Mold Course
epa.gov
epa.gov
Initially looked like severe allergies but then I started coughing up blood, waking up gasping for breath, really bad nausea and other GI issues. I was already pissed off with management at this apartment so we moved out about 4 months after the hurricane. While moving out we found all this black mold hiding behind furniture and in corners. Took pictures and then made a point to do mold air quality test before handing over the keys. Saw my PCP who had been overseeing my care the whole time, probably dozens of visits, and mentioned what I found. He then had zero doubt that the mold was causing everything
He ordered a blood test that shows the immune system’s response to mold and it indicated my body was dealing with quite a bit of it. The air tests showed the presence of 3 types/quantities of toxigenic mold and correlated with blood tests
I think it took nearly two years for me to fully recover after moving out of the apartment. Was at least fortunate that all of that documentation allowed me to get a settlement. I had literally emailed the landlord saying I have asthma and the apartment must be safe for me to move back into. I now do mold air tests before I move anywhere
Oddly the house we are about to move into passed the mold air test and then we found a ton of mold in the insulation once we ripped all the drywall out of what is going to be my bedroom
One way to vet a mold tester is to go through a property management or landlords' association, even if you're not either of those things (even if you're a renter!). They often refer or have a list of vetted local contractors publicly available. Nobody likes wasting money on property less than a landlord.
This is the kit I recommend for testing for mold: https://www.envirobiomics.com/product/hertsmi-2/
Only costs $130. Buy the Swiffer kit. Vacuum is not as accurate. Clean the whole house, then wait 2-4 weeks, then use the Swiffer kit to collect dust that has settled in the bedrooms and living room. Don't do kitchen or bathrooms.
Interpreting a HERTSMI-2:
0-8: Excellent
9-10: Good
11-15: Possibly dangerous. Deep clean the whole house, especially locations that are rarely cleaned and have settled dust like the tops of ceiling fans, door frames, blinds, etc. Wait 2-4 weeks and retest. If the score is still 11 or above, you have a significant mold problem that needs to be found and remediated by professionals.
16-50: Dangerous. You have a significant mold problem that needs to be found and remediated by professionals.
NY and Ontario landlords and I’m sure elsewhere have a high tolerance for leaving terrible mold situations in rentals, I know someone who had permanent nerve damage and a condition for life from how the black mold behind her shower that the landlord wouldn’t fix and the state wouldn’t help resolve
To clarify, they were not a factory worker, they were corporate (not that it makes it better but it means that exposure to stuff wouldn't have been a part of their employment agreement) and the root cause was that it saved money
The biggest problem with apartments or condos that experience severe water damage is building management or condo associations that don't want to take on the expense of bringing in experts to repeatedly inspect every apartment for this kind of mold growth. As a resident you and your neighbors, landlords... end up with a significant part of the burden of keeping your domiciles mold free.
As I said, I was told the apartment was repaired and cleaned and led to believe it was safe to move back in so no I didn’t dedicate the hours to cleaning the place myself. Would have been for naught regardless, as the landlord never brought fans and dehumidifiers in (supposed to be done within 24-48 hours) so allowed moisture to fester for weeks
Had a complete allergy test panel and I have zero reactivity to gluten, etc.
Grains (especially flour and oats) are particularly susceptible to mold contamination, and it's interesting to note that the US allows significantly more mold contamination in grains [0] (see Table 3). 5x higher Aflatoxin for all foods, 33% higher Deoxynivalenol in bread, and ZERO maximum amount for Ochratoxin A in any foods in the US.
If you have problems eating grains in the US, it's very likely a mold sensitivity, not anything related to gluten/gliadin.
I just started avoiding most grain based carbs and as a result my life is 100% better with none of the brain fog symptoms and lethargy.
The mold contamination is something I never really considered and could explain a lot. Thanks for sharing!
I also don't think people are quite aware that part of the reason gluten-free foods are so popular is they can help with conditions that are not caused by gluten sensitivities as they omit ingredients which cause multiple health problems. Multiple of which were poorly understood at the time gluten free foods exploded, which drove scepticism because people could not understand why so many people were buying these foods if they did not have celiac disease and often seemed to be often be able to tolerate some amount of gluten.
If you have food sensitivities I'd visit a doctor & do deep research and do trial/error.
I hope you don't mind my joke. I meant no disrespect towards you and would never wish to minimize any suffering you experience.
