HW functional medicine · 11 min read · 2,088 words

Reducing Your Toxic Burden: A Practical Guide

There are more than 80,000 synthetic chemicals registered for commercial use in the United States. Fewer than 200 have been tested for safety in humans.

By William Le, PA-C

Reducing Your Toxic Burden: A Practical Guide

The Toxic Reality We Live In

There are more than 80,000 synthetic chemicals registered for commercial use in the United States. Fewer than 200 have been tested for safety in humans. Let that ratio sink in. The Environmental Working Group’s landmark body burden study found an average of 200 industrial chemicals and pollutants in the umbilical cord blood of newborns — meaning babies arrive pre-polluted before they take their first breath.

This is not alarmism. It is chemistry. Each individual chemical exposure might be “within safe limits” as defined by regulatory agencies, but those limits are calculated for one chemical at a time. Nobody is exposed to one chemical at a time. The cocktail effect — the way hundreds of low-dose exposures interact and compound — is poorly studied and almost certainly more dangerous than any single exposure. Your body accumulates toxins faster than it can clear them, and this gap between intake and clearance is what functional medicine calls your “toxic burden.”

The IFM Framework: Biotransformation and Elimination

In the Institute for Functional Medicine’s systems biology matrix, there is a node called Biotransformation and Elimination. Think of it as your body’s waste processing plant — primarily centered in the liver, but supported by the kidneys, gut, lungs, skin, and lymphatic system.

When this system is overwhelmed — by too many inputs, insufficient nutrients for detoxification enzymes, genetic variants that slow processing, or gut dysfunction that allows toxins to recirculate — every other system suffers. Hormones cannot be properly metabolized. Inflammation increases. The immune system becomes dysregulated. Brain function declines. Energy production falters. This is why addressing toxic burden is often the key that unlocks progress in patients who have “tried everything.”

The Major Endocrine Disruptors: Know Your Enemies

BPA, BPS, and BPF (Bisphenols)

Found in hard plastics (#7 polycarbonate), canned food linings, thermal receipt paper, dental sealants, and water bottles. BPA mimics estrogen — it binds estrogen receptors and activates them, disrupting reproductive development, promoting weight gain, and increasing cancer risk. When the public outcry forced “BPA-free” products, manufacturers switched to BPS and BPF, which emerging research shows are equally estrogenic. The “BPA-free” label is largely meaningless reassurance.

Action steps: Switch to glass or stainless steel food storage. Avoid plastics labeled #3 (PVC) and #7 (polycarbonate). Never heat food in plastic containers or put them in the dishwasher. Decline paper receipts — thermal paper is coated with bisphenols that absorb through skin contact.

Phthalates

The word “fragrance” on any product label is a legal loophole that can conceal dozens of phthalate compounds. Phthalates are found in perfumes, air fresheners, scented candles, laundry detergent, fabric softeners, shampoo, nail polish, soft plastics, and vinyl flooring. They are potent anti-androgens — meaning they lower testosterone and disrupt male reproductive development. Studies in pregnant women show that higher phthalate exposure correlates with reduced anogenital distance in male infants (a marker of feminization) and reduced sperm quality later in life.

Action steps: Choose products labeled “fragrance-free” (note: “unscented” means fragrance was added to mask another smell — it still contains phthalates). Avoid vinyl shower curtains. Replace plug-in air fresheners with open windows or essential oil diffusers. Read ingredient lists on personal care products.

Parabens

Methylparaben, propylparaben, butylparaben — these preservatives extend the shelf life of cosmetics, lotions, shampoos, sunscreens, and even some foods. They are estrogen mimics, found in the breast tissue of women with breast cancer (Darbre 2004). They absorb through the skin and are detected in virtually 100% of the US population.

Action steps: Read labels on personal care products. The Environmental Working Group’s Skin Deep database (ewg.org/skindeep) rates products on a 1-10 toxicity scale and is an invaluable resource for finding clean alternatives.

Pesticides and Glyphosate

Glyphosate (Roundup) is the most widely used herbicide in human history. It is sprayed on conventional wheat, oats, legumes, and corn not just as a weed killer but as a pre-harvest desiccant — meaning it is applied directly to food crops right before harvest. Glyphosate disrupts the shikimate pathway in gut bacteria (killing beneficial species while sparing resistant ones), chelates essential minerals (zinc, manganese, iron, cobalt), and was classified as a “probable carcinogen” (Group 2A) by the International Agency for Research on Cancer in 2015.

