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The Homeopathic remedy for lymes is Ledum 1m.

Farah Crawford <freyja42@...> wrote:

A lot of my clients have or have had Lymes, Call me and I'll share my experience. A Crawford HHC(518)828-5582@...Ann & Rob Riner wrote:> Does anyone have a protocal for Lymes? A homoepathic, extra vitamins > or herbs?> Thanks> Ann> riners@...>>> ............................................>>

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  • 1 year later...

Hi Barbara,

I used the Igenex Lyme Western Blot IGG and IGA test initially. Once I recieved

my results I then decided to have several other co infections tested which

included Babesia WA-!, two Bartonella tests , and two Ehrlichiosis through

them. I understand the test is reliable for second generation testing also. My

son tested positive..

I had thought I had CFS by itself for 17 years before I had these tests. I have

also been treated for Tape and Round worms which made a huge difference with gut

issues in the last month or so.

Sue T

shannah9 <brfifield@...> wrote:

I'm wondering if anyone can shed some light for me.

If one is going to test for Lyme, is Igenex the most reliable lab to

have this done at or are there others? Is there a specific test one

asks for?

Also, I understand that Lyme can be passed from mother to child while

pregnant. Can the test be relied upon to pick up second generation

infections?

Thanks so much,

Barbara

This list is intended for patients to share personal experiences with each

other, not to give medical advice. If you are interested in any treatment

discussed here, please consult your doctor.

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Hi, Barbara.

Based on what I have heard at the OHM Lyme conference and from doctors

who are experienced in dealing with Lyme disease, I think that Igenex

and Immunosciences Lab have some of the best tests for Lyme disease.

MDLab in New Jersey has good tests, too, from what I've heard. As far

as I know, the Bowen lab test does not discriminate between Lyme

spirochetes and other spirochetes that are in the body but do not

cause problems, so it can give false positives. Both the Igenex tests

and the Immunosciences Lab tests are specific. I would suggest that

you contact the labs to ask which test they think is most

appropriate. I think that Dr. Nick at Igenex has a sequence he

suggests. Dr. Ari Vojdani at Immunosciences seems to recommend his

whole set of tests so as to minimize false negatives.

It's true that Lyme can be transmitted from the mother to the baby in

utero.

I don't know how well the tests do on second generation infections. I

suggest you ask Nick at Igenex and Ari Vojdani at

Immunosciences. The websites are http://www.igenex.com and

http://www.immuno-sci-lab.com

Rich

>

> I'm wondering if anyone can shed some light for me.

>

> If one is going to test for Lyme, is Igenex the most reliable lab to

> have this done at or are there others? Is there a specific test one

> asks for?

>

> Also, I understand that Lyme can be passed from mother to child

while

> pregnant. Can the test be relied upon to pick up second generation

> infections?

>

> Thanks so much,

> Barbara

>

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Hi Sue,

Thanks so much for getting back to me. What was the treatment prescribed for the

Lyme and has it been successful for you and your son?

Barbara

From: Sue T

Sent: Wednesday, November 16, 2005 8:16 PM

Subject: Re: Lyme

Hi Barbara,

I used the Igenex Lyme Western Blot IGG and IGA test initially. Once I

recieved my results I then decided to have several other co infections tested

which included Babesia WA-!, two Bartonella tests , and two Ehrlichiosis

through them. I understand the test is reliable for second generation testing

also. My son tested positive..

I had thought I had CFS by itself for 17 years before I had these tests. I

have also been treated for Tape and Round worms which made a huge difference

with gut issues in the last month or so.

Sue T

shannah9 <brfifield@...> wrote:

I'm wondering if anyone can shed some light for me.

If one is going to test for Lyme, is Igenex the most reliable lab to

have this done at or are there others? Is there a specific test one

asks for?

Also, I understand that Lyme can be passed from mother to child while

pregnant. Can the test be relied upon to pick up second generation

infections?

Thanks so much,

Barbara

This list is intended for patients to share personal experiences with each

other, not to give medical advice. If you are interested in any treatment

discussed here, please consult your doctor.

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Rich,

Thank you for taking the time to pass on these solid leads and direction. Much

appreciated.

Barbara

Re: Lyme

Hi, Barbara.

Based on what I have heard at the OHM Lyme conference and from doctors

who are experienced in dealing with Lyme disease, I think that Igenex

and Immunosciences Lab have some of the best tests for Lyme disease.

MDLab in New Jersey has good tests, too, from what I've heard. As far

as I know, the Bowen lab test does not discriminate between Lyme

spirochetes and other spirochetes that are in the body but do not

cause problems, so it can give false positives. Both the Igenex tests

and the Immunosciences Lab tests are specific. I would suggest that

you contact the labs to ask which test they think is most

appropriate. I think that Dr. Nick at Igenex has a sequence he

suggests. Dr. Ari Vojdani at Immunosciences seems to recommend his

whole set of tests so as to minimize false negatives.

It's true that Lyme can be transmitted from the mother to the baby in

utero.

I don't know how well the tests do on second generation infections. I

suggest you ask Nick at Igenex and Ari Vojdani at

Immunosciences. The websites are http://www.igenex.com and

http://www.immuno-sci-lab.com

Rich

>

> I'm wondering if anyone can shed some light for me.

>

> If one is going to test for Lyme, is Igenex the most reliable lab to

> have this done at or are there others? Is there a specific test one

> asks for?

