Additional Q&A responses:
If binders are taking out bile salts, does one need to supplement bile salts separately?
Binders don’t take out bile salts, the bind the mycotoxin from the bile salt, removing it from the bile so that when the bile gets re-absorbed, the mycotoxin doesn’t get re-absorbed with it. We do use non-absorbable bile salts (like Tudca) as bindings as well. Typically you don’t have to supplement with bile salts simply because you are using a binder.
What about when a person’s ability to detox the mould is poor – wouldn’t a mycotoxin test be potentially low? i.e. negative?
Yes, you run the risk of having a negative mycotoxin test for people who don’t detox well. If you suspect a patient doesn’t detox well, use the steps I discussed to improve uptake – fasting, sauna, massage (anything to increase detox) the day before – will improve the likelihood that your patient’s test will be positive if they have mycotoxins. I also don’t use any one test to determine mold toxicity. Using tests like the VCS will tell you if your patient has brain toxicity. If the MycoTOX Profile is negative, the VCS is positive, and you suspect mold clinically, I would still treat.
How do you get the colonisation in the first place? How does exposure turn into colonisation?
With colonization, we are talking about persistent exposure to mold spores. You can inhale them into your sinuses. You can swallow them into your GI tract (spores will survive the stomach acid usually). You can inhale them into your lungs (much more serious). Typically, a person has to have a susceptibility/immunodeficiency to get colonized. This can occur with a lighter exposure but a significant immunodeficiency or with a heavier exposure and a less significant immunodeficiency. It is usually from exposure to a significant mold spore load over a long time in a person that has some type of immune dysfunction (from stress, malnutrition, chronic infection, other exposure, genetics) that will result in colonization.
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