Category Archives: Diagnosis

Important Chronic Lyme Disease Treatment Study – A Must Read

Envita Publishes Important Chronic Lyme Disease Treatment Study

SCOTTSDALE, AZ–(Marketwired – December 16, 2014) – A revealing new study on chronic Lyme disease treatment and the inherent complexities was just published by Dr. Dino Prato and colleagues from Envita Medical Center and featured in the Open Journal Of Medical Microbiology. The study is titled, “Borrelia burgdorferi: Cell Biology and Clinical Manifestations in Latent Chronic Lyme,” and it offers an extensive overview of 157 published papers that provide crucial insight into a better understanding and the proper diagnosis/treatment of chronic Lyme disease. Starting with an in-depth explanation of the Borrelia genome and pointing to key clinical factors, it paints a picture to help physicians and patients better understand what is really occurring in Lyme disease. The paper explains the severity of the Borrelia, its complexities, and complications in the diagnostics and clinical treatment.

Envita maintains that chronic Lyme disease is very complex and the symptoms, co-infections, immunity and other complicating factors vary from case to case, and each person’s case can be unique and different. This is why personalization could be the strongest and most valuable tool moving forward in the fight against chronic Lyme disease. Armed with the correct scientific outlook and a detailed overview, we feel patients and practitioners can do better. Co-infections, patient’s immunity and genetic inborn issues of metabolism amongst other factors play a vital role in the successful treatment of chronic Lyme disease. 

According to Dr. Prato, the founder and CEO of Envita, “There are so many complex factors to chronic Lyme disease it’s so easy to see why many practitioners are not well equipped to diagnosis and treat it effectively.” Unfortunately, these oversights have led to widespread problems across the world for many patients whom are undiagnosed, or wrongly diagnosed and worse yet are unable to receive accurate treatment. It has long been known that tests have false negatives and false positives. However, good clinical judgment and experience helps to identify and recognize these unique factors present within each patient’s presentation of the disease and bring forth appropriate treatment.

The study reveals that Fibromyalgia, chronic fatigue syndrome, rheumatoid arthritis, and Parkinson’s may in fact be linked to chronic Lyme disease. This is a very important aspect of why so many Lyme disease patients have difficulty finding the right treatment. The following diagram is to better explain why certain conditions can be confused with symptoms associated with chronic Lyme disease. Of the diseases listed in this table, the symptoms of fibromyalgia are more closely related to chronic Lyme disease.

The graph below has been taken from the study published in The Open Journal of Medical Microbiology, “Borrelia burgdorferi: Cell Biology and Clinical Manifestations in Latent Chronic Lyme.”

Chronic Lyme Disease
Chronic Fatigue
Rheumatoid Arthritis
Parkinson’s Disease


Loss of Concentration/ Short Term Memory Loss

Joint pain

Poor Sleep

Mood Problems/ Depression, Anxiety, etc.

Muscle Skeletal Pain

Neurological Presentation

Muscle Stiffness

It is important to note that many times chronic Lyme disease is treated ineffectively with antibiotics. There are several crucial, overlooked indicators within the patients’ immune system that may in fact provide a guide to whether antibiotic treatments will respond within a patient at all. Numerous other contributing issues discussed in the paper; genome of the infection, immune evasion, treatment of the disease, cellular process need to be considered in detail to establish proper medical treatment. Personalization in our opinion is likely the key to better diagnosis and treatment of chronic Lyme disease for patients.

For over a decade our experience and dedication has been focused on helping patients be free of Lyme disease. If you have any questions about Lyme disease treatment or our paper, contact us. The full version of the Borrelia study can be found here:

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Lyme disease is a multisystemic illness



Lyme disease is a multisystemic illness that can affect the central nervous system (CNS), causing neurologic and psychiatric symptoms. The goal of this article is to familiarize psychiatrists with this spirochetal illness.


Relevant books, articles, and abstracts from academic conferences were perused, and additional articles were located through computerized searches and reference sections from published articles.


