Toxic Element Clearance Profile - Timed

Test Details

Lab Company: Genova Diagnostics
Sample Type: Urine
Collection Location: At Home

The Toxic Element Clearance Profile measures urinary excretion of 20 potentially harmful toxic metals. These instructions are for the timed collection.       

🔑 Key Details 📦 Shipping
Preparation & Timing 📊 Results
🧪 Collection Instructions 📚 More Resources
💳 Requisition & Payment
💬 Questions?

Key Details 

  • Do not collect while menstruating. 
  • Avoid certain supplements and products for 48 hours prior to sample collection. 
  • Avoid seafood for 48 hours prior to sample collection. 
  • Rupa Health recommends shipping Monday - Thursday only to avoid shipment delays.
  • DO NOT NOT register your test online with Genova.

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Preparation & Timing

  • Do not collect while menstruating.
  • Avoid supplements containing the following products for 48 hours prior to sample collection.
    • Creatinine
    • Vitamin C
    • Any mineral elements measured on this test    
    • Do not discontinue any medications or supplements prior to consulting with your healthcare practitioner.
  • Avoid any substance that may influence urinary element excretion of elements for 48 hours prior to sample collection. 
  • Avoid seafood for 48 hours prior to sample collection. 

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Collection Instructions

  1. This is a timed collection. Your practitioner will tell you the duration of your collection. 
    1. You should collect at least 120 mL (4 oz) during your collection.
  2. Collect urine in the provided collection cup. 
  3. Pour the urine from the collection cup into the large orange jug. 
  4. Place the lid back on the collection cup. 
    1. DO NOT rinse or wipe out the cup in between collections.  
  5. Place the cap back on the jug. 
  6. Place the orange jug in the refrigerator. 
  7. Repeat steps 2-6 each time you urinate during your collection period. 
  8. Once the collection period is over, you will measure the urine you collected.
    1. If you only used one jug, 
      1. Set the jug on a level surface.
      2. Use the milliliter marks on the jug to read the total volume collected.
      3. Write this total on the test requisition form. 
      4. Tighten the lid. 
      5. Invert the jug repeatedly for 30 seconds. 
    2. If you used two jugs, 
      1. Put on the disposable gloves.
      2. Mix the urine by pouring back and forth between the jugs. 
      3. Set the jugs on a level surface.
      4. Use the millimeter marks on the jugs to read the total volume collected in each jug. 
      5. Write the total amount of urine (jug 1 + jug 2) on the test requisition form). 
  9. Use the pipette to transfer urine to fill both sample tubes. 
    1. If you have urine in two jugs, you can just choose one to use to fill the tubes.
  10. Cap the tubes.
  11. Discard any remaining urine and all of the collection materials.
  12. Write the following information on the specimen collection tubes and the test requisition form. 
    1. Your name
    2. Your gender
    3. The date of collection 
    4. The total urine volume (in mL)
  13. Place the tubes in the biohazard bag.
  14. Refrigerate the samples until you are ready to ship. 

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Requisition & Payment

  • Your kit has been prepaid. You DO NOT need to pay anything extra.
  • Instructions on how to fill out your requisition can be found HERE (insurance pay) and HERE (cash pay).
    • Since you pre-paid for your tests, you do not need to fill in the payment information on any of these forms.
    • DO NOT register your test online with Genova.

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  • Ship samples as soon as possible after collection.
  • Rupa Health recommends shipping Monday - Thursday only to avoid shipment delays. 
  • Samples should be refrigerated until shipped.
  • To prepare your samples for shipping,    
    • Place specimen tubes into the biohazard bag with the absorbent pad. 
    • Place the completed test requisition form into the side pocket of the biohazard bag.
    • Place the biohazard bag into the test kit box. 
    • Place the test kit box into the provided return mailer.
  • Make a note of the tracking number so that you can track your samples back to the lab. 
  • Ship your samples via FedEx.
    • You can take your samples to the nearest FedEx location.
    • DO NOT place your samples in a drop box.
    • You can also schedule a FedEx pickup by calling 1-800-463-3339 or visiting their website

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  • Results should be released to your provider 7-21 business days after samples are received at the lab. We cannot guarantee processing time. 
  • Your provider will notify you when your results are in and schedule a follow-up appointment for you to review them together. 
  • Your provider may choose to release your results to you. Rupa cannot release your results without provider authorization.

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More Resources

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For general questions, email Rupa Health at For test-specific questions, contact Genova Diagnostics by calling 800-522-4762 or chatting with support