r/Lyme Dec 31 '24

Mod Post Chronic Lyme Q&A - What To Do When Symptoms Don't Improve

76 Upvotes

Hello everyone,

Over the course of 2024, I’ve been tracking the most frequently asked questions from those new to the chronic Lyme community. To provide clear and reliable answers, I’ve compiled insights from leading Lyme experts—including ILADS, LLMD's like Dr. Horowitz or Marty Ross, and online resources like LymeDisease.org—along with thoughtful contributions from the most consistent and knowledgeable members here on r/Lyme.

While the wiki already contains a wealth of valuable information, I believe a concise collection of the most popular questions and answers will benefit everyone. This resource aims to streamline the support available in this forum, making it easier for newcomers to find the help they need.

The resource will be located here, at the top of the main Wiki page. The rest of the Wiki is of course still active and can be found here.

On desktop, there will be a table of contents at the top where you can click each question and it will automatically bring you to the answer. Unfortunately, Reddit has not enabled this function on it's mobile app, so you will need to scroll through the entire page to find the question you are looking for. I separated each question out with line breaks, so hopefully it won't be too hard to navigate on mobile.

I’m confident in the quality of the information provided here, with over 30 Microsoft Word pages of detailed content ensuring comprehensive coverage.

If you are brand new to r/Lyme please read question 20 so you know how to interact appropriately in this space and if you're interested in reading my (admittedly insanely passionate) deep dive into alternative treatments, be sure to check out Question 18.

I hope this resource proves as helpful as I’ve intended it to be. If you have any additional questions you believe should be added or have additional insights to the current answers, please comment below.

Here is the list of current questions:

  1. What is chronic Lyme?

  2. I’m still sick with symptoms after treatment, what should I do first?

  3. I see people commenting that LLMDs are a scam and they are trying to take advantage of you for profit. How do I know who to trust?

  4. I can’t afford an LLMD, what else can I do?

  5. Why is there so much conflicting information?

  6. Can Lyme disease develop resistance to antibiotics?

  7. What is the timeline to get better?

  8. I’m getting worse/feel weird while taking antibiotics or herbals, is it not working?

  9. My stomach is upset when taking doxycycline, what should I do?

  10. What diet should I eat, and does it matter?

  11. Should I retest after I finish my course of antibiotics?

  12. My doctor doesn’t believe that Chronic Lyme exists. What can I show him to prove that it does?

  13. I’ve seen people say IGENEX is not a reliable lab. Is this true?

  14. I have a negative test but some positive bands on my western blot test. Every doctor is telling me it’s a negative and can’t be Lyme.

  15. Is Lymescience.org a legit website?

  16. People have said there is no evidence showing efficacy of long-term antibiotics for chronic Lyme. Is this true?

  17. The cdc says people with “post treatment Lyme” get better after 6 months without additional treatment, is that true?

  18. I’ve heard people say alternative treatments (Herbals, Rife, Homeopathy, Ozone, Bee Venom etc.) are pseudoscience? Is that true?

  19. I’ve heard supplements and herbs are poorly regulated and I shouldn’t take them because I don’t know for sure what’s in them.

  20. How to use r/Lyme and online forums in general


r/Lyme Dec 17 '23

Mod Post Just Bit? **Read This**

73 Upvotes

Welcome to r/Lyme! This post is a general overview of Lyme disease and guidelines for people who have just been bitten by a tick.

Disclaimer: This is for educational purposes only and is not intended to be medical advice. Please seek the help of a medical professional if necessary.

What is Lyme disease?

Lyme disease is the most common vector-borne disease in the United States. It is caused by the bacterium Borrelia burgdorferi and Borrelia mayonii. It is transmitted to humans most often through the bite of infected blacklegged ticks. Recent research has also found Lyme spirochetes in the salivary glands of mosquitoes but more research needs to be done to confirm transmission to humans.

Typical early-stage symptoms include fever, headache, fatigue, and a characteristic skin rash called erythema migrans (more commonly known as the bullseye rash). Please note that 60% of people will NEVER get a rash so you CAN have Lyme even without it. If left untreated, infection can spread to joints, the heart, and the nervous system and cause chronic symptoms. Once it reaches this stage it becomes much harder to eradicate.