Up to 40% of patients with Lyme disease develop neurologic involvement of either the peripheral or central nervous system. Dissemination to the CNS can occur within the first few weeks after skin infection. Like syphilis, Lyme disease may have a latency period of months to years before symptoms of late infection emerge. Early signs include meningitis, encephalitis, cranial neuritis, and radiculoneuropathies. Later, encephalomyelitis and encephalopathy may occur. A broad range of psychiatric reactions have been associated with Lyme disease including paranoia, dementia, schizophrenia, bipolar disorder, panic attacks, major depression, anorexia nervosa, and obsessive-compulsive disorder. Depressive states among patients with late Lyme disease are fairly common, ranging across studies from 26% to 66%. The microbiology of Borrelia burgdorferi sheds light on why Lyme disease can be relapsing and remitting and why it can be refractory to normal immune surveillance and standard antibiotic regimens.


Psychiatrists who work in endemic areas need to include Lyme disease in the differential diagnosis of any atypical psychiatric disorder. Further research is needed to identify better laboratory tests and to determine the appropriate manner (intravenous or oral) and length (weeks or months) of treatment among patients with neuropsychiatric involvement.

Low secretary iga

July 14, 2013 by Dr. David Jockers
Filed under Natural Healing

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Sun. July 14, 2013 by Dr. David Jockers
(NaturalHealth365) Are you interested in naturally eliminating digestive problems? If so, then let’s look at ways to boost your immune system by balancing secretory IgA – which protects you from infections.

Every mucosal membrane surface such as the eyes, nose, throat and intestinal system represent a large portal of entry for pathogenic bacteria, viruses and yeasts. The body’s immune system utilizes a combination attack through innate mechanisms and acquired adaptations.

The innate immune response includes mucus formation, lactoferrin, lysozymes and cytokinetic inflammatory activity. The acquired system produces anti-bodies with the primary mucosal antibody being secretory IgA.

This antibody response is one of the most critical component to protecting the body against parasitic dominance.

Secretory IgA is the secreted form of an antibody in the blood called IgA. IgA is produced in the blood, taken into the gut, secreted across the mucosal lining into that mucous layer that is the surface lining of our digestive tract. It is the mucosal immune barrier or first line immune defense.

SIgA lies within the mucosal membrane of the entire digestive tract as well as our lungs, sinuses, eyes, urethra and vagina. It plays a significant role in neutralizing various pathogens like viruses, Candida, bacteria, protozoa and hemoliths.

The health problems associated with low SIgA levels

When SIgA is elevated it indicates an acute immune reaction within the gut. This could indicate an acute bacterial or parasitic infection. When s IgA is low it indicates an overall deficiency of this immune chemical. When this is low on a stool test the individual will also express food allergens, have elevated Candida yeast and have dysbiosis or abnormal bacterial balance in their gut.

Individuals with chronic gut problems, IBS, Candida, Crohn’s disease, ulcerative colitis and autism typically have low SIgA. This is a sign of chronic stress in the body that has drained the immune system and the adrenals. Chronic infections, environmental toxins, poor lifestyle could all be the major causes behind this.

How to naturally balance your SIgA levels

The first step to increase (or decrease) SIgA naturally is to use an anti-inflammatory diet. The most common food allergens include all grains, pasteurized dairy, soy products, eggs, nuts and high-sugar fruits. Utilizing intermittent fasting strategies and going 18-20 hours of fasting with only clean water, herbal teas, organic broths and light fermented beverages each day is highly recommended.

An advanced bone broth fast with organic, grass-fed beef bones and loads of garlic and onions can be extremely effective at helping the gut to reseal and boost SIgA levels. This should be a 10-14 day fast if the levels are severely low and 3-7 day if they are more moderate.

It is important to provide the gut and the immune system with the key nutrients they need such as vitamin C, zinc, selenium, glutamine, choline, glycine, glutathione and essential fatty acids among other things. A whole food based multi-vitamin without any filling agents such as magnesium stearate is very helpful.

Using non-denatured whey protein from grass-fed cows will boost glutamine and glutathione levels and is easily absorbed into the body. It is highly recommended if the individual can tolerate it. If they have allergenic reactions to whey than use a hypoallergenic protein powder made up of sprouted hemp and pea protein.

