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Disease Transmission to Humans

Posted on May 16, 2017 in Blog |

The following is an excerpt from Lyme Savvy: Treatment Insights for Lyme Patients and Practitioners. We open this section talking about Bartonella, but Lyme disease is also discussed. Keep reading to find out more. Disease Transmission to Humans Dr. Mozayeni There are many ways to get Bartonella, including from your cat. When infected, cats have a million fold higher circulating level of Bartonella. If they are indoor/outdoor cats or feral cats, 80% or more carry Bartonella. The numbers are probably higher but even the sickest cats will have four-to-five days of the month during which they will no detectable Bartonella in their blood. There are many ways to get Bartonella: from fleas, cats, and potentially other biting insects strongly suspected but not strictly proven. So it becomes a much more prevalent infection. The other Protozoa infections probably follow the same pathways in terms of the ways they are spread. Vectors are agents that transmit the various Protozoa that makes people sick. Protozoa get into and on red cells that can be transmitted by mosquitoes, known transmitters of Protozoa. It stands to reason, then, that Babesia and Babesia-like things can be transmitted by mosquitoes. Mosquitoes may be the principle vector. Here we all are worried about deer ticks and most patients with Lyme Disease cannot remember a deer tick bite. But everyone I know can remember a mosquito bite. Everyone I know has probably run into fleas more often than they have run into deer ticks. There are all kinds of fleas. There are sand fleas at the beach. There are fleas on your cat, fleas on your dog. Nine percent of dogs carry Bartonella but when they do, their blood levels are a lot lower so I don’t think they represent as big a reservoir or a risk as cats do. The landscape of chronic infection is far bigger than just Borrelia. This probably explains why patients with these chronic symptoms will all classify their condition as Lyme Disease; it punches their card into a support system. It is a way to describe what they have. But it retards scientific progress because the term is too broad, given the...

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The Traditional Western Blot Test

Posted on May 15, 2017 in Blog |

The following is an excerpt written by Dr. B.Robert Mozayeni included in our book Lyme Savvy: Treatment Insights for Lyme Patients and Practitioners. In2008, when I looked at Borrelia Western blots I gave it sort of a 3 or 4 out of 10 in terms of how confident I would be in the result if I saw a positive. There are some Western blots so glaringly positive that no one would argue them. That is part of the problem with the test. The result produced is along a spectrum of potential levels of confidence with great variability of clinical context. You can have a couple of weak bands and to a really sick patient with no other answers – those results can justify their treatment. To a healthy patient, the same results would be interpreted as negative or normal. Context is always important, not only for interpretation of test results, but for choice and timing of treatment. Great — but what if you get the wrong treatment because you have Bartonella causing weak positive bands on the Borrelia Western blot? Then you are going to have only a temporary improvement and a relapse. Then Lyme doctors will start telling you “we can temporarily get you better but we cannot fix you.” Usually, as much as they may try, they don’t actually know the cause; or they do know and may not have the right treatment. If you see only IgM-positive bands on the Lyme Western blot, then you definitely need to test for co-infections, especially Bartonella. The Borrelia Western blot scores a 3 or 4 out of 10 in terms of my general confidence level because it is an indirect test, looking at antibody responses to a germ. There is nothing better than actually directly detecting a germ such as by detecting its DNA signature or at least its unique proteins encoded by the DNA. Then you can be sure you have that microbe. Unfortunately, a sensitive and specific test like this has not been available for Borrelia. Lately, some companies have developed enrichment culture methods. This is encouraging but fraught with pitfalls for potential contamination. We need more...

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Lyme, Borrelia, Bartonella, Protozoa

Posted on May 14, 2017 in Blog |

The following is an excerpt Dr. Mozayeni wrote from our book Lyme Savvy: Treatment Insights for Lyme Patients and Practitioners I think when Borrelia is present, it tends to be associated with joint pain and sometimes joint swelling because the lining of the joints is very vascular; it is getting its nourishment from the vessels of connective tissue. The lining itself of the joints is the synovium and the synovial tissue is highly vascular. That is why there is a lot of action and a lot of symptoms related to synovial inflammation with all of these chronic infections, Bartonella and Protozoa included. Given this new perspective, the question then becomes: How does this realization shift the diagnostic and therapeutic emphasis? You have to look at Bartonella with the best available test. You have to look at the Protozoa with the best available test, and You have to understand – It is a far stronger form of evidence when you have molecular proof of these infections using these new tests than having a few antibody bands on a Western blot. We need to use molecular tests to succeed more with our therapies. Share...

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How Did I Heal?

Posted on May 12, 2017 in Blog |

Every patient heals differently. There is no one way to treat this disease. And depending on what combination of co-infections you may have, the treatment course can vary. For me, some of the primary ingredients to my healing included (not necessarily in this order): long term use of oral antibiotics and anti-malarials, pharmaceutical grade supplementation, being an active team member with my LLMD’s practice including remaining compliant in my treatment protocol more than 95% of the time, acupuncture, reiki, EMDR therapy for PTSD, therapeutic rest, Hyper-bariac Oxygen Therapy (HBOT), ketamine infusions for depression and grief, physical therapy, laser therapy and dry needling for trigger points, radical changes in my work/life balance, marriage counseling, regular body massages for pain control and fascia release, establishing boundaries with friends and family members, prayer and meditation, walking in nature on a consistent basis, learning to say no without explanation or guilt, creating art, and always putting my health as my #1 priority on a daily basis. This is not a simple, self-limiting disease with a quick treatment protocol. Get tested, find a reputable LLMD, and get treatment. Share...

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Celiac Disease, Low Grade Fever, Hair Loss, Fatigue = Lyme?

Posted on May 10, 2017 in Blog |

Brittany, a 21-year-old attending college, arrived at the doctor’s office complaining of bloating, gas, and diarrhea. Brittany had been diagnosed with Celiac disease three years earlier in her home state of Colorado Springs, CO and successfully adhered to a gluten-free diet since then. She also stated she had started to lose more hair than ever before, increased fatigue, and a low-grade, unexplainable fever. The gastroenterologist ordered a colonoscopy and suggested she try a dairy free diet. He also drew blood to check her thyroid. The tests came back all within normal limits. No need to return, he stated. “But what about my hair falling out? The diarrhea? My fatigue?” Brittany queried. “We don’t know,” he replied. “Keep your diet gluten-free and dairy-free and you should see some gradual improvement.” “And the fever?” she asked. “You probably just had a virus. Make sure you get plenty of rest so your body can fight it off.” Brittany left, frustrated once again. Brittany’s symptoms had not restricted her lifestyle to the degree that things were impossible, but they were a major inconvenience. She didn’t go shopping with her mom because she couldn’t stand the thought of standing in lines and walking for hours. She chose her outings carefully based on their proximity to a bathroom in case diarrhea hit. Otherwise, she was a reasonably healthy 21-year-old college girl. After two hours in Dr. Mozayeni’s office, Brittany had a reasonable explanation for every symptom she was experiencing. Blood work results later proved his theory correct. Bartonella is a chronic infection. Chronic infection can cause chronic inflammation. Inflammation worsens the function of the weakest part of a person’s body. For Brittany, it was her gut. The chronic inflammation in her gut made her susceptible to allergic reactions. When you introduce grains and dairy products to an inflamed area, you are more likely to produce an allergic or aggravated response. By omitting those allergens, the response will disappear, but it still doesn’t address the cause of the inflammation. Eventually, the bacteria will find another place to attack. In Brittany’s case, it was her thyroid and metabolism. She started to lose her hair. But because she...

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