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dr. phuli's blog

How I am Treating My Lyme

Wednesday, March 4th, 2009

Many of you have emailed asking how I have been treating my Lyme disease. Lyme is the fastest growing infectious disease in the U.S. and most doctors do not diagnose or treat it properly. If you are not suffering from, or interested in Lyme please skip this blog  but pass it on to whomever may be suffering. I hope this will help anyone struggling with this illness.

I am not a Lyme expert, but I found doctors who are and I am doing really well. Lyme disease is curable. Here is what has been working for me.

  • Testing for Coinfections. Most people with Lyme also have other infections, called co-infections.  Some people never fully recover from Lyme even after their initial infection is succesfully treated because they have untreated/undiagnosed coinfections. One coinfection (that I was diagnosed with) is Babesia. Babesiosis is protozoal infection similar to Malaria that infects the brain. The only laboratory that found my Babesiosis was Igenex Labs (listed in my book). Some say that “everyone tests positive at Igenex.” This is not so. I have tested many chronic fatigue patients over the years for Lyme with Igenex and many test negative. It is important to understand that negative tests for Lyme or co-infections is not always accurate. There are many reasons for this. In the case of Lyme, the infection could be in a form that is invisible to the immune system (L form or cysts, see below). False negative tests can occur if a particular bacterial strain was not tested or if a weakened immune system is unable to form an antibody response to the infection. Symptoms are the most important way to determine what co-infections are present. Some infections are not obvious initially, but as treatment progresses, symptoms change, and coinfections become more obvious. As I complete my Babesial treatments I now suspect that I have Bartonella. My Bartonella tests thus far are negative but as symptoms emerge and persist (neuralgia, persisting fatigue, nausea/malaise), I suspect this coinfection and plan to treat for it.  I am also doing further testing for it, (Endothelial Cell Growth Factor Test).
  • Treating Coinfections. My Babesisos was treated with Mepron, Azithromycin and herbs (below). You must treat Babesisos for at least 5 months- if your doctor says otherwise get another opinion. It must be treated for the full life of a red blood cell (4 months) otherwise the infection will recur.  Studies have shown that treatments lasting 5 months had less failures. After 3 to 4 months headaches, and noise/light sensitivity, chills and sweats improved. Using a high dose homeopathic (LM or Q dosing of Nux Vomica) with a skilled homeopath finally got rid of my headaches. I would not recommend doing a homeopathic treatment early on as homeopathy can flare a symptom before it improves it, and that can be confusing. Make sure your homeopath is very experienced.
  • Antibiotics. I used Doxyclycline initially for Lyme, which is a great treatment, but I became very depressed on this. Because of mood problems my Doxycycline was switched to Omnicef (300 mg twice daily) and after 1 month, Probencid was added to further increase Omnicef levels. Antibiotics drive the Lyme infection from the blood into the tissues, where it persists in a cyst or L form. These forms are not detected by the immune system, so blood tests may be negative, although the infection remains in the tissues. For this reason throughout my treatment I have used Una de Gato (Cat’s Claw) because it treats the cyst/L forms. Flagyl also treats cysts, so I currently “pulse” this in every 3 weeks for 2 weeks. In addition, I use two herbs, Artemesin (initially I used the less potent Artemesia) and  Enula, (from Nutramedix), to treat Babesia and  support immune function. Herbal remedies cause die-off symptoms similar to antibiotics (below) so, if you add these in, do so gradually and of course under your doctor’s supervision.
  • Die-off. As infections are treated, the body reacts to the dead bacteria/protozoa and the symptoms from this are called “die-off.” Die-off is a bitch. Everyone experiences it differently, but die-off makes the treatment of this disease the most difficult part of this disease. My die-off  symptoms were depression, severe unrelenting headaches, numbness, fatigue, brain-fog (literally feeling as if your head is stuffed with cotton), confusion, poor name recall, memory loss, executive function problems (missed appointments, unable to add columns of numbers, forgetting to pick up kids, difficulty organizing/prioritizing/sometimes getting lost in the neighborhood, vertigo, and ADD with difficulty keeping organized or on task), soaking sweats,freezing cold, and joint pains. Cholestyramine (see below) is a prescription medication that helped reduce my die-off symptoms. Supplements that also helped were Pectasol from Douglas (a natural form of cholestyramine – I use both), and Pinella extract (an herbal “brain clearing extract” from Nutramedix). Doing less, asking for help, asking for reminders from friends and family, keeping lists and pre-planning my days (best done the night before so that I could problem shoot and ask for help with driving, shopping, etc) were key.
  • Mood. Mood symptoms were perhaps the worst symptom for me. Many people experience depression from long term tetracycline antibiotics (Doxycycline, Minocycline, Biaxin). Switching to Omnicef helped my mood. Lithium Orotate (4.8 mg) 2 pills three times/day (this is not the same as lithium carbonate used in bipolar illness) was also helpful. During a workshop with Dr Christiane Northrup I was introduced to a world wide healing practice, Bruno Groening Circle of friends, which involves meditation to music (downloaded from the web). This practice has been dramatically helpful both physically and mentally.
  • Sleep. Adequate rest is critical to treat and recover from Lyme. Unfortunately, die-off symptoms and neurotoxins can interfere with sleep. I found using L-Tryptophan 500mg (4 capsules on empty stomach) one hour before bed and 9 to 15 mg melatonin worked very well. (Yes, this is a high melatonin dose,  but melatonin is a powerful brain antioxidant which helps protect the brain from neurotoxins) Regular rest and naps are essential to recover.
  • Cholestyramine. This prescription medication is a resin that is normally used to bind fat. Fortunately for Lyme sufferers, it also binds neurotoxins and can be very helpful to limit neurologic symptoms. There are a few things to know about it. Most doctors prescribe it in packets or yellow powder that contain dyes and substitute sugars not well tolerated by Lyme patients. As a result, many patients give up on it, which is a shame as I found this remedy very helpful to reduce die-off symptoms. Be sure to ask for  Generic cholestyramine in a tub. It is a white, pleasant tasting powder. Two pharmacists had trouble finding this for me- if you have trouble, call Pierce Apothecary (617-566-4080) and they can order it for you with your doctor’s prescription. To avoid constipation while using it, take 4 to 6 tablespoons of ground flax seeds. Cholestyramine must be taken between meals  and at least 3 hrs away from Mepron, because it will absorb your medications and food.  Good times to take this is during the night if you wake up, and late afternoon 2-3 hours before dinner. It can deplete certain minerals so I now take iodine, potassium , vitamin K2 and vitamin D3 in addition to magnesium glycinate and calcium aspartate.

