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Gabriel follows Shoemaker CIRS protocol with integrative additions—mold illness is REAL, devastating, often missed (conventional medicine dismisses, mold testing inadequate).
Gabriel follows Shoemaker CIRS protocol with integrative additions—mold illness is REAL, devastating, often missed (conventional medicine dismisses, mold testing inadequate). Protocol: 1) Remove from exposure (CRITICAL—can't heal while still in moldy environment, test home ERMI or HERTSMI-2, remediate or move), 2) Test for mold illness (visual contrast sensitivity VCS test online, HLA-DR genetic test, CIRS biomarkers—C4a, TGF-beta1, MSH, MMP-9, VEGF, VIP), 3) Binders (cholestyramine or natural alternatives—bind mycotoxins, remove from body), 4) Treat sinus colonization (BEG nasal spray—bactroban/EDTA/gentamicin, or natural alternatives), 5) Support detoxification (sauna, liver support, glutathione), 6) Address MARCoNS if present (antibiotic-resistant staph in nose—lowers MSH), 7) VIP nasal spray (if MSH low—restores hormone), 8) Treat co-infections (Lyme, Bartonella common). Recovery takes 6-12+ months, requires leaving mold exposure, comprehensive protocol. Many patients recover dramatically with proper treatment.
Standard Treatment
Conventional medicine: No recognition of mold illness (beyond acute allergic reactions, hypersensitivity pneumonitis, or immunocompromised), "Mold doesn't cause chronic illness" (conventional position—dismisses patient reports), Testing: Skin prick test (IgE allergies—immediate reactions), Serum IgG mold antibodies (exposure marker but doesn't diagnose illness), Treatment: Antihistamines (for allergic symptoms), Inhaled steroids (for asthma), Allergy shots (desensitization), "Move out of moldy environment" (acknowledged for allergies but not chronic systemic illness)
The Problem
Conventional medicine: Denies mold causes chronic systemic illness ("beyond allergies, doesn't make you sick"), Acknowledges: Acute allergic reactions (stuffy nose, watery eyes, wheezing—IgE mediated), Hypersensitivity pneumonitis (rare, severe lung inflammation from massive mold exposure), Infections in immunocompromised (aspergillosis), Dismisses: Chronic fatigue, brain fog, pain, multi-system symptoms from mold (calls "black mold hysteria," "nocebo effect"), CIRS (Dr. Shoemaker's work dismissed by mainstream despite published research, clinical success), Evidence and controversy: Mold produces mycotoxins (universally accepted—aflatoxins cause liver cancer, trichothecenes used as bioweapon "yellow rain," ochratoxin A nephrotoxic, studied in food supply—grains, coffee, wine), Mycotoxins are toxic (proven in animals, food contamination causes outbreaks, regulatory limits in food), Indoor mold exposure causes illness (proven in water-damaged buildings—increased respiratory issues, infections, "sick building syndrome"), Genetic susceptibility (HLA-DR research—25% of population can't clear biotoxins, develop CIRS with mold exposure), CIRS biomarkers (C4a, TGF-beta1, MMP-9, MSH—measurable, change with treatment, correlate with symptoms), Clinical observations (Shoemaker and other mold-literate practitioners—thousands of patients improve with mold avoidance and CIRS protocol, biomarkers normalize, symptoms resolve—consistent reproducible results), Controversy: Conventional medicine rejects CIRS (despite published research, clinical evidence—no large randomized trials, Shoemaker's work questioned, conflict of interest accusations—he sells supplements, training), Patient suffering dismissed ("anxiety," "somatization"), Insurance doesn't cover (CIRS testing, treatments not covered—cholestyramine off-label for mold), Mold remediation industry (some unscrupulous, overcharge—but legitimate need for proper remediation), Mold fear (some people overly anxious—but doesn't negate real illness in susceptible people), Reasonable approach: Mold CAN cause chronic illness in genetically susceptible (HLA-DR, biotoxin can't clear, CIRS develops—real, measurable, treatable), Test for mold exposure (mycotoxin urine test, CIRS biomarkers, VCS, HLA-DR), If mold illness confirmed: Leave moldy environment (must remediate or move—can't heal while exposed), Binders (cholestyramine or natural—remove mycotoxins), Comprehensive CIRS protocol (Shoemaker sequence—binders, MARCoNS treatment, VIP, address co-infections), Detox support (sauna, glutathione, liver support), Many mold patients recover (slowly, 6-12+ months, requires strict protocol, leaving mold), Find mold-literate practitioner (functional medicine, environmental medicine—Shoemaker-trained or familiar with CIRS protocol)
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What's Included
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What's Included
Whole food supplements by Standard Process
What's Included
Standard Process + Matter peptides
