If you’ve been through the ringer and still aren’t seeing progress, you’re in the right place. 

Chronic Inflammatory Response Syndrome is a real, measurable condition that is triggered by toxins like mold, actinobacteria, and endotoxins.

I know how overwhelming this can feel, especially when you’re already unwell. These first steps will help you build a strong foundation, and are the same steps I recommend before we work together. This way when you do reach out, we can make the most of your time, energy, and resources.

01.

Step 01.

Screen for CIRS

Visual Contrast Sensitivity (VCS) Test – A simple online vision test that can detect neuroinflammation and neurological effects of toxin exposure. CIRS often affects the brain’s ability to process contrast, and this test is a quick, non-invasive first step.
 
Cluster Symptom Chart – CIRS symptoms span multiple body systems. If you have symptoms in 8 or more of the 13 clusters, alongside a failed VCS test, it’s a strong indicator that further diagnostic testing is needed.

screen yourself here

02.

Step 02.

Check Your Genetic Susceptibility

Certain HLA-DR haplotypes make it harder for your immune system to recognize and clear biotoxins.


hla-dr genetic test

HLA-DR Genetic Test

  • This means that after exposure to mold, Lyme, or other biotoxins, your immune system stays “stuck” in an inflammatory state instead of shutting off.
  • Knowing your haplotype helps explain why you’re not recovering and predicts whether you are more likely to develop CIRS from environmental exposures.


03.

Step 03.

Run the CIRS Biomarker Panel

CIRS diagnosis is confirmed with objective lab markers that show immune system dysregulation. A Shoemaker CIRS panel typically includes:


order your cirs panel
  • MMP-9
  • ADH & Osmolality
  • MSH
  • VEGF
  • TGF-β1

  • Leptin
  • C3a
  • C4a
  • VIP

These markers give measurable proof of CIRS and help guide treatment steps.


04.

Step 04.

Test Your Environment

Your body can’t heal if you’re still being exposed.

High scores mean exposure risk and the need for remediation or relocation.


  • ERMI: DNA-based test measuring 36 mold species in dust
  • HERTSMI-2: Scores 5 high-risk molds to assess CIRS safety
  • Optional but Recommended: Actinobacteria & Endotoxin testing, often missed but crucial for identifying toxins common in water-damaged buildings.

get your testing

05.

Step 05.

Support Your Body

Begin healing with immune and inflammation support:

  • Alovéa Immūn™: Balances Th1 and Th2 immune response
  • Alovéa Limitless™: Potent anti-inflammatory support. For Theraputic Dosing: 4-6 Immun and 2-4 Limitless. For maintenance, follow packaging.
  • Run HEPA air purifiers in sleeping and living spaces
  • Create a safe sleeping area immediately: your body repairs most during sleep
shop Alovéa

Step 06.

Work With Experts

CIRS is complex and requires proper guidance.

  • Find a Shoemaker-Trained Provider: For diagnostic testing, prescriptions, and protocol oversight

  • Connect With a Certified CIRS Coach: For step-by-step support, problem-solving, and advocacy
certified cirs coach

06.

shoemaker provider