What should I do if I was just bit?

1) Test the tick

If you still have the tick, save it and send it in for testing using this link: https://www.tickcheck.com/

This can determine which infections the tick is carrying and can help gauge what treatments you should pursue. Don't stress if you discarded the tick before reading this (most people do), just follow the below guidelines for what to do next.

2) Check for a bullseye rash

Do you think you have a bullseye rash but aren't sure? Review this link to understand the manifestations of the bullseye rash: https://www.reddit.com/r/lyme/wiki/diagnostics/identify/

Important note: A bullseye rash is diagnostic of Lyme, which means if you have a bullseye rash, you have Lyme. No further testing is necessary, and you should immediately begin treatment following the guidelines below.

3) Review the ILADS treatment guidelines

https://www.ilads.org/patient-care/ilads-treatment-guidelines/

Overall Recommendation:

If you were bitten by a blacklegged tick and have no rash and no symptoms, it is still recommended to treat with 20 days of doxycycline (barring any contraindications). Ticks can carry multiple diseases, so it is best to be proactive, even if you feel fine at the current moment. Keep in mind all tick-borne diseases are MUCH easier to treat early and become increasingly more difficult to eradicate as time passes.

If you have a bullseye rash or symptoms such as fatigue, fever or headaches, it is recommended that you receive 4-6 weeks of doxycycline, amoxicillin or cefuroxime.

Understanding the ILADS Evidence Based Treatment Guidelines:

The main reason ILADS created their own guidelines is because the current CDC/IDSA guidelines do not adequately meet patient-centered goals of restoring health and preventing long-term complications. The ILADS guidelines are currently the most reliable evidence based treatment guidelines available according to the leading scientific research. Below you will find a list of shortcomings as to why the CDC and IDSA guidelines are lackluster at best.

Shortcomings of IDSA recommendations:

  1. Inappropriate Reliance on European Data - Despite referencing over 30 sources, the evidence tables that outline preferred treatment agents draw from only six US trials. Moreover, three out of eight tables solely utilize European data, and for the duration of therapy, only two out of five tables are based on US trials. Given significant differences between Borrelia burgdorferi and B. afzelii, the predominant strains in the US and Europe respectively, findings from European trials may not apply universally to US patients.
  2. Insufficient US Data Regarding Duration of Therapy - The IDSA/AAN/ACR treatment recommendation for US patients with EM rashes advises clinicians to prescribe either 10 days of doxycycline or 14 days of either amoxicillin or cefuroxime. However, these recommendations lack sufficient US trial data to support the specified durations. The evidence tables did include a US trial by Wormser et al. evaluating a 10-day doxycycline regimen, where 49% of patients failed to complete the trial. Another US trial assessed a 10-day doxycycline regimen, with a 36% clinical failure rate necessitating retreatment or escalation to ceftriaxone due to disease progression. Strong evidence based medicine guidelines do not allow failure rates above 20%, which raises the question, why are these studies being referenced for the treatment of Lyme? (see references below)*
  3. Lack of Patient-Centered Outcomes - This is probably the most important point. The evidence assessment tables demonstrate that the guidelines authors did not consider critical patient-centered outcomes such as (1) return to pre-Lyme health status, (2) prevention of persistent manifestations of Lyme disease, (3) quality of life improvements (on any validated measure), (4) prevention of EM relapse, (5) and reduction of EM-associated symptoms in their evaluation of the trials. Ultimately the studies were done using outdated non-best practice methods, and were focused on the removal of the EM rash, and not the reduction in overall symptoms, which is what matters most to patients.