>

> Also, I understand that Lyme can be passed from mother to child

while

> pregnant. Can the test be relied upon to pick up second generation

> infections?

>

> Thanks so much,

> Barbara

>

This list is intended for patients to share personal experiences with each

other, not to give medical advice. If you are interested in any treatment

discussed here, please consult your doctor.

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Hi Barbara,

I am only treating with vit and minerals, enzymes, probiotics at this time. My

Liver can not tolerate much else. ABX don't always work even after years of

tretment so I will not risk it especially with my liver enzyme defect.

Sue

Barbara <brfifield@...> wrote:

Hi Sue,

Thanks so much for getting back to me. What was the treatment prescribed for the

Lyme and has it been successful for you and your son?

Barbara

From: Sue T

Sent: Wednesday, November 16, 2005 8:16 PM

Subject: Re: Lyme

Hi Barbara,

I used the Igenex Lyme Western Blot IGG and IGA test initially. Once I

recieved my results I then decided to have several other co infections tested

which included Babesia WA-!, two Bartonella tests , and two Ehrlichiosis

through them. I understand the test is reliable for second generation testing

also. My son tested positive..

I had thought I had CFS by itself for 17 years before I had these tests. I

have also been treated for Tape and Round worms which made a huge difference

with gut issues in the last month or so.

Sue T

shannah9 <brfifield@...> wrote:

I'm wondering if anyone can shed some light for me.

If one is going to test for Lyme, is Igenex the most reliable lab to

have this done at or are there others? Is there a specific test one

asks for?

Also, I understand that Lyme can be passed from mother to child while

pregnant. Can the test be relied upon to pick up second generation

infections?

Thanks so much,

Barbara

This list is intended for patients to share personal experiences with each

other, not to give medical advice. If you are interested in any treatment

discussed here, please consult your doctor.

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>

> I'm wondering if anyone can shed some light for me.

>

> If one is going to test for Lyme, is Igenex the most reliable lab to

> have this done at or are there others? Is there a specific test one

> asks for?

>

> Also, I understand that Lyme can be passed from mother to child while

> pregnant. Can the test be relied upon to pick up second generation

> infections?

>

> Thanks so much,

> Barbara

>

Hi Barbara,

I had my tests done at Igenex, after 11 years of dx of CFS, FMS, and

MCS. I did an initial screening with the Lyme Western Blot IgM and

IgG, which I showed positive on both. However, because of the

complexities of the organism, people with infections will not always

test positive. There are other tests that can be done as follow ups or

initially, depending on finances or insurance coverage, if those tests

don't give clear answers.

I was also screened for other tick borne infections, only showing one

additional infection at the initial screening. Now, after two years of

treatment, I have recently tested positive to a third one, and am

having significant improvement while treating it.

Children who had the infection passed in utero may show up positive on

these tests, with all the usual problesm that anyone may have.

Here is a list of the known reasons why someone might be infected, but

not test positive:

REASONS WHY A SERONEGATIVE TEST RESULT MIGHT OCCUR

1. Recent infection before immune response

2. Antibodies are in immune complexes

3. Spirochete encapsulated by host tissue (i.e. lymphocytic cell walls)

4. Spirochete are deep in host tissue

5. Blebs in body fluid, no whole organisms needed for PCR

6. No spirochetes in body fluid on day of test

7. Genetic heterogeneity (300 strains in U.S.)

8. Antigenic variability

9. Surface antigens change with temperature

10.Utilization of host protease instead of microbial protease

11.Spirochete in dormancy phase

12.Recent antibiotic treatment

13.Recent anti-inflammatory treatment

14.Concomitant infection with babesia may cause immunosuppression

15.Other causes of immunosuppression

16.Lab with poor technical capability for Lyme disease

17.Lab tests not standardized for late stage disease

18.Lab tests labeled " for investigational use only "

19.CDC criteria is epidemiological, not a diagnostic criteria

Your best chance for a good diagnosis is to see a Lyme Literate MD,

someone who is knowledgeable about Lyme. They will understand all of

this information, know where and how to test, and how to interpret the

tests.

My then 20 year old also has turned out to have Lyme. He came up

indeterminate on the tests, but a month of abx treatment brought out

two very clear, perfect bull's eye rashes. Since then, he has had

continous and consistent improvement while in treatment.

My treatment has not been as easy, but I am also doing better.

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Hi,

Bowen lab seems to be the most recommended on the EuroLyme forum. I believe

they also include the common co-infections like Babesia, Ehrlichia etc for

no extra charge.

Best wishes,

Alison

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  • 2 months later...

What exactly are these drs doing? PCR?

> I know several doctors who have been finding spiro's in almost

> everybody they test.

> The interesting part is, although they are suffering from a great

> variety of problems, not all are noticeably sick and few would

qualify

> as the type of CFS we saw in Incline.

>

> The fat lady isn't singing just yet.

> -

>

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>

> What exactly are these drs doing? PCR?

Bradford Darkfield microscopy " live blood " .

They say it takes a while to search, but they eventually hit paydirt.

One is a Doxy proponent, the other is Tinidazole.

-

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,

I looked like the cfs patients in Incline. My son does not, nor does

my husband. We ALL have borrelia. My son is only 32. When he is fifty

he may look like I did at 50. I hope not. If syphillis is the great

masquerader then borrelia is also. It can look like a lot of things.

