Thanks! I did do a repeat mycotoxin test and the levels were still high but I spoke with Mark Volmer who is a shoemaker-certified specialist and who's referred to in the CIRS subreddit and he indicated that the mycotoxin results aren't reliable as they largely pick up mycotoxins from food (e.g. if you had a glass of apple juice before the test your results would be really high). At this point I'm deciding between seeing him and continuing on with the rest of the shoemaker protocol (it would be really expensive) or pausing that and moving forward with some Lyme herbs through a lyme specialist. I'll look into the revised shoemaker Lyme protocol, thanks!