Active Engines
✓ Phase: PTLDS-1 (probable)
16 weeks symptoms — beyond early phase
✓ Doxycycline 100mg 2x/day
Correct dose — verify duration >= 28 days
⚠ Biofilm Protocol
NOT addressed — major gap in current plan
⚠ Adjuncts: Probiotics + Mg + D3
Not yet started — start today
⚠ Brain Fog / CNS
LDN 1.5-4.5mg/night if not on opioids
✓ Drug Interactions
Check: antacids, calcium, iron timing vs doxy
Protocol
Doxycycline (continue)
100mg 2x/day · 28 days total minimum
Correct drug. Extend if <28d elapsed. Take with food, NOT dairy/antacids.
Probiotics
50B CFU/day · Throughout + 4 weeks after
Take 2h away from doxycycline. Prevents C. diff.
Magnesium glycinate
400mg/night · Ongoing
Lyme depletes Mg. Reduces cramps, supports sleep.
Vitamin D3
3000-5000 IU/day · Ongoing
Check 25-OH-D level. Most Lyme patients deficient.
Omega-3 fish oil
2-3g EPA+DHA/day · 3-6 months
Anti-inflammatory. Reduces cytokine burden.
Consider: LDN
1.5-4.5mg/night · 3-6 months
Brain fog / neuroinflammation. ONLY if not on opioids/tramadol.
IF no response at 28d: Disulfiram
62.5-500mg/day (titrate) · 3-6 months
Experimental. Kills all 3 Borrelia forms. ZERO alcohol. Dr supervision required.