And we don't know what the combos look like. Maybe the kids in Truckee

all got hit with an airborne mycoplasma infection on top of already

having something else like borrelia. Then you add on toxic mold in

that building. It is a confusing mess.

But I wouldn't want to minimize the risk of tick borne infections.

Heck, they used to tell us in South Carolina if your kid got Rocky Mt.

Spotted Fever and lived to tell about it you were home free. Now we

know that there is a chronic form of rickettsia. None of this is

simple as you know.

a

>

> I know several doctors who have been finding spiro's in almost

> everybody they test.

> The interesting part is, although they are suffering from a great

> variety of problems, not all are noticeably sick and few would

qualify

> as the type of CFS we saw in Incline.

>

> The fat lady isn't singing just yet.

> -

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Yes my partner and I both have borrelia. I have all the hallmark CFS symptoms

and he doesn't but then I also have other infections on top of the Borrelia.

Babesia and Chlamydia Pneumonia. Maybe that makes a difference

Re: Lyme

,

I looked like the cfs patients in Incline. My son does not, nor does

my husband. We ALL have borrelia. My son is only 32. When he is fifty

he may look like I did at 50. I hope not. If syphillis is the great

masquerader then borrelia is also. It can look like a lot of things.

And we don't know what the combos look like. Maybe the kids in Truckee

all got hit with an airborne mycoplasma infection on top of already

having something else like borrelia. Then you add on toxic mold in

that building. It is a confusing mess.

But I wouldn't want to minimize the risk of tick borne infections.

Heck, they used to tell us in South Carolina if your kid got Rocky Mt.

Spotted Fever and lived to tell about it you were home free. Now we

know that there is a chronic form of rickettsia. None of this is

simple as you know.

a

>

> I know several doctors who have been finding spiro's in almost

> everybody they test.

> The interesting part is, although they are suffering from a great

> variety of problems, not all are noticeably sick and few would

qualify

> as the type of CFS we saw in Incline.

>

> The fat lady isn't singing just yet.

> -

This list is intended for patients to share personal experiences with each

other, not to give medical advice. If you are interested in any treatment

discussed here, please consult your doctor.

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THis is vague.

Which doctors, what tests, and what " spiros " .

>

> I know several doctors who have been finding spiro's in almost

> everybody they test.

> The interesting part is, although they are suffering from a great

> variety of problems, not all are noticeably sick and few would qualify

> as the type of CFS we saw in Incline.

>

> The fat lady isn't singing just yet.

> -

>

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A doctor I highly respect who now taught herself microscopy thinks

Bradfield is bullcrap. I don't know myself, but in any case I would

trust Igenex western blot and their fish test for babesia (on wihch I

tested positive the first attempt).

Even on Stonybrook I always tested positive--originally only band 93,

as I'd had it for years, since 21, and didn't know it and was doing

relatively well with just one strain, though I did have various

problems that Inever would've had otherwise; but badn 93 is diagnostic

for late stage; and then second bite, I tested HIGHLY positive on

elisa and western blot. So, I'm not too enamored of these outlier

tests by practitoiners who are not microbiologists. They might not

know what they're seeing and who knows what other flagellate type

organisms are around. We have them in our mouth for instance and they

are harmless spirochetes.

> >

> > What exactly are these drs doing? PCR?

>

> Bradford Darkfield microscopy " live blood " .

> They say it takes a while to search, but they eventually hit paydirt.

> One is a Doxy proponent, the other is Tinidazole.

> -

>

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I agree with Jill. I would advise skepticism with this.

There is an artifact caused by red cell membranes. They can bleb out

into long " strings " . I have some images of these, as well as a short

paper on the history of their being occasionally mistaken for

spirochetes.

It shouldnt be too difficult to strongly verify or discharge

observations of possible Borrelia burgdorferi in the blood. One needs

to get access to an epifluorescence microscope, and buy a $200 tube

of fluorescent anti-Bb polyclonal antibody. If the little dudes glow,

bingo. If not, its very unlikely to be Bb.

I actually had a Bradford analysis myself (how this came to pass is a

long story). More than once I asked the analyst (a naturopath) how he

knew this was this and that was that, and he just appealed to the

authority of Bradford, the originator of the school. Ie, he didnt

have knowledge of particular experiments justifying what he was

saying.

> > One is a Doxy proponent, the other is Tinidazole.

Using both of those at once is far more effective, IMO. Taking doxy

alone is likely to be a waste of time for most people.

-----------------------------

> A doctor I highly respect who now taught herself microscopy thinks

> Bradfield is bullcrap. I don't know myself, but in any case I would

> trust Igenex western blot and their fish test for babesia (on wihch

I

> tested positive the first attempt).

>

> Even on Stonybrook I always tested positive--originally only band

93,

> as I'd had it for years, since 21, and didn't know it and was doing

> relatively well with just one strain, though I did have various

> problems that Inever would've had otherwise; but badn 93 is

diagnostic

> for late stage; and then second bite, I tested HIGHLY positive on

> elisa and western blot. So, I'm not too enamored of these outlier

> tests by practitoiners who are not microbiologists. They might not

> know what they're seeing and who knows what other flagellate type

> organisms are around. We have them in our mouth for instance and

they

> are harmless spirochetes.

>

>

> > >

> > > What exactly are these drs doing? PCR?

> >

> > Bradford Darkfield microscopy " live blood " .

