The Impossible Burger: Boon or Risk to Health and Environment?

Michelle Perro, MD
Published: May 16, 2018
Impossible Foods’ meatless burger is touted as healthy and environmentally responsible. Claire Robinson and Dr Michael Antoniou take a look at the evidence behind the hype.

At-a-glance

  • Impossible Foods’ meatless burger is marketed as a healthy and environmentally responsible choice.
  • The key ingredient that gives the Impossible Burger its meaty taste and makes it bleed like meat when cut is soy leghemoglobin (SLH), derived from genetically engineered yeast.
  • The US Food and Drug Administration (FDA) refused to sign off on the safety of SLH, which has never been in the human food supply before.
  • The FDA is also concerned that SLH may be an allergen.
  • The Impossible Burger contains a number of other ingredients that are derived from genetically modified organisms (GMOs).
  • Some ingredients in the Burger are highly processed and are produced in industrial vats (“fermentation”).
  • The GM yeast must be grown in a nutrient-rich broth made of chemically synthesized ingredients that are themselves industrially manufactured.
  • Overall, the manufacturing processes for the Impossible Burger are materials-hungry and energy-hungry. These facts are being ignored in promotional claims about the environmental impact of the Burger.
  • The Impossible Burger represents the opposite of what today’s health-aware and environmentally conscious consumers want from their food: pure, natural, non-GMO ingredients that are transparently sourced.

