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May 20, 2025

ONE DOSE OF DOXYCYCLINE

Can one doxycycline dose really stop Lyme disease?

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

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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SPINAL TAP NORMAL

Can You Have Neurologic Lyme Disease With a Normal Spinal Tap?

Can You Have Neurologic Lyme Disease With a Normal Spinal Tap? When Normal Test Results Hide Active Disease “My spinal tap was normal—so why am I still sick?” This is one of the most confusing and frustrating moments for patients with suspected neurologic Lyme disease. The reality is this: spinal tap results are often normal—even

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