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It is commonly known that exposure to mold can cause respiratory symptoms. However, much of the public is unaware that, for individuals who are genetically susceptible, exposure to mycotoxins from mold can wreak havoc on the body.

Living Where Mold Lives

Buildings with significant water damage that are left unaddressed create the perfect environment for the proliferation of mold, which in turn compromises the quality of the air within the building. Living or working in a building with significant water damage can cause a multi-symptom, multi-system illness. Many patients suffering from Chronic Inflammatory Response Syndrome (CIRS) experience symptoms ranging from chronic headaches and brain fog to gastrointestinal complaints. Oftentimes, they are given diagnoses for conditions such as chronic fatigue, fibromyalgia, depression and Alzheimer’s disease.

While most conventionally trained physicians and medical practitioners are unaware of the true extent of illness that exposure to mold can cause, there is extensive scientific literature supporting these findings.

Your Path to Wellness Begins with Elevate

Got mold?

If you believe that your chronic symptoms may be mold-related or wish to be given a second opinion for the root cause of a chronic condition, we encourage you to schedule a consultation. Using our combination of lab testing, imaging and genetic testing, the team at Elevate Personalized Medicine is able to achieve patient-based care that provides effective, natural treatment solutions for the root cause of a condition or symptom. Due to such extensive evaluation, we are better able to pinpoint the root of a particular problem that might otherwise be overlooked.

Seeking Out the Mold

As a patient at Elevate seeking care for possible mycotoxin illness, your appointment will include:

  • Visual contrast study. This evaluation is easily conducted online and is combined with a questionnaire to identify all symptoms you are experiencing.
  • Patients who meet the necessary criteria will require a genetic test to determine genetic susceptibility to mycotoxin illness. Test results are used in conjunction with an examination of certain innate immune system markers such as:






•  C3A

  • MMP-9
  • TGFB-1
  • VEGF
  • MSH
  • VIP
  • C4A
  • C3A
  • MMP-9
  • MRI. While not absolutely necessary, we at Elevate recommend that a volumetric MRI of the brain be conducted. There are known alterations to the brain that occur due to mycotoxin – a toxic substance produced by a fungus – illness that are reversible, and those changes to the brain can be identified through the use of MRI testing.

Personal, Patient-Centered Solutions

At Elevate Personalized Medicine, we provide patients with a type of care that is patient-based, rather than symptom-based. In our consultations with our patients, we take a deeper look at what might be causing your symptoms to understand how they need to be treated. This allows us to provide you with solutions that are not merely masking your disease or condition but are addressing the underlying cause, which results in more effective care that will benefit your health for a lifetime.

Once a diagnosis has been made, we will be able to explore the best possible treatment solutions effective for you on an individual basis. Rather than relying on mass-study findings that may not achieve necessary results, we create treatment plans based around specific factors of genetics, lifestyle, personal and family medical history and test results. In doing so, we are better able to tailor individualized care that will be safer and more effective for you and provide you with more proactive solutions that do not rely on pharmaceuticals.

We believe that optimizing health is built on a foundation of commitment and collaboration between patient and provider, and we fully dedicate ourselves to creating that foundation with each individual in our care.


Mold exposure can wreak havoc on your health! The team of experts at Elevate Personalized Medicine can help you begin your path to wellness today. Call us to learn more about treatment for mold-related conditions.