Great ways to naturally raise your SIgA levels

There are a few things that boost Secretory IgA levels naturally. Colostrum is an immunoglobulin blast that is secreted from mom’s breast in the early stages of breast feeding. Colostrum is loaded with antibodies that stimulate SIgA levels. Fermented dairy from 100% grass-fed cows is loaded with acidophilus, bacillus and saccharomyces boulardii species of probiotics that all help to stimulate S IgA levels.

Beta Glucans are polysaccharide fibers that are considered biological response modifiers because of their ability to activate the immune system. They help boost the production of SIgA. These are found in the highest concentration in different types of mushrooms such as reishi, shiitake and maitake. Cayenne pepper also has the ability to stimulate B-lymphocytes into manufacturing more SIgA.

How can I naturally lower SIgA?

Elevated SIgA is a sign of an acute infection and the immune system is running on high. Using an anti-inflammatory diet that includes the bone broth fast described above is especially helpful. One can also take systemic enzymes and high dose probiotics to help modulate the immune system. Essential fats from a high quality fish oil and grass-fed meat products are extremely critical as well.

Fermented vegetables load the body up with enzymes, probiotics, organic acids and highly bioavailable nutrients that raise SIgA levels. Other herbs such as turmeric, basil, oregano, garlic and thyme are especially helpful. Fermented herbal botanicals, apple cider vinegar, coconut kefir and kombucha should be used as well.

How long does it take to boost SIgA?

Secretory IgA is generally an indication of the immune system in the gut which is our first line immune defense and it is called the mucosal barrier. When the gut is damaged and leaky it causes chronic stress and poor healing. The faster the chronic stressors are removed the faster the individual will get well. The average period is a good four to six month process for complete healing to take place.

In some cases, it may even take years to finally get SIgA levels up to normal.

The variable in all accounts is the individuals’ unique healing process. Many individuals have a severe leaky gut and are loaded with Candida, viral infections, worms and other parasites and also have heavy metals and industrial toxins as well as physical stressors such as poor posture and breathing habits. These individuals are challenging because they must correct each of these imbalances. The longer each of these challenges persists it will contribute to the formation of other stressors and keep the adrenals weak and tired.

The faster we can get the gut healed and restored and use a ketogenic style, anti-inflammatory diet that is loaded with fermented foods the faster the body will be able to detoxify and restore healthy function to the gut, liver and adrenals.

Please note: Intermittent water fasting is one of the best strategies for boosting our healing potential.

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About the author: Dr. David Jockers owns and operates Exodus Health Center in Kennesaw, Ga. He is a Maximized Living doctor. His expertise is in weight loss, customized nutrition & exercise, & structural corrective chiropractic care. For more information – visit: Dr. Jockers is also available for long distance phone consultations to help you beat disease and reach your health goals.


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Lyme Disease misdiagnosed as TMJ

John: The Importance of Education

Jul 14, 2010

John is a former Professor of Finance at American University in Washington D.C. He is married and has three children. The unpredictable nature of his TMJ symptoms put a strain on his family. In the Fall of 2001, John began to seek relief from TMJ pain–ultimately spending well over $10,000 on treatments that were ineffective.

Finally, in January 2005, he was diagnosed with Lyme disease, a tick-borne infection that caused TMJ issues. The antibiotic protocols which were prescribed to treat the Lyme disease alleviated John’s TMJ problems. As a result of his experience with a systemic illness, John has become a strong advocate for medical research.

John Benjamin wrote: “In my quest for answers, I have gained great insight into the lack of science underlying TMJ treatments as well as the lack of understanding of these conditions. Interdisciplinary research is desperately needed to understand what today we call “TMJ.” I regret that I endured years of suffering, needless dental treatments, and spent thousands of dollars only to learn that I had a systemic underlying illness that caused my TMJ problems. If it had not been for The TMJ Association, I would have had TMJ surgery—a surgery I didn’t need, that would not have addressed the causes of the jaw pain, and which could have caused me more harm.

The TMJ Association is the leading resource for information on TMJ diseases and disorders. Through our publications, educational meetings, and patient support network, the Association reaches out to people, such as John, and provides them guidance in making their healthcare decisions. The needs and concerns of TMJ patients shape the Association’s daily activities and mission.

