FWIW, Went to the latest presentation at Kripalu last weekend. Wanted to pass on some things I learned. Maybe some ideas to bring up with your doc..
Testing is very important. Reason for continued symptoms after treatment is that there is often something else going on, like a coinfection, heavy metal issue, hormonal, adrenal issue, allergies, mold, deficiencies, etc. Test for many things and see what oddities pop up and treat.
Lots of stories of people who finally found a last issue or changed treatment and then eventually had good results after much frustration.
If a treatment has done nothing by one month or plateaued with no further improvement, change to something else.
If no herx or feeling better from a treatment, move on. Feel better or worse or move on if no effect after starting a new treatment.
Herx treatments mentioned were liposomal glutathione, NAC, ALA, folic acid, alka seltzer gold.
Think three Is, Infection, Immune dysfunction, Inflammation.
Anti-inflammatories include curcumin, green tea/EGCG, resveratrol, LDN, increase Omega 3, decrease omega 6 oils, Zn, Mg, Cu, sleep, exercise, broccoli extract sulforaphane, Med diet.
For Lyme, multiple intracellular drugs predominant is the way treatment is heading. Also parasite drugs.
Treat the multiple forms of Lyme, cell wall and persisters. Bactrim, pza, dapsone, plaquenil were all mentioned as persister drugs.
39 is the most specific Lyme band.
Low MSH can indicate lyme infection.
VEGF is a good marker for Bart. Foot sole pain, think Bart. Stria think Bart.
Malaria type symptoms present in Babesia. Severe sweats, fevers, air hunger. Also an enlarged spleen.
Babs tests, FISH and PCR are best.
There is a salivary cortisol test to check for adrenal function.
Deficiencies in Mg, Zn, Cu, I, Vit B, D make recovery more difficult.
Oregano oil and Fluconazole for candida issues.
Increased IgE indicates parasites.
Most Mg is intracellular so the RBC Mg test is most useful for Mg levels.
Biofilms – think Lauracidin, biocidin, serrapeptase, stevia.
If you work with Rabbits and are sick, think tularemia(rare).
Mold toxins can inhibit post pituitary so low MSH, ADH.
If you go on a trip for a weekend and feel much better, think mold.
In lyme, Pneumo vaccine is ok, flu and shingles might cause herx.
Prednisone is a no-no. Hydrocortisone ok for adrenal replenish
Theralac is a good probiotic.