I was poking fun at self-appointed experts who are more concerned with "um actually-ing" than rendering any help, and I now realize my comment doesn't help either.
I hope you find the answers and relief you deserve.
Each time there's a reaction if you want to try an actually isolate the cause it's back to nothing but plain rice and boiled chicken breast for literally weeks. Then from a neutral state you can introduce the new hypothesis, but given the whole half-life aspect you need to work out whether it's a certain amount of that food over a certain amount of time. If you get a reaction, there's still probably two or more reasons why (e.g., amines vs chitinase vs potassium vs whatever) so now you start again to isolate that. And/or you still need to work out the interaction with other foods. Over and over it repeats. It sucks.
At some point you also want to actually enjoy your life and not spend years being a walking diet experiment.
We don't currently have any accepted and reliable tests for the condition known as gluten intolerance.
Note that you can order celiac disease screening and you can order certain gluten allergy testing, but gluten intolerance is considered a third condition. You cannot currently order a test for this, so the negative test results you received were likely either for celiac disease or a traditional gluten allergy.
Also, note that there are more compounds in grains that you can be allergic to beyond gluten. Gluten gets the spotlight because it was the hot topic for many years, but it's possible to be fine with pure gluten but allergic to grains.
It all gets confusing, but the important thing is to remember that Celiac disease, gluten allergy, and gluten intolerance are three separate conditions and excluding one does not mean you can't have the others. It's also important to remember that there are many more compounds in grains than just gluten.
> If you have problems eating grains in the US, it's very likely a mold sensitivity, not anything related to gluten/gliadin.
That's quite a logical leap without any evidence. For what it's worth, I also have similar allergic reactions to grains but my experience doesn't differ at all when I travel to the EU.
If a blood test for Celiac is positive, the biopsy is negative, and nothing else can account for your symptoms, and removing gluten improved your symptoms, then you end up in the Gluten Intolerant category.
YMMV. The only foods that cause me issues are foods made with US-grown grains, and I've had negative allergy tests for every grain-related immune reaction.
Ochratoxin A is a carcinogen, a mold that regularly contaminates grains, and there's no legal limit in the US whatsoever. That's insane to me.
(edit: feel free to `sed s/very likely/possible/`)
Not to discount the mold sensitivity suggestion either; it seems quite plausible to me as well.
We’ve already noticed a huge decrease in symptoms about 10 days after the air handler was pulled.
The inspector only discovered mold in the air handler itself, which isn't too uncommon. We could have just cleaned the handler coils but decided to pull the entire thing just to be sure. Only after it was pulled did we see about a 15 foot long stretch of mold going directly into our ductwork.
In the bedroom we were replacing our carpet with hardwood floors and discovered a 10 foot mold stretch behind the baseboards.
I think my real problem is MCAS but doctors don’t seem to know or treat it.
> 2. There is no practical way to eliminate all mold and mold spores in the indoor environment; the way to control indoor mold growth is to control moisture.
> 10. Molds can be found almost anywhere; they can grow on virtually any substance, providing moisture is present. There are molds that can grow on wood, paper, carpet, and foods.
But I'd also add:
11. There are many kinds of mold, some more harmful than others. Some are literally penicillin. Some just smell musty, but don't pose a threat. Some can cause severe health problems. The only way to be certain what type of mold you have is to have it tested in a lab.
12. DO NOT try to clean mold yourself. If you try to do this without knowing the proper procedures, you will spread the spores all over your house and into your air conditioning system. Generally every house has mold in it, somewhere. Exposed molds should be remediated, but don't go tearing apart your house to find mold (you'll definitely find it if your house/apartment is over a certain age).
13. Bleach doesn't kill mold. It only turns it white. Hydrogen Peroxide does kill it. You can by concentrated hydrogen peroxide from a lab supply store (we buy 35% and dilute it to 3.5% for everyday cleaning). Spray it onto surfaces in a fine mist (don't soak things) and leave it for 5 minutes. At this point it's mostly stabilized into water that you can wipe away with a paper towel or cloth.
14. Insurance companies really don't like paying for mold remediation. We recently uncovered some (Aspergillus, the Penicillin mold) below our kitchen sink and had to rip out a bunch of cabinets to get it all cleaned out. It coincided with a leak we found in our garbage disposal unit, and our insurance company (Front Line) is now attempting to intimidate us into dropping our claim by using words like fraud and sending forensic inspectors to our house.