The high-tech food company Impossible Foods is asking health-aware and ecologically conscious consumers to help the environment by eating its plant-based “Impossible Burger”. The burger is available in restaurants across the US.
Impossible Foods is pitching its product on the basis of claims that it is a healthy and environmentally responsible choice. But a look at the facts gives a different picture.
The Impossible Burger is a GMO food
A key ingredient of the Impossible Burger is a protein called soy leghemoglobin (SLH) derived from genetically engineered yeast. SLH contains an add-on component known as “heme”. In its natural form, SLH is found in the root nodules of soybean plants. Impossible Foods has taken the SLH gene from the soybean and used genetic engineering technology to insert it into a strain of yeast. The resulting genetically modified (GM) yeast is grown at an industrial scale in vats, a process known as fermentation. The SLH is then isolated from the yeast and added to the Impossible Burger.
The heme component of SLH in the Impossible Burger gives it a meat-like taste and makes it “bleed” like rare meat. (This component mimics the effect of heme in natural meat such as beef, where it is principally present as part of two proteins, hemoglobin in red blood cells and myoglobin in the muscle of the meat.)
The Impossible Burger is not made from organically sourced or Non-GMO ingredients, so there are other substances present in this product that in all likelihood are also derived from GM organisms (GMOs) – namely soy protein isolate and a number of vitamins – which we shall return to later in this article. So overall, the Impossible Burger is a GMO food.
Is it safe?
The company maintains that the key ingredient of the Impossible Burger that gives it a meaty taste, SLH, is safe to eat. It wanted the US Food and Drug Administration to confirm safety, providing reassurance for consumers. But the FDA refused to do so, as revealed in documents obtained in 2017 under a Freedom of Information request by the ETC Group and other environmental and consumer organizations.
In its communications with Impossible Foods, the FDA expressed concern that SLH has never been consumed by humans and may be an allergen. The agency pointed out that the safety information submitted by Impossible Foods was not specific enough: “Although proteins are a part of the human food supply, not all proteins are safe. Information addressing the safe use of modified soy protein does not adequately address safe use of soybean leghemoglobin protein from the roots of the soybean plant in food.”
The FDA concluded, “FDA believes that the arguments presented, individually and collectively, do not establish the safety of SLH for consumption, nor do they point to a general recognition of safety.”
Slight changes in proteins can have big impacts
Impossible Foods argued that SLH is safe to eat because its modeled 3D structure is similar to that of hemoglobin and myoglobin. Generally, hemoglobin and myoglobin are proteins present respectively in the red blood cells and muscles of animals, some of which form part of the human food supply. (Hemoglobin and myoglobin are also present in humans.) But the FDA replied, “Conformational similarity or functional similarity among proteins is not an indication of the safety of proteins for consumption.”
Dr. Michael Hansen, senior scientist with Consumers Union and member of the GMOScience advisory board, agreed, telling Wired Magazine: “Just because proteins have similar functions or similar three-dimensional structures, doesn’t mean that they’re similar. They can have a very different amino acid sequence, and just slight changes can have impacts.”
Such impacts could include unexpected toxicity or allergenicity.
Additional proteins
Another safety issue raised by the FDA is that the SLH product extracted from the GM yeast, by Impossible Foods’ own admission, is only 73% pure. The rest is made up of 46 additional yeast proteins, some of which are unidentified. None have been assessed for safety by the company.
Impossible Foods says, “The non-target proteins which may co-purify are expected to be safe for consumption based on history of safe consumption of the whole yeast in animals.”
Allergenicity
The problem with Impossible Foods’s statement is that animals are poor predictors of human allergenicity. While it’s unlikely that these yeast proteins are overtly toxic, the yeast does not seem to have been part of the human diet, so we don’t know if it could cause immune reactions and allergies.
Impossible Foods argued against allergenicity, partly on the basis that a bioinformatics analysis using the Allergenonline database did not show a greater than 35% similarity to known allergenic proteins. But the FDA was unconvinced, countering that the approach used in Allergenonline “does not provide evidence of the lack of sensitization/allergenic potential of SLH.” The agency added, “Analyses using other software, such as SVM module-based software, indicate that SLH could be an allergen.”
In spite of all the FDA’s advice, the company decided in any case to sell the Impossible Burger to the public.
It may be no coincidence that 20 minutes after eating an Impossible Burger for the first time, a man Tweeted, “Went into anaphylactic shock & taken to ER. Never happened to me before…”. His Tweet (shown here) has since been deleted.
An incident of anaphylactic shock is a severe, potentially life-threatening allergic reaction which can occur within seconds or minutes of exposure to something you’re allergic to.
This man’s report is not definitive proof that ingredients in the Impossible Burger were to blame for the anaphylactic shock. But given the FDA’s warning, and the timing of the onset of the man’s symptoms, there is plenty of reason for caution.
Dr. Michelle Perro, pediatrician and executive director of GMOScience, commented, “Food allergies are so commonplace in the American landscape that California schools are now required to have Epipens to treat life-threatening allergic emergencies. The epidemic of food allergies in our population affects approximately 40% of American children – a number that is likely underreported.
“Dr. Arpad Pusztai, one of the first researchers of GM food safety, raised the issue that newly modified proteins are foreign to our immune systems, which could make them immunogenic and ultimately allergenic. For example, a normally non-allergenic protein in beans (alpha-amylase) was found to cause immunogenic and allergic-type reactions in mice once it had been genetically engineered into peas.1
“Given these facts, to introduce another potential allergen into the food supply before it has been tested appears highly irresponsible.”
Allergenonline: Links to Monsanto
The Allergenonline database cited by Impossible Foods is housed at the University of Nebraska and is described as “a tool for evaluating the safety of proteins” included in foods through processing or genetic modification”. It is funded by biotechnology companies and is managed by the former Monsanto scientist Richard E. Goodman.
Impossible Foods contracted Dr. Goodman to assess the potential allergenicity of SLH as part of its submission to the FDA. According to the submission, “Dr. Goodman’s expert opinion concluded that soybean leghemoglobin is very unlikely to present a risk of dietary allergy to consumers.” Dr. Goodman also published his opinion in a peer-reviewed article co-authored by an Impossible Foods scientist.