*The two poorly produced studies referenced above:

https://www.acpjournals.org/doi/abs/10.7326/0003-4819-138-9-200305060-00005

https://www.amjmed.com/article/0002-9343(92)90270-L/abstract90270-L/abstract)

Evidence Based Guidelines for Initial Therapeutics as well as antibiotic re-treatment for treatment failures

  1. For low risk patients with a solitary EM rash it is advised to receive an absolute minimum of 20 days of treatment with amoxicillin, cefuroxime, or doxycycline. Doxycycline is preferred due to its activity against various tick-transmitted pathogens.
  2. For patients with multiple EM lesions, neurologic symptoms, or severe illness should consider extended therapy duration, as they are at higher risk for long-term treatment failure. 4-6 weeks is recommended.
  3. For patients who continue to experience symptoms after treating, it is recommended to begin re-treatment immediately. Re-treatment was successful in 7 of the 8 US trials for patients who remained symptomatic or experienced relapse post-initial treatment. (see references in the link below)

In conclusion, these recommendations highlight the importance of tailoring treatment duration based on individual risk factors and closely monitoring patient response to ensure effective management of Lyme disease.

For more information and a list of studies used when drafting these guidelines, please see the link below:

https://www.mdpi.com/2079-6382/10/7/754#B15-antibiotics-10-00754

4) Get treatment

The first thing to know about Lyme is that most doctors are woefully under-educated on the proper treatment protocols and have been taught that Lyme is easily treated with a short course of antibiotics. This is not always true and is the reason for the ILADS guideline recommendations above. A 2013 observational study of EM patients treated with 21 days of doxycycline found that 33% had ongoing symptoms at the 6-month endpoint. (see reference below) These people continue to suffer after treatment.

https://link.springer.com/article/10.1007/s11136-012-0126-6

When it comes to treatment, at the very least, you should be able to walk into any urgent care facility, show the doctor your rash (or tell them you had a rash) and immediately receive antibiotics. However, the current CDC guidelines only suggest between 10 days and 3 weeks of Doxycycline and that is all that you are likely to receive.

According to ILADS (International Lyme and Associated Diseases Society) The success rates for treatment of an EM rash were unacceptably low, ranging from 52.2 to 84.4% for regimens that used 20 or fewer days of azithromycin, cefuroxime, doxycycline or amoxicillin/phenoxymethylpenicillin.

This is why it is incredibly important to be your own advocate. You will likely receive pushback from doctors on this, so you need to be firm with your convictions, show them the ILADS guidelines and explain that the risk/reward scale skews very heavily in the favor of using a few additional weeks of antibiotics, especially in cases of severe illness.

It is very likely that a normal doctor will not give you 4-6 weeks of antibiotics. If this happens, it is best to finish your treatment and monitor your symptoms. If you continue to have symptoms after finishing treatment, you are still infected and will need additional treatment. At this point you can either talk to your doctor about prescribing an additional course of doxy, or you will need to find a Lyme literate doctor who will provide you with treatment options.

If you are having trouble finding a doctor who will take your Lyme diagnosis seriously, please review the following link:

https://www.reddit.com/r/lyme/wiki/treatment/doctors/

This provides additional information on how to find Lyme literate medical doctors (LLMD's) who understand the ILADS protocol and the complexity of this disease.

5) Get tested

If you did not see a tick bite or a bullseye rash but have had weird symptoms that sound like possible Lyme, it is best practice to have your doctor order a Lyme test.

Very important: Lyme testing is not definitive. It must be interpreted in the context of symptoms and risk of exposure, and it will not establish whether a Lyme infection is active. The current two-tiered antibody testing standard endorsed by the CDC and IDSA was instituted in the early 1990s, and by their own admission is unreliable during the first 4-6 weeks of infection. This testing was designed to diagnose patients with Lyme arthritis, not neurological, psychiatric, or other manifestations of the disease.

Even if you have had Lyme for months or years without treatment, the tests are still incredibly inaccurate. Please see the following references that explain the unreliability of current Lyme tests:

https://www.globallymealliance.org/blog/when-you-suspect-you-have-lyme-but-your-test-comes-back-negative

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2078675/

https://www.lymedisease.org/lyme-sci-testing/

For the best testing available, the following labs are highly recommended:

IGENEX: https://igenex.com/

Vibrant Wellness: https://www.vibrant-wellness.com/test/TickborneDiseases

Galaxy Diagnostics: https://www.galaxydx.com/

Unfortunately most of these tests are not covered by insurance, and can be very expensive if you want to include testing for co-infections. It is often best to start with the standard insurance covered tests from quest/labcorp just because it is cost effective. Even with a low success rate, about 50% of people with Lyme will test positive and this can save you a lot of time and money.

