MargaritaLyme said...
Hi Garzie! I wondered if you wouldn’t mind answering a question about your treatment-you mentioned that the triple antibiotic therapy wasn’t working since you had been chronic for four years. What led you to conclude they weren’t working? Could you pinpoint anything in particular? And have you since revisited the same regimen? And if not, I am truly curious to learn your rationale for trying something different. thank you.
hi, sure, i can explain what happened in my case and how i interpreted it.
i went from Doctor to Doctor for around 5 years with diagnosis of CFS or fibromyalgia etc but got no help. UK NHS tests for lyme were negative. Eventually a half decent rheumatologist i was seeing for "CFS" suggested private testing for lyme - as she was aware that NHS tests for lyme were not perfect and she thought my symptoms could be lyme.
i was tested for lyme and co-infections by Armin lab in Germany and came back positive for lyme and mycoplasma pneumoniae.
i was a bit reluctant to take antibiotics at all as had been following lots of functional health stuff an gut health stuff and that emphasise the damage antibiotics can do to the microbiome,
but by this stage i had tried many natural approaches and they didn't seem to be helping me much.
so i felt my life was passing me by - i was too ill to work or do much of anything - so decided i would try them.
my GP would only prescribe 6 weeks of doxycycline initially - i got a bit worse for the first month or so - then a bit better - so he agreed to extend for another 6 weeks.
i felt they were doing something helpful - but not enough - so i added to the doxycycline, rifampicin and azithromycin for another 3-4 months ( these ABX are active for both Lyme and bartonella - which i had long suspected based on symptoms) - again i was a bit worse for a while and then somewhat improved - maybe maximum 30% better (so perhaps 30% improvement in fatigue, pain, gut problems etc)
however, at that point my liver enzymes went very high - around double the upper normal limit and i was concerned - and stopped the abx for fear of liver damage.
so my rational was that the antibiotics were kind of working - but not enough to cure me - and my liver was struggling with the combination - so i needed to regroup - let my liver recover and rethink.
i now know bartonella in particular is renowned for being very hard to get to respond at all in a few months - whereas lyme on its own usually responds sooner( but just keeps coming back)
i also now know that Bartonella specialists like Dr M - say their patients often have raised liver enzymes towards the end of effective treatment - and thinks its due to killing bartonella sequestered in liver cells - and he usually continues ABX unless liver enzymes get over 3-4x upper normal limit.
so its possible i may have had success if i had kept going with the antibiotics longer - but i didn't know that at the time and i decided to opt on the safe side for my liver and stop. there are no real LLMDs in the UK so i was on my own with this - and this was part of my decision to err on the side of safety.
My mindset at that time was more along the lines of - i just needed to find the right drug or drug combo, hit it hard for a few months and i would be cured.
The reality now seems to be for many people its more like years - and i couldn't stay on abx for years.
i have since opted for longer term sustainable treatment regimes that focus as much on the immune system recovery, and lifestyle factors, that help the body no matter what the illness, as it does antimicrobials.as per the things in my signature.
this approach has got me to around 60% recovered
i don't feel i am over the hump yet - but each week i am a little better
i don't think i will revisit the same combination again - now that know that bartonella is present with certainty - rather than just suspected (see my microscopy thread) and is likely to be my biggest issue and reason for my slow response, so my treatment is more tailored to that now.
i may add more antibiotics at some stage though - but my thinking is more along the lines of pulsing - and using adjunct like biofilm agents and fibrinolytic enzymes - while continuing all the other modalities that have helped me this far.
if you have more questions - ask away