Mycotoxin Sampling for the functional medicine patient.
You can remediate visible mold and still leave the chemistry behind. Mycotoxins are what your body remembers — the molecular fingerprint of fungal exposure. We measure it, document it, and hand you data your provider can actually use.
Mold is the source.
Mycotoxins are the evidence.
Standard mold air sampling tells you what is growing. It does not tell you what is left behind. Mycotoxins are the secondary metabolites that fungi produce — small, stable, chemically active compounds that adhere to dust, fabric, drywall, and HVAC components, and that persist long after the visible colony is removed.
For patients navigating CIRS, MCAS, autoimmune flares, or post-exposure cognitive symptoms, this distinction is not academic. It is the difference between "the inspector found no active growth" and "the building still carries the chemistry that is making you sick."
The mycotoxins we evaluate.
Our sampling protocols are designed to detect the mycotoxins most relevant to chronic indoor exposure and most frequently requested by functional medicine providers, environmental physicians, and CIRS-literate clinicians.
Trichothecene Group
Includes T-2 and satratoxins. Associated with the species commonly described as "black mold." Among the most clinically significant mycotoxins in chronic indoor exposure cases.
Ochratoxin A
Frequently identified in HVAC systems, water-damaged building materials, and stored organic dust. Highly stable and resistant to standard cleaning.
Aflatoxin Group
Among the most studied and most potent mycotoxins. Their presence in a building environment is a significant indicator of fungal contamination requiring intervention.
Gliotoxin
Immunosuppressive metabolite that has gained increased clinical interest in chronic inflammatory cases. Commonly evaluated alongside ochratoxin in CIRS workups.
Zearalenone
Endocrine-active mycotoxin associated with grain-related Fusarium contamination but also found in chronically water-damaged structures.
Sterigmatocystin
Precursor compound to aflatoxin biosynthesis. A common finding in long-term moisture-damaged building materials and an important marker of historical exposure.
How the sampling works.
Mycotoxin sampling is not a single test. The right protocol depends on the building, the suspected sources, and the clinical questions being asked. We design the sampling plan accordingly.
Pre-Visit Consultation
We review your symptoms, history of water damage, prior remediation, and your provider's request before designing the protocol.
On-Site Collection
Settled dust, surface, HVAC, and air sampling as appropriate. ERMI / HERTSMI-2 compatible dust collection available.
Independent Laboratory
Samples sent to a third-party accredited laboratory. We do not own the lab. We do not interpret toward a sale.
Report & Walk-Through
You receive a documented report formatted for clinical use, plus a debrief call to walk through findings and next steps.
Who requests mycotoxin sampling.
Mycotoxin sampling is most often requested in coordination with a clinical workup, but is also valuable as a stand-alone confirmation of environmental status. Common scenarios include:
CIRS / Biotoxin Illness
Confirmation of exposure source and post-remediation verification, in coordination with your CIRS-literate provider.
MCAS & Sensitivity Patients
Identifying chemical and biological triggers in the home or workplace environment to guide tolerable-space planning.
Pre-Purchase Inspections
For buyers with known sensitivities or family members with chronic illness — before signing on a property with unknown history.
Post-Remediation Verification
Independent confirmation that mycotoxin residue has been addressed — not just that visible mold has been removed.
Functional Medicine Referrals
Provider-ordered environmental assessment to complete a clinical exposure history and inform treatment plans.
Unexplained Symptoms
When recurring symptoms point toward environmental exposure but standard mold air testing has come back unremarkable.
What you receive.
The report is built to be useful — to you, and to the clinician guiding your care.
- Lab-validated mycotoxin panel results with concentrations and reporting limits.
- Sampling map and chain-of-custody documentation for every location tested.
- Plain-language interpretation alongside the technical data — so non-clinicians can follow.
- Provider-ready formatting suitable for sharing with your functional medicine practitioner.
- Recommended next steps for remediation scope, source isolation, or further evaluation.
- A debrief consultation — we walk you through the findings, not just email the PDF.
We sample. We do not remediate. We do not own the lab. That is not a marketing line — it is a structural commitment to clean data.
When the inspector benefits from finding a problem, the data is compromised before the sample is taken. We have built our practice the other way.
Ready to find out what your environment is actually holding?
Speak with our team about whether mycotoxin sampling is appropriate for your situation. Mid-Atlantic on-site service and nationwide remote consultations available.
Another Perspective
Prefer a warmer introduction?
If you'd rather start with a patient-focused perspective on what mycotoxin testing means for your health and recovery, we've designed a companion page for that conversation.
View Patient-Focused Perspective →