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Avoiding Mercury in Fish

Overview

Mercury is a metal found naturally in the air, soil, and water. Fish can take in mercury from water. When you eat fish containing mercury, you can also take in the mercury. The metal builds up in your bloodstream over time. It slowly leaves the body through urine, stool, and breast milk.

For most people, eating a small amount of fish high in mercury isn't a health concern. Fish are part of a healthy diet. But in a fetus or child, too much mercury can harm the brain and nerves.

If you might become pregnant, are pregnant, are breastfeeding, or are the parent or caregiver of a child age 11 or younger, talk to your doctor about which fish are safe for you and your child to eat. If you eat a lot of fish high in mercury, it may take up to a year for your mercury levels to drop.

Choosing fish that is low in mercury

This is the advice from the U.S. Food and Drug Administration (FDA) and the U.S. Environmental Protection Agency (EPA) for choosing fish that's low in mercury. This advice is for children ages 1 to 11 and for people who might become pregnant, are pregnant, or are breastfeeding.footnote 1 Eating fish and shellfish that are low in mercury can be part of a healthy diet.

The EPA divides fish into these three lists.

  • Best Choices. These fish are lowest in mercury. Some examples from the Best Choices list are salmon, canned light tuna, trout, and shrimp.
  • Good Choices. These fish have more mercury than fish in the Best Choices list. Some examples from the Good Choices list are halibut and canned, fresh, or frozen white albacore tuna.
  • Choices to Avoid. These fish have the highest levels of mercury. Avoid eating tilefish from the Gulf of Mexico, swordfish, and shark. Also avoid king mackerel, bigeye tuna, orange roughy, and marlin.

The EPA suggests eating 2 to 3 servings of fish a week from the Best Choices list, or 1 serving a week from the Good Choices list. A serving size is 4 oz (ounces) for people age 11 or older.

Children ages 1 to 11 can have 2 servings of fish a week from the Best Choices list. Avoid serving children fish from the Good Choices or Choices to Avoid list. Those fish may have too much mercury. A serving size is 1 oz for children ages 1 to 3, 2 oz for children ages 4 to 7, and 3 oz for children ages 8 to 10.

If you're unsure about fish that has been caught locally, check local fish advisories about the safety of the fish. If no advice is available, eat only 1 serving a week. And eat no other fish that week.

Related Information

References

Citations

  1. U.S. Food and Drug Administration & Environmental Protection Agency (2021). Advice about eating fish: For those who might become or are pregnant or breastfeeding and children ages 1–11 years. U.S. Food and Drug Administration & Environmental Protection Agency. https://www.fda.gov/media/102331/download. Accessed July 18, 2022.

Credits

Current as of: September 20, 2023

Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Current as of: September 20, 2023

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Dear patient

I am excited to announce that I will be relocating my practice to Houston Methodist DeBakey Cardiology Associates. Starting November 4, 2024, my new address will be:

Houston Methodist DeBakey Cardiology Associates
6550 Fannin St.
Smith Tower, Suite 1901
Houston, TX 77030

Please note that my phone number and fax number will also change to the following:
24-Hour Telephone: 713-441-1100
Fax: 713-790-2643
Clinical Support Telephone (M-F, 8-5): 713-441-3515

I am excited about caring for you in my new office and hope you will make the transition with me. I will also continue to refill your medications as I have in the past. To assist, please provide your pharmacy with my new contact information.

Please consider checking your prescription refills to verify that you have enough medication on hand to last you until your next visit. Please note that your medical records will remain at my former office until you authorize their transfer. If you choose for me to continue providing your medical care, please complete and sign the enclosed “Authorization for Release of Medical Records” form and fax it to 713-790-2643. Once we receive your authorization, we will be happy to process the request for you.

Thank you for entrusting me with your medical care. My new team and I are dedicated to making this transition as seamless as possible. For help scheduling an appointment and transitioning your care, please call my new office number above.

I look forward to continuing your care at my new location.

Sincerely,
Gopi A. Shah, MD

Dear patient

Dr. Albert Raizner, Dr. Michael Raizner, and Dr. Mohamed El-Beheary are excited to announce that our practice, Houston Cardiovascular Associates, will merge with Houston Cardiovascular Associates on November 1, 2024.

Our new offices are similarly located in Houston, near the Texas Medical Center and in Sugar Land. Our in-hospital care will continue at Houston Methodist Hospital in the Texas Medical Center and Houston Methodist Sugar Land Hospital. Importantly, our new offices expand our services with state-of-the-art equipment and amenities. Our core values will always be, as they began over 40 years ago when Dr. Albert Raizner founded HCA:

Integrity – Compassion – Accountability

Our new address and contact information are:

Your medical records are confidential and remain available at our new locations. We consider it a privilege to serve as your cardiologists and look forward to your continuing with us. However, should you desire to transfer to another physician, you may request a copy of your records by contacting us at our new addresses and phone numbers listed above.

We thank you for your trust and loyalty. As always, we will continue to be here to take care of you. Please do not hesitate to contact us if you have any questions or concerns.

Sincerely,

Dr. Albert Raizner,
Dr. Michael Raizner,
Dr. Mohamed El-Beheary