🧫 Mycotoxin binders and sequestering agents. Most resources stop at "it binds mycotoxins." The more useful question is which mycotoxin, how well, and at what cost.
📚 The binding literature covers a wide field: cholestyramine, activated charcoal, bentonite and calcium montmorillonite clay, red grape pomace, dietary fibre, humic and fulvic acids, probiotics including Lactobacillus, Bifidobacterium and S. boulardii, algae and spirulina, chlorophyll and chlorophyllin, and flavonoids such as green tea polyphenols.
⚖️ Every one of them carries a trade-off worth understanding before it comes up in a patient conversation. Cholestyramine performs well against ochratoxin A and zearalenone, but at a cost to fat-soluble vitamin absorption. Bentonite shows good results for aflatoxin B1 without generalising to other mycotoxins. Probiotic binding is highly strain-dependent. And some fibre sources carry their own risk of mould contamination.
🔬 We've put together a synthesis of what's actually published, not a treatment recommendation. Much of the evidence base sits in animal and in vitro work, and human studies are flagged specifically wherever they exist.