The best advice I can give is to take pictures before you think you need to, especially when it comes to moisture-related damage and repairs. We had a plumber come fix our garbage disposal, never suspecting we'd be filing an insurance claim, so we didn't record as much as we could have or take photos of the initial issue, and that may end up costing us.
Bleach does kill mold but the concentrations of bleach required will also damage the surfaces that it's on.
the Penicillin mold would be Penicillium, Aspergillus is used to make Soya Sauce and Sake.
See here: https://en.wikipedia.org/wiki/Aspergillus#/media/File:Four_3...
regarding 13 - now I'm confused. we're telling people how to clean mold when in #12 we're telling people not to clean mold. the whole piece here implying it can just be wiped away should be removed. simplifying mold cleanup like this is what leads to bad DIY jobs.
Look at this study that used gamma irradiation, detergent / bleach wash, and steam cleaning to test as ways to remove mold mycotoxins on paper, cloth, wood, and carpet. Unfortunately none of these techniques worked to inactivate mycotoxins, with two exceptions. A detergent / bleach wash worked to inactivate the mycotoxins on paper and cloth, but not on carpet or untreated wood. So porous surfaces must by physically removed and trashed to get rid of the mycotoxins. If you cannot physically remove it (like untreated wood that is a part of your houses' foundation), you must physically sand the mold off while using a HEPA vacuum to clean it all up.
But if you have mold growing on unpainted wood joists, for example, because of a plumbing leak, you can't just paint over the mold colony on those joists with a sealant, because it may not penetrate deep enough into the wood, and you can't paint the backside of that joist where it touches the floor / ceiling, and so the mold often will just continue to grow and grow around your sealant. Many paints marketed as mold killers and sealers are totally ineffective at stopping the problem in scenarios like this.
High purity hydrogen peroxide has been used as a rocket fuel since it's such a great oxidizer.
> 12. DO NOT try to clean mold yourself
SMH this is like saying don't clean your house, don't bathe, etc. Mold is everywhere, don't think about it. Unless you're immunocompromised or have an allergy, it's completely harmless.
My in-laws discovered mold in their home about four years ago thanks to a tipoff from a psychic. They had their home inspected once, and found nothing. They had their home inspected again and mold was found in their air conditioning system.
Since then, they've had multiple mold remediation companies come in.
* Removal and replacement of several interior walls
* Covering of proximal structural timbers with proprietary anti-mold spray
* several rounds of professional cleaning, with various proprietary blends of magical chemicals
The symptoms my in-laws attribute to mold exposure have not decreased. They've had maybe five or six mold remediation specialists use tools of varying degrees of woo to scan the home. My mother-in-law will set a pan of water overnight in random places and send the water to a lab for testing--no mater where she puts it, it almost always comes back positive (surprise).
I fully believe my inlaws were and are the victim of mold remediation scams. Coupled with their continued reliance on psychics for life advice and their dismissal of mainstream health (they never go to medical doctors) in favor of "functional medicine" and chiropracty, they've dumped nearly 100k of their retirement into trying to solve a problem that we have no direct evidence is the cause of their symptoms.
The story doesn't really have a happy ending. They're living with us as they can't move into other constructions "because of the VOCs" (our home isn't special, they just started living here before they "learned" about VOCs).
I'm not in a position to criticize any particular mold remediation company or technique, I just wanted to share my absurd reality in case it helps anyone else frame what they might be going through themselves. There is a cottage industry of various kinds of remediation scams, and many of them are outright egregious.
https://www.amazon.com/Toxic-Toxicity-Multiple-Sensitivities...
The sad part is the family has at this point given up entirely on correcting the behavior or even drying the house, and it's just a matter of time before there's irreparable damage and severe illnesses throughout. Even worse, it's a townhouse connected to other houses the the left and right, I wouldn't be at all surprised if the damage/sickenss spreads to the neighbors.
High density living definitely has its downsides...
There were campaigns to close the asylums based on this, but no real plan for what to replace them with.
Generally, the umbrella term for the intended replacement is "community-based mental health services," and that embraces a fairly broad continuum of care, in principal.
Among the things that did not happen was sufficient funding for these to be adequately provided publicly, or assurance that non-institutionalized, privately-insured people would be likely to have these covered by private insurance. While some progress on each has been made since, access remains an issue, as does service delivery, especially with the unhoused. (One thing that was not provided for with the withdrawal of institutionalization was a replacement for the room and board inherent in institutionalization.)
