Consult Dr A.

Dr. Anderson answers clinical case questions!
21 Jun 2018

Lyme and E2/P Dosage

Pt A: 57 y/o female with h/o Sjogren’s, possible intestinal scleroderma/MCTD, chronic pain on 3-4 Tramadol a day and topical CBD oil, chronic low iron/ferritin, fatigue. I just diagnosed her with Lyme on Labcorp WB. 2 +IgM bands. Coinfections we know of: HHV6 6.62, neg EBV/CMV/mycoplasma/c.pneum/parvo etc.
Labs: E2 <5 on low dose E2/P patch, T < 3 low, FAI < 0.1 low, DHEA 32.6, ferritin 22, pregnenolone < 10, AM cortisol 17.6, FT3 2.8, TSH 1.8, FT4 0.86, rT3 16.3, mold IgGs + in the 10-25 range
We’re embarking on the vit C/mixed toco/NAC/DHEA/pregnenolone repletion x6 weeks phase before the Biosolve/doxy/metronidazole on weekends/nystatin/binders x 12 weeks phase and prepping her with FMLA. I will also do IV iron gluconate next visit. Would you recommend higher dose E2/P to protect blood brain barrier? What dose? And when, starting now? She’s on Combipatch 0.05mg E2 and 0.14mg P twice a week from her OB. THANK YOU. She’s resistant to keto, is vegetarian. But agrees to no sugar during Tx phase.

Dr. Anderson:

Aside from the ID therapies I would make sure she gets Prometrium or other OMP in oil 100-200 mg at bedtime. If 200 I’d do that 6-8 weeks then ramp down to 100 QHS

To access Dr. Paul Anderson’s professional educational content, become a subscriber at My Account.

To consult Dr A about a case, please fill out the form at the Contact Portal.

For patient questions and concerns, refer to the clinic, Advanced Medical Therapies.

Subscribe To Our Newsletter

Subscribe To Our Newsletter

Join our mailing list to receive the latest news and updates from Dr. Anderson!

 

You'll receive a weekly recap of all of Dr. Anderson's Webinars, Speaking Engagement, Podcasts, Blog Posts, and more!

Plus, you'll also hear about upcoming events and news before anyone else!

Thanks for joining!

You'll receive a confirmation email shortly!

Subscribe To Our Newsletter

Join our mailing list to receive the latest news and updates from Dr. Anderson!

 

You'll receive a weekly recap of all of Dr. Anderson's Webinars, Speaking Engagement, Podcasts, Blog Posts, and more!

Plus, you'll also hear about upcoming events and news before anyone else!

Thanks for joining!

You'll receive a confirmation email shortly!