> > They say it takes a while to search, but they eventually hit

paydirt.

> > One is a Doxy proponent, the other is Tinidazole.

> > -

> >

>

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For those who may not be familiar with the Lyme tests please do not

confuse Bradford microscopy with IgeneX western blots and urine

antigen tests. They are totally different. As for babesia tests, it

is important to note that Jill became infected in a part of the

country where the strain of borrelia and babesia is more likely to

fit the type the Quest and LabCorp tests are designed to find. For

the rest of the world their tests are more likely to miss the

infection. There are at least 17 strains of babesia and even IgeneX

is only testing for one. Chances are you are wasting your money on

any babesia test. A good Lyme doc will know if your symptoms look

like a co-infection with babesia and he/she should treat you with a

few weeks of Zithromax and Mepron - another treatment that will

break the bank if you don't have insurance to cover meds.

a Carnes

>

> I agree with Jill. I would advise skepticism with this.

>

> There is an artifact caused by red cell membranes. They can bleb

out

> into long " strings " . I have some images of these, as well as a

short

> paper on the history of their being occasionally mistaken for

> spirochetes.

>

> It shouldnt be too difficult to strongly verify or discharge

> observations of possible Borrelia burgdorferi in the blood. One

needs

> to get access to an epifluorescence microscope, and buy a $200

tube

> of fluorescent anti-Bb polyclonal antibody. If the little dudes

glow,

> bingo. If not, its very unlikely to be Bb.

>

> I actually had a Bradford analysis myself (how this came to pass

is a

> long story). More than once I asked the analyst (a naturopath) how

he

> knew this was this and that was that, and he just appealed to the

> authority of Bradford, the originator of the school. Ie, he didnt

> have knowledge of particular experiments justifying what he was

> saying.

>

> > > One is a Doxy proponent, the other is Tinidazole.

>

> Using both of those at once is far more effective, IMO. Taking

doxy

> alone is likely to be a waste of time for most people.

>

> -----------------------------

>

> > A doctor I highly respect who now taught herself microscopy

thinks

> > Bradfield is bullcrap. I don't know myself, but in any case I

would

> > trust Igenex western blot and their fish test for babesia (on

wihch

> I

> > tested positive the first attempt).

> >

> > Even on Stonybrook I always tested positive--originally only

band

> 93,

> > as I'd had it for years, since 21, and didn't know it and was

doing

> > relatively well with just one strain, though I did have various

> > problems that Inever would've had otherwise; but badn 93 is

> diagnostic

> > for late stage; and then second bite, I tested HIGHLY positive on

> > elisa and western blot. So, I'm not too enamored of these outlier

> > tests by practitoiners who are not microbiologists. They might

not

> > know what they're seeing and who knows what other flagellate type

> > organisms are around. We have them in our mouth for instance and

> they

> > are harmless spirochetes.

> >

> >

> > > >

> > > > What exactly are these drs doing? PCR?

> > >

> > > Bradford Darkfield microscopy " live blood " .

> > > They say it takes a while to search, but they eventually hit

> paydirt.

> > > One is a Doxy proponent, the other is Tinidazole.

> > > -

> > >

> >

>

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I should add my quest test was negative, FORGET quest. BTW I did not

ask for a quest test, a holistic doc just decided to do it when I told

him I have lyme.

Stonybrook used to be very reputable but they may have gotten

hoodwinked and corrupted over time.

I would only use Igenex. I used Igenex for my babesia test, the fish

rna test is very accurate imo, better than PCR. I don't need a test

for borrelia as I had the bullseye rash and then the highly positive

tests from Stonybrook.

But definitely, Igenex is the ticket.

> > > > >

> > > > > What exactly are these drs doing? PCR?

> > > >

> > > > Bradford Darkfield microscopy " live blood " .

> > > > They say it takes a while to search, but they eventually hit

> > paydirt.

> > > > One is a Doxy proponent, the other is Tinidazole.

> > > > -

> > > >

> > >

> >

>

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Well I'm confused.

It sounds as if IgeneX just keeps testing until a positive Lymes

develops somewhere along the way, even for people who have not had a

tick bite. I wonder if this would also be true for those who show no

symptoms of CFS or Lymes.

Then again, it sounds as if some are saying that Lymes is always the

precursor of CFS. What about those who may not test positive for

Lymes? Would that mean they are dealing with something altogether

different and their CFS symptoms have developed from a different source?

Sorry if this sounds elementary. I just recently discovered this site

and I see that most here are much more facile with the terms and

certainly have a greater understanding of the whole picture than I.

Ballady

> > > > > >

> > > > > > What exactly are these drs doing? PCR?

> > > > >

> > > > > Bradford Darkfield microscopy " live blood " .

> > > > > They say it takes a while to search, but they eventually hit

> > > paydirt.

> > > > > One is a Doxy proponent, the other is Tinidazole.

> > > > > -

> > > > >

> > > >

> > >

> >

>

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I really have rarely heard of this happening. Most folks do test

positive at Igenex after a negative Quest test. Quest is negative

because they're huge, don't take the time, and follow CDC guidelines

that #1) leave out important diagnostic bands and #2) require 5 bands

for a positive EVEN THO you could not obtain even one of certain

diagnostic bands without exposure.

I know of very few people who get repeated testing and test negative.

And the western strain of babesia, wa1, has a state test that is free

in California from what I understand.

