Rankings / Toxins

Lead

Toxins · Heavy metal / neurotoxicant

Critical priority

heavy-metal
9.4 / 10
CRITICAL
Mag 10 Ev 10 Prev 8

Bottom line

Read Off Label rates Lead a CRITICAL avoidance priority (9.4/10) based on very strong evidence of very high harm magnitude and high historical exposure prevalence.

Lanphear 2018 reanalysis estimated ~400,000 annual US deaths attributable to legacy lead exposure even at 'non-dangerous' blood levels.

The intervention here is reducing exposure, not adding a compound.

What this is

Lanphear 2018 reanalysis estimated ~400,000 annual US deaths attributable to legacy lead exposure even at 'non-dangerous' blood levels. Flint crisis returned lead to public awareness. Aviation gasoline (100LL) continues to deposit lead around general aviation airports. Turmeric (especially bright-yellow market varieties) has been repeatedly found adulterated with lead chromate.

Mechanism

Divalent cation; no safe level identified; primary current exposures: pre-1978 home lead paint, old plumbing (leaded brass, lead service lines), contaminated soil, imported spices/cosmetics/pottery, aviation gasoline

Dose & route

Test pre-1978 homes for lead paint; test tap water; test imported spices/pottery; clean dust regularly

Common questions

How harmful is Lead?
Lead is rated CRITICAL avoidance priority (9.4/10) on the Read Off Label scale, derived from very strong evidence of very high harm magnitude and high historical exposure prevalence.
How does Lead cause harm?
Divalent cation; no safe level identified; primary current exposures: pre-1978 home lead paint, old plumbing (leaded brass, lead service lines), contaminated soil, imported spices/cosmetics/pottery, aviation gasoline
How do you reduce exposure to Lead?
Lanphear 2018 reanalysis estimated ~400,000 annual US deaths attributable to legacy lead exposure even at 'non-dangerous' blood levels.

This is an independent synthesis of published research by a non-clinician. Scores are opinions supported by citations, not prescriptions. See the full disclaimer and methodology for how this score was produced and what it does and doesn't mean.