I'm with you in theory, but given it was the medical industry that damaged her in the first place, her mother is understandably very apprehensive about them having further access to her.
You neglect the dark side of this "lock the crazies away" solution: the so-called "doctors" are given full access to the person to arrange for whatever medical procedures they deem fit, with zero checks and balances, at the taxpayers dollar. In her case the "doctors" convinced her non-english-speaking parents to put their healthy daughter through a surgery generally considered elective/postponable at a very young age and (accidentally?) suffocated her while she was under, thereby permanently destroying her brain for life. The total amount taxpayers will pay the medical-pharmaceutical complex to keep her vegetive for her entire life is difficult to fathom.
All is not well in the state of public medicine.
I thought this story was fake, thank you for confirming.
It does sound lovely over there, for a time. But I'd imagine my unused brain would atrophy away.
Further projection I see.
But that's besides the point: why do you think it impossible for someone to have an experience that does not align with your preconceived notions with regards to high density housing?
> It is impossible to eliminate all mold and mold spores in the indoor environment. However, mold growth can be controlled indoors by controlling moisture indoors.
Dealing with mold is pretty easy, just get everything dry. No need to go crazy tearing the building apart to hunt for dormant/dead mold (obviously there is a correlation of moldy building with neglected buildings so you might have to demo/repair anyways). If air quality is a concern that can be addressed monitoring/filtering.
Afaik mold is only a big topic because of lawyers seeing a nice liability and the media a spooky story.
No, that's not enough. Dormant/dead mold can still cause air quality problems. In most cases damaged material needs to be replaced. In some cases it's sufficient to isolate the damaged material to reduce its impact on air quality.
I'm from Finland and it seems that we treat mold much more seriously compared to other countries. I don't know if Finnish people have a genetic or environmental effect that makes people much more susceptible to get symptoms in moldy buildings, but it's super weird reading about how other countries treat mold...
As far as I know, air purifiers do not filter mold related particles in the air to any useful amount.
I think this is a big issue in US because the way they build houses, mainly with wood and gypsum. In case of water damage it is really hard to dry those materials.
Unfortunately, mold is also a growing health concern for a sizable portion of the population. My family got severely ill from a moldy house, and it is taking us years to fully recover. The longer we have been aware the more and more folks we find are dealing with something similar.
The EPA Guide is a great start, but in our experience lacks some situational nuance that might increase its helpfulness. Each person reacts differently mold, some folks are just more sensitive than others. There are no federal standards for mold, either for allowable amounts in your home or guidelines for construction. So depending on your health response you may in fact need to go crazy tearing apart your house to hunt for mold.
After talking with ~30 different mold remediators, inspectors, remodeling contractors, etc. We got ~30 different responses for possible causes for mold in our our home. Ultimately, the cost to fix the true sources of mold in our home (due the sources being related to construction practices around the foundation) was equivalent to new construction. We ended up tearing down the moldy house. We're hoping to move into our new house late next spring!
We ended up with the realization that the rental housing stock in the Bay Area are all very old, usually not well maintained and depending on the area, very likely to have or have had water damage, the only thing we could do to get into newly built housing, was to rent an apartment.
The amount of bad information and advise is pretty staggering – if you're adversely reacting to the environment you're in, the best thing you can do is remove yourself from it, then accept that you may never be able to return to it.
Anyway, this all sounds very familiar and you're welcome to reach out to me at <hn-name>@icloud.com – and that goes for anyone else dealing with similar stuff.
If you need supreme indoor air quality, that'd take the following:
- A fairly air tight building envelope - Proper WRB and insulation strategy (exterior+interior in many places) for your climate (including basement) to prevent condensation - Adequate continuous ventilation/filtration
Which is not feasible for most housing stock in the USA. You might be able to keep the framing, plumping/electrical, and foundation (if you're lucky). Framing is relatively cheap compared to the rest of the house.
There’s many individual damage symptoms, but typically humidity somehow enters through the walls of the basement, making them damp/wet and thereby leading to mould infestation.
The expensive but thorough solution is to dig around the foundation and install a vertical damp-proof course around the outside walls. The walls would additionally require drying and depending on building material removing the old plaster and re-plastering.
If a concrete floor is damp, the culprit would be a crack which can be sealed with special injected sealants. If it’s an older type of floor, it may need to be replaced with concrete.
How did the basement infest the rest of the house, just regular air transfer or did humidity rise through the walls and caused infestation in the above-ground rooms?