  Posted 7/17/2011 7:15 PM (GMT -7)
i seem to have all of those except a few, seizures and tremours.. abnormal ecg, sexual dysfunction, hair loss, weight gain and obviously the gender specific ones. and can add a couple on there such as strange fainting attacks with loss of vision and feeling like i’m rocking back and forth during.
dental pain is also pretty big that i never knew was connected- i just had a major dental operation on all wisdoms which floored me compeltely, and nothing has improved- i have to wear a mouthguard..
i am waiting for results on monday, previously these symptoms have lead to a reluctant(of the doctor, a previous one) diagnosis of CFS.

perhaps i can take this to the doctor at least, of course only 1-5 of those isn’t much of a help diagnosing, but most of them must mean something even if its not the serverest case. i have a feeling since i’ve barely seen this doctor i won’t have to win him over or anything.Post Edited (theodor) : 7/17/2011 8:18:36 PM (GMT-6)

Regular Member

Date Joined Jun 2011
Total Posts : 381

   Posted 7/17/2011 10:05 PM (GMT -7)
It’s common for Lyme patients to have TMJ, to grind teeth, and to have dental issues.  Ammonia is left in the mouth as a result of Lyme, the presence of Lyme in the body can contribute to awakening genes that cause the expression of the dozens of dormant bacteria in cavitations and root canals resulting in chronic symptoms and diseases.

I’m a music teacher, and not a doctor. Anything I post is based on my own experience and lay opinion.
Lyme, Babesiosis, Mycoplasma (Asthma), Fibromyalgia (Soft Tissue Injury), Costochondritis,
CFS (Mitochondrial Dysfunction), IBS (Candida & Leaky Gut), Hashimoto’s Thyroiditis, Adrenal Fatigue,
ITP (Low Platelets), TMJ, Plantar Fasciitis, Schamberg Purpura, Tinnitis, Allergies, MCS

Regular Member

Date Joined May 2011
Total Posts : 32

   Posted 7/18/2011 12:21 PM (GMT -7)
HERE’S exactly what I’m looking for! It’s called a “Bayesian model for diagnosis of patients suspected of Lyme disease”.

I wonder if it’s ever been completed and tested? It looks perfect…….

Anyone have any info on this?

Lyme or Candida – How can you tell the difference ?

Unfortunately, it’s very hard to distinguish between the two…your doctor should be able to clinically diagnose what your symptoms are..

I had the advantage of treating with the Byron White formulas,which can be used diagnostically, and we were able to differentiate that way..

Here’s a link to check out if you’d like..


Q. So many of the symptoms of chronic yeast infection sound like symptoms of Lyme disease. How can a physician tell the difference?

A. I suspect that some of the chronic Lyme disease that we see is actually chronic yeast infection.

The problem comes when one treats long-term with antibiotics without taking into account the yeast.

What happens is that over time the person on the antibiotic often goes from experiencing symptoms of Lyme disease to experiencing very similar symptoms with Candidiasis.

The doctor may assume that the person is still having significant problem with Lyme disease, when actually they’ve just encouraged a new disease, Candidiasis, which needs to be treated.

Since we have no idea when the last Lyme spirochete has left our system, it is important to get rid of all other invaders in order to allow our body to heal itself.

From <>

Lyme Master Symptom List

Master Lyme Disease Symptom List

Lyme Disease Symptoms:


  • Abnormal sensitivity to hot or cold
  • Allergies (nasal, other; new, increased or worsening)
  • Canker sores (frequent)
  • Chills and/or shakes when hungry (may occur instead of feeling hungry)
  • Cold hands and feet
  • Extreme fatigue after minimal exertion
  • Feeling hot or cold often
  • Flu-like symptoms, on-going or recurrent after initial gradual or acute onset; includes mild fever (99.5-101.5 F / 37.5-38.6 C), chills
  • Hair loss (alopecia)
  • Herpes simplex or shingles rash
  • Increased susceptibility to infections
  • Low-grade fevers
  • Low blood pressure (below 110/70)
  • Low body temperature (below 97.5)
  • Lymph nodes painful, swollen (in neck; under arms)
  • Night sweats (not related to menopause or fever)
  • Orthostatic Intolerance (neurally mediated hypotension)
  • Reactive hypoglycemia and insulin resistance
  • Thirst, increased
  • Temperature irregularities; often feeling hot or cold irrespective of actual ambient temperature and body temperature; low body temperature (below 97.6 F / 36.4 C)
  • Thyroid inflammation (acute thyroiditis; hypothyroidism; Hashimoto’s thyroiditis)


