At some point, I got in a conversation about what would happen if you drank nothing but heavy water. The short answer is that yes, this would kill you; the differing molecular weight between molecules built with heavy hydrogen and regular hydrogen will eventually add up to disruption of metabolic processes in ways that we haven't even researched. But we haven't researched them because it would cost an absolute fortune to get enough of the stuff to do yourself in.
This would be a suicide reserved for billionaires.
Its toxicity profile is kind of interesting. In almost all eukaryotes (plants, animals, fungi) low concentrations (1 - 10%) seem to have no obvious effect at all, while around 25% it seems to cause temporary sterility - the gametes seem particularly sensitive. As it approaches 50%, cell reproduction stops and death is rapid. Very few eukaryotes can survive >50% heavy water in their cells. Though a few types of yeast and single-celled plants seem to be able to survive in conditions like many bacteria can - up to 95% or more heavy water. But all kinds of life die at 100% heavy water, as far as I know.
https://en.wikipedia.org/wiki/Heavy_water#Effect_on_biologic...
That's part of why thermonuclear weapons have such a disturbingly high "bang for the buck." The enriched uranium or plutonium primary is really expensive. So is the rocket that gets it where it's going. But the lithium deuteride that makes up the fusion fuel is comparatively dirt cheap.
No idea what the cost of enriched U, Pu, or lithium deuteride is, but I'll note that A) current day thermonuclear warheads deliver an estimated 50% of the total output through fission of enriched U (casing) and Pu (primary) B) the lithium in lithium deuteride, as well as the deuterium, need to be enriched, so probably not quite dirt cheap (depends on your definition of dirt cheap I guess)?
I'd put in the same category as falling from a great height.
Prior to humans enriching radioactive materials, how many humans died from ARS vs. falling from a great height?
Yeah, onto the surface of the sun.