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Your Guide to Mycotoxin Testing

Mycotoxin exposure is a hidden health threat—and too often overlooked. If you’ve been feeling off without a clear diagnosis, a mycotoxin test could help uncover the root cause. In this article, I’ll walk you through exactly what you need to know about mycotoxin testing, how to do it properly, how to interpret your results, and what steps to take next.

What Is a Mycotoxin Test?

A mycotoxin test detects the presence of toxic chemicals produced by mold—called mycotoxins—in the body or environment. These toxins, often found in water-damaged buildings and contaminated food, are invisible but potent. Even low-level, chronic exposure may lead to fatigue, immune dysfunction, brain fog, hormone disruption, or chronic illness.

The mycotoxin urine test is the most common method, where your urine is analyzed for fungal metabolites. These tests help identify toxins like aflatoxin, ochratoxin A, zearalenone, T-2 toxin, and trichothecenes.

Article of Interest: Mycotoxins

Why You Might Need a Mycotoxin Test

You may benefit from mycotoxin testing if you:

  • Live or work in a mold-prone or water-damaged building
  • Have unexplained symptoms (fatigue, digestive issues, brain fog, etc.)
  • Eat a lot of grains, nuts, coffee, or dried spices (which may harbor mycotoxins)
  • Want to monitor your recovery after a mold detox

Types of Mycotoxin Tests

Here’s a breakdown of the most relevant test types:

1. Urine Mycotoxin Test

The go-to clinical option. Labs like RealTime Labs and Vibrant Wellness offer urine mycotoxin testing panels that screen for multiple toxins.

2. ELISA Mycotoxin Kits

For food, grain, and environmental screening. These kits are rapid, accurate, and scalable.

  • Example: R-Biopharm RIDASCREEN ELISA kits

3. Lateral Flow Devices (LFDs)

Rapid strip tests, often used in the agricultural sector for mycotoxin detection in grains.

4. LC-MS/MS Chromatography

Gold standard for confirmatory testing. Offers highly sensitive quantification.

  • Learn more: FDA Mycotoxin Testing Methods

The Mycotoxin Testing Process

Here’s how a mycotoxins test generally works:

  • Sample Collection
  • For urine mycotoxin testing, use the first morning sample.
  • Food or dust: Gather with swabs or special containers.
  • Screening Phase
  • ELISA or LC-MS/MS identifies the type and amount of mycotoxin.
  • Confirmation & Cleanup
  • Positive samples may be reanalyzed using solid-phase extraction (SPE) and HPLC.
  • Result Interpretation
  • Results will show toxin type and concentration (in ppb or ng/mL).
  • Follow-Up Action Plan
  • Based on results, I typically recommend:
  • Environmental remediation (dehumidifiers, HEPA filters, mold inspection)
  • Dietary changes
  • Natural binders like bentonite clay or activated charcoal
  • Retesting in 3–6 months

What Your Results Mean

  • Negative or Trace Levels: Often reflect minimal exposure; common in healthy people.
  • Moderate to High Levels: Suggest significant exposure from food or environment.
  • Multiple Mycotoxins Detected: Mixed environmental or food sources.

Choosing the Right Mycotoxin Test

Key criteria:

  • CLIA-certified lab (e.g., RealTime, Vibrant)
  • Broad toxin panel
  • Validated methods (ELISA or LC-MS/MS)
  • Professional interpretation

5 Key Mycotoxin Research Studies

  1. CDC on Unvalidated Mycotoxin Tests – Caution with non-FDA-approved tests: https://www.cdc.gov/nceh/mold/mycotoxins/faqs.htm
  2. Ochratoxin & Kidney Damage – Risk of nephrotoxicity: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8702615/
  3. Aflatoxin & Liver Cancer – Impact of contaminated grains: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287314/
  4. Urinary Mycotoxins in Humans – Prevalence and methods: https://www.sciencedirect.com/science/article/pii/S0160412021001245
  5. Mycotoxins in Food: A Global Threat – WHO and FAO report: https://www.fao.org/3/y5499e/y5499e00.htm

Key Take-Aways

  • A mycotoxin test can uncover hidden health disruptors linked to mold and food toxins.
  • Mycotoxin testing is most accurate when done through urine analysis using validated labs.
  • Mycotoxin urine test kits like those from RealTime Labs and Vibrant Wellness are effective tools.
  • Urine mycotoxin testing may need follow-up with detox, diet changes, and remediation.
  • Not all mycotoxins test kits are created equal—use professional guidance.

Final Thoughts

If you suspect mold exposure or feel unwell without clear answers, don’t ignore it. A well-selected mycotoxin test could be the key that unlocks your health puzzle. Work with a qualified practitioner, choose your tests carefully, and act on your results.

Man with glasses smiling outdoors.

Eric Bakker N.D.

Greetings! I am a naturopathic physician from New Zealand. Although I’ve retired from clinical practice since 2019, I remain passionate about helping people improve their lives. You’ll find I’m active online with a focus on natural health and wellbeing education through my Facebook page and YouTube channel, including this website.

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