I'm drinking lemon juice water twice/day (1/day I add Apple Cider vinegar) and am doing dry skin brushing.
Not enough, man!!
This is absolutely not enough IN CASE you are herxing.
Activated charcoal is so mild, so easy to take.
I wouldn't take it for very long but certainly for shorter periods.
It was one of the easiest things I ever took!
You could then try clay (not same effect, but it could help a bit already...)
What is RA, in case you have it?
Either caused by auto immune / allergy or PATHOGENS!!
If auto immune OR pathogens, both are related to toxin build up in the joints!
Eg, heavy metals!
The treatment is not THAT different than lyme: conventional doctors will not treat the cause of RA probably (because they mostly assume, it's auto immune or they can't find the right pathogen, in most of the cases).
And they love cortisone, so ... bad thing if you have infections (be it lyme or not).
I got a positive Westernblot, but drs thought I did not have lyme!!!
I moved drs, and by the 3rd specialist, my Westernblot turned negative.
At that time, my symptoms were screaming, but the Westernblot turned negative!!
He said then for sure I did not have lyme!!
These exams are not conclusive, anyway.
And drs. will treat or not, as they feel like.
Here in Switzerland it is not the exam that matters.
If you got 2 weeks of antibiotics, it cannot be lyme.
So they say.
Blood exams play little role in their willingness to cooperate.
that is why I went on a solo adventure and did my own treatments.
Until I found proper help.
Then both practitioners immediately saw lyme, no need for blood tests.
And so I was helped, in the beginning.
I still did self treatment, the whole time.
They do not have time to look into all details, anyway.
So a lot has to be done home (supplements, diet, exercise, meditation, acupressure, lymphatic massage whatever....)
I rubbed a lot of essential oils in the beginning, to find relief. They also helped.
I agree with Psiloraptor: herxes may take time to build.
but your questions are still meaningful: is it disease, or are these herxes, side effects?
Well, if you just continue on your low supportive treatment (lemon, dry brushing, vinegar), well you will NEVER know.
You need NEURO TOXIN binders, potent ones!
Buy MSM in powder, and try it.
If you stand garlic /onions, you won't have much problems with it, because MSM is simply organic sulfur.
MSM is powerful to remove quite many toxins.
If you don't take many binders, you'll never know if you suffer from increased infections or from herxes.
By the way, letting the body full of neurotoxins will make lots of neuro symptoms appear first, ...
....then brain fog, then liver / kidney get clogged, as well as the lymph, ...
...then you get more gut dysbiosis, then you can't absorb the medicines nor food well...
You can bet that candida will show up then, then other parallel infections grow on toxic soup, ...
...and then, it will be very hard to know what you are fighting.
So, in my opinion, I would try a lot of neurotoxin binders, one by one, but surely, trying quite a few of them, in order to save future problems.
Whatever disease that causes inflammation will profit from binders, in my opinion.
And of course, all chronic diseases involving infections too!
If you'd like to lower cytokine reactions, one way is to fight infections, but not only:
the garbage from the fight has to go out!!
The body can react with inflammation against toxins. It's not always pathogens.
And toxins are the BEST FRIENDS of some pathogens such as Borrelia, candida, herpes, clostridium, bartonella, babesia, etc.
The more toxins, the less your immune system is healthy, the more they spread too...
Sorry to be so direct, but it took me so many months to learn that.
I learned the bad way......
I'm of a strong conviction that without cleaning, supporting detox organs (stuff like milk thistle is almost a must, in my opinion), supporting the nerves (electrolytes, Omega 3, earthening for example) are as important as killing anything.
I hope the tele dr will help you!!
But don't expect anyone to help you with everything.
A lot has to be done on your own.
Of course you can keep waiting to see, if you find proper help.
Some people can afford waiting.
It means, they are not that desperate yet!!
Some others cannot.
Well, that was my case. I had no option, really.