Low-mold, anti-inflammatory diet (avoid foods with mold/mycotoxins): Avoid high-mold foods: Coffee (high mycotoxin—ochratoxin A, aflatoxins; if must have coffee, choose tested low-toxin brands—Bulletproof, Purity Coffee), Grains (wheat, corn, rice, oats—often contaminated, especially if stored improperly; avoid grains during treatment or choose organic, fresh, properly stored), Nuts (peanuts, almonds, pistachios, cashews—high mold/aflatoxins; avoid during treatment, then choose organic, fresh, refrigerated), Dried fruit (raisins, dates, figs—concentrated mycotoxins; avoid), Wine, beer (fermented, mycotoxins; avoid alcohol during treatment), Cheese (aged cheeses—mold), Mushrooms (fungi—cross-reactivity), Leftovers (mold grows on food within 24 hours—eat fresh, don't save leftovers), Vinegar (fermented—if very sensitive), Sugar (feeds fungal overgrowth in gut), Processed foods (hidden mold sources), Eat: Fresh organic vegetables (anti-inflammatory, antioxidants), Fresh organic meat, poultry, fish (wild fish—omega-3, avoid farm-raised), Fresh fruits (berries—antioxidants, but not dried fruit), Gluten-free grains if tolerated (quinoa, rice—fresh, organic, properly stored, or avoid grains completely during treatment), Healthy fats (avocado, olive oil, coconut oil), Bone broth (gut healing), Fermented vegetables if tolerated after initial treatment (probiotics—sauerkraut, kimchi, but avoid if very sensitive to fermented initially), Adequate protein (detox, healing requires amino acids), Antioxidant-rich foods (colorful vegetables, berries, green tea, turmeric, ginger), Organic (reduce additional toxin load—pesticides), Adequate hydration (supports detox—8-10 glasses filtered water/day), Avoid alcohol (liver stress, mycotoxin source), Low-histamine diet if mast cell activation (common in mold illness)
Remove from mold exposure (MOST critical step—can't heal while still exposed): Test home (ERMI, HERTSMI-2, mycotoxin dust test—if high, must remediate or leave), Remediate (hire certified mold remediator—IICRC, if small area <10 sq ft can DIY with proper protection but professionals better for large/hidden mold): Find source (water damage, leaks, high humidity, poor ventilation—fix water problem first or mold returns), Remove contaminated materials (drywall, insulation, carpet, belongings—can't clean porous materials, mold deep inside), HEPA vacuum, air scrubbers during remediation, Encapsulate or remove (non-porous surfaces can be cleaned with antimicrobials, porous must be removed), Post-remediation testing (ERMI, air clearance test—ensure mold is gone), OR Move (if remediation not feasible—extensive mold, landlord won't fix, can't afford): Temporary housing (hotel, friend/family, RV—while home treated or finding new place), New home/apartment (inspect carefully before moving—no water damage, leaks, musty smell, ERMI test before signing lease), Belongings (contaminated belongings can carry mold to new place—clothes, books, furniture, electronics): Wash/clean (hard surfaces, non-porous—wipe with borax, vinegar), Launder (clothes, bedding—hot water, borax, dry completely, multiple washes), Ozone treatment (clothes, small items—ozone generator in sealed container, kills mold), Discard (porous items that can't be cleaned—upholstered furniture, mattresses, pillows, papers, books, some electronics; heartbreaking but necessary if severely contaminated), Prevention in new place: Control humidity (<50%, use dehumidifier if needed), Fix leaks immediately, Ventilation (exhaust fans in bathroom, kitchen, open windows), HEPA air purifier (Austin Air, IQAir—remove mold spores), No carpet (tile, hardwood, linoleum—easier to keep mold-free), Monitor (regular inspection, ERMI test periodically), Detox support: Sauna therapy (2-3 weeks after starting binders, 3-5x/week, infrared or traditional, sweat out mycotoxins—many mold patients can't tolerate initially, start after binders working), Adequate bowel movements (mycotoxins eliminate through stool—1-3 BMs/day, use binders, magnesium, vitamin C if constipated), Lymphatic support (dry brushing, rebounding, massage), Hydration (supports kidney elimination), Coffee enemas (liver detox—controversial but traditional, use organic coffee), Castor oil packs (liver support), Treat sinus colonization (mold in sinuses—ongoing source even after leaving environment, use BEG spray or natural rinses, ozone), Treat gut colonization (Candida overgrowth common—antifungal protocol), Address co-infections (Lyme, Bartonella often reactivate during mold exposure—test and treat), Support mitochondria (mold damages cellular energy), Stress management (mold illness is stressful, affects mood—therapy, support groups, meditation), Adequate sleep (healing requires sleep—address insomnia with supplements, sleep hygiene), Patience (recovery slow—6-12+ months, requires strict protocol, avoiding mold)
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Mind, Body & Spirit
True healing requires addressing all dimensions of health. These evidence-based practices complement physical treatment protocols.
Daily meditation practice to reduce stress, lower inflammation, and support healing.
Developing healthy coping strategies to reduce cortisol and support immune function.
Conscious breathing techniques to regulate nervous system and reduce symptoms.
Time in nature to reduce stress, improve mood, and support physical healing.
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