The elementomics quantitative analysis was performed with an iCAP Qc inductively coupled plasma mass spectrometry (ICP-MS) instrument (Thermo Scientific) according to our previous report (Silver et al. 2018 (link)). Briefly, 60μL of urine and 150μL nitric acid were mixed for 3 h, and the samples were mixed with water to the volume of 1.8mL . After centrifugation, the supernatant was subjected to ICP-MS analysis. The limit of detection was defined as three times of the standard deviation (SD) of the obtained concentrations in the blank with 10 replicates. Quality control and blank samples were analyzed with study samples. Because of the amount of sample available, a total of 963 urine samples in the first trimester were analyzed for the inorganic exposome profiling.