It is oral. I take 200mg with breakfast and 200mg with dinner.
I've been on oral abx for almost two years with a few months off.
The Spectracef was added due to severe elbow joint pain and a rash and weakness in my forearms. as well as fatigue and severe neck pain. Before I found a LLMD I had Cognizance problems, weakness,neuropathy, vertigo, head pressure, joint pain and was misdiagnosed with MS.
I had a SPECT brain scan early in treatment that showed hypoperfusion in my brain. My CD57 test was 28. I had a positive FRY test.
I hope that helps
Google Spectracef. It is interesting what it is mostly meant to treat.