  1. Shoemaker R. Diagnosis of Pfiesteria-human illness syndrome. Maryland Medical Journal 1997; 521-523.
  2. Shoemaker R. Treatment of persistent Pfiesteria-human illness syndrome. Maryland Medical Journal 1998; 47: 64-66.
  3. Grattan L, Oldach D, Perl T, Lowitt M, Matuszak D, Dickson C, Parrott C, Shoemaker R, Kauffman L, Wasserman M, Hebel R, Charache P, Morris G. Learning and memory difficulties after environmental exposure to waterways containing toxin-producing Pfiesteria or Pfiesteria-like dinoflagellates. The Lancet 1998; 352: 532-539.
  4. Shoemaker R, Bullano K. Use of pioglitazone to prevent intensification of persistent symptoms following cholestyramine treatment of patients with Post-Lyme syndrome. 2000; American Diabetes Association Annual Meeting. (conference peer review)
  5. Shoemaker R. Endocrine Society 6/2001. Use of rosiglitazone in treatment of hyperinsulinemic obesity in non-diabetics (conference peer review).
  6. Shoemaker R, Hudnell K. Possible Estuary-Associated Syndrome: Symptoms, vision, and treatment. Environmental Health Perspectives 2001; 109: 539-545.
  7. Shoemaker R. Residential and recreational acquisition of possible estuary-associated syndrome: A new approach to successful diagnosis and treatment. Environmental Health Perspectives 2001; 109: 791-796.
  8. Shoemaker R. Linkage disequilibrium in alleles of HLA DR: differential association with susceptibility to chronic illness following exposure to biologically produced neurotoxins. American Society of Microbiology 2003. (conference peer review).
  9. Shoemaker R, Hudnell K, House D. Sick Building Syndrome in Water Damaged Buildings: Generalization of the Chronic Biotoxin-Associated Illness Paradigm to Indoor Toxigenic-Fungi Exposure. 9/2003 5th International conference on bioaerosols (conference peer review)
  10. Shoemaker R. Use of visual contrast sensitivity and cholestyramine in diagnosis and treatment of indoor air acquired, chronic, neurotoxin-mediated illness. 9/2003 (conference peer review)
  11. Shoemaker R, Hudnell K, House D, Domenico P. Association of nasal carriage of methicillin resistant and multiple antibiotic resistant coagulase negative staphylococci species with deficiency of alpha melanocyte stimulating hormone in Chronic Fatigue Syndrome: implication for expanded treatment options. American Society of Microbiology 2003. (conference peer review)
  12. Shoemaker R, Hudnell D. A time-series study of sick building syndrome: chronic, biotoxin-associated illness from exposure to water-damaged buildings. Neurotoxicology and Teratology 2004; 1-18.
  13. Shoemaker R, Rash J, Simon E. Sick Building syndrome in water damaged buildings: generalization of the chronic biotoxin associated illness paradigm to indoor toxigenic fungi. Bioaerosols, fungi, bacteria, mycotoxins and human health. Dr med Eckardt Johanning MD editor 2006.
  14. Shoemaker R, Hudnell, House D, Kempen A, Pakes G. Atovaquone plus cholestyramine in patients coinfected with Babesia microti and Borrelia burgdorferi refractory to other treatment. Advances in Therapy 2006; 23: 1-11.
  15. Shoemaker R, Lipsey R. Results of health screening and visual contrast testing. St. Bernard’s Parish, Louisiana. 2006. published on-line
  16. Shoemaker R, House D. Sick building syndrome (SBS) and exposure to water-damaged buildings: Time series study, clinical trial and mechanisms. Neurotoxicology and Teratology 2006; 573-588.
  17. Shoemaker R, Lawson W. Pfiesteria in Estuarine Waters: The question of health risks. Environmental Health Perspectives 2007; 115: A2-A3.
  18. Shoemaker R, Lin K. Inside Indoor Air Quality: Environmental Relative Moldiness Index (ERMI). Filtration News 2007; 32-36.
  1. Shoemaker R, Maizel M. Treatment of elevated C4a in patients with CFS using low doses of erythropoietin safely reduces symptoms and lowers C4a: a prospective clinical trial 2007, IACFS (conference peer review).
  2. Shoemaker R, Giclas P, Crowder C, House D. Complement split products C3a and C4a are early markers of acute Lyme disease in tick bite patients in the United States. International Archives of Allergy Immunol 2008; 146: 255-261.
  3. Shoemaker R, Maizel M. Innate immunity, MR spectroscopy, HLA DR, TGF beta-1, VIP and capillary hypoperfusion define acute and chronic human illness acquired following exposure to water-damaged buildings. 2008. International Healthy Buildings (conference peer review)
  4. Shoemaker R, Maizel M. Exposure to interior environments of water-damaged buildings causes a CFS-like illness in pediatric patients: a case/control study. 2009 bulletin of the IACFS
  5. Shoemaker R, House D. Characterization of chronic human illness associated with exposure to cyanobacterial harmful algal blooms predominated by Microcystis. 2009 Cyanobacterial harmful algal blooms pg 653.
  6. Shoemaker R, Exposure to water damaged buildings causes a readily identifiable chronic inflammatory response syndrome successfully treated by a sequential intervention protocol. Biology of Fungi, International Mycology Congress 2009 (conference peer review)
  7. Shoemaker R, House D, Ryan J. Defining the neurotoxin derived illness chronic ciguatera using markers of chronic systemic inflammatory disturbances: A case/control study. Neurotoxicology and Teratology 2010; 633-639.
  8. Shoemaker R. ACOEM position statements on mold: ploys and lies. Published on line 2011.
  9. Shoemaker R, House D, Ryan J. Vasoactive intestinal polypeptide (VIP) corrects chronic inflammatory response syndrome (CIRS) acquired following exposure to water-damaged buildings. Health 2013; 3: 396-401.
  10. Shoemaker R. House D, Ryan J Structural Brain Abnormalities in Patients with Inflamatory Illness acquired Following Exposure to Water Damaged Buildings A Volumetric MRI Study Using Neuroquant. June 17, 2014
  11. Ryan J. Wu Q. Shoemaker R. Transcriptomic Signatures in Whole Blood of Patients Who Acquire CIRS Following an Exposure to the Marine Toxin Ciguatoxin. August 8 2015
  12. Medically sound investigation and remediation of water-damaged buildings in cases of chronic inflammatory response syndrome.Berndtson K, McMahon S, Ackerley M, Rapaport S, Gupta S, Shoemaker R, January 19, 2016
  13. Indoor Environmental Professionals Panel of Surviving Mold CONSENSUS STATEMENT Medically sound investigation and remediation of water-damaged Buildings in cases of CIRS-WDB; Larry Schwartz CIEC, BSME, MBA, Greg Weatherman CMC, Michael Schrantz CIEC, CMI, BPI-BA/EP, Will Spates CIAQP, CIEC, Jeff Charlton, ACIEC, AACIEH, Keith Berndtson MD, Ritchie Shoemaker MD April 12, 2016
  14. Reduction in Forebrain Parenchymal and Cortical Grey Matter Swelling across Treatment Groups in Patients with Inflammatory Illness Acquired Following Exposure to Water-Damaged Buildings. McMahon SW, Shoemaker RC, and Ryan, JC April 12, 2016
  15. Internal Medicine Review- Intranasal VIP safely restores volume to multiple grey matter nuclei
    in patients with CIRS- April 2017 Shoemaker, R., Katz, D., Ackerley, M., Rapaport, S., McMahon, S., Berndtson, K., Ryan, J.
  16. Shoemaker, RC and Lark, D - 2016, HERTSMI-2 and ERMI: “Correlating Human Health Risk with Mold Specific qPCR in Water-Damaged Buildings” #658 in Proceedings of the 14th International Conference on Indoor Air Quality and Climate, International Society for Indoor Air Quality and Climate, Ghent, Belguim.
  17. Policy Holders of America: Research Committee Report on Diagnosis and Treatment of Chronic Inflammatory Response Syndrome Caused by Exposure to the Interior Environment of Water-Damaged Buildings (2010)