Are these results from Igenex?
band 41 shows up commonly for spirochetal bacteria, not necessarily lyme.
I tested for band 41 only on one of the common labs used (can't remember name now) and was told I didn't have Lyme.
Months later, an LLMD used Igenex and that showed many bands.
Even if results were negative from Igenex, MD should go by symptoms.