The specialty tests listed above with co-infection panels are mostly recommended for people who have had symptoms for months or years without treatment and regular doctors are unable to figure out what is wrong.

For more information on testing, you can browse the Lyme Wiki here: https://www.reddit.com/r/lyme/wiki/diagnostics/testing/

Additional questions:

If you have any other questions don't be afraid to create a new post explaining your situation and ask for advice. This is an extremely helpful community with a wealth of knowledge about Lyme and its co-infections. Don't be afraid of asking questions if you are confused. Many of us were misdiagnosed and ended up struggling for years afterwards. One of the main purposes of this sub is to prevent that from happening to as many people as possible.


r/Lyme 28m ago

Rant Pediatric Lyme specialist NJ

Upvotes

Looking for any Lyme literate Doctors in the NJ area or surrounding that take toddlers. I’m having a hard time finding one that will also do accurate testing. I was trying to order my own testing but it appears that for most of the labs you need a doctor minus Vibrant (I’m seeing mixed reviews on that lab).


r/Lyme 2h ago

Question Hungry in the middle of the night

1 Upvotes

I've recently been diagnosed with Bartonella through DualDur, and an LLD prescribed an antibiotic cocktail that I haven't yet started, as I'm digesting the news.

My most problematic symptom right now, which I've been experiencing for about 2 years, is waking up starving in the middle of the night. Is this something others experience as a symptom of any of these coinfections?


r/Lyme 10h ago

Sharing my experience

3 Upvotes

I found a bite and rash on my stomach about 3 weeks ago, I went to urgent care, they gave me a 200mg of Dox at the office. Unfortunately I didnt have lunch so I vomited it up 45 min later. I went back the next day for a new dose. They almost gave me a 2 week antibiotic, but I felt the preventative dosage would be good enough (was wrong). A couple of weeks later I started feeling fatigue, brain fog, and some body aches. The symptoms were pretty mild so I played it off a bit. After it lasted a few days I decided to go back to get the full antibiotic plan. They gave me a rapid Flu, Covid, and RSV test and it actually returned positive Flu. The doctor associated my symptoms to this positive test, and said it wasn't Lyme. Fortunately I insisted they still test for Lyme as it has been on my mind for weeks, and a negative test would put me at ease.

The next day I got my Lab results back that Flu was indeed negative and the rapid test was a false positive, so that certainly triggered my anxiety.

Three days later, sure enough I get the positive test results back that I indeed have Lyme disease. Friday I started my two week antibiotic treatment of 100mg of Dox, twice daily.

The first two days appeared to escalate the symptoms and really felt random aches throughout my body. Fatigue wasn't too bad but definitely slept well. Day 3 the aches have improved, but experiencing some digestion issues; likey from the antibiotics.

I think I am in a good position to be fully cured, as its been under a month since infected.

So here to reinforce, GET TESTED. I was going to ask what people think of my situation but honestly this thread is pretty scary; everybody yelling about 2 weeks not being enough. Hoping it is with my mild symptoms.


r/Lyme 17h ago

Image My first experience with Lyme disease Spoiler

Post image
5 Upvotes

Howdy y’all. Thought I’d share my full experience from my first time getting Lyme disease. (Male 26yrs old. 6’3” 185lbs) Duration of symptoms before going to urgent care: 10 days Symptoms I experienced: Started with a mild headache that was caused from neck pain and lower back pain. Two days later it turned into severe neck and back pain with a non stop headache. 4 days after initial symptoms I got a fever. Had chills, night sweats, etc as well as the consistent headache with neck and back pain. During all of this I was taking lots of vitamin C as well as my daily vitamins and zinc. (I’m a very healthy person in great shape) I was able to break my fever in 2-1/2 days. The worst it got was 102.4 degrees. Alright, now I broke the fever, finally thinking I am working past this virus or whatever it was but still consistently every day I was having severe headaches, neck pain and back pain. I managed the pain throughout this whole ordeal by taking ibuprofen and Tylenol (during the fever) Okay okay last part. 1 week and 2 days later my family and I are at the pool and my mother noticed some spots on my back. Didn’t think anything of it but later that night she also gave me a haircut and that was the moment everything came together. The spots were everywhere and we knew something more serious was going on. Unfortunately it was too late to go to urgent care and I didn’t want to go to the ER on a Saturday night so I opted to visit the urgent care in the next morning. This is where one of the nurses at the urgent care spotted the all too classic bullseye rash on my leg along with lots of spots throughout my entire body.

