1670 ROUTE 34 N. 3R FLOOR SUITE 3C WALL • NJ 07727
1670 ROUTE 34 N. 3R FLOOR SUITE 3C WALL • NJ 07727

Mold Related Illness (CIRS)

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Dr. Ritchie Shoemaker’s Pioneering Work in Environmental Illness

HLA DR Susceptible Genes

  • 4-3-53
  • 11-3-52B
  • 12-3-52B
  • 14-5-52B
  • 7-2-53
  • 7-3-53
  • 13-6-52A,52B,52C
  • 17-2-52A
  • 15-6-51
  • 16-5-51

Chronic Stress Can Increase ACTH and Cortisol Levels

All Sex and Adrenal Cortex Hormones are Made From Cholesterol

Activated Macrophages increase 1,25 dihydroxy Vitamin D

Bathtub Analogy

A way to visualize biotoxin excretion with and without binding agents

Bile Resin Binding Agents

  • Cholestyramine
  • Welchol
  • Activated charcoal
  • Zeolite clay
  • Bentonite clay
  • Chlorella
  • Okra
  • Others

Factors that Affect Bile Flow

  • Decrease Bile Flow – high carb diet, excess sugar in diet, excess PUFA in diet, high estrogen, hypothyroidism, low progesterone, low testosterone
  • Increase Bile Flow – sufficient cholesterol and saturated fat in diet, normalization of thyroid metabolism, normalization of sex hormones, sufficient glycine and taurine, cholagogues (milk thistle, dandelion, turmeric, burdock, schisandra, others)
  • Note – bile salts are composed of cholesterol, taurine, glycine and lethicin

Bile Excretion is an Important Route to Eliminate
Fat Soluble Toxins Like Biotoxins

Multiply Antibiotic Resistant Coagulase Negative Staph (MARCoNS)

  • Can colonize sinuses and other body cavities
  • Highly anti-biotic resistant
  • Makes bio-film
  • Can cause systemic illness
  • Treatment must include both anti-microbials and biofilm breakers

Sunlight and Fresh Air are Vital to Your Recovery

Test and Treat for Tick Borne Diseases

  • Lyme Disease
  • Erlichiosis
  • Babesiosis
  • Bartonella
  • Rocky Mountain Spotted
  • Fever (RMSF)
  • Anaplasmosis
  • Tickborne Relapsing
  • Fever (TBRF)
  • Rickettsia
  • Tularemia
  • Powassan Disease
  • Borrelia mayonii
  • Borellia miyamotol

Consider other Sources of Toxicity

  • Chronic Mold Exposure leads to immune dysfunction which can contribute to downstream distortions in your microbiome, paving the way for:
  • Fungal overgrowth – Candida, yeast, small intestinal fungal overgrowth (SIFO)
  • Dysbiosis – small intestinal bowel overgrowth (SIBO), imbalance in bowel flora, H Pylori
  • Parasites
  • Heavy Metals

Chronic inflammatory response syndrome (CIRS) is a chronic condition of inflammation related to an immune system response to a biological toxin. Symptoms include fatigue, muscle and joint pain, cognitive problems (brain fog), gastrointestinal symptoms (abdominal pain, irritable bowel), unstable body temperature, unexplained rashes, dizziness and vertigo, headaches, red and burning eyes, hormonal problems, sleep issues, unexplained weight gain and many more. Many people suffering from CIRS will eventually experience secondary symptoms related to immune dysfunction, hormonal imbalances and autonomic nervous system failure.

Common biological toxins causing/contributing to CIRS include exposure to the contents of a water damaged building (WDB) like mold, fungus, bacteria and other organisms as well as metabolic byproducts of the metabolism of these organisms (proteinases, hemolysins, volatile organic compounds, endotoxins, beta glucans mannans, spirocyclic drimanes). Other CIRS producing biological toxins include Lyme disease, exposure to toxic blue – green algae, brown recluse spider bites and poisoned fish.

Many people that are suffering from CIRS will be diagnosed with chronic fatigue syndrome (CFS), fibromyalgia, multiple chemical sensitivities (MCS), leaky gut syndrome, depression, multiple sclerosis, dementia, paroxysmal orthostatic tachycardia syndrome (POTS) and many other syndromes.

What is the Treatment for CIRS?


