A Practical Guide to the Diethylthiophosphate (DETP) Test

A straightforward guide that explains what the Diethylthiophosphate (DETP) test measures, how it’s performed, and what your results could mean.

October 23, 2025
Author
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Reviewed by
Julija Rabcuka
PhD Candidate at Oxford University
Creative
Jarvis Wang

You eat clean, avoid obvious pesticides, and still wonder what’s slipping through. The Diethylthiophosphate (DETP) test is one of the quiet ways to check, using a biomarker your body creates after contact with certain organophosphate (OP) pesticides. It’s not a fear test. It’s a reality check. Think of it like a fingerprint your body leaves after a brush with common agricultural chemistry — small, fast, and surprisingly revealing. Ready to see what that fingerprint means in real life?

What This Test Actually Measures

Plain-English definition

DETP is a urinary metabolite that forms when your body processes a subset of OP pesticides that carry “diethyl” chemical side chains. In plain terms, the test doesn’t measure the pesticides themselves; it measures what’s left after your enzymes have broken them down. Public health programs like CDC’s biomonitoring surveys have used DETP for years to monitor population exposure, because it captures recent contact with diethyl-type OPs without requiring you to know the exact product or brand you encountered. That makes it useful, but also non-specific — it reflects a class of chemicals, not one single culprit.

How it gets into the body

Entry is simple: food, air, and skin. Residues on produce, aerosols from spraying, and transfer from treated surfaces are the usual routes. Once inside, liver enzymes can convert OPs into “oxon” forms that inhibit cholinesterase, and then detox pathways rapidly chop those compounds down to dialkyl phosphate metabolites like DETP that exit in urine. These metabolites do not equal toxicity on their own; they’re signposts that exposure occurred. Because OPs don’t persist long, what you see in urine largely reflects exposures over the past day or two — a fast-moving story that rewards good timing. So what’s your story over the last 48 hours?

What sample you’ll provide

Most labs use a spot urine sample, often the first morning void for consistency. Some correct the result for urine dilution using creatinine or specific gravity. A 24-hour urine can be used when precision matters, but it’s less convenient. Either way, the sample reflects short-term exposure, not long-term body burden. Want to capture patterns rather than a snapshot? You’d repeat testing across different days or seasons, right?

How the Test Works

Collection and timing

Collection is straightforward: provide a clean-catch urine sample, ideally before heavy exercise or unusual fluid intake to avoid extreme dilution or concentration. Because DETP levels swing with recent exposures, timing matters. If you’re curious about dietary contribution, a sample the morning after a typical day of produce intake is informative. If you’re worried about a home or work event, collect within 24 to 48 hours. Consistency in timing and hydration makes comparisons more credible. Curious how much of your number is biology versus calendar?

Most laboratories measure DETP using mass spectrometry, typically LC-MS/MS or GC-MS/MS with isotope-dilution calibration for specificity and sensitivity. These methods can see very low concentrations while sorting out chemical look-alikes. Labs validate their limits of detection and run quality controls alongside your sample. Still, assays differ between labs, so comparisons should stay within the same method when you can. If you switch methods, do you also switch the meaning?

What the number represents

Your result is the concentration of DETP in urine, sometimes reported both as a raw value and normalized to creatinine. The number represents recent integrated exposure to diethyl-type OPs from all routes combined, not just a single meal or spray event. Because DETP can also come from “preformed” metabolites present on food, the value reflects contact with the chemical class rather than active parent compounds alone. That subtle distinction matters for interpretation. So when you see a result, are you seeing the parent pesticide or the background of everyday life?

What the Results Mean

Reference intervals vs. personal context

Population percentiles from programs like NHANES show what’s common in the general public, but they’re not health thresholds. A value above the median is not a diagnosis; a value below the median is not immunity. Interpretation shifts with age, occupation, season, diet, geography, pregnancy status, kidney function, and even how hydrated you were at collection. The same number can mean different things for a farmworker during peak spray season versus an urban office worker in winter. The key is context. Where do you fit in that story?

Pattern recognition

DETP belongs to the “diethyl” family of dialkyl phosphate (DAP) metabolites, alongside DEP and DEDTP. When multiple diethyl DAPs rise together, the pattern points toward exposure to diethyl-type OPs. When dimethyl DAPs (like DMP, DMTP, DMDTP) are elevated instead, a different subset of OPs is likely. Dominant DETP with low companions may lean toward dietary intake of preformed metabolites rather than direct contact with parent pesticides, while broad elevation across several DAPs suggests mixed sources. Watching how these clusters move together turns a single number into a narrative. Which cluster is yours?

