QUESTION: An MD I am sharing a patient with says that ONLY Cl salts of minerals should be used because some Lyme patients can react to sulfate or gluconates?
ANSWER: I would say after thousands of IV’s for the Lyme and Lyme like patients (many thousand IV’s) I have experimented with this concept and it is the rare person who ever notices. There are also theories about Biofilm formation and certain salt forms as well, but even in the most “out there” theories, the chloride form of Ca or Mg are preferred, so I think this person has it backwards. Be that as it may, you only deliver about 1.4 mEq of Cl- per mL, which isn’t going to shift much in the Cl department…