The treatment for CIRS requires an intelligent, systematic approach that includes the following:

  • Identify that you have a case of CIRS – through a battery of tests
  • Avoid/remove the offending biological toxin from your environment
  • Use special products to remove biotoxins from your body
  • Take steps to restore control to your immune system, hormone system and nervous system through a metabolically directed functional medicine approach
How can Dr. Rothman help?

Michael E Rothman MD, FACEP is board certified in Internal Medicine and Emergency Medicine. He is the medical director of MD Wellness in Spring Lake, NJ. Dr Rothman’s clinical focus is on using objective measurements of various biomarkers to uncover the root cause of your disease. He then uses a variety of metabolically directed, individualized treatments to allow your body to properly regain balance and promote healing.
Dr Rothman was diagnosed with Crohn’s disease in 1978 while a second year student at SUNY Binghamton. Unsatisfied with the conventional drug approach that his doctors recommended for him, he was able to improve his health through various mind-body modalities including meditation, chi kung, martial arts and breathing techniques. Thereafter, he decided to pursue a career in medicine. He graduated with a BS in Physics at SUNY-Binghamton in 1982 and earned his medical degree at the University of Miami in 1986.

Never satisfied with the conventional medical model of treating symptoms with drugs and surgery, Dr Rothman spent over twenty years studying various healing modalities including acupuncture, homeopathy, naturopathy, herbal medicine, functional medicine, anti-aging medicine and reikii. During these years of studying, he came across the work of Dr Emanuel Revici and was fascinated by Revici’s use of guided therapy to treat anabolic – catabolic imbalances. These revelations led to further studies in the field of imbalanced body chemistry and autonomic dysfunction as root cause of many illnesses. These methods allowed him to uncover and treat the root cause of illness in thousands of chronically ill patients. However, Dr Rothman observed there was a group of patients that did not respond to metabolic therapy. These unresponsive patients had some mysterious mixture of immune, hormonal and nervous system dysfunctions that seemed to come and go “out of nowhere”. Fortunately, Dr Rothman was introduced to the concept of mold illness and the work of Dr Ritchie Shoemaker in 2011 leading to therapeutic breakthroughs for helping these “problem” patients.

Surviving Mold Protocol Certified by Dr. Ritchie Shoemaker

Dr. Shoemaker has been the leading pioneer investigating mold (and other biotoxin related) illnesses since 1996. His brilliant work has paved the way for understanding the genetic and proteomic aspects of biotoxin illness. Dr Shoemaker has written numerous studies published in peer-reviewed journals supporting the scientific proof of his methods. After practicing medicine for over 30 years, Dr Shoemaker retired from his family medicine practice in Pokomoke, Maryland in 2013.However, he continues be in the forefront of research on biotoxin illness and is passing the torch to a new generation of doctors in The Surviving Mold Protocol. Dr Michael Rothman is the latest doctor honored by achieving The Shoemaker Certification for treating biotoxin patients.

One on One with Dr. Michael Rothman:
An Overview of The Surviving Mold Protocol

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Dr Rothman discusses the genetic and immunologic causes of mold related illnesses. He then reviews the diagnosis and treatment of these chronic, health destroying conditions known as chronic inflammatory response syndrome (CIRS), following the Surviving Mold Protocol.

Are you suffering from a mold related illness?

Many patients that suffer from chronic illnesses are actually unknowing victims of biotoxin illness. Scientific research and clinical experience has revealed that many patients suffering from diagnosed chronic diseases may have underlying immunologic responses related to biotoxin illness. In other words, if you have been diagnosed with multiple sclerosis, Parkinson’s disease, dementia, tremors, unexplained weight gain, depression, anxiety, irritable bowel syndrome, paroxysmal orthostatic tachycardia syndrome, Lyme disease, chronic fatigue syndrome, fibromyalgia, leaky gut syndrome, migraine headaches, premenstrual syndrome (PMS), polycystic ovary syndrome (PCOS), systemic candidiasis (yeast syndrome), multiple chemical sensitivities or other mysterious chronic ailments, you may actually be suffering from a form of biotoxin illness.

To learn more about MD Wellness contact us today by giving us a call at (732) 268-7663, emailing us at info@mdwellnessmd.com or by requesting an appointment online.

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