Mycotoxins measured in urine
Certain molds make mycotoxins. A urine test measures selected toxins or their metabolites that the body is getting rid of. It is a snapshot of excretion, not a photograph of every mold spore in a room. Collection is usually a urine sample at home, sometimes with instructions about timing. Dr. Tara Kohen explains the prep the kit actually requires, and skips folklore that is not on the sheet.
Mycotoxin testing is an additional lab cost, discussed before the kit is ordered. The review visit often runs 30 to 60 minutes depending on the plan. A free 20-minute consultation is the right place to ask whether the history even justifies the test. FRI is out of network, accepts HSA and FSA cards, and provides a superbill for the clinical time. The lab bills separately.
Water-damaged buildings in the history
The history that makes this test worth considering is specific. A leak that was painted over, a basement that smelled, a workplace with stained ceiling tiles, symptoms that began or worsened after a move into a damp building. Mold toxicity is the phrase patients use. The visit translates that phrase into where you lived, when, and what got wet.
Symptoms people connect with this history include profound fatigue, brain fog, sinus trouble that tracks the building, and a sense of being inflamed without a clear infection. Those symptoms have many other causes. The building story is why mycotoxins are on the list. Without that story, the test is usually the wrong spend. Chronic fatigue alone does not equal mold.
The lab does not inspect your house
A urine result cannot tell you which wall is wet, whether the HVAC is contaminated, or if remediation was done well. Those are building questions for an indoor environmental professional, not for a chiropractic and functional medicine visit. FRI can say the history and the urine are worth taking seriously. FRI cannot certify a house safe or unsafe.
If the result is elevated and you are still sleeping in the room that leaks, no supplement plan outruns ongoing exposure. The practical order is to understand exposure, then decide what medical and environmental steps belong. Dr. Sani Kohen will say that plainly. Leaving the building question unasked while chasing a urine number wastes the test.
Care without a detox product pitch
There is no detox tea in this plan, and no claim that a drink pulls mycotoxins out of you. Support, if it is offered, is matched to the result and the person, and it is discussed as a trial with a reason. Product names and doses are not the point of the testing visit. Food, sleep, and whether you are still exposed come first.
A positive test is not a diagnosis of a mold illness by itself. A negative test does not erase a convincing building history. Both outcomes are interpreted. If another clinician should be involved, that referral is part of the note. The Functional Medicine pillar is comfortable saying the test did not answer the question.
What a Mycotoxin Testing visit is like
Expect questions about buildings, not only about symptoms. Dates, smells, visible water, and whether you still spend time there will come up. The kit, if ordered, is a urine collection with instructions you should read before the morning you collect. The review happens after the lab reports, with the page open.
You should leave knowing what the urine can say, what it cannot say about your house, and what the next responsible step is. That step might be an environmental inspection by someone who does that work, a different medical evaluation, or a decision that this test was not informative. All three are acceptable endings.
Reaching La Alameda from the 55
The usual drive is the 55 south to the 73, then toward Mission Viejo and La Alameda. From the Westside, some people prefer the 405 south to the 73. About 16 miles and 25 to 40 minutes. The address is 26400 La Alameda, Suite 100, Mission Viejo, CA 92691. Parking on site. Open Monday through Thursday, 9 to 6.
Afternoon returns to Costa Mesa on the 55 are slow. A morning visit is kinder to a fresh neck exam and to your schedule. Call (949) 312-1754. If you work a retail shift at South Coast Plaza, bring that standing schedule to the history. It changes how we dose a plantar fascia or low back plan.
What Costa Mesa visits focus on
Shoulder pain, neck pain, and knee pain cover a lot of the training and work injuries. Whiplash after a freeway crash needs a careful exam and, often, coordination with other clinicians. Functional movement screening is useful for people who train hard and still cannot explain a recurring tweak.
Gut and hormone questions are welcome in the same practice. Food sensitivities and hormonal imbalance each have their own explanation so we are not pretending a adjustment will answer them. The Costa Mesa chiropractor page is the overview.
Payment and first-visit logistics
Out of network, superbill, HSA/FSA. No referral. Bring imaging if a physician already ordered it after a crash. Do not wait on a lawyer to be examined if you are hurting, and do not expect us to manage the legal side of a claim.
The doctors are Drs. Sani and Tara Kohen. Biographies are on the about page. The clinic itself is on the office page. The complimentary consultation is 20 minutes if you want to compare this model with a high-volume office closer to Harbor Boulevard.
Westside shops, Eastside neighborhoods, and the 55
Costa Mesa is physically split. The Westside and the streets around the LAB and the action-sports shops mean standing, lifting, and a younger training culture. The Eastside and Mesa Verde are more residential. South Coast Plaza adds retail shifts on hard floors. The 55 freeway is the spine of the commute for people heading inland. Neck and low back complaints often belong to that freeway. Shoulder and knee complaints often belong to training or to a job on your feet. We ask which Costa Mesa, because the city is not one ergonomic story.
Action sports and gym culture also mean people arrive having already tried a lot of soft tissue. If you have had months of massage without a change in the movement that hurts, say what was actually done. ART and IASTM are specific tools. They are not a more expensive version of a general rub, and they are not always the right next step.
Questions patients ask
Can this urine test find the mold in my walls?
No. It measures mycotoxins being excreted. It does not inspect a building. A wet wall needs an environmental assessment, not a lab interpretation.
Is a detox tea part of the plan?
No. FRI does not use a tea or a cleanse claim for mycotoxins. Any support is tied to the result and the exposure history, and it is discussed as a trial.
Should I test if I have never been around water damage?
Usually no. The test earns its cost when the building history and the symptoms point the same direction. Fatigue alone is a weak reason.
Does a high result diagnose a mold illness?
No. It is one finding. Ongoing exposure, other illnesses, and a physician's judgment still matter. A low result also does not erase a clear building history.
Related methods and problems for Costa Mesa
Mycotoxin Testing is one tool inside Functional Medicine. It is not booked as a standalone trick disconnected from the exam. These links are the neighboring methods and the problems that most often lead someone from Costa Mesa to ask about it.
- Mycotoxin Testing overview
The clinic-wide technique page, without a city attached.
- Costa Mesa chiropractor
Drive, neighborhoods, and the rest of the care offered to Costa Mesa patients.
- Functional Medicine
The pillar this method belongs to.
- Organic Acids Test
An organic acids test looks at urine metabolites that can reflect gut microbial byproducts, a higher demand for certain nutrients, and signs.
- Heavy Metal Testing
Heavy metal testing uses blood, urine, or both, chosen from the question and the exposure history. Blood speaks more to recent contact..
- GI-MAP Stool Testing
GI-MAP is a stool test that uses a PCR-style method to ask about microbes, including possible pathogens, and about selected markers of.
- Functional Lab Testing
Functional lab testing is the visit where the history chooses a lab, instead of a cart of kits. DUTCH, a GI-MAP stool.
- Mold Toxicity in this city
Some people feel worse after months in a water-damaged building: fatigue, fog, sinus congestion, or a taste of must in the air..
