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Mold illness & mycotoxins

Mold exposure symptoms & treatment

If you’ve been exposed to a water-damaged home or workplace and haven’t felt right since, mold toxicity may be part of the picture. Dr. Sam Madeira, NMD is a mold-literate naturopathic doctor who helps adults uncover and recover from mold illness by telemedicine.

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Telemedicine for adults in Arizona, Montana & Washington

What is mold toxicity?

Mold toxicity, also called mold illness or, informally, mold poisoning, describes chronic symptoms linked to exposure to mold, including “black mold,” and the mycotoxins and other inflammatory compounds that build up in water-damaged buildings. Not everyone in the same building gets sick. Genetics, the type and length of exposure, and overall health all shape how a person responds.

Because the symptoms touch so many body systems and routine labs often come back “normal,” mold toxicity is easy to miss. Many patients have seen several doctors before anyone asks about their home or workplace.

Your symptoms are real, even though conventional medicine doesn’t yet widely accept mold illness as a condition. Dr. Madeira’s care draws on the work of Dr. Ritchie Shoemaker, MD, Dr. Neil Nathan, MD and Dr. Jill Crista, ND, listed under Sources below.

Free resource: walk through your home with the Is your home making you sick? mold & toxin checklist.

Signs mold could be involved

  • Symptoms started or worsened after moving, a leak, flooding or renovation
  • You feel better when you travel and worse when you return
  • Other people or pets in the home are also unwell
  • There’s a musty smell, visible growth, or a history of water damage

Black mold exposure: what to know

“Black mold” usually refers to Stachybotrys chartarum, a greenish-black mold that grows on materials that stay wet, such as drywall, ceiling tiles and carpet after a leak. You don’t need to identify the type or color of mold: any toxic mold growing indoors should have proper remediation, and the moisture problem fixed.

Your home doesn’t have to have black mold for you to have true mold illness. That’s a common misconception. Many kinds of indoor mold can affect health, and they release spores that people breathe in. If you’ve been exposed to any indoor mold and still don’t feel well, an evaluation can help sort out whether mold is part of the picture.

Testing and remediating a moldy home

Any mold found during a mold inspection, whether it’s visible or hidden, should be properly remediated. After remediation is complete, the home should be re-tested by a different company. The company that tests your home and the company that remediates it should be separate organizations. If they’re the same, that’s a conflict of interest.

Home mold testing is like a biopsy on a building

Think of proper, valuable home mold testing as a biopsy on a building. Parts of the home may need to be cut out and sent to the lab.

Remediation is like surgery on a home

Think of remediation as surgery on your home, or even a complete amputation of part of it. The affected materials come out and clean building supplies replace them. Parts of the home are then rebuilt so mold is less likely to grow back.

Are you a mold inspector or indoor environmental professional? See how Dr. Madeira works with mold inspectors.

Working with a mold doctor: how Dr. Madeira assesses mold toxicity

Assessment starts with a detailed health and exposure history: where you’ve lived and worked, water damage, and when symptoms began. Dr. Madeira reviews your previous records and labs and recommends targeted testing where it adds useful information. That may include mycotoxin testing, inflammatory and hormone markers, and guidance on testing your environment.

Treatment approach

Care follows the naturopathic therapeutic order, using the least force necessary:

  1. Reduce the exposure. Identify the source and address it, usually with qualified inspection and remediation professionals. Recovery is difficult while exposure continues.
  2. Support elimination. Detoxification therapies, which may include binders and support for the liver, gut and lymphatic system, tailored to how you tolerate them.
  3. Calm inflammation and rebuild. Personalized nutritional and botanical medicine, sleep and nervous system support, and mindfulness practices.
  4. Address what mold disrupted. Hormones, thyroid function, digestion and other systems that mold exposure can affect.

Some people with mold illness also develop CIRS or mast cell activation, which can change how quickly and gently care needs to proceed.

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Frequently asked questions

What is a mold-literate doctor?

A mold-literate doctor is a clinician with specific training and experience in illness linked to mold and water-damaged buildings: taking a detailed exposure history, interpreting relevant testing, and guiding recovery alongside removing the exposure. Dr. Madeira has trained in mold and mycotoxin illness, including with Dr. Jill Crista, ND.

Can you see me for mold illness if I live in Arizona, Montana or Washington?

Yes. Dr. Madeira sees adults by telemedicine who live in Arizona, Montana or Washington and are in one of those states during their visits. Start with a free 30-minute discovery call.

Is mold common in Arizona?

It’s more common than many people expect. A dry climate doesn’t prevent indoor mold: evaporative coolers, monsoon roof leaks, plumbing leaks and HVAC condensation can all create hidden moisture indoors.

Is mold illness real?

Your symptoms are real, even when routine labs come back normal. Mold illness isn’t yet widely accepted as a diagnosis in conventional medicine, and research on it is still developing, so many people are told nothing is wrong. Being dismissed doesn’t mean you aren’t sick, and it’s worth looking at your home or workplace as part of the picture.

What are the symptoms of mycotoxin exposure?

