Saturday, December 10, 2011

A month later-- a new treatment protocol

I went to my LLMD again this week. He wanted me to come back to Seattle to come up with a full treatment plan because my Western Blot and Elisa were CDC positive, and the treatment I was on wasn't enough.


So....... Here is what I learned:


There are two possible reasons why my symptoms have gotten worse since I started the Doxy and Tindamax:


1. It is working, and it is stirring up the lyme toxins (die off)... This could be the "worse before better" that most people have. Hopefully this IS it, and we just need to establish exit routes for the toxins (a drainage remedy kind of like a detox). 


OR


2. I am incompatible to the meds. So we did another muscle test and it showed that the doxy was not working well with my body, nor were the B-12 injections.




My extreme weight gain is apparently very typical of lyme patients. You either gain or lose a bunch of weight really fast.... ???? My LLMD is hoping that the lyme treatment will lessen the inflammation of the TNF Alpha something something something... Basically we are hoping that the weight will even out as I treat the lyme. If not, we will look into it in a month. There is not really a "Lyme diet" so to speak--- just eating healthy.


Hair loss is normal for antibiotics. He didn't seem to be too worried about that. I'm unlikely going to lose it all. Just thinning :)


GOOD NEWS!  The reason I don't have to go on IV antibiotics is because we aren't trying to "save my life" in a rush. I have clear, horrible symptoms, but I'm not in a life or death state right now. If I get worse, or I have MS type symptoms, then IV will be a last ditch effort to kill the Lyme, but it is more gentle on your body to just do an oral antibiotic/ supplement treatment protocol. YAY!! 


The time line for the treatment is still 1-2 years (most likely) as long as the treatment is working properly. He hopes that with a drainage remedy, I will start feeling better and not worse! :D


Now for some really interesting things:


My saliva tests came back. My cortisol levels were extremely low in the morning and during the day, and too high at night. What this means is: I am in a depressed state, have extremely low energy in the morning and during the day and at night, my body is unable to fight of infections or restore itself. At night, your cortisol levels should be at 0, so that your body restores the higher level in the morning, giving you adequate energy levels to conquer the day!


In the morning, the normal range for cortisol levels is 13-24 nM, mine was 7. Around noontime, the normal range is 5-10 nM, and mine was 4. In the evening it should be 3-8 nM, mine was 4. and at bedtime it should be 1-4 nM, mine was 5. Low values are a sign of adrenal deterioration. 


On the Lyme note:


My Western Blot did come back positive. The bands that were positive were IgG p 45, IgM p 23, and IgM p 41. (All of which are specific to lyme)


The Elisa Assay showed that B. burgdorfer was present, Immunodominant protein was high, Babesia was high. OspA+OspC was high, OspE was high, LFA was high, Variable Major protein was high, B.b. Sensu strict was high. B. garinii was high, B. afzelii was slightly high.


As far as exercise goes: 


Since I am gaining still, I asked my LLMD what exercise I CAN do. He gave me a prescription for Lyme Rehab-Physical Therapy which says:


Please enroll this patient in a program of therapy to rehabilitate her from the effects of chronic tick-borne diseases.


Aerobic exercises are NOT allowed, not even low impact, until the patient has recovered. Aerobics can be damaging and must be avoided.


Exercise no more often than every other day, starting with every 4th or 5th day for one gentle hour.


Work to improve strength and reversed the poor conditioning that results from Lyme, through a whole-body exercise program, consisting of light calisthenics, and/or resistance training, using light resistance and many repetitions. Use minimal resistance. Avoid free weights, bands and large exercise balls and favor machines (especially hydraulics) that can guide limbs through a prescribed arc. 




So finally, my treatment protocol:



Antibiotics:
Tindamax 2 weeks on, 2 weeks off cycles (1 twice daily)
Cefaroxime 500mg (1 twice daily after breakfast and dinner)

Probiotics:
Yeast (1-2 twice daily with antibiotics)
Cultarelle (1-2 in between antibiotics/lunch)

Drainage of Toxins:
Take together away from food in a little water. Hold in mouth for 1-2 minutes before swallowing twice a day.

Itires (lymphatic) follow instructions
Renolix (kidney) follow instructions

Cortisol Levels:
Lower at nighttime: Seriphos (1-2 15-30 min before bed)

Raise AM and noon: Premier Adaptogen (2-3 capsules in AM with or without food/meds and 1-2 capsules in early afternoon)

Energy:
Mix BND, B-vitamin mix (1/4-1/2 tsp before breakfast and dinner or earlier. Hold in mouth 1-2 minutes before swallowing. Mix with water/juice)

Hydroxy B-12 injections (1cc twice weekly)

Immune System:
Transfer Factor Multi-immune, CD-57 count (For one month take 2 twice daily 30 before breakfast and dinner, then switch to 1 twice daily)

Transfer Factor Lyme Plus (2 capsules 30 minutes before breakfast)

5-MTHF (folic acid): (3 per day for one week, 4 per day until gone, switch to 5mg size and take 1 per day)

Babesia:
A-Bab: Work up to 15-20 drops twice daily. 30 minutes before breakfast and dinner. Can take with Transfer Factors. See instructions.