  • Cardiac abnormalities (mitral valve prolapse; myocarditis; tachycardia; palpitations; dysrhythmia)
  • Cough
  • Dyspnea (out of breath) or shortness of breath (air hunger) after minimal or no exertion
  • Heart attack
  • Heart palpitations
  • Heart pounds so hard it shakes body, bed
  • Pulse skips
  • Serious rhythm disturbances of heart
  • Sighing, frequent, not related to mental/emotional state
  • Stroke
  • Vasculitis


  • Abnormal CAT, MRI and/or SPECT scans
  • Alcohol intolerance
  • Aseptic meningitis
  • “Brainfog”; inability to think clearly
  • Difficulty moving tongue to speak
  • Diminished or absent reflexes
  • Fainting or blackouts; feeling like you might faint
  • Headaches (frequent, severe, recurring)
  • Hearing fluctuations (sounds fade then return)
  • Hearing changes, often from day to day (need to turn up, then down, volume of radio, TV)
  • Joint or arthritic pain not relieved by NSAIDs (ie, ibuprofen)
  • Libido (decreased)
  • Light-headedness, feeling spaced-out
  • Migraine headaches
  • Muscle twitching
  • Noise intolerance
  • Paralysis or severe weakness of limb
  • Parasthesias (numbness, tingling, crawling, itching sensations) in face, head, torso, extremities
  • Photosensitivity
  • Radiculitis
  • Seizures; seizure-like episodes
  • Sensory alterations (hyper- or hyposensitivity) – smell, taste, hearing (noise intolerance)
  • Severe muscle weakness
  • Syncope (fainting)
  • Tinnitus (ringing/noises in one or both ears)
  • Touch or weight of clothing on or against body causes discomfort or pain
  • Tremors, trembling


  • Becoming lost in familiar locations when driving
  • Difficulty with simple calculations (e.g., balancing checkbook)
  • Difficulty expressing ideas in words
  • Difficulty moving your mouth to speak
  • Difficulty making decisions
  • Difficulty following directions while driving
  • Difficulty remembering names of objects
  • Difficulty remembering names of people
  • Difficulty recognizing faces
  • Difficulty following simple written instructions
  • Difficulty following complicated written instructions
  • Difficulty following simple oral (spoken) instructions
  • Difficulty following complicated oral (spoken) instructions
  • Difficulty integrating information (putting ideas together to form a complete picture or concept)
  • Difficulty putting tasks or things in proper sequence
  • Difficulty paying attention
  • Difficulty following a conversation when background noise is present
  • Difficulty making and/or retrieving memories (long/short-term memory deficits)
  • Difficulty understanding what you read
  • Easily distracted during a task
  • Feeling too disoriented to drive
  • Forgetting how to do routine things
  • Forgetting the use of common objects (such as, what to do with the shampoo when you are standing in the shower)
  • Forgetting how to get to familiar places
  • Impaired ability to concentrate
  • Losing your train of thought in the middle of a sentence
  • Losing track in the middle of a task (remembering what to do next)
  • Poor judgment
  • Switching left and right
  • Slowed and/or slurred speech
  • Stuttering; stammering
  • Transposition (reversal) of numbers, words and/or letters when you speak and/or speak
  • Word-finding difficulty
  • Using the wrong word


  • Bloating; intestinal gas
  • Decreased appetite
  • Digestive chemicals (acid, enzymes) reduced or absent
  • Esophageal reflux; heartburn
  • Frequent constipation
  • Frequent diarrhea
  • Food cravings (especially carbohydrates, sweets)
  • Food/Substance intolerance
  • IBS
  • Liver function impaired; mild abnormalities
  • Increased appetite
  • Nausea
  • Spleen tender or enlarged
  • Stomach ache, cramps
  • Vomiting
  • Weight gain or loss