Follow-up testing

Because DETP reflects recent exposure, it’s a natural candidate for retesting after a suspected source change, seasonal shift, or occupational break. In occupational settings, red blood cell acetylcholinesterase or plasma butyrylcholinesterase can add functional context when there’s concern about cholinesterase inhibition. For non-occupational scenarios, repeating DAPs on different weeks or seasons can help distinguish background diet from environmental or work-related contact. Would a second timepoint make your first result suddenly make sense?

Key Systems Affected

Nervous system

Organophosphates inhibit acetylcholinesterase, the enzyme that clears acetylcholine at nerve synapses. That’s the mechanism behind acute OP poisoning — muscle twitching, pinpoint pupils, respiratory distress — which is a medical emergency. DETP itself is not the toxic actor; it’s a downstream metabolite that signals exposure to the class. At typical environmental levels, cholinesterase activity remains in the normal range, though research has linked higher prenatal OP exposure with certain neurodevelopmental outcomes in children, underscoring vulnerability windows. If DETP flags the exposure, what do your symptoms and history say about the effect?

Liver and detox pathways

OPs undergo Phase I metabolism in the liver, often through cytochrome P450s that can both activate and detoxify. Oxon intermediates are then hydrolyzed and dealkylated to dialkyl phosphates like DETP, which are polar and ready for renal excretion. Enzymes like paraoxonase 1 (PON1) modulate how much oxon accumulates before detox, and PON1 activity varies widely across people due to genetics and life stage. If liver enzymes do the chemistry, are your enzymes fast, average, or slow?

Kidneys and filtration

The kidney is the exit door. DETP is water soluble and cleared in urine, so measured levels depend on filtration and urine concentration. That’s why labs often correct for creatinine or use specific gravity. Dehydration can make a small exposure look larger, while high fluid intake can blur a real signal. Underlying kidney disease can also shift the picture. Is your number showing exposure — or just showing how concentrated your urine happened to be?

Endocrine and metabolism

OP pesticides have been studied for potential endocrine-disrupting properties, with mixed evidence in humans and clearer signals in experimental models. Associations with thyroid and metabolic markers have been reported in epidemiology, though causality is not established and effects likely differ by life stage and co-exposures. DETP can’t diagnose endocrine disruption, but it can signal when to look closer at the bigger picture. If exposure is the first chapter, what does the hormonal chapter read like?

Common Sources of Exposure

Environmental and household

Diethyl-type OPs have been widely used in agriculture. Some legacy residential uses were restricted in the early 2000s in the United States, but agricultural applications, imported products, and older residues in dust can still contribute to low-level contact. Home pest treatments, flea products from past years, and drifting spray from nearby fields add to the mosaic. Even if you never touch a sprayer, the environment can touch you. What touched you in the last couple of days?

Dietary and occupational

Fruits and vegetables can carry trace residues or preformed DAP metabolites, especially during peak harvest seasons. Juices and processed produce can concentrate what was on the raw ingredient. On the occupational side, farmworkers, applicators, greenhouse staff, landscapers, and pest control professionals face higher exposure potential if protective practices are inconsistent. Your plate and your paycheck can both shape your DETP. Which one matters more for you this week?

Clues from history

Think recent. Was there a home pest service? A weekend of heavy gardening? A visit to a farm stand or U-pick orchard? Travel to an agricultural region? A new pet treatment applied in the house? Seasonal swings in your produce habits? The right question often clarifies the right source. Which clue lights up when you replay the last 72 hours?

Detoxification and Elimination

Physiology 101

After absorption, OPs are transformed by hepatic enzymes to more water-friendly metabolites. Many are hydrolyzed by esterases and dealkylated to dialkyl phosphates, including DETP. Those metabolites move quickly into urine, with most cleared within one to three days for a single exposure. Ongoing low-level exposures can create a steady signal that never quite returns to baseline until the source changes. If elimination is fast, what does a persistent number tell you?

Systems that support clearance

Clearance depends on blood flow to the liver and kidneys, transporter activity in renal tubules, and sufficient urine output to carry metabolites away. Enzymes like PON1 and various esterases influence how much of the parent OP reaches the metabolite stage, while renal organic anion transporters help shuttle molecules like DETP into urine. It’s a relay race across organs. Which runner is setting your pace?

