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Why You Should Listen: In this episode, you will learn about the role of Actinobacteria and Endotoxins in CIRS. About My Guest: My guest for this episode is Dr. Ritchie Shoemaker. Ritchie Shoemaker, MD is a recognized leader in patient care, research, and an education pioneer in the field of biotoxin related illness. While illness acquired following exposure to the interior environment of water-damaged buildings (WDB) comprises the bulk of Dr. Shoemaker’s daily practice, other illnesses caused by exposure to biologically-produced toxins are quite similar in their “final common pathway.” What this means is that while the illness might begin acutely with exposure to fungi, spirochetes, apicomplexans, dinoflagellates and cyanobacteria, for example, in its chronic form, each of these illnesses has similar symptoms, lab findings, and Visual Contrast Sensitivity (VCS) findings. Taken together the inflammatory illness from each of these diverse sources is known as Chronic Inflammatory Response Syndrome. Key Takeaways: Is CIRS generally caused by a single trigger or multiple triggers? What HLA-DR types may be susceptible to Actinobacteria or endotoxins? How does one determine when MARCoNS are making polycyclic ethers? What is the latest on biotoxin illness testing through HumanBiomics? Is it the Actinobacteria or a toxin produced by the bacteria that leads to illness? Is it best to start by testing the environment or by testing the person? Are some Actinobacteria a healthy part of our microbiome? What criteria are used to evaluate Actinobacteria testing? Is the solution to Actinobacteria a traditional remediation? How do people acquire skin Actinobacteria? How are skin Actinobacteria reduced over time? Are Actinobacteria in the sinuses a factor? How are Actinobacteria in the oral cavity addressed? How do endotoxins enter the body? Can endotoxin production be from endogenous bacteria? What is the best way to establish CIRS causation? What is the role of beta glucans in CIRS? Connect With My Guest: http://SurvivingMold.com Related Resources: Please visit the Show Notes at https://BetterHealthGuy.com/Episode211 to review the presentations Dr. Shoemaker referred to in his comments. Interview Date: January 22, 2025 Transcript: To review a transcript of this show, visit https://BetterHealthGuy.com/Episode211. Additional Information: To learn more, visit https://BetterHealthGuy.com. Follow Me on Social Media: Facebook -   / betterhealthguy   Instagram -   / betterhealthguy   X -   / betterhealthguy   TikTok -   / betterhealthguy   Disclaimer: The content of this show is for informational purposes only and is not intended to diagnose, treat, or cure any illness or medical condition. Nothing in today's discussion is meant to serve as medical advice or as information to facilitate self-treatment. As always, please discuss any potential health-related decisions with your own personal medical authority.