[HN Gopher] Manganese is Lyme disease's double-edge sword
       ___________________________________________________________________
        
       Manganese is Lyme disease's double-edge sword
        
       Author : gmays
       Score  : 146 points
       Date   : 2025-11-14 16:51 UTC (1 days ago)
        
 (HTM) web link (news.northwestern.edu)
 (TXT) w3m dump (news.northwestern.edu)
        
       | ggm wrote:
       | And it's also a potent neurotoxin from a crude dr google lookup.
       | Which is meaningless because they wouldnt bother exploring both
       | sides of the deal if there wasn't a safe dose for humans which is
       | bad for the bacteria, but it bears thinking about.
        
         | canadiantim wrote:
         | Sounds like starving Lyme of manganese is likely the better
         | option that trying to overdose manganese. I don't know how
         | effective a low-manganese diet or lifestyle would be though but
         | it is very interesting.
        
           | donsupreme wrote:
           | It appears that the body cannot produce manganese on its own
           | it is an essential trace mineral that must be obtained from
           | the diet.
           | 
           | I wonder if a prolonged water fast would do the job.
        
             | kragen wrote:
             | Yes, _obviously_ it can 't produce manganese on its own.
             | What, do you think the humans have nuclear reactors in
             | their squeedlyspooches?
        
               | bregma wrote:
               | If you believe really hard and really try you can
               | transmutate lead into manganese. Of course, eating all
               | that lead will probably kill you first. At least your
               | Lyme won't be a problem any more.
        
               | dylan604 wrote:
               | And all those years alchemists were wasting their time
               | trying to change lead into gold when they could have been
               | going for manganese to eliminate Lyme disease! Greed has
               | no bounds
        
               | lazide wrote:
               | Sounds like the old timey syphilis cure of massive
               | amounts of liquid mercury!
        
               | kragen wrote:
               | No, mercury salts. Liquid mercury won't cure you of
               | anything but constipation.
        
               | lazide wrote:
               | Mercuric chloride and liquid elemental mercury were both
               | commonly prescribed treatments for syphilis. Neither did
               | much.
        
               | kragen wrote:
               | The 01880 edition of Cooley
               | (https://archive.org/details/cooleyscyclopaed02cool) says
               | of mercury:
               | 
               | > _In its metallic state it appears to be inert when
               | swallowed, unless it meets with much acidity in the
               | alimentary canal, or is in a state of minute division ;
               | its compounds are, however, all of them more or less
               | poisonous._
               | 
               | > _Mercury has been employed in one or other of its forms
               | in almost all diseases ; but each of its numerous
               | preparations is supposed to have some peculiarity of
               | action of its own, combined with that common to all the
               | compounds of this metal. The mercurials form, indeed, one
               | of the most important classes of the materia medica._
               | 
               | He goes on to explain that mercuric acetate is the basis
               | of Keyser's antivenereal pills (according to Robiquet),
               | that mercuric chloride (which is probably what you meant
               | by "mercuric chlorine") is "employed as an alterative,
               | diaphoretic, and resolvent, in the chronic forms of
               | secondary syphilis, rheumatism, scrofula, cancer, old
               | dropsies, numerous skin diseases, &c." He also devotes a
               | lot of space to emphasizing how important it is to be
               | careful of it, describing the symptoms of poisoning with
               | it, and explaining how to analyze "animal tissue" to
               | detect mercury salts in it. He also discusses the use of
               | mercuric nitrate in syphilis.
               | 
               | But never in all the pages he devotes to the uses of
               | mercury and its compounds does he suggest that anyone
               | ever used metallic mercury for syphilis.
               | 
               | I've also never seen a suggestion that mercuric chloride
               | was _ineffective_ against syphilis. Wikipedia says,
               | "Once used as a first line treatment for syphilis, it has
               | been replaced by the more effective and less toxic
               | procaine penicillin since at least 1948."
        
               | lazide wrote:
               | [https://www.webmd.com/sexual-
               | conditions/features/mercury-dou...]
               | 
               | [https://www.sciencemuseum.org.uk/objects-and-
               | stories/history...]
               | 
               | Less academic of course. And mercuric chlorine was an
               | autocorrect mistake from chloride.
               | 
               | If mercuric chloride was actually effective (without
               | killing the patient) seems like total luck, and generally
               | the first actual effective treatment was considered
               | Salvarsan [https://en.wikipedia.org/wiki/Arsphenamine] -
               | which was arsenic based yes?
               | 
               | Until antibiotics came around.
               | 
               | But people tried all sorts of things, including liquid
               | mercury, as your source notes.
        
               | kragen wrote:
               | The WebMD page is about calomel, mercuric chloride, and
               | perchloride of mercury, not metallic mercury; the body
               | text is clear about this, but the title is wrong. It
               | describes all kinds of poisoning symptoms that don't
               | occur with metallic mercury. So too for the mercury
               | section of the Science Museum web page, except for a
               | brief mention of attempts to treat with mercury _vapors_.
               | And neither of them seems very credible.
               | 
               | My source did _not_ note that people tried liquid
               | mercury.
        
