Posted 12/9/2020 3:41 PM (GMT -5)
I think if you have treated adequately, flares are common place every now and then. I have wondered the same thing recently, though. I am getting over something these past few days (maybe COVID?), and it has caused Lyme symptoms to show up pretty strong. Usually when this happens I have a cold or the flu (normal sick). I treated for several years with multiple abx and I am currently approaching 7 months of no abx, so when these symptoms hit a few days ago, naturally I was freaking out the Lyme has reappeared, but to my pleasant surprise, I am getting back to my normal self pretty quick and today I feel really good which leads me to believe I was likely fighting off some other foreign invader.
Chapelle, another forum member, recently posted a thread title "Major Flare" where she shares a similar experience.
Here is a link to a good interview of Daryl Hall and Dr. Horowitz. Daryl mentions that about once per year he has a flare that he has to treat with a short course of Omnicef. I have read many other articles of people treating initially for a lengthy period of time, and now (once the bacteria load has been sufficiently reduced), can manage a flare on their own, or require just a short course of abx to get back to normal. If this is the new norm for me, I'll take it!
https://www.huffpost.com/entry/its-a-scandal--daryl-hall_b_11118332
I think the key is to not let the flare get out of control. Monitor it closely, and if you think it is getting worse and worse, it may be best to treat in case it is a true relapse, in which case you want to intervene sooner rather than later.