This test is most useful if any of these apply to you.
Atrazine is one of the most commonly applied agricultural herbicides in the United States, and it shows up in drinking water, food, and the air around farms. Most people will never know whether their body is processing it. This urine test gives you a window into that question by measuring a specific breakdown product your body creates after atrazine enters your system.
AM (atrazine mercapturate) is an exploratory biomarker. It is not a routine clinical test, and there are no consensus cutoffs that say one number is healthy and another is dangerous. What it does is tell you whether atrazine has recently entered your body in detectable amounts, which is information you cannot get from any standard panel.
When atrazine enters your body, it does not simply sit there. Your liver breaks it down into a series of smaller fragments using one of your built-in detox systems (the glutathione pathway, which attaches a small molecule called glutathione to foreign chemicals so they can be flushed out in urine). AM is one of those fragments. Detecting it in your urine is direct chemical evidence that your body has recently encountered and processed atrazine.
AM is a useful but partial signal. In some people it is the dominant atrazine breakdown product, while in others, related fragments called DACT (diaminochlorotriazine) and desethylatrazine are more abundant. Population-wide research using only AM tends to underestimate true exposure because of this variation. If your AM is undetectable, it does not guarantee you have had zero exposure to atrazine. If it is detectable, it is a meaningful flag.
Detection rates depend heavily on who is being tested and what assay is used. In the general population, fewer than 5% of people had detectable AM when measured at a low detection threshold. In a study of 579 early-pregnancy urine samples from women in France, atrazine or AM was quantifiable in 5.5% of samples. In a UK birth-cohort analysis using gestational urine, AM specifically was detected in only 1% of samples, while the related metabolite desethyl atrazine mercapturate appeared in 3%.
The picture changes for people who work with the herbicide directly. During planting season, farmers had higher average urinary AM than non-farming controls, and the levels tracked closely with how much atrazine they had applied the day before. Even on days without recent application, farmers still showed elevated AM, suggesting ongoing background exposure beyond active spraying.
The clearest human signal connecting AM to a health outcome comes from the PELAGIE birth cohort in France. Among 579 women, the presence of urinary atrazine or AM in early pregnancy was associated with fetal growth restriction and small head circumference at birth. The same study did not find an association with major congenital anomalies. The evidence is observational rather than proof of causation, but it is the strongest signal currently available linking atrazine biomarkers to a clinical outcome in humans.
What this means for you: if you are pregnant or planning to be, and you live, work, or drink water near agricultural areas where atrazine is used, knowing your exposure level is information you can act on. You cannot change a result after the fact, but a measurable reading can prompt practical changes (water filtration, food sourcing, reduced direct contact during planting season) before they matter most.
There are no consensus clinical reference ranges for urinary AM. This is a Tier 3 biomarker, meaning it is used primarily in research and biomonitoring rather than routine clinical care. The most useful framework comes from population biomonitoring data, which tells you whether your level is rare or common compared to the general population and to occupationally exposed groups.
The numbers below come from human biomonitoring studies of urinary AM and reflect detection patterns rather than clinical risk thresholds. They are illustrative orientation, not a target. Your lab will likely report values in micrograms per gram of creatinine (a urine concentration unit that adjusts for how dilute or concentrated your sample is).
| Tier | What It Suggests | Population Context |
|---|---|---|
| Below detection limit | No recent atrazine exposure measurable in your urine, though not a guarantee of zero exposure since other metabolites may be present | Typical of more than 95% of the general population in biomonitoring studies |
| Detectable but low | Some recent atrazine entered your body and was processed, often consistent with environmental background exposure | Found in roughly 5% of general-population samples and 5.5% of early-pregnancy samples in France |
| Elevated | Substantial recent exposure, typically seen with direct occupational contact or living near recent application | Documented in farmers during planting season, with levels rising the day after atrazine was applied |
Compare your results within the same lab over time. Different assays (immunoassay versus HPLC-MS/MS, a precise lab technique that separates and weighs individual molecules) can produce meaningfully different numbers. Immunoassays tend to read consistently higher than HPLC-MS/MS due to cross-reactivity with chemically similar molecules in your urine.
AM is a short-term marker. It reflects recent exposure rather than a long-term burden, which makes a single reading less useful in isolation than a series taken across different seasons or after specific exposures. If you live or work in an agricultural area, a baseline reading in late winter (before planting season) and a follow-up during peak spraying season can show whether your environment is actively contributing to your body burden.
If you are making changes (switching water filtration, moving residences, reducing time outdoors during application periods, or shifting food sources), retesting after 2 to 4 weeks can show whether those changes are reaching your body chemistry. For ongoing monitoring, an annual check during the same season each year gives you a comparable baseline to track over time.
A detectable or elevated AM result does not require a medical workup the way a high cholesterol number might. There is no medication to lower it. The decision pathway is environmental rather than clinical.
Evidence-backed interventions that affect your AM level
Atrazine Mercapturate is best interpreted alongside these tests.
Atrazine Mercapturate is included in these pre-built panels.