Artemisinin: Start with 1 capsule twice daily just on weekends. Take with a little grapefruit juice and on an empty stomach. Do not take with A-Bab.








Thursday, November 10, 2011

Day 68... I think... let's go with Month 3

It's been a while since I've last posted. And a lot has happened since September. I had mentioned that I failed my first exam, and since then, I haven't been doing much besides studying and resting.


On the academic side of my life, I got a tutor and am working with disability services to help me figure out how to retrain my brain into learning the material. It's been the most challenging thing so far... my brain fog. It's hard to describe, and it is very emotional, so I'm not going to talk about that today....


I wanted to make a note that my second Western Blot and Elisa came back POSITIVE for Lyme disease. Of course we already knew that, but to have a confirmed diagnosis is bittersweet. 


I'm still doing my antibiotic treatment, and I'm not sure if its helping. My symptoms lately have been primarily: gastrointestinal (but honestly not as bad as in the beginning!!), sharp pains randomly all over my body, aches and pains like I'm an old lady, really bad upper back pain the past week or so, arthritis/joint pain, stiffness, ear pain, and I'm sure more, but I can't think of everything... Yesterday my anxiety reappeared which is horrible in itself. Oh and of course fatigue/exhaustion. This has definitely gotten better than in the beginning, though. I was sleeping so much the first few weeks of treatment. I at least get out of bed everyday and get at least one thing done. :) Some days I get quite a bit done, and I'm proud of myself.


I had another sunburn experience. I spent too much time in the sun, and FRIED my face. My nose was bubbly and blistered. It hurt so badly!! But it was totally my fault-- I should have brought an umbrella like an old grandma :P


I applied for disability and social security, although I'm told that the process is lengthy and I am likely to be denied the first time or two. I'm hoping I don't have to get a lawyer!


I've been pretty emotional lately-- I'm stressed out. I don't handle things like this very well. All I want to do is have the energy to go for a bike ride or something. I'm getting fatter and fatter. It sucks. But I've been watching some videos on youtube, and I'm WAY better off than some people with Lyme. Some people are wheel chair bound. I just hope that this treatment works! I don't want to be like that. And I hope that I get my fully functioning brain back, because I'm determined to finish my degree right now, and this failing nonsense is hurting my ego :P 



Tuesday, September 27, 2011

Day 26- I failed my first exam.

I'm struggling in school more than I thought I would. I studied for hours and I got a 42%. I'm devastated, and I don't know what to do. I contacted the Disability Services office at UI, but I haven't heard back from them yet. 

If anyone has any suggestions on how to (can't find the word... accommodate? no...) deal with it, please help! 

Nothing has changed the past week or so, except that when I spent the weekend with my parents this last weekend, it wiped me out! I slept all day yesterday, and was in quite a bit of pain. Today I'm exhausted and in a lot of pain. 

Still having gastrointestinal issues... :( 

Friday, September 16, 2011

Day 15

It's been a busy couple of days, so I many not remember exactly the symptoms... But--


I've had some neck pain, lower body aches, achey hips, and gastrointestinal issues.


Today I'm really excited to go to a yoga class today-- but I am worried about my energy level.

Tuesday, September 13, 2011

Day 12

I wore myself out yesterday and am really paying for it today. My eyelids feel like there are paper weights on them, and I've got a killer headache. My temper is short, and my patience running thin. I apologize to anyone who encounters me today...

Hoping my completely lazy day makes for a good day tomorrow.

It took me 9 hours to convince myself to inject the B-12. Its not getting easier people. I hate it. I can't seem to make my hand push it in, or let anyone else do it since I know what it will feel like. And the pain isn't even that bad-- I'm just a woos, I guess.

I'm bored out of my mind being stuck in the house all day, but I can't seem to focus on all the schoolwork I have to do. 

Monday, September 12, 2011

Day 11

Yesterday I was in quite a lot of pain, but the burning subsided, THANK GOD! 


Today is a new day, and I feel that I have some energy to get some stuff done!! YAY!!

Saturday, September 10, 2011

NEW SYMPTOM!!!

Today I experienced a new symptom. When we were out in the sun boating, the sun felt extremely hot on me. I haven't been in the sun directly for long periods of time in over a week, so I attributed it to me being a woos. After a while, it began to feel like I had a really bad sunburn and was in the sun. I then went swimming and my face started feeling like I was standing in front of a fire! Even when I put my face in the cold water. When I got back in the boat, it got even worse, and all over my body. I told Eric that it felt like a blow-torch was burning my skin. When we got home, I had Eric look up to see if it was a side effect of any of my medications, but we found that it is a symptom of Lyme. Of course it is... 

Right now its a lot better than it was, but it is still present on my face and the heat makes it a LOT worse!! I couldn't even take dinner out of the oven. :/