When I learned about mold sensitivity I got concerned and started doing mold tests and looking out for mold exposure but eventually realized that nobody in my family is mold sensitive. The "not a big deal" attitude is right for most people, but we should be sensitive to those that are highly mold sensitive.
Mold is the kind of problem that is at most a nuisance for people who have the means to do something about it, but seemingly unsolvable for people who actually need a solution.
In many places this is not easy.
Unfortunately most of the population (including medical doctors) also has a similarly nonchalant conception of mold; that it's something that merely causes some allergies and sniffles for sensitive members of the population.
Toxic mold secretes _neurotoxins_ which will 100% destroy your life for years, if you get a bad enough exposure.
Read some of the experiences of mold survivors in this thread or elsewhere to get a sense of how bad this can be: it's horror-movie stuff.
Source: been through mold exposure myself. It wrecked my life for 5 years, and I still have lingering aftereffects.
Like these fascinating tutorials about visually programmed Slime Mold Simulations using Blender's simulation and geometry nodes:
Slime Mold Simulation Nodes Tutorial (Blender 3.6a)
https://www.youtube.com/watch?v=3_eHAsC9OoA
Simulation Nodes Tutorial: Slime Splattering Generator | Blender 3.6 Geometry Nodes
https://www.youtube.com/watch?v=yUzfJPlBzIs
Tutorial | Grow Cordyceps Fungus in Blender 3.5+
https://www.youtube.com/watch?v=0LOaFbbTSZQ
Slime free Add-On for Blender 3.1
https://www.youtube.com/watch?v=cJEvaeTNCkw
Slime Mold Effect
https://www.youtube.com/watch?v=_FMSgOAoq7Q
Another Slime Mold Simulation
https://www.youtube.com/watch?v=9Y5nyeeuDug
Random Projects in Blender (Physarum Transport)
https://www.youtube.com/watch?v=JBQk3uiKSE0
Blender 3.6 Physarum Simulation! (Part 2)
https://www.youtube.com/watch?v=Ycc-D6ITOOs
Grid-Based Physarum Simulation
https://www.youtube.com/watch?v=lU8qQF-5Qtw
Physarum (Slime Mold) Simulation in Blender! (Final Part)
https://www.youtube.com/watch?v=ErIZn8WPr08
Physarum Simulation Test (Blender 3.5)
https://www.youtube.com/watch?v=BcaHXVZZUIk
Blender 3.6 Physarum Simulation!
[1]: https://www.mediamatic.net/en/page/16716/slime-mold-computin...
[2]: https://link.springer.com/10.1007/978-3-642-27737-5_686-1
[3]: https://arxiv.org/pdf/1511.05774
[4]: https://ec.europa.eu/research-and-innovation/en/horizon-maga...
[5]: https://www.sci.news/biology/slime-mold-problems-linear-time...
Any ideas? Is there a cheap test I can do on the water?
I don't know if it's a danger or not.
The root cause is that you have a source of moisture there, allowing these fungi to live. Maybe your toilet has a pin leak, or that spot is a bit colder than the rest of your bathroom, leading to moisture condensing there first. If you remove the source of moisture, the mold will be gone too.
I would recommend Paul Stamets books for their accessibility, even if he is probably the weirdest eccentric of our time. Seriously weird dude, but an expert on Fungi taxonomy without question none the less.
Around this time of year we get Amanita muscaria popping up in the yard, and some very oddly behaved squirrels having a bad day.
We worry about Elon of late, and really hope he doesn't end up going full Howard Hughes.
Have a great day =)
Elon and Stamets in the same club? Sounds rad.
1. Algae
2. Fruiting Fungi specialized in direct human-waste conversion
3. Freshwater Shrimp
4. Worms
5. Fast growing Aquaponics plants
6. insect larva
Elon should reach the same conclusion eventually based on payload cost.
Which item looks like it won’t taste awful after awhile. =)
Ganoderma sichuanense ( https://en.wikipedia.org/wiki/Lingzhi_(mushroom) )
It’s a national disgrace.
