Garzie said...
Rampage said...
I’m sorry for the setbacks you are experiencing. Out of all the people on this forum, I trust that you are being the most consistent in your protocol. Do you think perhaps, that taking an extended break from abx might be beneficial? I’m probably sounding like an anti-abx nut…I’m not. I love abx for accute illness, I’m weary of long term abx for what it does to the IS in the long run. Just bouncing ideas off of you in case I find myself in the same situation. Thanks.
hi
there is some evidence that most antibiotics cause some immune suppression while you are taking them - things like neutrophils etc are often lower and some abx have direct anti-inflammatory effects ( tetracyclines and macrolides for instance ) - but these effects wear off again relatively quickly once you stop taking them.
but i don't think there is any evidence that long term antibiotics damages the immunes system in the long run - except perhaps for things like fluorinated antibiotics - but that is a separate phenomenon - and i am steering clear of those
of course there is some concern over depleting the microbiome - but we have studies now that show normal diversity is restored in most people in around a year after finishing even very strong broad spectrum antibiotics -
and this is in the context of the general population that typically do not do most of the things that one would ideally do to improve ones microbiome - eg sleep enough, eat enough varied vegetables in the diet, consume polyphenol rich foods, eat fermented foods - exercise, manage stress, sleep 8 hrs etc.
the overstating of the impact of antibiotics by functional medicine doctors was one on the things that caused me to persevere with herbs for so long - but ultimately that didn't work for me - and i have since found my gut issues have been if anything better after antibiotics rather than worse - so i think a lot of what's bandied about
in alternative health circles is quite lightweight and unscientific - more a kind of ideology that gets extrapolated from what little science we have - and then repeated by many different voices until it becomes the accepted "truth"
of course - if i could treat without taking any potentially harmful substances i would prefer to do that - or if it were possible to treat and recover with only short course of antibiotics that would be great.
but the way i would frame it is - when you are suffering with a serious life altering infection ( not to mention potentially life threatening complications - such as heart issues - blood clots etc ) - the risk vs benefit equation gets shifted away from what makes sense for an otherwise healthy person.
not treating these infections adequately risks severe downsides - loss of big chunks of active life through being sick - as well as risk of the afore mentioned complications cropping over time ( it is NOT a steady state illness) - while the potential upside of a full recovery is huge.
so while a person might chose to avoid antibiotics for say a strep throat if they were otherwise well and likely to get over it by themselves.
lyme and co on the other hand are a serious disease that once chronic are very unlikely to go away by themselves or to resolve with short course of antibiotics - leaving the patient with only the choices that are likely to work
however - all of the treatments that work tend to have some degree of risk attached - so that's the size of it -
the choices seem to be either try and live with it and hope nothing worsens or no complications occur - or treat it.
and if treating - by all means start with minimally risky options - in case you are in the small percentage of people that respond easily - but if that doesn't work - then heavier hitting options are
i don't mean to present antibiotics as the only option - or a magic bullet
i actually think the hosts immune system is ultimately the key to recovery - and spend a great deal of time and effort doing all the things i can to help support its function
but we know Lyme and co also suppress immune function, so it may be that one has to do all of those things - lifestyle, diet, exercise, stress management, sleep etc - as well as lower the infectious load with antimicrobials / antibiotics - in order for the immune system to recover enough for a person to get into remission
that is certainly in line with what the top LLMD's propose.
i hope its of some helpGood post. I have thought that some said abx side effects could actually have come from a herx response. I've been on abx for several years now. I actually think for Mom and I that our organs (liver, kidneys) do better with treatment, that abx are actually improving those functions.