Can one doxycycline dose really stop Lyme disease? When a patient walks into my office after a tick bite, they often ask: “Isn’t one dose of doxycycline enough to prevent Lyme disease?” That belief traces back to a 2001 study that has, unfortunately, shaped Lyme disease treatment guidelines. But what most people don’t realize is […]
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My Lyme Disease Patient Got Worse on Antibiotics—Until We Adjusted the Dose Can one doxycycline dose really stop Lyme disease? He was ready to quit treatment. The antibiotics were making him feel worse, not better—nausea, fatigue, and a sense that his body was shutting down. He told me, “Doc, I don’t think I can keep
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Can you have neurologic Lyme disease even if your spinal tap is normal? When Normal Test Results Hide Active Disease Neurologic Lyme disease spinal tap results are often normal even when patients have active nervous system infection. A landmark 1990 study of 27 chronic neurologic Lyme patients found only 2 had cerebrospinal fluid findings suggestive
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