Action steps: Buy organic for the EWG’s Dirty Dozen — the most pesticide-contaminated produce: strawberries, spinach, kale/collard/mustard greens, peaches, pears, nectarines, apples, grapes, bell and hot peppers, cherries, blueberries, and green beans. The Clean Fifteen (avocados, sweet corn, pineapple, onions, papaya, frozen peas, asparagus, honeydew, kiwi, cabbage, mushrooms, mangoes, sweet potatoes, watermelon, carrots) have lower pesticide residues and are lower priority for organic purchasing.

Heavy Metals

Mercury enters your body through large predatory fish (swordfish, shark, king mackerel, tilefish) and dental amalgam fillings (50% mercury by weight). Lead lurks in old paint (pre-1978 homes), water pipes (especially pre-1986 solder), imported spices, turmeric (lead chromate is added for color in some regions), and chocolate (lead in cacao from soil contamination). Arsenic concentrates in rice (which grows in flooded paddies that absorb arsenic from water and soil) and well water. Cadmium comes primarily from cigarette smoke and also accumulates in chocolate and certain grains.

Action steps: Filter your water — a Berkey gravity filter or reverse osmosis system removes heavy metals effectively. Vary your grains instead of relying on rice alone (quinoa, millet, buckwheat). Choose low-mercury fish: sardines, anchovies, wild-caught Alaskan salmon, herring, and shellfish. If you eat rice, rinse it thoroughly and cook it in excess water (like pasta), draining the extra — this reduces arsenic content by up to 60%.

Flame Retardants (PBDEs)

Polybrominated diphenyl ethers are added to furniture foam, mattresses, electronics, carpet padding, and children’s products to meet fire safety standards. They are thyroid disruptors and neurotoxins, associated with lower IQ in children with higher prenatal exposure. They accumulate in household dust and are absorbed through inhalation and skin contact.

Action steps: Choose organic or PBDE-free mattresses and furniture. Dust frequently using a damp cloth. Vacuum with a HEPA filter (standard vacuums recirculate fine dust particles). Wash hands before eating — a simple intervention that measurably reduces flame retardant exposure.

PFAS (Per- and Polyfluoroalkyl Substances)

Known as “forever chemicals” because they never break down in the environment — or in your body. Found in non-stick cookware (Teflon), waterproof clothing and gear (Gore-Tex), stain-resistant fabric treatments (Scotchgard), grease-resistant food wrappers (microwave popcorn bags, fast food containers), and firefighting foam (AFFF) that has contaminated groundwater near military bases and airports. PFAS are linked to thyroid disease, immune suppression (reduced vaccine response), kidney cancer, testicular cancer, and elevated cholesterol.

Action steps: Replace non-stick cookware with cast iron, stainless steel, or ceramic. Filter drinking water with carbon block or reverse osmosis (both effectively remove PFAS). Avoid microwave popcorn bags — air pop or use a stovetop pot. Choose non-waterproofed clothing when possible.

Mold and Mycotoxins

Water-damaged buildings harbor mold species (Aspergillus, Stachybotrys, Penicillium, Chaetomium) that produce mycotoxins — potent biotoxins that suppress the immune system, damage the nervous system, and disrupt hormone signaling. Approximately 50% of buildings in the US have water damage. Mycotoxins also contaminate certain foods: coffee (ochratoxin A), corn and peanuts (aflatoxins — one of the most potent carcinogens known), and wine (multiple mycotoxins from grape molds).

Action steps: Fix any water damage within 48 hours (mold colonizes quickly). Run a HEPA air purifier in the bedroom at minimum. If you suspect mold exposure, test your home with an ERMI (Environmental Relative Moldiness Index) test. Choose mold-tested coffee brands. Rotate nut and grain sources.

Room-by-Room Detox Guide

Kitchen

Replace plastic food storage with glass containers (Pyrex, mason jars). Install a water filter — at minimum a carbon block (Brita is inadequate for most toxins; look for NSF-certified filters or invest in a Berkey or reverse osmosis system). Buy organic produce for at least the Dirty Dozen. Switch to cast iron, stainless steel, or ceramic cookware. Never microwave food in plastic, even “microwave-safe” plastic — heat accelerates chemical leaching dramatically. Never put plastic in the dishwasher (heat plus detergent chemicals multiply leaching).