Why responses vary

Genetic differences in PON1, age-related enzyme capacity, co-exposures to other chemicals, infections, smoking, and nutritional status can all shift how fast OPs are processed and eliminated. Infants and young children often have lower PON1 activity than adults. People with reduced kidney function may show altered metabolite profiles. The same exposure can land differently in different bodies. Which variables are in play for you?

Biomarker Correlations

Functional context from broader labs

In settings where inhibition of cholinesterase is a concern, red blood cell acetylcholinesterase and plasma butyrylcholinesterase provide functional markers that sit closer to the mechanism of toxicity. Kidney function markers and urine creatinine or specific gravity help with interpretation of dilution. Inflammatory and oxidative stress markers can show how the body is responding under heavier exposure conditions, though they’re not specific to OPs. When DETP rises or falls, what do these parallel signals do?

Nutrient cofactors and capacity

Paraoxonase 1 circulates on HDL particles and requires calcium for structure, linking detox capacity to lipid biology. Antioxidant systems that regenerate glutathione buffer oxidative stress that can accompany xenobiotic metabolism. These nutrients and pathways do not change DETP directly; they shape how the parent compounds are handled upstream. If metabolism is a network, where is your network strong and where is it thin?

Interpreting together

Pairing DETP with other DAPs distinguishes diethyl-dominant exposure from dimethyl-dominant exposure. Layering in urine dilution markers avoids overcalling a dehydrated sample. In occupational contexts, normal cholinesterase with elevated DAPs often suggests exposure without functional inhibition, while concurrent changes raise the stakes. Repeating DETP after a suspected source change can confirm whether a trend is real. When data points align, do they point to exposure, effect, or both?

Optimal vs. Normal

Population ranges

Most labs report your value alongside population-based distributions, often derived from large biomonitoring surveys. These show what’s common in the community, not what’s healthy for you. There is no universally agreed “safe” cutpoint for DETP because it’s a metabolite of a chemical class rather than a toxin with a direct threshold. The range is a map, not a verdict. Where on the map do you want to be?

Longevity-oriented targets

Many clinicians view pesticide metabolites through a precautionary lens and aim for levels as low as reasonably achievable, given modern food systems and environments. The goal is trend and context, not perfection. If your number is consistently low relative to population norms and stable over time, it suggests minimal ongoing exposure. If not, the test becomes a compass for source reduction. What would a lower, steadier signal look like in your life?

Trend over time

Direction beats a single data point. Because DETP reflects short-term exposure, repeated measures across weeks or seasons offer clarity that one sample can’t. Seasonal surges during harvest or dips when travel patterns change can be informative. If a suspected source is removed and your DETP falls on the next test, you’ve learned something actionable. What pattern will your next two measurements reveal?

Why Testing Is Worth It

From mystery to measurement

Symptoms like headaches or brain fog are nonspecific and can come from a dozen causes. DETP doesn’t diagnose them, but it removes guesswork about one common exposure class. Public health agencies have used DAPs for decades precisely because they convert a fuzzy exposure into a measurable data point. When you measure, you can compare, and when you compare, you can learn. What’s more useful than turning a hunch into a number?

Guiding remediation

If DETP is elevated with other diethyl DAPs, the data point toward a source class to prioritize. If dimethyl metabolites dominate instead, the remediation focus shifts. If everything is low, the answer might be that pesticides aren’t a key driver for your concerns right now. Testing guides attention, and attention guides change. Where will you direct yours?

Prevention and baseline

A baseline lets you track progress and anticipate seasonal or occupational patterns before they catch you off guard. It also provides context for life stages where vulnerability differs, such as pregnancy or early childhood, when careful exposure awareness is encouraged by public health guidance. Establishing your baseline now can make future changes interpretable. When you look back in six months, what trend will you be glad you captured?

Limitations and Caveats

Scope of the marker

DETP is a non-specific marker of a class of chemicals. It cannot identify the specific pesticide, timing down to hours, or route of exposure with certainty. It can also reflect preformed metabolites on foods that never posed the same biological effect as a parent OP compound. That’s why DETP is best used as part of a pattern, not a solo act. Are you treating it as a clue rather than a conclusion?

Diagnostic limits

This test is not designed to diagnose acute OP poisoning. In suspected poisoning, clinical evaluation with cholinesterase tests and symptom-guided care is standard. DETP helps assess environmental exposure in non-emergency contexts. Different questions call for different tools. Is your question about exposure or about toxicity?

