Relapse

I just looked at your last post. You said you were on rifabutin and minocycline, but every time you come off symptoms return.

When you said symptoms returned and the only change was starting birth control, my first thought was bartonella. Since you were on rifabutin, I assume you have bartonella. Not sure what doctor you are working with, but maybe you need more treatment. Dr M is the bart guru. From what I have read, it sounds like most of the people who successfully treated with him were in treatment longer than a year. Sometimes several years.

birth control pills include hormones that affect the immune system quite significantly, and can increase your risks at developing MS (which is well ... very similar to the lyme disease symptoms). So i would say the birth control pills are to blame. Them plus your history of lyme => more MS/lyme symptoms

https://www.ncbi.nlm.nih.gov/pmc/articles/pmc5592309/

"Six studies (3 cohort studies and 3 case-control studies) were identified that evaluated the impact of cHCs on the subsequent development of multiple sclerosis (Supplemental Table 6). Two studies showed a significantly increased risk for the development of multiple sclerosis with “ever use” of cHCs (Hellwig et al. 2016; Kotzamani et al. 2012) with a similarly increase risk noted in one study for current use or past use (Hellwig et al. 2016). Overall these studies suggest that use of cHCs may convey an increased risk for the subsequent development of multiple sclerosis."