12 Comments  |  Permalink  |  Posted in Lyme Disease

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There are 12 Comments

  1. MattyC  |  June 24th, 2009

    Thank you so much for this blog post! I have been getting treated for Lyme Disease recently. It is nice to see that my doctor has me taking a couple of the things that you take: Cats Claw and Artemisinin.

    I hope you write more the topic! Best wishes to you and good luck with your recovery!

  2. Deb  |  October 29th, 2009

    HI there. I really like the protocol your on and I am doing similar treatments and techniques.
    I was wondering if you your doctor discussed why he choose to pulse using M W F as opposed to 3 days on and 4 days off?

    I have heard hitting it harder with a little more dosing for 3 days is more effective than every day of the week.

    Of course the larger picture of pulsing adding in flagyl every so often for bursts and changing the combos every 4 to 6 weeks or so I think are important.

    I jsut have not sorted out whether M W F has some sort of reasoning different than 3 day on and 4 days off or is it better for some reason?

  3. Amy  |  February 16th, 2010

    What a wonderful and encouraging article! It is like a breath of fresh air to hear a positive perspective and a hopeful outlook for the future. Thank you!

  4. Steven Sponaugle  |  July 14th, 2010

    Thanks for posting the encouraging progress you have made against Lyme Disease and Babesia. I was especially interested to read about the herbals which you found effective against Babesia and Herxheimer dieoff.

    We have had more success against Lyme disease than Babesia and I suspect this is true for most practitioners, since Lyme is more common and we all encounter it more often than Babesia.

    We have a couple chronic Babesia patients who will be interested in trying some of the Nutramedix herbals you used.

    I hope you do not mind me quoting and uploading a large part of your post at my blog.

    Steven Sponaugle
    Research Director, Florida Detox
    http://www.stevensponaugle/wordpress.com

  5. CJ  |  April 13th, 2011

    Do you have an update on your lyme/babesia/etc status? I am an old patient from 2001, when you were in practise in Arlington. You helped me greatly then, but in 2004 I became infected with Lyme disease and despite classic systems and a definitive tick bite, I was treated late. I was sorry to learn of your own struggle with Lyme. Due to my previous experience and respect I would very much like to hear about your progress and results

  6. Pat Carman  |  June 13th, 2012

    Thanks for all the helpful hints. I have been struggling with this for many years, since I first started having symptoms from tick bites in 2000. I have serious problems with neurotoxins, not the least of which is having people take me seriously. My mother refuses to quit waxing the floors and it sends me into a really bad reaction. Nobody seems to understand and I haven’t found a doctor who has been able to help. Can you recommend a good doctor? I live in Australia but also spend time in California. Thank you.

  7. Val  |  January 4th, 2014

    It is nice to read a positive report on Lyme disease. We are a family from Canada who have Lyme disease. We are unable to find a doctor who will treat us. We live in Alberta. Could you please send any info you have on the doctors you used to treat your Lyme and coinfections. Also how are you doing now. Thank you.

  8. Phuli Cohan  |  April 28th, 2014

    Val » Email me through this website so that I can better help you. DrP

  9. Phuli Cohan  |  May 4th, 2014

    Val » I continue to do great- no Lyme symptoms. I continue to preventive herbs, (Sida Acuta, Knotwood, and Houttynia), as well as doing methylation support, and hormone support.

  10. Brandon N  |  June 19th, 2014

    Hello,

    I have had lyme for years now and my protocol is remarkably similar to yours. I have increased my melatonin and l-tryptophan dosages with favorable results. I also use more lithium orotate and it has helped a ton. My question is, what hormones are you using to help with lyme? I have taken pregnenolone (10mg/day) in the past but did not notice significant effects. DHEA seemed to make me irritable but was definitely doing something. Maybe 25mg was too high of a dose.

  11. Phuli Cohan  |  June 22nd, 2014

    Brandon N » 25 mg DHEA is not too high for most men, but if your liver is a “taxed,” you could experience irritability. Check your DHEA-S blood level. It should be in the upper range of normal. If not, start with 5 or 10 mg/day in the morning and increase as tolerated. I recommend liver cleanses to my patients, to ensure hromoens are metabolized freely. A diet rich in dark greens/juicing or supplements, (I like Liver Life by Bioray, or Lipotropic complex by Integrative Therapeutics), work well. All Lyme patients should work with an integrative/naturopathic practitioner as well as a doctor to ensure detox, genetics, and other supports are maximal. Good Luck with your therapies!

  12. Jennifer  |  January 16th, 2017

    Hi Dr Cohan I have Lyme disease and was interested in your drs name llmd or naturalpathic Dr…. Right now I take cefdinir 1200 mgs a day Japanese knotweed, houttynia pinella and liposomal gluthione and interphase plus from klaire labs I like my Dr but he does not talk much and money is really tight. I really appreciate your time thank you Jennifer. I also have bartonella and mycoplasma

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