Nonlinearity of response

A twofold change in DETP does not translate to a twofold change in health risk. Biological responses often follow nonlinear curves and depend on timing, co-exposures, and individual susceptibility. That’s another reason to pair exposure metrics with functional or clinical context when concern is high. If biology is nonlinear, should your interpretation be linear?

How Your Body Clears It: Pathways and Practical Meaning

Explaining the clearance pathways

Clearance follows absorption, metabolism, and excretion. Absorption happens mostly through ingestion and inhalation, with some dermal uptake. Metabolism runs through liver enzymes and esterases that neutralize and dealkylate OPs. Excretion completes the loop through urine. Most DETP from a single exposure appears and fades within a few days, which is why the test is so responsive to recent life. If the pathway is quick, how quickly could a change show up on your next report?

Systems that support the process

Hepatic enzymes, plasma esterases, PON1 activity, renal transporters, and adequate urine flow all matter for throughput. Cardiometabolic health influences these systems indirectly via blood flow and lipoprotein dynamics. The body has layers of redundancy, but they differ from person to person. Which layers do you rely on most?

Why people respond differently

Genes, age, illness, co-exposures, and nutritional milieu create a wide normal in how fast OPs are handled. Infants and some adults with particular PON1 variants may process oxons differently. Those differences do not invalidate the test; they add nuance to what a given number may mean. If your biology is unique, shouldn’t your interpretation be, too?

Putting the Number in Context

Functional context from broader labs

Pairing DETP with acetylcholinesterase in higher-risk settings helps distinguish mere exposure from meaningful inhibition. Adding basic kidney function and urine dilution checks improves accuracy. Where suspicion is strong, tracking related DAPs and repeating the test builds a fuller picture. If context clarifies, what context is still missing?

Nutrient connections and capacity

Detox capacity involves enzyme systems that rely on protein structure, minerals like calcium, and lipid carriers like HDL. Antioxidant systems temper collateral oxidative stress during xenobiotic processing. These are not levers to pull for a specific DETP value, but they explain why two people can show different profiles after similar exposures. If the same input yields different outputs, what does that say about the system in between?

Interpreting the dataset together

Rising DETP alongside elevated DEP or DEDTP tightens the inference toward diethyl OP exposure. Stable cholinesterase with elevated DAPs points to exposure without functional inhibition, whereas concurrent enzyme shifts push concern higher. Decreasing DETP after a suspected source change supports causality. When multiple signals cohere, do they point to background diet, environment, or work?

How to Read “Normal” When You Want “Optimal”

Population ranges

Reference percentiles describe where most people fall, not what is ideal for you. There are no clinical cutoffs for DETP that define disease states in the general population. Use ranges as anchors for comparison rather than targets to hit. If normal is just common, what’s your version of better?

Longevity-minded framing

Given accumulating research on low-level exposures and health, many look for a stable low signal over time. Lower is often preferable when plausible and verifiable, but chasing zero isn’t realistic in modern life. The smarter play is trending down and staying steady. Would a low, flat line across seasons feel like progress?

Watching trends

Repeat measures convert a noisy snapshot into a clearer movie. Seasonal cycles, travel, work shifts, and dietary changes become visible when you stack data points. That’s how personal baselines turn into personal insights. What trendline will your calendar reveal?

Why People Choose This Test

From mystery to measurement

It’s empowering to move from “I think” to “I know.” DETP captures one slice of exposure that often hides in plain sight. For health-conscious people already optimizing sleep, training, and nutrition, knowing the ambient chemical load can close a loop. Isn’t a small, objective measure worth having?

Guiding what to change

Results can point you toward the biggest lever, whether that’s tightening food sourcing patterns, rethinking a home pest service, or clarifying that current habits are already effective. The goal is not to overhaul everything, but to find the one or two moves that actually matter. Which lever looks largest in your data?

Baseline for the long game

A baseline gives you a before-and-after for whatever you try next. It also becomes a reference during life transitions, like moving homes or changing jobs, when exposures can shift. Data makes those shifts visible. What will your baseline help you notice later?

How Superpower Turns Exposure Data Into Direction

Environmental exposure is measurable when you connect metabolites like DETP to how your whole system responds. Superpower brings those threads together by viewing your exposure signal alongside 100+ biomarkers that map inflammation, metabolism, kidney filtration, lipid transport, and more. You see the exposure, the potential pathways it travels, and the physiological backdrop it meets along the way.

Ready to make your exposure data actionable? Pair your DETP results with Superpower’s 100+ biomarker panel to see source patterns, track trends over time, and translate numbers into smarter next steps.

References

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