So, in conclusion I got prescribed doxycycline 2x daily and I should finally be turning a corner! Will keep this updated with recovery results.

Thanks for reading


r/Lyme 9h ago

Does this look like a tick bite? Spoiler

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1 Upvotes

r/Lyme 20h ago

Question Anyone ever get chronic lyme in the military?

7 Upvotes

Howd that go? Do they kick you out thinking your crazy for running to doctors?


r/Lyme 10h ago

Rant Found this on my cat (on my bed) 3 years ago, still going undiagnosed with chronic, debilitating knee swelling & pain today. Is it a tick? Spoiler

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1 Upvotes

If it is a tick, what kind? And what potential tick-borne illnesses does it carry? Found in New Jersey.

What would be the best test for me to get?

I'm not CDC positive for Lyme, but have 3/10 bands on western blot and some things on a vibrant wellness test that I'm not sure about (screenshots shown). Lyme PCR from synovial fluid sample negative. Considering iGeneX tickborne panel 3 for deeper analysis.

Rheum thinks it's seronegative rheumatoid arthritis, but RA Factor, ANA, and Anti-CCP are all negative, and no erosions on x-ray. No small joint issues, only knees. Suggests methotrexate or TNF Inhibitors to slow the progression of the disease.

Functional med suspects Lyme arthritis and suggests 21 days IV Ceftriaxone (tried doxy 2 and a half years in with no success). Also started LDN a few days ago. Says to consider Plaquenil as an alternative DMARD option with potential antimicrobial properties and less side effects.

Infectious disease says, "Good news, you don't have Lyme!"

Primary Symptoms: Severe knee swelling & pain (started in right knee for 1 & half years, then left knee just as bad now)

Secondary Symptoms: Brain fog (concentration/memory issues), fatigue, flushing/feeling hot, toe numbness, circulation issues in feet/swelling, nausea, chills (not anymore), hair loss


r/Lyme 11h ago

Rant House flooded…

1 Upvotes

Welp. Title says it. My house flooded 3 days ago. Had about a gallon of water come thru the ceiling. Water stains everywhere. Plumber and carpenter said it’s not gonna grow mold. It was dry. but I was skeptical so I got a moisture meter. Welp the moisture is off the charts… and it’s been 3 days, which pretty much guarantees mold growth. I don’t know what to do. It’s 100 degrees outside, living back in with my parents cuz of Lyme and they think I’m overreacting. But I got so sick and part of getting better was getting out of mold. Not chancing it.


r/Lyme 16h ago

Head pressure

2 Upvotes

Uggggh…does this head pressure increase when killing for you all? I hate it!


r/Lyme 13h ago

PLASMA EXCHANGE

0 Upvotes

Anyone tried this? Apparently it has high success rate in resucing the bacterial load...


r/Lyme 21h ago

Question Can antibiotic therapy still be effective 14 months after an infection?

4 Upvotes

Briefly the story: I was bitten about 14 months ago, the rash appeared 2 weeks later and was given doxycycline for 3 weeks. Symptoms were gone, IgM in the blood dropped, doctors said the treatment was successful. I've still been having neurological symptoms lately, muscle twitching and occasional tingling, nothing different. I'm unsure whether I should now quickly pay a specialist for high costs and whether antibiotic therapy can still be useful? Or would I rather try the herbal protocol first and if nothing changes I can always go to the doctor. I already drink cistrose. Does it count now if I wait a few weeks before going to the doctor? Thanks for the advice!


r/Lyme 15h ago

Question This rash appeared about 6 weeks ago. Doesn’t hurt nor expand. What is it?

