Has your daughter had the 4 point testing for cortisol? and if so, recently?
Bactrim isn't as good as Rifampin for Bartonella. I do know someone who used Bactrim paired with another antibiotic... but she only had symptoms for months (not years) - I think it was 4 or 5 months.
What is she taking with the Rifampin?
Also - is the low dose HC not working? What is your LLMD saying about her fatigue even with the HC?
Moderator, Lyme Forum
Symp started April/2013; Buhner's Lyme May 15-July24/14; Igenex pos. July 3/14
Doxy: July 4-Aug.24/14;Zithro July26-Aug24/14; Amox + Proben. Aug. 29/14;
added biaxin Sept. 26/14
Disc. amox,added Ceftin Nov. 20th.;
Disc. biaxin added Buhner bart herbs Dec/14;Jan/15 pulsing Tinda (w/ Ceftin);
Abx/herb break Apr-July/15; July-mino; Aug. added Rif;
Nov./15 mino - to biaxi