Mycotoxin exposure can show up as fatigue, brain fog, headaches, sinus problems and nerve symptoms. These overlap with many other conditions, so symptoms alone can’t confirm the cause. Dr. Madeira’s approach draws on the work of Dr. Ritchie Shoemaker, MD, Dr. Neil Nathan, MD and Dr. Jill Crista, ND.

How do you treat mold sickness?

Treatment starts with finding and stopping the exposure. From there, care is step by step: supporting elimination, calming inflammation, and addressing the systems that were affected. Mold allergy and asthma are treated with standard care, so your other doctors stay involved.

How can I tell if my house is making me sick?

Notice whether your symptoms ease after several days away and return when you’re back. Look for musty smells, water stains and past leaks. The free checklist on this page walks you through your home, and an indoor environmental professional can inspect what you can’t see.

What is a mycotoxin test?

Mycotoxin tests, most often urine tests, look for toxins produced by certain molds. They can be one piece of the picture, but results need careful interpretation alongside your history, symptoms and environment.

Do I need to fix my home first?

Reducing ongoing exposure is usually the first and most important step, because it’s hard to recover while exposure continues. That often means an inspection and remediation by qualified indoor environmental professionals. Dr. Madeira can help you think through next steps.

Does mold toxicity show up in bloodwork?

Routine blood tests are often normal in mold illness. Evaluation usually combines your exposure history and symptoms with more targeted testing, such as inflammatory markers and, in some cases, mycotoxin testing, interpreted together.

Is mold toxicity reversible?

Many people improve substantially once the exposure is removed and their body is supported, though recovery time varies and some people need longer, more gradual care. Removing the source is the most important step.

How long does recovery from mold illness take?

It varies a great deal from person to person, depending on the exposure, how long it lasted and other health factors. Recovery from complex chronic illness takes commitment and partnership, and your plan is adjusted as you progress.

Can mold exposure cause anxiety, weight gain or hair loss?

For anxiety, research points to a link. A 2024 review of 19 studies found that adults living in damp or moldy homes had higher rates of depression, stress and anxiety, though the authors noted the studies had limitations.10 A study of more than 11,000 older adults also linked mold exposure to more anxiety symptoms.11 In mice, inhaling mold spores increased anxiety-like behavior (animal study).12 These findings show a link, not proof that mold causes anxiety, and a 2023 German medical guideline rates the evidence for mood effects as limited.13

We haven’t found published research linking mold exposure to weight gain or hair loss. These changes have many possible causes, including thyroid and other hormone problems, so a full evaluation helps sort out what’s driving yours.

What kind of doctor treats mold toxicity?

Typically, a doctor trained in environmental medicine, such as a naturopathic physician with additional certifications and training in mold-related illness after naturopathic medical school. Allergists and lung specialists treat mold allergy and asthma. Dr. Madeira focuses on environmental medicine, trained in mold illness with Dr. Jill Crista, ND and Dr. Paul Anderson, NMD, and works alongside your other doctors when needed.

Sources

  1. Dr. Ritchie Shoemaker, MD: Surviving Mold: Life in the Era of Dangerous Buildings (Otter Bay Books, 2010), and Mold Warriors (Gateway Press, 2005)
  2. Dr. Ritchie Shoemaker, MD, Surviving Mold: Diagnosing CIRS (definition of CIRS and the organisms and inflammagens found in water-damaged buildings)
  3. Indoor Environmental Professionals Panel of Surviving Mold (2016): Consensus statement on medically sound investigation and remediation of water-damaged buildings in cases of CIRS-WDB
  4. Dr. Neil Nathan, MD: Toxic: Heal Your Body from Mold Toxicity, Lyme Disease, Multiple Chemical Sensitivities, and Chronic Environmental Illness (Victory Belt Publishing, 2nd edition, 2025)
  5. Dr. Jill Crista, ND: Break the Mold: 5 Tools to Conquer Mold and Take Back Your Health (Wellness Ink Publishing, 2018)
  6. Dooley & McMahon (Environmental Analysis, Health and Toxicology, 2025): Fatigue and exposure to mold and/or dampness: a systematic review (5 cross-sectional studies with 40,933 participants, and 1 case-control study)
  7. CDC: Mold
  8. NIEHS: Mold
  9. EPA: A Brief Guide to Mold, Moisture and Your Home
  10. Gatto, Mansour, Li & Bentley (Environmental Health Perspectives, 2024): A State-of-the-Science Review of the Effect of Damp- and Mold-Affected Housing on Mental Health (19 studies)
  11. Zhang, Xu, Zhou & Cao (Ecotoxicology and Environmental Safety, 2024): The impact of mold exposure on anxiety symptoms in the older adults (11,021 adults aged 65+)
  12. Harding et al. (Brain, Behavior, and Immunity, 2020): Mold inhalation causes innate immune activation, neural, cognitive and emotional dysfunction (animal study)
  13. Hurraß et al. (Pneumologie, 2024): Medical clinical diagnostics for indoor mould exposure, Update 2023 (AWMF guideline; article in German)

Thinking about next steps? See how care works, programs and pricing and patient reviews, or browse the frequently asked questions.

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“Dr. Madeira is compassionate and truly listens. He takes the time to look beyond band-aid solutions and digs deeper to look at the root cause.”

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From Google reviews. Individual experiences and results vary.

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