I appreciate your inputs but I am not interested in being treated by someone who espouses a mycotoxin-based theory of mold-induced illness. My opinion after a significant amount of research and living with debilitating brain fog and fatigue for over 50 years is that mycotoxin-based theories are internet-amplified pseudoscience.

There is very little in the credible refereed literature that supports Shoemaker or Rea but there is a growing body of evidence that the symptoms that I live with have an immunological origin. In addition to the Miller reference that I cited in my original post, Harding has demonstrated fairly conclusively that you don’t need the mycotoxins in Stachybotrys to cause cognitive dysfunction (https://pmc.ncbi.nlm.nih.gov/articles/PMC7231651/). It’s hard to predict how long it will take for the immunologists to put all the pieces together but I believe that some combination of trained innate immune processes and sickness behavior will ultimately explain my illness. In the meantime I will continue to practice the avoidance techniques that have proven to be effective.