  • Bite your cheeks or tongue frequently
  • Bump into things frequently
  • Difficulty discriminating printed matter despite proper vision correction
  • Distances (difficulty judging when driving; when putting things down on surfaces)
  • Dizziness or vertigo
  • Dropping things frequently
  • Dysequilibrium (balance problems)
  • Impaired coordination
  • Loss of balance when standing with eyes closed
  • Perception (not quite seeing what you are looking at)
  • Some patterns (stripes, checks) cause dizziness
  • Spatial disorientation
  • Staggering gait (clumsy walking)
  • Words on printed page appear to jump off page or disappear when staring at them


  • Acuity changes not related to prescription changes
  • Blind spots
  • Blurred vision
  • Conjunctivitis
  • Diminished visual acuity in absence of actual vision change
  • Drooping eyelid
  • Double vision
  • Eye pain
  • Flashes of light perceived peripherally
  • Optic neuritis or atrophy
  • Oscillopsia (image jiggles)
  • Prescription changes more frequently
  • Pressure sensation behind eyes
  • Red and/or tearing eyes
  • Retinal damage
  • Slowed accommodation (switching focus from far to near, near to far)
  • Spots or floaters not related to migraines
  • Swelling around eyes
  • Uveitis and/or iritis
  • Wandering or lazy eye


  • Bell’s palsy (facial paralysis, one or both sides)
  • Bruxism (grinding/clenching teeth)
  • Canker sores
  • Dizziness when you turn your head or move
  • Dry chronic cough
  • Dry eyes, nose and mouth (sicca syndrome)
  • Pain in ears, palate, gums
  • Periodontal disease
  • Prickling pain along skin of jaw
  • Problems swallowing, chewing
  • Runny nose in absence of cold, allergies
  • Sinus infections
  • Sore spot on the top of your head
  • Temperomandibular Joint Syndrome (TMJ)
  • Unexplained toothaches
  • Xerostoma (dry mouth)


  • Arthritic pain that migrates from joint to joint
  • Carpal tunnel syndrome
  • Frozen shoulder
  • Intermittent joint swelling
  • Joint aches (arthralgia)
  • Joint pain, without redness or swelling
  • Loss of tone
  • “Lumpy, bumpy” long muscles
  • Morning stiffness
  • Muscle aches (myalgia)
  • Muscle pain, stiffness, weakness
  • Pyriform muscle syndrome
  • Reduced range of motion
  • Stiff neck
  • Writing causes pain in hand, arm shoulder


  • Abdominal pain
  • Chest pain
  • Generalized pain
  • Joint Pain
  • Pain that migrates from joint to joint
  • Pain/stiffness at C1-C2 (top two vertebrae)
  • Shooting or stabbing pains
  • Painful tender points (FMS: 11 out of 18 tender points)


  • Abrupt/Unpredictable mood swings
  • Anxiety or fear for no obvious reason
  • Appetite increase/decrease
  • Decreased self-esteem
  • Depression or depressed mood
  • Feeling helpless and/or hopeless
  • Feeling worthless
  • Frequent crying for no reason
  • Helpless/Hopeless feelings
  • Inability to enjoy previously enjoyed activities
  • Irritability; over-reaction
  • New phobias/irrational fears
  • Panic attacks
  • Personality changes (labile, irritable, anxious, confused, forgetful)
  • Phobias (irrational fears)
  • Rage attacks; anger outbursts for little or no reason
  • Suicidal thoughts or suicide attempts


  • Acute or abnormal reactions to medications
  • Alteration in taste, smell, and/or hearing
  • Chemicals (alcohol, medications; lower tolerance for)
  • Food sensitivities
  • Increased perception of and sensitivity to noise
  • Light sensitivity
  • Sensitivity to odors (able to detect and/or react in concentrations far lower than before and that healthy people cannot smell)


