What Is Hair Tissue Mineral Analysis (HTMA)? A Complete Guide


HAIR TISSUE MINERAL ANALYSIS (HTMA) is a metabolic test that assesses mineral levels and ratios in the body based on a hair sample, reflecting 6–8 weeks of biochemical changes. Unlike blood, which is tightly regulated by homeostasis, HTMA reveals long-term mineral patterns and toxic burdens.

Why is hair such a good material for analysis?

  • Hair is not subject to homeostasis, therefore it reflects true mineral accumulation.
  • Minerals are 10–50 times more concentrated in hair than in blood (easier detection).
  • Hair growth provides an average picture of the body’s state instead of a momentary snapshot.

HTMA = long-term biomarkers.

What does HTMA show?

1. Major macroelements (Ca, Mg, Na, K)

  • Calcium (Ca) – metabolic rate, nervous tension, enzyme activation
  • Magnesium (Mg) – nervous system, relaxation, energy metabolism
  • Sodium (Na) – stress response, cortisol, blood pressure
  • Potassium (K) – electrolyte balance, heart function, cellular sensitivity

2. Key trace elements

  • Zinc (Zn) – immunity, testosterone, wound healing
  • Copper (Cu) – energy production, nervous system, balance with zinc
  • Selenium (Se) – thyroid function, antioxidation
  • Chromium (Cr) – glucose metabolism

3. Toxic metals

HTMA effectively detects burdens of:

  • lead
  • aluminum
  • mercury
  • cadmium
  • nickel

What makes HTMA different from other tests?

HTMA does not diagnose diseases — it provides functional biomarkers that help to:

  • identify chronic deficiencies
  • assess metabolic rate
  • analyze stress load
  • determine electrolyte imbalances
  • evaluate thyroid and adrenal risk (via mineral ratios)

The most well-known metabolic indicators in HTMA

1. Ca/P — metabolic rate

  • high Ca/P → “slow metabolism”
  • low Ca/P → “fast metabolism”

2. Na/K — adrenal axis

The most important indicator in the entire analysis:

  • high → acute stress response
  • low → adrenal exhaustion, chronic state

3. Zn/Cu — detoxification and inflammation

  • high → copper deficiency
  • low → chronic oxidative stress, oxidized copper

4. Ca/Mg — nervous tension

  • high → tension, insomnia
  • low → decreased energy, insulin resistance

Applications of HTMA

  • fatigue and low energy
  • thyroid disorders
  • glucose and insulin disturbances
  • difficulty with weight reduction
  • symptoms of chronic stress
  • heavy metal analysis
  • personalized supplementation
  • FAQ

Does HTMA replace blood tests?

No — it complements them.

Blood = a snapshot in time

Does hair dye affect the result?

Yes — therefore hair is collected as close to the scalp as possible and dyed sections are avoided.

Does HTMA detect heavy metals?

Yes — it detects long-term exposure, even when metals are no longer visible in blood.

  • Key takeaways

HTMA provides a 6–8 week metabolic profile

Key indicators: Ca/P, Na/K, Zn/Cu, Ca/Mg.

HTMA complements blood tests — it does not replace them.

It is one of the best tools for assessing long-term mineral deficiencies and heavy metal exposure.

References:

  • 1. Hambidge, K. M., & Krebs, N. F. (2007). Zinc deficiency: A special challenge. Journal of Nutrition; Role of zinc, Zn/Cu ratio, immunity, and oxidative stress.
  • 2. Mullaney, D., et al. (2013). Hair mineral analysis: An effective tool for assessing long-term mineral status. Journal of Orthomolecular Medicine; Support for HTMA as a long-term assessment tool.
  • 3. Park, S. et al. (2016). Analysis of trace elements in scalp hair as indicators of nutrition and health status. Ann Occup Environ Med.
  • 4. Bergdahl, I. A. (2005). Methods for biological monitoring of exposure to metals. Scandinavian Journal of Work, Environment & Health; Comparison of blood, urine, and hair as exposure biomarkers.