CFS is just a description of symptoms so no, not all CFS will be

caused by lyme. But a lot of it is. It's really straightforward, there

is nothing confusing. If you have CFS you should test for lyme and

coinfections at Igenex, period. Then if you are near a good LLMD and

have the funds or he will take insurance, have him do it and get a

clinical opinion too on your symptoms.

> > > > > > >

> > > > > > > What exactly are these drs doing? PCR?

> > > > > >

> > > > > > Bradford Darkfield microscopy " live blood " .

> > > > > > They say it takes a while to search, but they eventually hit

> > > > paydirt.

> > > > > > One is a Doxy proponent, the other is Tinidazole.

> > > > > > -

> > > > > >

> > > > >

> > > >

> > >

> >

>

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On Feb 8, 2006, at 9:46 AM, ballady4 wrote:

> Well I'm confused.

>

> It sounds as if IgeneX just keeps testing until a positive Lymes

> develops somewhere along the way, even for people who have not had a

> tick bite. I wonder if this would also be true for those who show no

> symptoms of CFS or Lymes.

Not quite. Lyme comes in scores of variants -- some regional, some

dependent on the species of tick or host, etc. Most Lyme tests are

designed to pick up just a few variants. If you have one of the ones

it doesn't test for, you come up with a false negative.

IgeneX has a far more sensitive test than anyone else, designed to

detect a much wider range of Lyme variants. Therefore, you're more

likely to get an accurate result with their test.

> Then again, it sounds as if some are saying that Lymes is always the

> precursor of CFS. What about those who may not test positive for

> Lymes? Would that mean they are dealing with something altogether

> different and their CFS symptoms have developed from a different

> source?

Ballady, I think it's pretty much a given that we're a very mixed bag

here. ME/CFS appears to be caused by a rather wide range of possible

agents; at this stage, it's not likely that we will ever find just

one cause that covers everybody diagnosed with this illness. It's

arguable that the term " ME/CFS " is very likely covering several

different diseases that end up having a similar effect on the body

and its systems.

Lyme seems to be emerging as one of the most common agents that bring

on this symptom set. We're not sure yet how common it is in ME

patients, though it's clear that it's probably one of the big

players. (I've seen estimates that 60-80% of us could be carrying

this.) Since it's fairly well treatable by knowledgeable doctors,

it's worthwhile to find out if you've got it. After all, if you do

come up positive, treating for Lyme could resolve a good chunk of

your issues.

Our own Rich VanK has put together a pretty comprehensive list of

conditions that can contribute to ME (or are caused by ME, and

contribute to our symptoms), along with suggestions for how to test

for and treat each of them. I've given an annotated copy of this to

my own doctor, and we're presently working our way through the ones

that have been missed over the years. The list is at <http://

www.cfsresearch.org/cfs/research/treatment/13.htm>. You might find it

useful in deciding which areas to attack first.

Sara

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Hi, Ballady.

Here's a repost of a message I posted to the list a few weeks ago.

Maybe it will help to shed light on the relationship between CFS and

Lyme disease:

Hi, Nelly, Sue, Sheila and the group.

Thanks very much for posting this. It has really stimulated my

thinking about why Lyme disease is symptomatologically so similar to

CFS.

First, some review. As we all know, it has been terribly difficult

to do the differential diagnosis between Lyme disease and CFS. The

symptoms overlap considerably, and even the best of the lab tests do

not have the sensitivity and selectivity we would all like to see.

Symptoms are manifestations of the pathophysiology of a disease,

i.e. how the functioning of the body of the sick person is abnormal

as a result of the disease. Therefore, if we see that the symptoms

of two diseases are very similar, we should suspect that they must

have some aspects of pathophysiology in common.

Pathophysiology is intimately involved with abnnormal gene

expression in the cells of the sick person, because gene expression

is a reflection of how the cell is conducting its business, and the

misconduct of the business of the cell is pathophysiology.

Because of this, I was quite struck some time ago when Sheila

reported that Dr. Gow said in a recent talk that he had found that

the gene expression pattern in peripheral blood mononuclear cells

(monocytes and lymphocytes) is " identical " in CFS and Lyme disease.

This implies that the pathophysiology of these two disorders in

these cell types is the same. (Note that we can't say anything

about what's going on in other cell types in the body in these two

disorders from this work. There are no doubt different things that

happen in other cell types between Lyme and CFS, and so this is not

saying that the two are identical in every way. But in these

mononuclear cells, this is saying that the pathophysiology of the

two is the same.)

As you know, I am of the firm view that in at least a large subset

of CFS there is glutathione depletion. In another subset, it looks

as though there are genetic variations in the enzymes that make use

of glutathione (glutathione transferases and glutathione

peroxidases), and the results in terms of pathophysiology are much

the same, even though the first group has low glutathione, and the

second group may have elevated glutathione. In either subset, the

people do not have normal glutathione function.

As you also know, based on the work by the DAN! project in autism, I

now believe that the basic abnormalities in the biochemistry in

autism and CFS are the same or similar. The glutathione depletion

brings down the methylation cycle, and a vicious circle develops

that produces a host of problems because of the depletion of SAMe

(the main methylator in the body), cysteine, glutathione, taurine

and sulfate.

