Week of February 6, 2023

1/ QUESTION: I had the Streptomyces griseus test done and the result is 150. Is that a good number?

ANSWER: The problem is that griseus is only one of 40 species to be worried about. Suggest using Envirobiomics for the actinomycetes panel. Call them if you can’t identify which panel is Action.

2/ QUESTION: How would you treat mildew or mold in the cabinet behind the bathtub?

ANSWER: Look for a hidden leak and make sure that’s fixed. When the root of the problem has been addressed, clean up the affected area. The best cleaners for non-porous items, counters, tiles, etc., have been found to be quaternary ammonia compound based, such as Fantastic or 409. It’s also helpful to use hepa air filtration and an inexpensive air sanitizer when cleaning moldy areas.

3/ QUESTION: My son has ulcerative colitis. Is there a connection between ulcerative colitis and mold.

ANSWER: In order to treat ulcerative colitis, thinking that it comes from CIRS, you must meet the case definition. See Consensus Statement for assistance. If your son has CUC and has positive ANCA, we have a cohort of people who respond to CIRS therapy.

4/ QUESTION: I have been struggling with oral thrush candida on my tongue. I did have Albicans IgG of 1.6 and Albicans IgA of 2.7. Do I stop the CSM and mold protocol before addressing candida or should I use anti-candida supplements?

ANSWER: I note your reliance on antibody testing for candida. Please remember that antibody positivity simple means exposure. It does not ever alone signify infection. Remember as well that for patients with serious immunoglobulin deficiency, we test for candida antibodies to make sure they can make immunoglobulin. If you have a coated tongue, remember there are other things besides thrush that can look white on the tongue. Do not ever take orally administered antifungals.

5/ QUESTION: Is endotoxin exposure related to gut dysbiosis rather than exposure to something in the external environment?

ANSWER: Endotoxins have nothing to do with gut.