- mold usually only significantly affects people prone to respiratory infections or allergies. it's a lung irritant for most people but once the mold is removed, the lungs typically recover. when remediating mold, it's a good idea to have a respirator and eye mask, mostly just to prevent irritation or from breathing cleaning chemicals
- you can never stop mold from being in your house, but you can prevent it from growing. mold grows faster the hotter it is, and typically grows at 55% humidity or higher. reduce humidity and stop any dripping or standing water to prevent mold growth. to reduce humidity you can use a dehumidifier or desiccants (better for closets/drawers). increased air flow also helps prevent mold (mold likes dark places without air flow and high humidity)
- mold can be found in most central air systems/vents, it's not surprising. but it will grow and cause health issues if the air conditioning system is prone to water or high humidity.
- the reason you need to remove mold even if you don't smell it/it's not visible is mold breaks down organic matter, so it will stain and/or destroy clothes, wood, leather, etc.
- different molds have different behaviors. some can be killed with just vinegar, but some need a more severe treatment. bleach, other household products don't tend to work, because it doesn't kill the root.
- once a mold root gains hold in a permeable material, it's pretty hard to kill the root, so you can kill the outer version of it but it'll often just grow back. so if flooring/sheathing like OSB gets mold, you'll probably need to scrap it. hard wood can take longer for mold to grow on but once the roots are in the wood, you'd need to remove the wood down to the root or it'll grow back.
- concrobium mold control is the best overall product for mold control, as it can kill the mold and root and prevent mold from regrowing on surfaces. if you find mold in hard to reach areas, a dry fogger with concrobium is often the easiest solution
- if it's not practical for you to reduce humidity or increase airflow in a given space, keep your stuff in airtight plastic bins.
I found it generally more pleasant and less harsh on the skin in particular than hydrogen peroxide or cleaners from Clorox.
[1] https://benefect.com/us/products/decon-30/
[2] https://benefect.com/pdf/decon-30-product-data-sheet-usa.pdf
Environmental illness is real with measurable physiological effects. And it is treatable.
https://www.survivingmold.com/ https://www.survivingmold.com/docs/SHOEMAKER_PROTOCOL_ESSAY_...
There are two tests we do periodically: https://realtimelab.com https://mosaicdx.com/test/mycotox-profile/
You may be able to find ways to get the tests directly (not through a health practitioner) if that ends up being the path you need. They are not cheap and not typically covered by insurance, but we found being mysteriously ill was way more expensive in the long run than paying for tests. May your path to healing be a straight one!
"Even if we are presented with impeccable lab results from ELISA and thorough use of standard differential diagnosis (we aren’t), based on world-wide control data, and a robust literature on CIRS, there is no basis to ascribe any diagnostic significance to urine mycotoxin testing" https://www.survivingmold.com/Publications/Urinary_mycotoxin...
However, there are significant blood tests including Transforming Growth Factor Beta-1 and Complement C4-A. https://en.wikipedia.org/wiki/TGF_beta_1 https://en.wikipedia.org/wiki/C4A
This area is definitely more "gray" than implied by your comment. I have tremendous respect for Shoemaker, but there are some gaps in that paper that did not appear to address how our practitioner used those tests for us. Many of the studies mentioned in the meta-review focus on the presence or absence of mycotoxins not the measured amount. Also, our practitioner used the test "backwards" compared to procedure outlines in the review paper. Our practitioner used the test before we had any evidence that we lived in a water-damaged building, whereas the paper is specifically focused on determining cause of illness after exposure to a water-damaged building.
You can do a visual contrast sensitivity test online: https://www.survivingmold.com/store/online-vcs-screening
I have been treated by Dr Shoemaker and am currently being treated by Dr Scott McMahon who is an expert researcher in the field. Call him and set up a consultation. There is a fair amount of blood tests but your symptom history and VCS tests will go a long way toward diagnosis.
YMMV, but after initial treatment I felt 40% better in 6 months. Ensuring a clean environment is critical. It took 5+ years of treatment to reach the 90% improvement.
However, each person is unique. Younger and less genetically susceptible patients improve much quicker.
https://www.survivingmold.com/shoemaker-protocol/list-of-cer...
https://quackwatch.org/cases/board/med/shoemaker/consent/
Unlike mold-caused asthma and allergies, "Toxic mold illness" and CIRS (Chronic Inflammatory Response Syndrome) are not real conditions, as described in a recent Australian report:
https://www.health.gov.au/resources/publications/biotoxins-i...
"Toxic mold illness" is a popular scam among the grifters who market themselves as integrative/functional/naturopathic: https://www.thedailybeast.com/why-is-the-internet-so-obsesse...
The CDC warned against urine testing promoted by the "toxic mold" scammers: https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6406a7.htm