So, if the pathophysiology of CFS involves the inability to use

glutathione effectively, whether because glutathione itself is

depleted or because the enzymes that use it have below-normal

activity, and if the pathophysiology of CFS and Lyme are indeed

identical, then it follows that there must be a problem with the

glutathione system in Lyme disease as well.

With that introduction, let me now review some things I found in the

literature, including the paper to which you (Nelly) drew my

attention. I will give the PubMed ID numbers for the references

that support these statements.

(PMID 1477785) First, in in vitro experiments it has been found

that the growth of Borrelia burgdorferi (Bb), the bacterium that

causes Lyme disease, is decreased by 80% if cysteine is not present

in the culture medium.

(PMID 147785) It has been found that cysteine diffuses passively

into Bb, i.e. there is no active transporter protein that pumps it

into the bacterium.

(PMID 1477785) It has been found that Bb incorporates cysteine in

three of its proteins. One has a mass of 22 kilodaltons. The

others have been identified as outer surface protein A (Osp A), with

a mass of 30 kilodaltons, and outer surface protein B (Osp B), with

a mass of 34 kilodaltons.

(PMID 1639493) Bb produces a water-soluble hemolysin. This is a

substance that is able to break down red blood cells and release

their hemoglobin. It is likely that this substance incorporates a

cysteine residue, and this cysteine must be in its reduced state in

order for the hemolysin to break down red blood cells.

(PMID 16390443) Bb does not produce glutathione, which is the

principal non-protein thiol (substance containing an S-H or

sulfhydryl group) in human cells. Instead, Bb cells have a high

concentration (about 1 millimolar) of reduced coenzyme A (CoASH).

Bb also produces a CoA disulfide reductase enzyme that has the

responsibility to keep CoASH in its chemically reduced form, so it

can function. This enzyme is in turn reduced by NADH (reduced

nicotinamide adenine dinucleotide), which is reduced by metabolism

of Bb's fuel. (This is analogous to glutathione reductase in human

cells, which requires NADPH, which in turn is reduced by the pentose

phosphate shunt on glycolysis, which metabolizes glucose as fuel.)

In Bb, CoASH is able to reduce hydrogen peroxide, as glutathione

peroxidase, together with glutathione, do in human cells.

(PMID 11687735) It has been found that when people were infected

with Bb and had the characteristic erythema migrans (bulls-eye

rash), the total thiol and glutathione in blood analysis were found

to be significantly decreased. The activity of glutathione

peroxidase was also significantly decreased. Malondialdehyde, a

marker for lipid peroxidation, was significantly elevated. After

antibiotic treatment with amoxycillin, which eliminated the acute

symptoms of Lyme disease, both the total thiol and the glutathione

levels recovered to normal. However, the glutathione peroxidase

activity was still significantly below normal, and the

malondialdehyde remained significantly elevated. This suggested

that Bb lowers the thiol and glutathione levels in its host, and

inhibits the activity of glutathione peroxidase.

I think this also suggests that while antibiotic therapy eliminates

acute Lyme symptoms and brings recovery of glutathione levels, the

Bb infection may still be suppressing the activity of glutathione

peroxidase, and this may be a mechanism involved in long-term (or

chronic or post-) Lyme disease.

One way in which a pathogen can inhibit its host's glutathione

peroxidase activity is to hoard selenium, because this is a cofactor

for that enzyme. You may recall that that is the mechanism that

Prof. Harry has hypothesized for HIV and AIDS

(http://www.hdfoster.com). I could not find any reference in the

literature connecting Bb and selenium, and I don't know whether

anyone has looked at that. Have any of you who are positive for

Lyme had your selenium level measured?

It seems pretty clear that Bb uses cysteine and that it depletes

glutathione and total thiol (which includes cysteine and protein

thiols as well as glutathione) in its host, at least in the acute

phase. It also suppresses the activity of glutathione peroxidase,

but I'm not sure whether it does it by lowering the host's selenium

level, or by some other means. This suppression appears as though

it could be chronic. I think there is a good chance that this

lowering of glutathione and/or suppressing of the activity of

glutathione peroxidase could very well be the explanation for the

similarities in symptomatology and the " identical " gene expression

in the peripheral blood mononuclear cells in CFS and Lyme disease.

It may also be that a host whose glutathione has been depleted by

other factors may be more vulnerable to developing Lyme disease,

once inoculated with Bb. I am speculating a little here, but this

is exciting!

If this is true, what are the consequences for treatment of long-

term Lyme disease, the subject that Sue raised? I think this

remains to be seen, but it does suggest that the DAN! autism

treatments may have a contribution to make in the treatment of long-

term Lyme disease as I've suggested that they also do in the

treatment of CFS. Before we can reach such a conclusion, though, I

think it behooves us to get more data on glutathione levels,

selenium levels, and glutathione peroxidase activity in people with

positive tests for long-term Lyme disease, as well as some

experience trying these treatments as part of the treatment of long-

term Lyme disease. I'm not suggesting that they would replace other

treatments for Lyme disease, such as antibiotic therapy, detoxing of

neurotoxins, or other approaches to deal with the bacteria

themselves or to deal with particular characteristics of Lyme

disease that are not found in autism or CFS. Nevertheless, these

treatments might make a significant impact. Time will tell. Thanks

for rattling my cage about this, Sheila, Sue and Nelly.

Rich

>

> Well I'm confused.

