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INTEGRATIVE NUTRITION • FUNCTIONAL TESTING  • NELSON, BC

Hair Tissue Mineral Analysis 
(HTMA)

A non-invasive functional test that reveals your mineral status, metabolic rate, adrenal and thyroid patterns, heavy metal burden, and how your body is actually functioning — over the past 3 months.

FATIGUE

ANXIETY

ADRENAL

THYROID

SLEEP

HEAVY METALS

HTMA.png

WHAT IS HTMA? 

A window into your body's mineral world

Hair Tissue Mineral Analysis is a functional lab test that measures the mineral and heavy metal content stored in your hair, giving a detailed snapshot of your body's mineral status, metabolic function, and toxic element burden over a 3-month period.

Unlike blood tests, which reflect what is circulating in your blood at one moment in time, HTMA reveals what is actually being stored and used at the cellular level. Minerals don't just float in your blood, they are deposited into tissues, where they direct enzyme activity, hormone function, nervous system regulation, and energy production.

The test was developed and refined by researchers including Dr. Paul Eck and Dr. David Watts, whose decades of work established the clinical reference ranges and mineral ratio patterns used in functional practice today. Analysis is performed by Trace Elements Inc. (TEI) — one of the most respected HTMA laboratories in North America.

Why hair — not blood? 

  • Blood mineral levels are tightly regulated — your body will pull minerals from bone and tissue to keep serum levels normal, even when you're depleted

  • Hair reflects tissue storage over 3 months — not just what was circulating on the day of the test

  • Heavy metals accumulate in tissues, not blood — HTMA catches chronic exposure that blood tests miss

  • No needles, no fasting, no clinic visit — a small hair sample collected at home

  • Reveals mineral ratios and relationships that individual levels alone cannot show​​

THE TESTING PROCESS

How HTMA works from sample to protocol

Hair sample collection

A small sample of hair — approximately 1 tablespoon — is cut from the nape of the neck, as close to the scalp as possible. The first 3–4cm of growth reflects the most recent 3 months of mineral activity.

01 • SAMPLE

TEI labratory processing

The sample is sent to Trace Elements Inc. (TEI) — a specialist HTMA laboratory. The hair is washed, digested, and analysed using mass spectrometry to measure 35+ minerals and toxic elements at precise concentrations.

02 • LAB ANALYSIS

Clinical pattern reading

Raw numbers alone mean very little. The clinical value of HTMA comes from reading mineral ratios, oxidation type, metabolic patterns, and toxic element relationships — which requires practitioner-level interpretation.

03 • INTERPRETATION

Personalized mineral protocol

A customised 3–6 month nutritional, herbal, and supplement protocol is built directly from your results. A follow-up test at 3 months tracks progress and guides the next phase of support.

04 • PROTOCOL

WHAT HTMA MEASURES

The mineral groups and key ratios

HTMA measures 35+ minerals and toxic elements, organised into functional groups. The relationships between minerals — the ratios — are often more clinically significant than the individual levels.

MINERAL GROUPS MEASURED BY HTMA

ELECTROLYTES

Cellular energy + hydration

Sodium (Na)

Potassium (K)

Magnesium (Mg)

Calcium (Ca)

Phosphorus (P)

STRUCTURAL

Enzyme + hormone cofactors

Iron (Fe)

Copper (Cu)

Zinc (Zn)

Manganese (Mn)

Chromium (Cr)

TRACE ELEMENTS

Thyroid, immune, antioxidant

Selenium (Se)

Iodine (I)

Molybdenum (Mo)

Boron (B)

Lithium (Li)

TOXIC ELEMENTS

heavy metal burden

Lead (Pb)

Mercury (Hg)

Cadmium (Cd)

Arsenic (As)

Aluminium (Al)

KEY MINERAL RATIOS — WHAT THEY REVEAL

Ca/K

THYROID RATIO

Reflects thyroid hormone activity at the cellular level — independent of TSH or T4

Na/Mg

ADRENAL RATIO

Indicates adrenal gland activity and the body's ability to respond to physiological stress

Ca/Mg

BLOOD SUGAR RATIO

Associated with blood sugar regulation, insulin sensitivity, and cardiovascular tension

Zn/Cu

IMMUNE + MOOD RATIO

Copper-zinc balance linked to immune function, mood regulation, and oestrogen metabolism

WHAT HTMA REVEALS

Symptoms and the mineral patterns behind them

Every symptom has a biochemical context. HTMA maps the mineral imbalances most commonly associated with the patterns you're experiencing — so the protocol addresses the mechanism, not just the symptom.

Fatigue and low energy

Magnesium

Iron

Copper

Na/K Ratio

Cellular energy production requires magnesium, copper, and iron as cofactors. A low Na/K ratio is one of the most common patterns in chronic exhaustion — it reflects depleted adrenal output and cellular burnout.