It is to the FDA’s credit that it was not swayed by the “expert opinion” of Dr. Goodman and refused to give its safety stamp to the Impossible Burger. Impossible Foods withdrew its request to the FDA for GRAS (Generally Recognized as Safe) status for SLH in November 2015. However, it is a sad indictment of the US’s regulatory system that the company was nevertheless legally able to go ahead and launch the product onto the market in 2016.
Low environmental impact?
A major plank of Impossible Foods’ pitch for its meatless burger is the heavy environmental impact of industrial-scale livestock farming . According to the company’s website, “The way the world produces meat today is taking an enormous toll on our planet. According to livestock researchers, animal agriculture uses 30% of all land, over 25% of all freshwater on Earth, and creates as much greenhouse gas emissions as all of the world’s cars, trucks, trains, ships, and airplanes combined.”
In contrast, Impossible Foods presents its product as low-impact and environmentally friendly : “Because we use 0% cows, the Impossible Burger uses a fraction of the Earth’s natural resources. Compared to cows, the Impossible Burger uses 95% less land, 74% less water, and creates 87% less greenhouse gas emissions.”
But let’s take a closer look at the burger’s ingredients: “Water, Textured Wheat Protein, Coconut Oil, Potato Protein, Natural Flavors, 2% or less of: Leghemoglobin (Soy), Yeast Extract, Salt, Konjac Gum, Xanthan Gum, Soy Protein Isolate, Vitamin E, Vitamin C, Thiamin (Vitamin B1), Zinc, Niacin [Vitamin B3], Vitamin B6, Riboflavin (Vitamin B2), Vitamin B12.”
Almost all of these ingredients are highly processed. Textured wheat and potato proteins are processed foods that take energy to manufacture. The SLH in the Impossible Burger is extracted from GM yeast, which is fermented in large vats in an industrial setting. The yeast must be grown in a nutrient-rich broth made of chemically synthesized ingredients that are themselves industrially manufactured.
The vitamins in the burger are another example of highly processed ingredients. The vast majority of vitamins are not natural extracts from foods but are synthetic. They may be produced by chemical synthesis or from biological processes using algae, bacteria, or fungi (including yeasts). The bacteria may be selectively bred or mutated for higher production using mutagenesis agents like chemicals or UV light, or they may be genetically engineered.2 For example, vitamins B2 and B12 can be produced using genetically engineered bacteria in a fermentation process.3
Energy-hungry, materials-hungry
All these industrial processes are expensive. Crucially, they are also energy-hungry and materials-hungry. And that’s without considering the environmental footprint of the pesticides and fertilizer applied to the non-organic crops that go into making the Impossible Burger.
Taking into consideration the whole complex manufacturing operation, how much greenhouse gas is generated in the synthesis of all those highly processed ingredients? How does the Impossible Burger’s environmental impact compare with grass-fed organic beef production? Or with the production of non-GMO plant-based burgers like Beyond Meat’s, which is marketed based on its non-GMO status?
These are key questions, which Impossible Foods has failed to address. By simplistically confining the notion of environmental impact to the presence or absence of cows in its burger, it completely misses the bigger sustainability picture. And in that bigger picture, a burger consisting of a novel, potentially unsafe protein produced from GM yeast, mixed together with a host of ingredients that are chemically synthesized or brewed up in fermentation vats, does not sit well.
Pesticides
The agrochemicals applied to plants from which ingredients for the Impossible Burger are obtained may in turn bring another layer of health risks. The greatest risks may come from mixtures of chemicals, which have not been tested for their combined and cumulative effects. But a close look at just one chemical, the herbicide glyphosate, is enough to raise concerns.
Non-organic wheat fields are sprayed with herbicides based on glyphosate – named by the World Health Organization’s cancer agency IARC a “probable carcinogen”.4 In some cases, glyphosate is sprayed on the growing crop just before harvest, potentially leading to high levels of residues in the harvested crop. Glyphosate has been found at widely differing levels in processed foods containing wheat – and the more highly processed the product, the higher the levels seem to be.5
While the levels ingested from glyphosate-contaminated foods are claimed by the industry and regulators to be safe, there is a growing body of evidence indicating that the so-called “safe” daily intake level for glyphosate set by regulators may in fact be potentially toxic.6 The Impossible Burger – as well as meat-based burgers – may contain residues of glyphosate that will add to the consumer’s daily intake level.
What the public wants
In conclusion, the claims made for the Impossible Burger’s health and environmental credentials are at best questionable and at worst highly misleading. But the more fundamental point is that this burger, the product of poorly tested novel and synthetic ingredients and GMOs, represents the opposite of what an increasingly food-aware and environmentally conscious public wants: pure, minimally processed natural ingredients, free from GMOs, transparently sourced, and produced with as few chemical and synthetic inputs as possible.
References
1. Prescott VE, Campbell PM, Moore A, et al. Transgenic expression of bean alpha-amylase inhibitor in peas results in altered structure and immunogenicity. J Agric Food Chem. 2005;53:9023–30. doi:10.1021/jf050594v
2. Survase SA, Bajaj IB, Singhal RS. Biotechnological production of vitamins. Food Technol Biotechnol. 2006;44(3):381–396. http://www.ftb.com.hr/archives/76-volume-44-issue-no-3/388-biotechnological-production-of-vitamins. Accessed April 26, 2018.
3. zu Berstenhorst SM, Hohmann H-P, Stahmann K-P. Vitamins and vitamin-like compounds: microbial production. In: Schaechter M, ed. Encyclopedia of Microbiology. 3rd ed. New York, NY: Elsevier Inc.; 2009:549-561.
4. International Agency for Research on Cancer. IARC Monographs Volume 112: Evaluation of Five Organophosphate Insecticides and Herbicides. Lyon, France: World Health Organization; 2015. http://monographs.iarc.fr/ENG/Monographs/vol112/.
5. Food Democracy Now! and The Detox Project. Glyphosate: Unsafe on Any Plate: Food Testing Results and Scientific Reasons for Concern. Clear Lake, IA, USA: Food Democracy Now! and The Detox Project; 2016. bit.ly/glyphosateFood.
6. Mesnage R, Defarge N, Spiroux de Vendômois J, Séralini GE. Potential toxic effects of glyphosate and its commercial formulations below regulatory limits. Food Chem Toxicol. 2015;84:133–153. doi:10.1016/j.fct.2015.08.012
Claire Robinson is editor at GMWatch, a public news and information service covering GM foods and their associated pesticides. Michael Antoniou, PhD is a research group leader and teacher in molecular genetics at a leading London university.

