Mold Toxins Test

About the mold toxins test

Mycotoxins are chemical byproducts, including aflatoxins, trichothecenes, ochratoxins, and other toxic compounds such as gliotoxin and zearalenone, produced by certain mold species and excreted in urine after exposure. This test measures their presence directly, which makes it different from a mold allergy test: it assesses toxin load, not your immune system's response. The analysis uses LC-MS/MS (liquid chromatography tandem mass spectrometry), a technique that detects these compounds at parts-per-trillion sensitivity, significantly more precise than ELISA-based antibody tests. Samples are processed by Mosaic Diagnostics, a CLIA- and CAP-accredited laboratory. From a single first-morning urine sample, you learn which specific mycotoxins are present and at what levels.

Where mold toxin exposure comes from

Mold toxin exposure does not require a visible mold problem or a flooded home. It generally falls into two categories. Environmental exposure happens through water-damaged buildings, damp basements, bathrooms, and HVAC systems, where molds like Stachybotrys ("black mold"), Aspergillus, and Chaetomium can grow. Dietary exposure is just as common and far less obvious: ochratoxin A is frequently found in coffee, dried fruit, grapes, and grains, while aflatoxins turn up in peanuts, corn, and tree nuts. Because many of these foods are everyday staples, exposure can occur gradually and without any obvious source. That's why this panel covers both environmental and food-associated toxins rather than focusing on water damage alone.

Signs this test may be helpful

Mycotoxin exposure can present in ways that overlap with many other conditions, which is one reason it is often missed on standard blood panels. The following patterns, drawn from bloodwork and from clinical symptoms, are commonly reported alongside mold toxin exposure.

From your bloodwork, this test may be worth considering if you have:

• Low vitamin D
• Abnormal liver markers (ALT, AST, GGT, or bilirubin)
• Elevated inflammatory markers (CRP, ESR)
• Signs of suppressed immunity (low WBC count)

Clinically, this test may be useful if you experience any combination of:

• Chronic sinus congestion, persistent cough, shortness of breath, or asthma-like symptoms
• Persistent or unexplained digestive issues, joint pain, mood changes, or immune weakness without a clear cause
• A history of living or working in water-damaged buildings, or regular consumption of mold-prone foods such as coffee, grains, and nuts

These symptoms have many possible causes. A mycotoxin panel helps determine whether mold toxin exposure is one of them.

What this test measures

This test screens for 11 mycotoxins (including aflatoxins, trichothecenes, ochratoxins, and other toxic compounds such as gliotoxin and zearalenone) using LC-MS/MS technology, which detects these compounds at parts-per-trillion sensitivity. Results are creatinine-corrected to account for hydration variation, which improves accuracy. For each toxin, your report shows whether it was detected and, where present, at what concentration. The pattern of toxins can also point toward the likely category of source.

Zearalenone is a mycoestrogen, meaning it may affect hormonal signaling, which is why it is grouped under Hormone & Reproductive Health.

Reference ranges vary by lab and individual. Your Superpower care team and your provider will interpret your specific result in context.

This is not a mold allergy test

These two tests measure entirely different things. An IgE mold allergy test measures your immune system's antibody response to mold proteins: it detects sensitivity, not toxin exposure. A mycotoxin test measures the chemical toxins mold produces, directly in your urine, regardless of whether your immune system reacts to them. That distinction matters: someone can have a negative allergy test and still carry a meaningful mycotoxin burden, and the reverse is also true. The two are complementary rather than redundant. If you've already had a mold allergy test, this panel still answers a different question: what toxins are actually present.

Who benefits from testing

• You have lived or worked in a water-damaged or damp building, or have a known Aspergillus or Stachybotrys ("black mold") exposure history
• You regularly consume mold-prone foods such as coffee, nuts, dried fruit, and grains and want to assess dietary toxin load
• You have already optimized other factors and still feel off
• You have had standard blood panels come back normal despite ongoing symptoms

If any of the above sounds familiar, this test fills a gap routine bloodwork leaves open.

What you will learn

Your results show which of the 11 mycotoxins are present in your urine and, where detected, at what concentration. Because each toxin maps to particular mold species and exposure routes, the overall pattern can also point toward the likely source category, environmental versus dietary, which helps focus where to look next. Results are creatinine-corrected for accuracy and arrive with context from Superpower's care team, who can help you make sense of what was found. Think of this as a clear starting point for an informed conversation with a provider, not a treatment directive. It tells you what is in your body so you can decide what to do next.

How it works

This is an at-home urine test you collect yourself and mail back for analysis.

1. Order online, no doctor's visit required
2. Receive your collection kit by mail, with full instructions
3. Fast for 12 hours before collection, which can improve detection accuracy
4. Collect your first-morning urine sample following the kit instructions
5. Ship your sample using the prepaid return materials
6. Get your results. Mosaic Diagnostics (CLIA and CAP accredited) analyzes your sample, and you receive your results plus an updated Action Plan within 10 days, with your Superpower care team available to discuss findings

Consider pairing with the Organic Acids Test

The Mold Toxins Test identifies which mycotoxins are present in your urine. The Organic Acids Test looks at a different layer: how mold toxin exposure may be affecting your metabolic pathways, including mitochondrial function, neurotransmitter production, and gut microbial activity. Run together, the two give a more complete view of both what you've been exposed to and the metabolic context around it. Many providers pair them for exactly this reason.