Sleep disruption

Calcium

Magnesium

Na/K Ratio

Potassium

Magnesium is essential for GABA production — the inhibitory neurotransmitter that enables deep sleep. Calcium-magnesium imbalance and elevated sodium disrupt the parasympathetic shift needed for rest.

Anxiety and nervous system

Calcium

Zinc

Magnesium

Copper

Excess unbound copper is strongly linked to anxiety, rumination, and nervous system hyperactivation. Low magnesium and calcium impair the inhibitory pathways that regulate the stress response.

Adrenal dysfunction

Na/Mg Ratio

Sodium

Potassium

Vitamin C

The Na/Mg ratio is the primary adrenal indicator on HTMA. Both fast oxidation (high output, wired) and slow oxidation (burnout, flat) patterns are identifiable — and require opposite approaches to support.

Thyroid and hormonal patterns

Ca/K Ratio

Selenium

Iodine

Copper

The Ca/K ratio is considered a functional thyroid indicator — elevated calcium relative to potassium suggests sluggish thyroid activity at the cellular level, even when blood TSH appears normal.

Digestive issues

Magnesium

Zinc

Sodium

Manganese

Zinc is essential for stomach acid production and intestinal lining integrity. Low sodium on HTMA often reflects inadequate hydrochloric acid, affecting protein digestion and downstream mineral absorption.

Heavy metal burden

Mercury

Lead

Cadmium

Arsenic

Aluminum

Toxic elements compete with essential minerals for binding sites — lead displaces calcium, mercury disrupts zinc and selenium, cadmium displaces zinc. HTMA identifies chronic low-level toxic element accumulation that blood tests routinely miss. Heavy metal patterns explain symptoms that have no other apparent cause: brain fog, fatigue, joint pain, chemical sensitivity, and mood disorders.

SELF-SELECTION GUIDE

Is HTMA right for you? 

HTMA is a powerful tool — but it's not the right starting point for everyone. Here's how to tell whether it applies to your situation.

HTMA IS LIKELY A GOOD FIT IF YOU...

  • Have unexplained fatigue that doesn't improve with sleep or rest

  • Experience anxiety, mood instability, or nervous system dysregulation with no clear cause

  • Have thyroid symptoms but normal blood work — or are already medicated and still symptomatic

  • Struggle with sleep quality, particularly difficulty staying asleep between 2–4am

  • Have known or suspected toxic metal exposure — amalgam fillings, occupational exposure, or living near industrial areas

  • Have tried multiple supplements without clear results — or feel worse on supplements that should help

  • Want a baseline picture of your mineral status before beginning a clinical nutrition protocol

HTMA MAY NOT BE THE RIGHT FIRST STEP IF YOU...

  • Are dealing primarily with acute gut symptoms — GI MAP is usually the better starting point

  • Have significant food sensitivities as your primary concern — MRT addresses this more directly

  • Have recently undergone chemotherapy or radiation — results may not reflect baseline mineral status

  • Colour or chemically treat your hair frequently — this can affect the accuracy of certain readings

UNDERSTANDING THE DIFFERENCE

HTMA vs standard blood testing

Blood tests and HTMA measure different things. They are not competing — they are complementary. But for certain patterns, HTMA reveals what blood tests are structurally unable to show.

Reflects

​Cellular mineral storage over 3 months

Best for

Chronic patterns, mineral relationships, heavy metals, metabolic type

Catches

Depletion even when serum levels appear normal

Heavy metals

Detects chronic low-level accumulation in tissues

Sample

Hair — non-invasive, collected at home

Timeframe

3-month tissue history

HTMA - Hair Tissue Mineral Analysis

Reflects

Serum levels at one point in time

Best for

Acute deficiencies, organ function markers, inflammatory markers

Limitation

Body maintains serum homeostasis — normal blood levels don't rule out tissue depletion

Heavy metals

Only detects recent or acute exposure

Sample

Blood — requires a clinic visit

Timeframe

Single snapshot in time

Standard blood panel

WHAT HAPPENS NEXT

The HTMA process with Rewellness

01

Book a clarity call

We have a 20-minute conversation to confirm HTMA is the right starting point for your situation and which package makes the most sense.

02

Receive your test kit

Two test kits are sent to you. You collect a small hair sample at home and mail it directly to the TEI laboratory — no clinic visit required.

03

Results + Protocol

Once results are returned (2–3 weeks), we go through them together. Your personalised 3–6 month mineral protocol is built directly from the patterns in your results.

04

Retest at 3 months

The second kit is used at the 3-month mark. Comparing baseline to retest shows how your mineral patterns have shifted and guides the next phase of support.

READY TO GET STARTED?

Find out whether HTMA is the right starting point for you. 

Book a free 20-minute clarity call and tell me what's going on. I'll tell you honestly whether HTMA is the right first test — and if not, what I'd recommend instead.

HTMA is available as a standalone add-on to any nutritional package

Analyzed by Trace Elements Inc (TEI)

Results interpreted by Emily Enright, CNP, HTMA-P

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