Action Items

Regulatory Oversight

 Enhanced Regulations:

  • The FDA and other regulatory bodies must establish stricter guidelines and permissible limits for toxic metals in infant formula. This action has been already put into our place since our meeting with the FDA prior to the release of our data reported in this blog by Moms Across America.

Regular Testing:

  • Mandatory, routine testing for heavy metals in all infant formula products should be enforced to ensure compliance with safety standards.

Transparent Reporting:

  • Companies should be required to disclose test results publicly, promoting transparency and accountability.

Proactive Measures by Companies

Sourcing and Production Controls:

  • Infant formula manufacturers must implement rigorous controls over their raw materials and production processes to minimize contamination.

Regular Audits:

  • Frequent internal and third-party audits should be conducted to ensure adherence to safety protocols and identify potential sources of contamination.

Research and Development:

  • Investment in research to develop technologies and methods for removing or reducing heavy metal content in infant formulas.

Remediation Solutions

Advanced Filtration Systems:

  • Implementing advanced filtration technologies during production to remove toxic metals.

Ingredient Substitution:

  • Identifying and using alternative, less contaminated sources of raw materials.

Chelating Agents:

  • Exploring the use of safe chelating agents that can bind to metals, making them less bioavailable and reducing their toxic effects.

What the Data Means to Moms

For mothers and caregivers, these findings can be alarming. However, it is essential to understand the implications and take informed steps to ensure the safety of their infants. Breastfeeding remains the best option for infant nutrition, when possible, as it naturally minimizes exposure to contaminants.

Recommendations Based on Data

Prioritize Breastfeeding:

  • Whenever possible, opt for breastfeeding to provide the safest and most natural nutrition for your baby.

Choose Carefully:

  • When breastfeeding is not an option, select infant formulas that have been independently tested and verified for low levels of toxic metals.
  • Maximize moms’ diet utilizing organic regenerative whole foods, including an array of fermented foods, filtered water, and nutritional supplements, such as prenatal vitamins and probiotics.

Stay Informed:

  • Keep abreast of the latest research and reports on infant formula safety to make informed decisions.

Advocate for Change:

  • Support initiatives and petitions calling for stricter regulations and safer infant formula products. (See the end of this article for a petition/call-to-action.)

Sample Considerations

The recommendations based on our findings proved challenging since all formulas tested positive for aluminum and lead. Other difficult considerations were based on the fact that not all metals are equally toxic and it is unclear whether having more metals at lower amounts was more toxic than fewer metals with higher amounts. The literature did not prove helpful in this regard.

Hence, the best attempts were made to offer advice for concerned parents based on this one study of toxic metals without other concomitant toxicants studied. A scorecard was designed, rating the formulas from 1 – 3, with 1 being the best based on 5 toxic metals studied and without consideration of other factors. The formulas were chosen for lowest levels of lead, mercury and cadmium. Lower levels of aluminum were considered since they all tested positive. There were no ideal formulations, and the recommendations were based on the 20 tested. There were differences in the two samples of the same formula which may not be statistically significant.