>

> It sounds as if IgeneX just keeps testing until a positive Lymes

> develops somewhere along the way, even for people who have not had

a

> tick bite. I wonder if this would also be true for those who show

no

> symptoms of CFS or Lymes.

>

> Then again, it sounds as if some are saying that Lymes is always

the

> precursor of CFS. What about those who may not test positive for

> Lymes? Would that mean they are dealing with something altogether

> different and their CFS symptoms have developed from a different

source?

>

> Sorry if this sounds elementary. I just recently discovered this

site

> and I see that most here are much more facile with the terms and

> certainly have a greater understanding of the whole picture than

I.

>

> Ballady

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Hi, Ballady.

Here's a repost of a message I posted to the list a few weeks ago.

Maybe it will help to shed light on the relationship between CFS and

Lyme disease:

Hi, Nelly, Sue, Sheila and the group.

Thanks very much for posting this. It has really stimulated my

thinking about why Lyme disease is symptomatologically so similar to

CFS.

First, some review. As we all know, it has been terribly difficult

to do the differential diagnosis between Lyme disease and CFS. The

symptoms overlap considerably, and even the best of the lab tests do

not have the sensitivity and selectivity we would all like to see.

Symptoms are manifestations of the pathophysiology of a disease,

i.e. how the functioning of the body of the sick person is abnormal

as a result of the disease. Therefore, if we see that the symptoms

of two diseases are very similar, we should suspect that they must

have some aspects of pathophysiology in common.

Pathophysiology is intimately involved with abnnormal gene

expression in the cells of the sick person, because gene expression

is a reflection of how the cell is conducting its business, and the

misconduct of the business of the cell is pathophysiology.

Because of this, I was quite struck some time ago when Sheila

reported that Dr. Gow said in a recent talk that he had found that

the gene expression pattern in peripheral blood mononuclear cells

(monocytes and lymphocytes) is " identical " in CFS and Lyme disease.

This implies that the pathophysiology of these two disorders in

these cell types is the same. (Note that we can't say anything

about what's going on in other cell types in the body in these two

disorders from this work. There are no doubt different things that

happen in other cell types between Lyme and CFS, and so this is not

saying that the two are identical in every way. But in these

mononuclear cells, this is saying that the pathophysiology of the

two is the same.)

As you know, I am of the firm view that in at least a large subset

of CFS there is glutathione depletion. In another subset, it looks

as though there are genetic variations in the enzymes that make use

of glutathione (glutathione transferases and glutathione

peroxidases), and the results in terms of pathophysiology are much

the same, even though the first group has low glutathione, and the

second group may have elevated glutathione. In either subset, the

people do not have normal glutathione function.

As you also know, based on the work by the DAN! project in autism, I

now believe that the basic abnormalities in the biochemistry in

autism and CFS are the same or similar. The glutathione depletion

brings down the methylation cycle, and a vicious circle develops

that produces a host of problems because of the depletion of SAMe

(the main methylator in the body), cysteine, glutathione, taurine

and sulfate.

So, if the pathophysiology of CFS involves the inability to use

glutathione effectively, whether because glutathione itself is

depleted or because the enzymes that use it have below-normal

activity, and if the pathophysiology of CFS and Lyme are indeed

identical, then it follows that there must be a problem with the

glutathione system in Lyme disease as well.

With that introduction, let me now review some things I found in the

literature, including the paper to which you (Nelly) drew my

attention. I will give the PubMed ID numbers for the references

that support these statements.

(PMID 1477785) First, in in vitro experiments it has been found

that the growth of Borrelia burgdorferi (Bb), the bacterium that

causes Lyme disease, is decreased by 80% if cysteine is not present

in the culture medium.

(PMID 147785) It has been found that cysteine diffuses passively

into Bb, i.e. there is no active transporter protein that pumps it

into the bacterium.

(PMID 1477785) It has been found that Bb incorporates cysteine in

three of its proteins. One has a mass of 22 kilodaltons. The

others have been identified as outer surface protein A (Osp A), with

a mass of 30 kilodaltons, and outer surface protein B (Osp B), with

a mass of 34 kilodaltons.

(PMID 1639493) Bb produces a water-soluble hemolysin. This is a

substance that is able to break down red blood cells and release

their hemoglobin. It is likely that this substance incorporates a

cysteine residue, and this cysteine must be in its reduced state in

order for the hemolysin to break down red blood cells.

(PMID 16390443) Bb does not produce glutathione, which is the

principal non-protein thiol (substance containing an S-H or

sulfhydryl group) in human cells. Instead, Bb cells have a high

concentration (about 1 millimolar) of reduced coenzyme A (CoASH).

Bb also produces a CoA disulfide reductase enzyme that has the

responsibility to keep CoASH in its chemically reduced form, so it

can function. This enzyme is in turn reduced by NADH (reduced

nicotinamide adenine dinucleotide), which is reduced by metabolism

of Bb's fuel. (This is analogous to glutathione reductase in human

cells, which requires NADPH, which in turn is reduced by the pentose

phosphate shunt on glycolysis, which metabolizes glucose as fuel.)

In Bb, CoASH is able to reduce hydrogen peroxide, as glutathione

peroxidase, together with glutathione, do in human cells.

