About Intestinal Parasites in Lyme & Tick-borne Diseases
Consider addressing intestinal parasites because they lead the immune system to produce too many cytokines. Cytokines create fatigue, body pain, poor thinking, and the whole range of symptoms seen in Lyme disease. Not only does Lyme & tick-borne infections trigger these cytokines, but other infections, as well, such as intestinal parasites can trigger cytokines. Read more about cytokines and steps you can take to lower them in Control Cytokines to Improve Symptoms & Immune Health.
The problem with intestinal parasites is that they are difficult to diagnose. The way most doctors test for parasites is to perform a microscope stool exam. However, studies show that depending on the kind of parasite, testing can work anywhere from 20-90 percent of the time. This means that testing is very poor and not reliable—if the test result is negative.
Additionally, hidden parasites are a major cause of ongoing fatigue and dysfunction. In 1990, Leo Galland, MD showed that 50 percent of people with chronic fatigue syndrome had intestinal parasite infections that were missed by physicians.
When to Consider Intestinal Parasites in Lyme Disease
If You Have Symptoms
Consider intestinal parasites if you have ongoing intestinal symptoms, such as gassiness, bloating, intestinal cramping, and mushy/loose stools—even after improving for intestinal yeast overgrowth. Read more about yeast in these two articles: A Silent Problem. Do You Have Yeast? and Kills & Prevents Yeast: A Brief Guide.
If You Have Risks
Even if you do not have intestinal gassiness and bloating, consider intestinal parasites if you have traveled to less-developed countries where you could have gotten parasites from contaminated food or water. Also, consider parasites if you drink well water, even if the well has tested clean. If you are an outdoors person who drinks untreated water from rivers or lakes, consider parasites, too.
If a person has a lot of intestinal symptoms after working on intestinal yeast overgrowth, consider an intestinal parasites regimen early, near the beginning of Lyme or tick-borne diseases regimen. In others who have risk of parasite exposures like I explained above, consider working on parasites at the six-to-nine-month point in a regimen if a person is following all of the steps in The Ross Lyme & Tick-borne Diseases Support Protocol and is not getting a lot better.
What About Testing for Intestinal Parasites in Lyme Disease
Even though testing is not perfect, consider sending three separate stool samples to the lab for an ova and parasite microscope test to see if parasites can be identified. If possible, use a high-quality intestinal parasite lab like Genova Diagnostics. Also consider having an enzyme immunoassay (EIA) test performed for common parasites. This type of test attaches a marker to parts of parasites, so they can be seen. EIA testing can find common parasites 90 percent or more of the time when they are present. Yet, such testing does not exist for all types of parasites.
The reason to test is to see if the type of parasite is known. If you know which parasite you have, then the treatment option is to use a prescription antiparasitic for that specific parasite.
Regimens for Intestinal Parasites in Lyme Disease
If you can identify which parasite you have, use the prescription medicine that is shown to work best for that specific parasite.
If you are unable to figure out which parasite you have, then use one of the prescription options below or with the natural medicine option. Note that based on my experience, I find the prescription options to work well about 85-90 percent of the time. The natural medicine options seem to help about 60 percent of the time.
Prescriptions
In my experience, Alinia works best but is quite expensive. Alinia is a universal anti-parasite medication that should work against most parasites. For more information, see Alinia: When & Why in Lyme Disease Treatment.
- Alinia 500 mg 1 pill 2 times a day for 3 weeks, or
- Biltricide 600 mg 1 pill 3 times a day for 3 days, then 21 days after the first pill take 1 pill 3 times a day for 3 more days.
Natural Medicines
Black walnut is a natural medicine in parasite regimens based on its traditional use for this purpose. However, limited to non-existent science shows it works. Also, artemisinin and oregano oil may help. Use one of the two options below for at least two months.
Option One
Take all three of these herbal medicines at the same time.
- Black Walnut 250 mg to 500 mg 3 times daily.
- Artemisinin 100 mg 2 pills 3 times a day.
- Oregano Oil 500 mg 3 times a day.
Option Two
Use a microbial & biofilm support blend containing black walnut and oregano.
- Microbe & Biofilm Support Blend Tincture. Start at 2 drops on the tongue 3 times a day and increase every other day by 1 drop per dose until you reach 10 drops 3 times a day. If you develop a Herxheimer die-off reaction, do not increase until it passes. Take without food, meaning at least 30 minutes before food and more than 2 hours after food.
- Microbe & Biofilm Support Blend Capsules. Start at 1 capsule 2 times a day and after 2 days increase to 1 capsule 3 times a day. Every 2 days, add 1 capsule until you reach 2 capsules 3 times a day. If you develop a Herxheimer die-off reaction, do not increase until it passes. Take without food, meaning at least 30 minutes before food and more than 2 hours after food.
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