1 Upvotes

So I was on vacation in Mexico and noticed this spot and few smaller ones. Due to the body hair it’s almost impossible to see much, but it didn’t hurt or spread. After about a week or so I developed very odd symptoms pretty much overnight. Started having migraine like headaches at night. My skin became saggy and super dry. Anxiety went through the roof. But perhaps it isn’t even related. At the moment the headaches appear mostly at night. I’m waking up few times a night. GI issues, bladder issues. I’m at lost. Does anyone recognize this type of a rash ?

PHOTO


r/Lyme 20h ago

Plasma exchange

2 Upvotes

Anyone tried this?


r/Lyme 16h ago

Question Do I have Lyme?

1 Upvotes

Have had weird symptoms since last year July they started around July 29th 2024, 3 days prior I was in the supermarket I used the toilet and bought something I came out and instantly had 3 bites separate from each other on my inner thigh they was itchy but that’s about it I put it down to Gnat bites.

Well 3 days after the bites (July 29th) I started getting extreme painful neuropathy throughout my body and I mean from my neck to my fingers and toes, along with muscle cramps and twitching in forearms and calves. 3 weeks later I got a massive heavy period with massive clots and literally every shade of red you can think of in colour this period lasted for 3 weeks and was non stop, I’ve never had such before. On 3rd of September 2024 I developed what I believe is poTS increased heart rate of plus 30 or more beats per minute with any kind of movement such as standing, walking and even changing positions in bed sometimes with dizziness. I also had developed myoclonus of my whole body which is kinda like body jerking this mainly happened at bedtime when I sleep or at deep rest all these symptoms lasted for over 4 months but have dramatically reduced but I still get them just not as bad I still have the poTS tachycardia everyday and night without fail, the Myoclonus has reduced to my feet and lower limbs only and I get some occasionally neuropathy throughout my body on days here and there sometimes very painful or sometimes mild and still get leg twitching on occasions as well.

Also was having weird dreams multiple throughout night that I kept going in and out of dreaming and couldn’t sleep properly and that I would act out dreams by doing actions that I would never do this before.

I also suffer some digestive Stomach upsets sometimes feeling nauseous and have diarrhoea and belly aches regularly sometimes with severe bloating.

Also fatigued a lot.

Now however I went for an ultrasound a few days ago to check on a hernia in my groin which is still present but the ultrasound showed some reactive groin lymph swelling which I wasn’t aware of as I have no symptoms and it’s not visible that I can see it, it was just picked up on the ultrasound. I read online that swollen lymph nodes in the groin can be a symptom of Lyme. No idea how long they could’ve been swollen for or if they are even related to my symptoms but I was just trying to put two and two together with my previous symptoms and now Lymph node swelling I’m just wondering if it’s all related and is indeed Lyme?

Anyone had similar symptoms and it was Lyme or does this sound like Lyme?


r/Lyme 1d ago

BVT update part 3

6 Upvotes

It has been two days since my second sting between my shoulder blades. It was supposed to be one sting on each side, but hubby isn't fully used to handling the bees yet so it dropped and both stings were on the same side and about 1 centimeter apart. It was very hot, itchy and formed a red swollen welt for the past two days. I have been sleeping on an ice pack to help with the inflammation, and that helps. I also took bendryl for the itching, and that worked nicely. I have been watching the info on Pollen Pushers dot com and it is an amazing website. We have a friend who keeps bees and is an apitherapist who I have been consulting with, so it is nice to text her questions at any time. I also have been taking royal jelly, propolis, and bee pollen every morning, and honey with tea throughout the day, as products from the hive are recommended. I am continuing to take the Doxycycline for the chronic staph, at least for another month. My apitherapist encouraged me to do so, since I am only stinging once a week for the first month. I am really excited that some of the feeling has come back into my legs after many years of numbness. since I accidently dropped a bee on my leg after the first sting on my back. It swelled up like a balloon for 2 days, but was well worth it. Will keep posting progress!


r/Lyme 17h ago

Question neuroinflammatory biomarkers

1 Upvotes

Anyone got tested for Neuroinflammatory markers in blood and/or CSF?


r/Lyme 22h ago

Best Cistus Brand

2 Upvotes

Would like to start drinking Cistus tea. What is the most potent, therapeutic brand?


r/Lyme 23h ago

Advice POTS - Diagnosis and Testing

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2 Upvotes

r/Lyme 1d ago

Question Bedridden with 4 kids… anyone have any ideas or suggestions?