  • Abnormal scarring
  • Acrodermatitis Chronica Atrophician
  • Blotchy or mottled skin
  • Bruise easily
  • Bruises may take longer to appear, and/or longer to fade
  • Bull’s-eye (Erythema migrans) on light skin (resembles a bruise on dark skin)
  • Dermographia (minor scratch pressure on skin leaves vivid red welts)
  • Dry, itchy skin
  • Easily scar
  • Eczema or psoriasis
  • Fragile nails
  • Frequent skin irritations
  • Lymphadenosis benigna cutis
  • Nails that curve under or downward
  • Overgrowing connective tissue (ingrown hair, adhesions, thickened/split cuticles, cysts, fibroids)
  • Painful skin (abnormal/excessive pain when scratched or rubbed)
  • “Paper” skin (feels fragile, tissue-thin when rubbed)
  • Rashes on body, face
  • Vertical ridges or beads in nails


  • Abnormal brain activity in stage 4 sleep
  • Altered sleep/wake patterns (alert/energetic late at night, sleepy during day
  • Difficulty falling asleep
  • Difficulty staying asleep (frequent and/or prolonged awakenings)
  • Hypersomnia (excessive sleeping)
  • Myclonus (restless leg syndrome; occasional jerking of entire body)
  • Nightmares (frequent, extremely vivid and/or disturbing)
  • Unrefreshing/Non-restorative sleep
  • Decreased libido
  • Discharge from breast or galactorrhea
  • Endometriosis
  • Frequent urination
  • Incontinence
  • Impotence
  • Infant: premature; low birth weight; low muscle tone; failure to thrive
  • Interstitial cystitis
  • Miscarriage or stillbirth
  • Painful intercourse
  • Painful urination or bladder
  • Pelvic and/or rectal pain
  • Prostate pain
  • Swollen testicles
  • Other symptoms worsen before start of menstruation
  • Worsening of PMS


  • Abnormal or other changes in sweating
  • Activity level reduced to less than 50% of pre-onset level
  • Burning sensation (internal and/or external)
  • Cancer
  • Changed voice
  • Changes in sweat odor/body odor
  • Delayed reaction to overactivity/exertion (onset 24-48 hours after exertion)
  • Electromagnetic (EM) sensitivity (electrical storms, full moon, affect function of electrical devices)
  • Fatigue, prolonged, disabling, made worse by exertion or stress
  • Fibrocystic breasts
  • “Galloping” cholesterol and triglycerides
  • Hair loss (not related to age, hormones, diet, medication)
  • Hands hurt excessively when put in cold water
  • Handwriting changes, altering signature and/or other writing
  • Hoarseness
  • Painful, weak grasp that gives way/lets go
  • Periods of concentrated thinking causes physical and mental exhaustion, increases pain
  • Sore throat
  • Swelling/Idiopathic edema (fluid retention syndrome)
  • Symptoms worsened by extremes of temperature (hot, cold), stress, and/or air travel
  • Symptoms change focus from time to time, like infection is moving through the body
  • Thickened mucus secretions (nose, bowel, vaginal)
  • Thickened “sleep” around eyes in mornings
  • Very attractive to biting flies and mosquitoes
  • Weight changes (usually gain)


  • Babesiosis
  • Bartonella
  • Ehrlichiosis
  • Mycoplasma
  • Cytomegalovirus (CMV)
  • Epstein-Barr virus (EBV)
  • Herpesvirus
  • HHV6
  • Iron deficiency
  • Mercury or other metal toxicity
  • Systemic mold and/or mold sensitivities


Fibromyalgia & Chronic Myofascial Pain. Devin Starlanyl & Mary Ellen Copeland. 2001. New Harbinger Publications Inc.

Chronic Fatigue Syndrome, Fibromyalgia and Other Invisible Illnesses. 2001. Katrina Berne. Hunter House Publishing.

The Interface of Chronic Lyme Disease, CFS and FM. Bonnie Gorman. In, The Update. Massachusetts CFIDS & FM Association. 18(3):1, 35-40. Fall 2002.

Arthritis Foundation

American College of Rheumatology

Fibromyalgia Network

Centers for Disease Control & Prevention: CFS

Jay Goldstein, MD.

**You never know how STRONG you are….until being STRONG is the ONLY choice you have**

Co-Moderator Lyme Disease Forum