Module 1

Lesson 1: Introducing Chronic Inflammatory Response Syndrome (CIRS)

Will provide an overview of CIRS, also known as Mold Illness, including its diagnostic criteria and typical symptoms and Dr. Shoemaker’s peer reviewed symptom clusters.

Lesson 2: What Is the Mechanism of CIRS?

Introduces you to the key concepts and science including the biotoxin pathway made simple which reinterprets Dr. Shoemaker’s landmark pathway. It also will introduce you to key biomarkers and the role genetic susceptibility via HLA genes.

Week 1 - Introducing CIRS.

Module 2

Lesson 3: What Is a Water-Damaged Building and is it Affecting My Health?

A brief overview on the concept of water-damaged buildings and how they impact our health. This chapter will also introduce the concept of a mold sabbatical and listening to your symptoms to understand if a building is dangerous to your health.

Lesson 4: Could I Be Living In a Water-Damaged Building?

This looks at measuring the moldiness of a building using qPCR testing such as ERMI and HERTSMI-2 and why it is superior to air testing for those with CIRS. Also an inspection by a professional Indoor Air Quality professional and hidden mold is addressed. You’ll learn which molds have the most statistical significance for patients with CIRS and the conditions in which they flourish.

Water-Damaged Building (WDB)

Module 3

Chapter 5: Do I Have CIRS?

Delves into the screening and diagnosis for Chronic Inflammatory Response Syndrome, explaining tools such as visual contrast sensitivity (VCS) testing, HLA genetic testing, NeuroQuant® volumetric MRI scan, blood biomarkers, MARCoNS and the new Progene DX transcriptomic test.

Lesson 6: How Do I Find a Shoemaker Certified Health Professional?

Includes details on how to find a Shoemaker certified health professional.

Lesson 7 : What Are the Steps of the CIRS Treatment Protocol?

Introduces you to the CIRS treatment protocol and step-wise approach to treating CIRS.

Week 4 - Diagnosing CIRS

Module 4

Lesson 8: Other Causes of Biotoxin Exposure

Explores other sources of biotoxin exposure apart from water-damaged buildings and mold, that can also cause CIRS, such as Lyme disease, babesia, ciguatera and dinoflagellates/toxic blue-green algae.

Lesson 9: More About Lyme-like Illness

Takes a detailed look at the controversy surrounding chronic Lyme disease and the ILADS and IDSA positions.

Week 5 - Other Biotoxin Exposures

Module 5

Lesson 10: Using Binders to Eliminate Biotoxins

Describes the use of binding medication and supplements which can bind mycotoxins, and other biotoxins in the digestive tract. Intensification management using Actos/fish oil and the no-amylose diet is also explained.

Lesson 11: Eliminating MARCoNS

Focuses on testing for and eliminating multiple antibiotic resistant coagulase negative staphylococci (MARCoNS) which colonize in the nasal areas producing toxins and lowering the crucial hormone MSH. Both pharmaceutical (BEG spray) and natural approaches are considered.

Lesson 12: Correcting antibodies, hormones and ADH

Details the full Shoemaker CIRS protocol, specifically at the correction of anti-gliadin antibiodies, normalization of androgen hormones and the correction of anti-diuretic hormone (ADH)/osmolality.


Module 6

Lesson 13: Correcting MMP9, VEGF, C3a, C4a, TGF-b1

Continuing on from the previous week this delves into the rest of the Shoemaker pyramid with the correction of inflammatory proteins such as MMP9, C3a, C4a and TGF-b1 and increasing of VEGF if necessary.

Lesson 14: VIP Spray

Describes the use of vasoctive intestinal (poly)peptide spray, a therapy which has been scientifically shown to be incredibly useful in many mold illness patients by reducing symptoms, balancing hormones, normalizing the immune system and reducing the out of control inflammation of CIRS.

Week 7 - Other Steps

Module 7

Lesson 15: Treating My Home for Water Damage

Delves into the remediation of water-damaged buildings. It will help you understand when a professional is needed and what questions to ask that professional. It will help you understand what possessions are porous, semi-porous and non-porous, and which items can be remediated or need to be disposed of or stored.

Lesson 16: Ensuring I am Out of Mold

Alerts you to other possible water-damaged buildings, places and vehicles that you should be aware of in your CIRS journey.

WDB Remediation


Module 8

Lesson 17: Blocks in Progressing Through the Protocol

Describes blocks in progressing through the CIRS protocol and possible solutions.

Lesson 18: Mold Avoidance

In the final chapter the course will introduce you to the concept of mold avoidance, taking a mold sabbatical, a safe sleep zone, decontamination and the use of a mobile environmental containment unit (MECU).

Week 8 - Roadblocks and mold avoidance