(PMID 11687735) It has been found that when people were infected

with Bb and had the characteristic erythema migrans (bulls-eye

rash), the total thiol and glutathione in blood analysis were found

to be significantly decreased. The activity of glutathione

peroxidase was also significantly decreased. Malondialdehyde, a

marker for lipid peroxidation, was significantly elevated. After

antibiotic treatment with amoxycillin, which eliminated the acute

symptoms of Lyme disease, both the total thiol and the glutathione

levels recovered to normal. However, the glutathione peroxidase

activity was still significantly below normal, and the

malondialdehyde remained significantly elevated. This suggested

that Bb lowers the thiol and glutathione levels in its host, and

inhibits the activity of glutathione peroxidase.

I think this also suggests that while antibiotic therapy eliminates

acute Lyme symptoms and brings recovery of glutathione levels, the

Bb infection may still be suppressing the activity of glutathione

peroxidase, and this may be a mechanism involved in long-term (or

chronic or post-) Lyme disease.

One way in which a pathogen can inhibit its host's glutathione

peroxidase activity is to hoard selenium, because this is a cofactor

for that enzyme. You may recall that that is the mechanism that

Prof. Harry has hypothesized for HIV and AIDS

(http://www.hdfoster.com). I could not find any reference in the

literature connecting Bb and selenium, and I don't know whether

anyone has looked at that. Have any of you who are positive for

Lyme had your selenium level measured?

It seems pretty clear that Bb uses cysteine and that it depletes

glutathione and total thiol (which includes cysteine and protein

thiols as well as glutathione) in its host, at least in the acute

phase. It also suppresses the activity of glutathione peroxidase,

but I'm not sure whether it does it by lowering the host's selenium

level, or by some other means. This suppression appears as though

it could be chronic. I think there is a good chance that this

lowering of glutathione and/or suppressing of the activity of

glutathione peroxidase could very well be the explanation for the

similarities in symptomatology and the " identical " gene expression

in the peripheral blood mononuclear cells in CFS and Lyme disease.

It may also be that a host whose glutathione has been depleted by

other factors may be more vulnerable to developing Lyme disease,

once inoculated with Bb. I am speculating a little here, but this

is exciting!

If this is true, what are the consequences for treatment of long-

term Lyme disease, the subject that Sue raised? I think this

remains to be seen, but it does suggest that the DAN! autism

treatments may have a contribution to make in the treatment of long-

term Lyme disease as I've suggested that they also do in the

treatment of CFS. Before we can reach such a conclusion, though, I

think it behooves us to get more data on glutathione levels,

selenium levels, and glutathione peroxidase activity in people with

positive tests for long-term Lyme disease, as well as some

experience trying these treatments as part of the treatment of long-

term Lyme disease. I'm not suggesting that they would replace other

treatments for Lyme disease, such as antibiotic therapy, detoxing of

neurotoxins, or other approaches to deal with the bacteria

themselves or to deal with particular characteristics of Lyme

disease that are not found in autism or CFS. Nevertheless, these

treatments might make a significant impact. Time will tell. Thanks

for rattling my cage about this, Sheila, Sue and Nelly.

Rich

>

> Well I'm confused.

>

> It sounds as if IgeneX just keeps testing until a positive Lymes

> develops somewhere along the way, even for people who have not had

a

> tick bite. I wonder if this would also be true for those who show

no

> symptoms of CFS or Lymes.

>

> Then again, it sounds as if some are saying that Lymes is always

the

> precursor of CFS. What about those who may not test positive for

> Lymes? Would that mean they are dealing with something altogether

> different and their CFS symptoms have developed from a different

source?

>

> Sorry if this sounds elementary. I just recently discovered this

site

> and I see that most here are much more facile with the terms and

> certainly have a greater understanding of the whole picture than

I.

>

> Ballady

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" pjeanneus " wrote:

>

> ,

> And we don't know what the combos look like. Maybe the kids in

Truckee all got hit with an airborne mycoplasma infection on top of

already having something else like borrelia. Then you add on toxic

mold in that building. It is a confusing mess.

>

> But I wouldn't want to minimize the risk of tick borne infections.

> Heck, they used to tell us in South Carolina if your kid got Rocky

Mt. Spotted Fever and lived to tell about it you were home free. Now

we know that there is a chronic form of rickettsia. None of this is

simple as you know.

> a

a,

Yes, this is the craziest darn thing and I would never minimize the

TBD's. It's just that " the mycotoxin connection " gets so little

attention when it appears to be so huge.

You may recall that I knew about " Terminal B " at Reno Tahoe airport

because I could feel " it " there. Well, " Lymies " flying in for

treatment at the Century clinic would get off the plane and drop in

their tracks.

This is so dang consistent that it is unbelievable that nobody but Dr

Shoemaker is interested.

I still wonder why nobody takes me up on my challenge to come and

do " The Incline Village Mold Tour " .

I think that you of all people know that this is no joke.

-

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" " wrote:

> I agree with Jill. I would advise skepticism with this.

IMO. Taking doxy

> alone is likely to be a waste of time for most people.

> -----------------------------

Those patients of the " Doxy Doc " are members of the " cavitations

club " .

They all have jaw parts missing.

Doxy Doc says that his pts improve on doxy alone - and " that's all I

need to know. Keeps a " CWD organisms/Mattman " on his desk.

Pissed me off when I wanted to talk to him about MP and he just

instantly blew me off. " Marshall? Never heard of him. Who do you

think you are! "

After being a charter member of the " bug of the month club " for all

these years, I'm a burnin, burnin, hunk of skepticism.

- " " (not a damned sveringer)

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