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How long to let a herx clear?

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Posted 6/24/2023 2:59 PM (GMT -5)
I'm reacting to everything.

I then take a day or so off but clearly that's not enough.

How many days are people taking off to let things calm down?

I'm ready to take as long as I can and see where I end up without anything before restarting.

Post Edited (DerekF) : 6/24/2023 12:16:15 PM (GMT-8)

Posted 6/24/2023 4:42 PM (GMT -5)
It’s hard to say, partially because its different for everyone.

When you’re under a LLMDs care and if on antibiotics, they will routinely do liver testing. Depending how elevated those are, they will give you a break from antibiotics for at least a couple of weeks.
Posted 6/24/2023 5:32 PM (GMT -5)
in my experience a week is enough for most herx like symptoms to resolve - more or less

v severe ones can take longer - but those are pretty extreme - bedridden type ones in my experience

when reacting to everything - a common thing with bart in particular - it can be necessary to try and get the reactivity under control before pressing on with treatments

if its a mast cell type reaction - there are various thing that can be tried to get a bit of headroom - and lots of people here more experienced than i with these who may chip in

or perhaps start another thread on that specifically - as the other one got pretty derailed (sorry about that)

failing that some bart treating LLMD's use low doses of steroids to try to calm things down to allow treatment to proceed - eg Dr M. but steroids with lyme and co can be a double edged sword - so i would proceed down that path only after trying the others - and with caution
Posted 6/24/2023 5:57 PM (GMT -5)
Hi, Derek!

In your last post (which I can understand you not revisiting because it got derailed, to say the least) I replied a couple of times about reactivity and the importance to getting your body's sensitivities under control before adding a herx to the mix. Have you considered mast cell activation syndrome? Or read Toxic by Neil Nathan (about very reactive patients)? For me, those were the key to stopping the sort of reactivity you seem to describe.
Posted 6/25/2023 5:08 AM (GMT -5)
Thanks for the replies. How do you begin to address mast cell syndrome?

I think candida might be the reason I'm so reactive, along with Bart.
Posted 6/25/2023 8:07 PM (GMT -5)
Hi, Derek. I just posted a long post about MCAS in another thread by Auzzie, if you are looking for MCAS-related advice. smile
Posted 6/25/2023 8:15 PM (GMT -5)

DerekF said...

I think candida might be the reason I'm so reactive, along with Bart.

I am inclined to agree. Are you also being exposed to mold or living/working in a building that has had leaks/water damage?
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