I did these back in 2013. Dr Richard Horowitz says high Pyruvic and low Succinic is common in lyme.
My levels were exactly like that in 2013. about
1-1/2 years After ABX, I retested Pyruvic Acid Spring 2017, and it was high normal but not over the top like in 2013.
Both are part of the Krebs Cycle, also termed The citric acid cycle (CAC) – also known as the tricarboxylic acid (TCA) cycle.
This is the "cell Energy cycle" , which final result is ATP for cells. So this is mitochondria bio-chemistry FATIGUE related./en.wikipedia.org/wiki/Citric_acid_cycle
Going thru old records/test ect on a snowy day, thought I'd ask this. I was taking several naps a day in 2013, I had too.
I'm less "nappy" now, if I get 8 hrs of sleep. Life does not always allow this though. Back then I could not sleep hardly at all..