CIRS Protocol: Evaluation and Treatment of Patients with CIRS

Presented by Dr. Dean Mitchel

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Join us for a clinical webinar on Chronic Inflammatory Response Syndrome (CIRS), toxic mold, and mycotoxin illness, designed for naturopathic, functional medicine, and integrative practitioners. Dr. Dean Mitchell, MD is a board-certified allergist, founder of Mitchell Medical Group, and host of the Smartest Doctor in the Room podcast. In this webinar, he shares a clear framework for identifying, diagnosing, and treating CIRS in clinical practice. Dr. Mitchell breaks down how toxic mold affects the whole body, explaining how mycotoxin exposure drives chronic fatigue, neurological symptoms, immune problems, and gut dysfunction through a complex inflammatory process that is widely underdiagnosed and often mistaken for psychiatric or other chronic conditions. Learn how to use Real-Time Labs' Urine Mycotoxin Panel to confirm mycotoxin burden in your patients and apply a stepwise, patient-friendly detox protocol. This approach draws from Dr. Mitchell's decade-plus of clinical experience alongside mentors Dr. Neil Nathan and Dr. Jill Crista to deliver measurable, lasting results.

Key Takeaways:

  • Understand what CIRS is and how chronic exposure to mycotoxins, the immune-disrupting byproducts of toxic mold species including Stachybotrys, Aspergillus, Penicillium, and Fusarium, drives a 37-symptom inflammatory syndrome. Symptoms include chronic fatigue, brain fog, light sensitivity, anxiety, insomnia, and gut disturbance. Learn why CIRS continues to be underdiagnosed and why so many patients go without answers due to a lack of physician training in this growing area of medicine.
  • Navigate the three-step diagnostic approach to CIRS, including the Visual Contrast Sensitivity (VCS) screening test for early biotoxin illness detection, the role and limits of inflammatory biomarkers like C4a, TGF-beta, MSH, and VEGF, and why the Real-Time Labs urine mycotoxin panel tests for Ochratoxin A, Aflatoxin, Trichothecenes, Gliotoxin, and Zearalenone to give you the most useful clinical data for confirming mycotoxin burden and guiding treatment decisions.
  • Use Dr. Mitchell's stepwise binder protocol by introducing bentonite clay, activated charcoal, and chlorella one at a time over three weeks, then adding prescription Welchol for patients with high Ochratoxin levels. Learn why a tiered, individual dosing approach works better than combination products, especially for CIRS patients who tend to be highly sensitive and already dealing with whole-body inflammation.
  • Apply the full CIRS treatment framework across three phases. First, build immune strength through environmental avoidance, core lifestyle support, IV nutrient therapy using the Meyer's Cocktail with high-dose glutathione, vitamin C, B12, and magnesium, and following an anti-mold diet. Second, use targeted binders to move mycotoxins out of the body. Third, enter the fight phase with itraconazole and nasal sinus treatment using Argentin 23 silver spray and a compounded nystatin, bacitracin, and EDTA spray to clear mycotoxin reservoirs from the sinus tissue and support lasting recovery.

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More Testing Options to Support Your Patients

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  • Moe-Tox Complete 2
  • Mycotoxin Collection Kit-1

 

MycoToxin Panel

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  • Mold Building 1
  • Mold Building 2
  • Mycotoxin Building 1
  • Mycotoxin Building 2

 

Mold & Mycotoxin Building Profile

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  • Mold Building 1
  • Mold Building 2

 

Mold Building Profile

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