Overall formula recommendations:1

  1. Similac Sensitive infant formula
  2. Kirkland ProCare Non-GMO infant formula – NOTE: My top choice factoring in other contaminants/pesticides
  3. PurAmino hypoallergenic powder infant formula (For babies with digestive issues requiring predigested formulas)

Formula recommendations:2

  1. Gerber Good Start Gentle Pro
  2. Earth’s Best Organic Sensitivity Formula

Formula recommendations:3

  1. Enfamil Sensitive Infant Formula
  2. Similac Total Comfort Infant Formula
  3. Up & Up Gentle Premium Powder Infant Formula
  4. Up & Up Non-GMO Hypoallergenic Powder Infant Formula
  5. Enfamil Plant-Based Soy Powder Infant Formula

Strategic Recommendations

Targeted Research

Understand Contamination Sources:

  • Conduct further research to understand the sources of metal contamination in infant formulas, including soil contamination with pesticides, water used in manufacturing, and packaging materials.

Long-Term Health Impacts:

  • Investigate the long-term health impacts of chronic exposure to low levels of these metals in infants.

Consumer Guidance

Interpreting Lab Results:

  • Educate parents on how to interpret lab results and select formulas with the lowest possible contamination levels.

Support Safe Feeding Practices:

  • Provide resources and support for parents to transition to safer feeding practices, whether through breastfeeding support or safer formula alternatives.

Enhanced Testing Protocols

Rigorous Testing:

  • Mandate formula manufacturers to adopt more rigorous testing protocols, including testing for a broader range of contaminants and more frequent testing intervals.

Standardized Procedures:

  • Advocate for standardized testing procedures across the industry to ensure consistency and reliability in reported results.

Supply Chain Transparency

Transparency:

  • Push for greater transparency in the supply chain of infant formula ingredients.
  • This includes sourcing, production processes, and quality control measures.

Traceability:

  • Implement traceability measures to identify and mitigate contamination sources promptly.

Policy and Advocacy

Environmental Contamination:

  • Support policy initiatives aimed at reducing environmental contamination, as many of these metals enter the food chain through polluted air, water, and soil.

International Cooperation:

  • Advocate for international cooperation to address the global nature of food safety, as ingredients are often sourced from multiple countries.

Summary

The presence of toxic metals in infant formula is a critical issue that demands immediate action.

Public education is crucial to raise awareness among parents and caregivers about the potential risks and safety measures. Regulatory action by Congress is necessary to empower the FDA and other agencies to enforce stringent safety standards. Additionally, formula companies must take corrective actions to ensure their products are safe.

To address this issue, we are initiating a petition to urge Congress to remove any barriers preventing the FDA from enforcing these necessary regulations. In the meantime, parents can consider various supplements that may help offset the toxicity, although this should be done in consultation with healthcare professionals.

By working together—regulators, companies, and consumers—we can ensure that infant formula products are safe and healthy for our most vulnerable population, our babies.

Our Petition:

Please cut and paste this letter, add 1-3 sentences at the top to personalize it and increase the chances of it being read, and send it directly to your Senator and Representative today!

Find your Senator and Representatives’ emails and telephone numbers here.

Dear Senator_____ or Representative _______,

I am writing to ask for your support in making baby food and formula safer for our babies. Will you support the Baby Food Safety Act of 2024 and insist that baby formula is included? Please authorize the FDA with the ability to do their job and protect human health. Baby formula is often the ONLY food a baby consumes for the first six months of their lives and must be monitored for heavy metals. Our babies ARE our future and they are the most vulnerable. If swift action is not taken, babies from both sides of the aisle will continue to be severely impacted and their mental, physical, and reproductive health issues will affect the future of America.

GMOScience and The New MDS, Moms Across America, a national educational nonprofit dedicated to empowering mothers and others to create healthy families and communities, today announces the results of testing for five toxic metals in 20 infant formula products. Samples included organic as well as non-organic and plant-based as well as animal product formulas sold by four of the major producers of infant formula in the United States and across the globe. Two samples of each product were tested, for a total of 40 samples.

Concerning findings include:

  • 100% of the 40 samples tested contained aluminum and lead.
  • 57% of the samples tested positive for arsenic, 55% for mercury, and 35% for cadmium.
  • Six of the 20 formulas were positive for all five toxic metals in both samples.
  • At 41,000 ppb, aluminum levels in a goat’s milk baby formula were 4000 – 40,000x higher than other metals in the formulas tested and exceed limits set by the FDA for maximum safety level of aluminum for a preemie.
  • Levels of mercury in four samples measured above the limit allowed by the FDA in drinking water.
  • Levels of cadmium in both samples of one formula were nearly twice the level allowed in drinking water.

