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Chronic Illness and Lyme disease. John Mansberger MD Medical Director Archbold Integrative Medicine Center. Archbold Integrative Medicine Center – Thomasville, GA. Integrative Medicine.
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Chronic Illness and Lyme disease John Mansberger MD Medical Director Archbold Integrative Medicine Center
Integrative Medicine “Integrative medicine... combines mainstream medical therapies and CAM therapies for which there is some high-quality scientific evidence of safety and effectiveness.” http://nccam.nih.gov/health
Holistic Medicine Holistic Medicine is the art and science of healing that addresses care of the whole person – body, mind, and spirit… integrates conventional and complementary therapies to promote optimal health and to prevent and treat disease by addressing contributing factors.” American Holistic Med Assoc, est 1977
Chronic Lyme Disease • Post-Lyme Syndrome? • Autoimmune Disorder? • Chronic Infection? • Something different? • All of the above?
Chronic Lyme/Post –Lyme or Autoimmune? • First described by Rheumatologist • Three Equivocal Studies • Conflict of interest • Insurance company interests
Chronic Lyme/Persistent Infection? • Animal Studies • Anecdotal Evidence • Fallon Study • Physician Experience
Integrative Approach • Diet and Nutrition • Supplements and Nutrients • Medications • Stress Reduction • Physical Therapies • Anything that helps empty the rain barrel
Chronic Fatigue/Shine Protocol • S-Sleep • H-Hormones • I-Infections • N-Nutrition • E-Energy/Exercise
Diet and Nutrition • Anti-Inflammatory Diet • Food Allergies • Gluten Free Diet • Replacement of Nutrients • Healing the Gut
Supplements and Nutrients • D-Ribose, L-Carnitine, Co-Q10 • Magnesium, Vitamin D, B Vitamins • Artemesia, Olive Leaf Extract, Cat’s Claw • Fish Oil, Turmeric, Devil’s Claw • Meyer’s Cocktail- IV Nutrients
Medications • Antibiotics-Doxcylcline, Rocephin, Clarithromycin, Flagyll • Hormones-Thyroid, Adrenal, HRT • Sleep Medications • Muscle Relaxants • Pain Medications
Stress Reduction • Cognitive Therapy • Mindfulness Meditation • Yoga • Tai Chi • Massage
Physical Therapies • Manual Therapy • Exercise • Yoga • Massage • Acupuncture
Chronic Lyme/Chronic Fatigue Syndrome/Fibromyalgia In Conclusion • Represent complex disorders that often require a multidisciplinary approach, and will benefit from a Holistic or Integrative Plan • Integrative Medicine represents a bigger tool box, plus a more compassionate and effective system