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A larger, randomized control trial is now needed to evaluate the efficacy of this program compared to a control group and to explore long-term outcomes. Clinical trial registration number ACTRN12618001501235. © 2020 Published by Elsevier B.V.The determination of heavy metal contaminants in fish is very important in monitoring health risks to humans who consume them. This study assessed the concentration of heavy metals (As, Pb and Zn) in sediments and gills of Common Carp fish (Cyprinus carpio) from Maqalika Reservoir in Maseru, Lesotho