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, […]
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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
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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.
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