The FDA concluded many years ago that babies and young children are particularly vulnerable to the harmful effects of food contaminants because of their small bodies and rapid cellular growth. In 1962, the FDA launched the Total Diet Study, recently published in July, 2002, analyzing 910 foods, including only four infant formulas. Two of the four formulas contained toxic metals, including uranium. In April 2021, the FDA announced its “Closer to Zero” plan, wherein it committed to proposing allowable levels of lead in various baby foods by April 2022, levels of inorganic arsenic by April 2024, and cadmium and mercury sometime after 2024. None of those deadlines, however, have been met, and all of them have been removed from the Closer to Zero website.

To date, the only actionable limits the agency has set are for one toxic metal only (inorganic arsenic) in one type of baby food product (infant rice cereal).

Citing findings of nearly 400 childhood lead poisoning cases in fall 2023 linked to recalled cinnamon applesauce pouches. A coalition of 20 Attorneys General led by New York’s Attorney General Letitia James issued a letter to the FDA on February 15 of this year to call on the federal agency to protect babies and young children in the United States from lead and other toxic metals in baby food. That letter followed an October 2021 petition and subsequent June 2022 petition, asking the FDA to issue specific guidance to the baby food industry to require testing of all finished food products for lead and other toxic metals.

It has been over two years! Action must be taken now!

Moms Across America, GlyphosateFacts, and GMOScience presented the new baby formula test results and science from Stephanie Seneff and others in meetings with congressional representatives and the FDA in Washington, DC from April 29 to May 2. They were informed by Jim Jones, Deputy Commissioner for Human Foods at the FDA, that the agency is waiting for Congress to pass legislation that would mandate testing for lead and other harmful chemicals in food. On May 9, US lawmakers introduced the Baby Food Safety Act of 2024, which, with Congressional approval, would allow the FDA to regulate and enforce limits on levels of heavy metals found in baby food and potentially formula.

Please support the Baby Food Safety Act of 2024 and insist that baby formula is added to the bill so that the FDA may regulate and monitor levels of heavy metals in both baby food and baby formula.

Thank you.

Signed with Gratitude,

Your constituent __________________

References:

  1. https://www.fda.gov/food/resources-you-food/infant-formula#oversee
  2. https://www.fda.gov/food/resources-you-food/infant-formula
  3. https://www.fda.gov/food/buy-store-serve-safe-food/handling-infant-formula-safely-what-you-need-know
  4. https://www.fda.gov/food/consumers/agricultural-biotechnology
  5. https://www.fda.gov/food/people-risk-foodborne-illness/food-safety-infants-toddlers
  6. https://www.fda.gov/food/infant-formula-guidance-documents-regulatory-information/enforcement-discretion-manufacturers-increase-infant-formula-supplies#regular
  7. https://www.fda.gov/media/71695/download?attachment
  8. https://www.scirp.org/journal/paperinformation?paperid=53106
  9. https://www.researchgate.net/profile/David-Kennedy-40/publication/333582853_Environmental_toxicants_and_infant_mortality_in_America_Peertechz_Journal_of_Biological_Research_and_Development_11_36-61/links/5d111f6592851cf440492ee1/Environmental-toxicants-and-infant-mortality-in-America-Peertechz-Journal-of-Biological-Research-and-Development-11-36-61.pdf
  10. unsafe at any level
  11. https://reneedufault.com/
  12. https://gmoscience.org/
  13. https://www.momsacrossamerica.com/
  14. https://www.ewg.org/research/ewgs-guide-infant-formula-and-baby-bottles
  15. https://www.inonaround.org/baby-formula/
  16. https://projecttendr.thearc.org/
  17. https://hbbf.org/
  18. https://www.hbbf.org/solutions/healthy-baby-foods
  19. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4415012/: Developmental pesticide exposure reproduces features of attention deficit hyperactivity disorder
  20. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8871549/:Prenatal Mercury Exposure and Neurodevelopment up to the Age of 5 Years: A Systematic Review
  21. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5461492/:Fetal and postnatal metal dysregulation in autism
  22. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1764574/:Lead and mercury exposures: interpretation and action

https://www.nass.usda.gov/Surveys/Guide_to_NASS_Surveys/Chemical_Use/WheatPostharvestChemicalUseFactSheet.pdf

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