotoxin from certain food and environmental molds.
- Ochratoxin AA common water-damage mold toxin.
- Roridin EA trichothecene mycotoxin.
- Verrucarin AA trichothecene mycotoxin.
- ZearalenoneAn estrogen-like mycotoxin.
- Chaetoglobosin AA mycotoxin from water-damage molds.
- CitrininA mycotoxin from several indoor molds.
- Enniatin BA mycotoxin from Fusarium molds.
- GliotoxinA mycotoxin from Aspergillus and other molds.
- Mycophenolic acidA mycotoxin from Penicillium molds.
- SterigmatocystinA mycotoxin related to aflatoxin.
Toxic Metals
Twenty metals with no healthy role.
- AluminumCookware, foil, antiperspirants, some processed foods.
- AntimonyFlame retardants and some industrial exposure.
- ArsenicRice, well water, some seafood and poultry.
- BariumDrilling and industrial exposure, some drinking water.
- BerylliumIndustrial and manufacturing exposure.
- BismuthSome medications and cosmetics.
- CadmiumCigarette and vape smoke, contaminated soil.
- CesiumEnvironmental exposure reviewed for excess.
- GadoliniumFrom MRI contrast dyes.
- LeadOld paint, dust, older plumbing.
- MercurySome fish, amalgam fillings, some cosmetics.
- NickelFoods, cookware, and jewelry.
- PalladiumDental work and industrial exposure.
- PlatinumIndustrial exposure and some dental materials.
- TelluriumEnvironmental exposure reviewed for excess.
- ThalliumEnvironmental exposure reviewed for excess.
- ThoriumEnvironmental exposure reviewed for excess.
- TinCanned foods and some industrial exposure.
- TungstenEnvironmental exposure reviewed for excess.
- UraniumWell water in some regions.
Organic Acids
Seventy-six markers showing how metabolism and detox pathways are coping.
- Yeast and bacterial markersBy-products of gut microbes.
- OxalatesCompounds that can burden the kidneys and joints.
- Mitochondrial energyHow well your cells are producing energy.
- Neurotransmitter metabolitesBy-products tied to mood and focus chemistry.
- Nutritional and detoxification markersVitamin needs and detox pathway activity.
Versions available
58 markers: chemicals + mold toxins + toxic metals.
103 markers: organic acids + chemicals.
114 markers: organic acids + chemicals + mold toxins.
134 markers: all four groups.
The right version is chosen with you based on your symptoms and history.
Who the Total Toxic Burden Test is for
A good fit when you feel unwell without a clear cause and exposures could be coming from several directions — mold, chemicals, and metals at once.
- Feeling unwell with no clear cause
- Chemical or fragrance sensitivity
- Brain fog
- Fatigue
- Hormone imbalance
- Known mold, chemical, or metal exposure
Two ways to get the Total Toxic Burden Test
Request This Lab
- At-home or in-office collection, depending on the test
- Our team helps you order and set up your kit
- Add Tiffeny Parker as your practitioner so I can see your results
Personalized with Tiffeny
RecommendedWant your results personally reviewed?
- One-on-one interpretation of your results
- Written Root Cause Report
- Personalized 12-week protocol
✦ Program members: practitioner discount applied. See member perks →
Labs are processed by a CLIA-certified laboratory partner. To protect your privacy, I can only see your results if you add Tiffeny Parker as your practitioner. Lab order links are affiliate links; I may earn a commission at no extra cost to you.
What results can reveal
- Everyday chemical exposure from plastics, pesticides, and products
- Mold toxin burden
- Toxic metal exposure
- How well your metabolism and detox pathways are coping
How we interpret it
We read every panel through a functional lens — optimal reference ranges, ratios, and cross-panel patterns. Results become part of your written Root Cause Report and your personalized 12-week protocol.
The combined picture helps us prioritize — which exposures to reduce first, and which detox and mineral pathways need the most support.
Often paired with
Candida, Metabolic & Vitamins Test
Yeast, bacteria, mitochondrial energy, neurotransmitters, oxalates, and vitamin needs — from one urine sample.
Mold Toxicity Test
Urine testing for the toxins released by indoor molds.
Environmental Toxicity Test
Your "total toxic load" from pesticides, plastics, solvents, and everyday chemicals.
Urine Minerals & Metals Test
The toxic metals and essential minerals your body is clearing through urine.
Often used alongside this lab
Ready-made options people often use while working on these results. Program members get a personalized plan, with a practitioner discount applied.
Universal Binder
A broad-spectrum binder used to help carry toxins out during detox.
See in the shop →Liposomal Glutathione
The body's master antioxidant in an absorbable liposomal form.
See in the shop →Common questions
Not sure which panels you need?
Start with the Root-Cause Fit Assessment. Takes about 3–5 minutes. If it looks like we're a good fit, you'll be invited to schedule a 45-minute consultation to discuss your health history, goals, and whether this program is the right next step for you.
Educational information only. Functional lab testing is not intended to diagnose, treat, cure, or prevent any disease. Results are reviewed in the context of your full health history.