Consult Dr. Anderson

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2 Mar 2016

LYME TREATMENT CONSIDERATIONS CONT

QUESTION: I have a Lyme patient, and want to use a combination of IM rocephin, liposomal artemesia and biocidin. Along with a general foundational protocol in an otherwise healthy autoimmune (hashimoto’s/vitligo/very fungal sensitive) patient. I plan to give diflucan along with the anti-biotic protocol. My questions are: Will IM rocephin work? Can I do 1 gm daily or BID? Should I stagger the artemesia and biocidin (start them first and then start the anti-biotics and anti-fungals together)? Is this at all a reasonable plan? Her antibody titers are equivocal. She was bit by a tick in NY area this summer. She was doing fine with no symptoms until recently when her joints started hurting. Her thyroid labs incidentally are t3 and t4 in optimal range, thyroid antibodies elevated but not too bad 1-200 range. Though after the tick bite the TSH came up to 5 or so. PCR testing is pending.

ANSWER: Sounds like a good idea (the IM Rocephin) with all the other stuff. I like well rounded anti-infective things in the Lyme world, and do rotate the antiinfectives as well. Normally IM 1 gram is sufficient, and I’d do it 4 days per week with 3 days off per week for 8 weeks. After 8 weeks I’d change the antibiotic if you think you’ll need it.
Also in addition to the biocidin we are seeing good synergy using the new biofilm formula I formulated for Imprimis (Park) – and no, sadly I don’t get royalties – Biosolve-PA capsules. I do 1 a day 4 days on and 3 off weekly for a week as a test then 2-4 a day (QD) 4 on and 3 off for the rest of the 8 weeks. (generally 2 QD for a 100 lb person and 4 QD for 200 lbs and over) Some people I extend the Rx if there is a lot of kill happening.

* Biosolve is taken once a day, AWAY from food and supplements 1 hour at least, with a full 8-12 oz water.
* I do have people sometimes take the Biosolve on the 3 off days at 1-2 capsules if there is a lot of die off / joint pain or other things on those days that happens, but if not then I don’t add that.

This person’s joint pain may be a good marker of die off and I find Hydrocortisone 10 mg AM and 5-10 mid day along with a lot of adrenal supplement support (sometimes 4-5X what the normal chronically ill person needs) helps a lot.

If you have not – run a reverse T3 – most all these folks need some empiric T3 during therapy anyway.

As with all things you do have to rotate other supports and sometimes i’ll decrease killing and increase the others (see the typical list of things to watch and Tx below).

Must Address in all chronic infection patients (usually not all at once):

  • Genomics
  • Biofilms
  • Infectious agents
  • Endocrine system
  • GI
  • Toxicity
  • Mitochondrial health