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June 17, 2025

Why I Don’t Start with IV Rocephin for Chronic Lyme

Intravenous (IV) Rocephin, or ceftriaxone, is often viewed as the gold standard for late-stage Lyme disease. And yes, it has an important role. But in my practice, I don’t routinely start with IV treatment—even for patients with chronic manifestations like fatigue, brain fog, nerve pain, or autonomic dysfunction. Let’s break it down—in the form of […]

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Should I Be Taking Probiotics While I’m on Antibiotics for Lyme?

Should I Be Taking Probiotics While I’m on Antibiotics for Lyme?

As part of their treatment for Lyme disease, many patients are prescribed multiple rounds or combinations of antibiotics. At some point, they ask: “Will these antibiotics hurt my gut? Should I be taking probiotics too?” It’s a common question—and a smart one. The short answer: yes. But let’s break it down—in the form of a

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Forget the Rash: These Are the First Symptoms of Lyme Disease.

Forget the Rash: These Are the First Symptoms of Lyme Disease

Patients with Lyme disease rarely walk into a clinic with the classic bull’s-eye rash or a clear memory of a tick bite. Instead, they often present with vague, nonspecific symptoms that are easy to overlook — especially when laboratory tests are negative or equivocal. By the time Lyme is considered, many patients have already seen

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