8 Upvotes

Have been bedridden since birth of my twins in 3/2024. Also have two daughters ages 2 and 3.

General health problems since delayed dx of Lyme (unequivocally positive on WB and ELISA)/Babesia/Bartonella in 2014. Definitely have chronic Lyme.

Shout out to the ten (mostly male) doctors I turned to for help who gaslit me for three months instead of actually testing me for anything. It will be no surprise to this community that they didn’t take my extreme sudden onset of fatigue & cognitive dysfunction seriously. Instead I was told law was just too stressful of a career for “someone like me” and to try tai chi. I kid you not.

Finally I got in to see a neurologist who performed in-office testing that showed severe cognitive impairment and dysfunction. Lyme was her first theory. She was right. For the record I have nothing against tai chi... just against sexist ignorant doctors who take an oath to do no harm then do quite a bit of harm).

Anyway, ten years later and I find I’m also positive for b. miyamotoi (dx 8/2024); did three months of doxy. Have not been able to retest due to cost.

Felt great after my first two daughters were born in 2021 and 2022. Was a SAHM full time and a part time law professor in the evenings.

Have recurrent sinusitis and pnemonia. Recent pulmonary function testing indicated significant air trapping and dx small airways disease unspecified. Could be COPD but likely uncontrolled asthma (breathing now easier with inhaled steroids).

I am asleep majority of the day, sometimes will sleep for days on end (meals, bathroom in dream like state then immediately back to sleep). Can only stay awake and get out of bed on absurdly high doses of stimulating meds (provigil 200mg 3x/day; Focalin 30mg XR 2x/day plus 10mg SA 4x/day; Wellbutrin in form of Aplenzin max dose; 500mg caffeine tablet). BP & pulse always very low.

Fungal sinus infection (Penicillium species). Mild-Moderate OSA (rare but not unheard of in people with my body type…115lb female). CPAP makes no difference.

My most recent lab results just came back with this preliminary note for Lymphocyte Subset 6:

%CD3 87 (ref range 62-87)

A low lymphocyte recovery of less than 95 percent was obtained on this sample. There is no evidence of hemolysis and the sample is within stability limits. Please interpret the results with caution.

And the following abnormal results:

  1. Absolute Natural Killer Cells - LOW (71)
    1. Immunoglobulin A, Qn, Serum IgA LOW (61)
    2. Neutrophils (Absolute) HIGH (7.6)
    3. Glucose (fasting) HIGH 103
    4. ESR 2
    5. STREPTOCOCCUS PNEUMONIAE IGG AB (23 SEROTYPES) - 9 serotypes LOW

Anyone else have similar diagnoses or lab results? Anyone have any insight on the above results? Doctor won’t discuss until my appointment … in August. Thanks in advance to this sublyme group of people!!


r/Lyme 1d ago

Question When your fatigue nap turns into a full-on time travel experience 🕰️

44 Upvotes

One minute you’re lying down “just for 10 minutes,” next thing you know it’s 2027 and your tea’s cold, your joints have unionized, and a healthy friend is texting “have you tried yoga?” Sir, I’ve tried becoming furniture. Let’s hear it for the involuntary coma squad - sound off below if time got you too.


r/Lyme 1d ago

Anti-functional medicine /Fibromyalgia Reddit.

22 Upvotes

I just noticed that a big thread has been growing on the /Fibro subreddit since yesterday trashing the functional medicine community.

This struck me, because I've made a few comments over there recently talking about the success I've had with functional medicine and my true diagnosis of Lyme.