Bathroom

Audit your personal care products using the EWG Skin Deep app. Your skin is your largest organ and absorbs much of what you put on it — the average woman applies 168 chemicals to her body daily through personal care products. Consider fluoride-free toothpaste (hydroxyapatite-based alternatives remineralize effectively without fluoride). Explore natural deodorant options (many aluminum-free brands now perform well). Install a shower filter — your skin absorbs chlorine and chloramine from shower water, and you inhale these as steam. A 10-minute hot shower can result in more chlorine absorption than drinking eight glasses of the same water.

Bedroom

If a new mattress is not in the budget, an organic mattress protector creates a barrier between you and the flame retardants in conventional foam. Run a HEPA air purifier — you spend a third of your life in this room. Remove electronics (EMF reduction and sleep quality). Use dust mite covers on pillows and mattresses. Choose organic cotton or linen bedding over synthetic fabrics treated with chemical finishes.

Cleaning Supplies

Most conventional cleaning products are cocktails of endocrine disruptors, respiratory irritants, and neurotoxins. You can clean virtually anything with three ingredients: white vinegar, baking soda, and castile soap. For those who prefer commercial products, look for EWG-verified cleaning brands. Eliminate all plug-in air fresheners, scented candles, and spray deodorizers — these are concentrated phthalate delivery systems. Open windows for ventilation instead.

Laundry

Switch to fragrance-free detergent. Eliminate dryer sheets entirely — they coat your clothes in a layer of phthalates and quaternary ammonium compounds that transfer to your skin all day. Use wool dryer balls instead (they reduce drying time and static without chemicals). Consider an extra rinse cycle to remove detergent residue.

Supporting Your Body’s Detox Capacity

Reducing exposure is half the equation. The other half is supporting your body’s innate detoxification systems.

Sweat — Your skin is a detox organ. Sweating eliminates heavy metals (arsenic, cadmium, lead, mercury) that are not efficiently cleared by the kidneys. Exercise-induced sweating and infrared sauna sessions (20-40 minutes, 3-4 times per week) are evidence-based strategies. Always shower after sweating to prevent reabsorption.

Hydrate — Filtered water, roughly half your body weight in ounces per day. Your kidneys need adequate water flow to flush water-soluble toxins. Add lemon for a gentle liver stimulus.

Eat cruciferous vegetables daily — Broccoli, cauliflower, Brussels sprouts, cabbage, kale, arugula, watercress. These contain sulforaphane and indole-3-carbinol, which upregulate Phase II liver detoxification enzymes (particularly glucuronidation and sulfation pathways). Three to five servings per week minimum. Broccoli sprouts contain 20-100 times more sulforaphane than mature broccoli.

Fiber — Target 35 grams or more per day from whole food sources: vegetables, ground flaxseed, chia seeds, legumes, oats. Fiber binds conjugated toxins in the bile so they are excreted in stool rather than reabsorbed through the enterohepatic circulation. Without adequate fiber, your liver does the work of processing a toxin, dumps it into bile, and your gut reabsorbs it — a futile cycle.

Liver support foods — Beets (betaine supports methylation), artichoke (stimulates bile flow), bitter greens like dandelion and arugula (choleretic — increase bile production), garlic (sulfur compounds support glutathione production), turmeric (upregulates Phase II enzymes), lemon (limonene supports Phase I enzymes).

Adequate protein — Phase II liver detoxification requires amino acids for conjugation reactions: glycine, taurine, glutamine, cysteine, methionine. A low-protein diet literally starves the detoxification machinery. Aim for 0.8-1.2 grams of protein per kilogram of body weight daily at minimum, higher if you are actively detoxing or exercising.

The Perspective

You cannot live in a bubble, and perfection is not the goal. The goal is reducing your total toxic burden to a level your body can manage — shifting the balance from accumulation toward clearance. Start with the changes that give you the biggest return: filter your water, clean up your personal care products, choose organic for the Dirty Dozen, swap out your cookware, and eat the foods that support your liver’s remarkable capacity to do its job.

Every choice is a vote. You do not need to make every vote count perfectly. You just need to vote in the right direction, consistently, over time. Your body has been dealing with toxins for as long as humans have existed. It is extraordinarily good at detoxification when you give it the raw materials it needs and stop overwhelming it with exposures it was never designed to handle.