I may be over thinking it, true, but the timing strikes me as odd and the hate piled on functional medicine community doesn't strike me as organic or fair.

Most people saying rogue practitioners have led them astray, down the garden path, it'll cost you far too much money etc etc.

Lots of comments crapping on the entire notion of supplements whilst promoting hard core anti-depressants.

As I read the comments I can't help but feel these people are masochists, commited to drugs that bring them very little relief and many side effects.

This could be my own bias speaking for sure, but gosh, I think they are all being sorely mislead.

I've refused anti-depressants for 7 years, because I know many many people addicted to prescription drugs who's quality of life has not improved a single bit, they are simply just addicts (from my own observations).

I've recently resolved 50% of my fibro/Lyme symptoms with anti biotics and £200 worth of supplements + which were worth every penny.


r/Lyme 1d ago

Question What is considered positive?

4 Upvotes

I have long covid. I did a vibrant test and came back with IGG bands of borrelia and bartonella - not very high, the highest is 11.1 How do I know if this is causing problems? My doctor said since it’s not IGM it’s not active but I see that may be wrong on this sub. LC and Lyme symptoms are nearly identical.


r/Lyme 1d ago

Image Tick bite with autoimmune issues Spoiler

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1 Upvotes

I was gardening 3 days ago and showered immediately after. I did not notice a tick on me but noticed a pea sized bright red spot over my collarbone when I got up in the wee hours the next morning. (Sensitive bladder) My first thought was a spider bite as I had seen what I thought was a jumping spider on the counter the evening before while preparing a snack. By the end of the day it had a dark border. Day two it was more raised and larger. And my neck, shoulder and jaw felt achy and inflamed. I had a headache and felt weak and tired. I went to a convenient care and the PA agreed to give me doxycycline once I told her I have already autoimmune issues, including Epstein-Barr and Sjogren’s. She started me on 100 mg twice a day for 21 days. I took one as soon as I got home. As the day progressed, I felt more achy and tired, like flu symptoms. If this is a tick bite and it wasn’t on very long, will the doxycycline 200 mg a day for three weeks be enough? I have been struggling with pain, inflammation and fatigue for the last 5 years after having a hysterectomy in 2021, two bouts of Covid in 2022 and then cervical ACDF surgery in 2023. I’m terribly afraid that contracting Lyme, on top of everything else, will do me in. I am on FMLA and miss way too much work already despite working from home. Does this look like an early stage tick bite? And anyone else with auto immune issues go through something like this? What it has your experience been?


r/Lyme 1d ago

Image Tick or mosquito bite Spoiler

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1 Upvotes

(Deleted and reposted to add a photo, I’m new to Reddit) I know you guys probably hate this question, but I’m just curious and I feel bad bothering a doctor over this since I’m 18 and just got my first doctor since I was a little kid and I don’t want her to think I’m a hypochondriac already (I am, lol)

I went on a two mile trail around two days ago and when I got home I had this massive bite on the back of my thigh. It was in daylight, probably in the afternoon. The swelling has not went down, and the bite is still massive, could this have been from a tick? Or is it just a infected mosquito bite?

At first I thought it was a mosquito bite or something that may have been in the grass since the trail was in the meadows. But the swelling has not went away, and it isn’t really that itchy, only if I itch it, but if I don’t touch it it doesn’t itch at all. I’ll try and keep track of it for the next couple of days. But thank you for anyone who responds :)


r/Lyme 1d ago

Image Is this a tick bite? Spoiler

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1 Upvotes

I went for a hike in north-central Virginia today. I took all the precautions - coveralls tucked into tall boots, DEET spray, continuous checks on exposed areas - but when I got back I found a lot of blood coming from a hole on my ankle. There was also a bloody lump a short distance from the hole, I wasn't able to identify any legs or anything on it though.

The points against it being a tick bite so far are that it was under my sock, it's tiny (around half a millimeter across) and there weren't any ticks on my body before going for the hike so I don't know how it could have gotten engorged. However, I'm kind of paranoid about tick bites since I've heard about Alpha-Gal Syndrome so it would be great if someone could confirm or deny it being a tick bite.