               | lazide wrote:
               | "Mercury has been employed in one or other of its forms
               | in almost all diseases"
               | 
               | Are you really saying that in that time, no one tried the
               | most obvious form?
               | 
               | You're right though that I was wrong it was the primary
               | one - I'm truly horrified at the various things people
               | tried. But I guess untreated syphilis _is_ one of the
               | worst possible ways to die, and I'd try pretty much
               | anything too.
        
           | safeimp wrote:
           | Trying to starve yourself of manganese would cause harm long
           | before it affected Borrelia.
        
             | kragen wrote:
             | WP says that manganese deficiency causes skeletal deformity
             | and inhibition of wound healing. So I'm guessing that you
             | could survive weeks in a severe-manganese-deficiency
             | situation before you noticed any ill effects.
        
               | Aurornis wrote:
               | > So I'm guessing that you could survive weeks in a
               | severe-manganese-deficiency situation before you noticed
               | any ill effects.
               | 
               | Your guess would be wrong. Your body needs manganese for
               | similar reasons that Lyme disease needs it. You also
               | produce MnSOD.
               | 
               | If you starved your body of manganese sufficiently (which
               | I doubt you could do without eating a completely
               | synthetic diet for months) then you'd be killing yourself
               | in parallel with the Lyme disease.
        
               | kragen wrote:
               | You could probably add enough phosphate to all your food
               | to prevent you from absorbing any manganese, then inject
               | iron, calcium, and magnesium? Just guessing here.
               | 
               | How long would it take you to die on a zero-manganese
               | diet? If it's longer than it takes Borrelia, you still
               | win!
        
               | btilly wrote:
               | As noted in my sibling comment, the standard of care for
               | eliminating manganese is para-Aminosalicylic acid (PAS).
               | 
               | Plenty of other treatments can remove manganese. But they
               | all are biologically active in other unwanted ways.
        
               | butvacuum wrote:
               | You would die. Immediately, and screaming in agony.
        
               | btilly wrote:
               | That's stupidly wrong.
               | 
               | I regularly find myself on a zero manganese diet for
               | hours at a time, and I've yet to experience immediate
               | death, screaming in agony.
               | 
               | Furthermore we have lots of data on how well humans can
               | tolerate extended low manganese regimens. The standard
               | treatment course for TB in the 1950s resulted in humans
               | having low manganese for 1-2 years. This was unpleasant,
               | but not lethal.
        
               | Aloisius wrote:
               | Source? I can't find anything about the standard
               | treatment course for TB in the 1950s resulting in low
               | manganese.
        
               | btilly wrote:
               | See https://pmc.ncbi.nlm.nih.gov/articles/PMC4407437/ to
               | verify that PAS was used.
               | 
               | Any google search on PAS and manganese will show that it
               | eliminates manganese from the body by chelating it, and
               | is therefore used for treating manganese toxicity.
               | 
               | I don't have a specific reference for manganese levels in
               | people undergoing the old TB treatment. But I'm sure that
               | it should exist somewhere.
        
               | Aurornis wrote:
               | > I don't have a specific reference for manganese levels
               | in people undergoing the old TB treatment. But I'm sure
               | that it should exist somewhere.
               | 
               | You've spread this claim throughout the comment section
               | and called others "dead wrong", yet even you can't find a
               | reference to support it?
               | 
               | The mechanism of PAS in TB is not manganese reduction:
               | https://pmc.ncbi.nlm.nih.gov/articles/PMC5395024/
        
               | Aurornis wrote:
               | I wrote more above, but I cannot find anything to support
               | this claim about PAS being used because it reduces
               | manganese either.
               | 
               | The mechanism of action of PAS against TB is in the
               | Dihydrofolate Reductase pathway:
               | https://pmc.ncbi.nlm.nih.gov/articles/PMC5395024/
               | 
               | I can only guess that this commenter saw that PAS can
               | also be used for manganese chelation and jumped to
               | conclusions?
        
               | btilly wrote:
               | The idea is not trivially wrong. It's the same idea as
               | chemotherapy. Sure, it is a poison for you. But it hits
               | the cancer harder than you, and so can also be an
               | effective treatment.
               | 
               | That said, it is very unlikely that simply reducing
               | manganese is preferable to existing antibiotics. But that
               | doesn't rule out the potential effectiveness of a
               | combination therapy.
               | 
               | Here is how we'd do that combination therapy. We'd mix a
               | standard antibiotic with oral para-Aminosalicylic acid
               | (PAS). Orally delivered PAS is the the standard treatment
               | for treating excess manganese in humans. (Sorry, but
               | you're dead wrong about needing a completely synthetic
               | diet for months.) While PAS does harm a few kinds of
               | stomach bacteria, it is far better than a broad spectrum
               | antibiotic. And if the target disease is under stress
               | already, then you need less antibiotic to finish them
               | off.
               | 
               | Sure, a medicine that targets manganese in Lyme disease
               | bacteria would be even better than this combination. But
               | that medicine does not exist. And the combination in
               | question is something that can be experimented with
               | today, using drugs that have already been approved by the
               | FDA.
               | 
               | Furthermore this is a combination that we already have a
               | lot of experience with. Back in the 1950s, a variation on
               | this, working on the same principles, was the standard
               | treatment for tuberculosis. It was abandoned not because
               | it was ineffective, but because we developed treatments
               | with fewer side effects.
        
               | kragen wrote:
               | This is fascinating, thanks!
        
               | Aurornis wrote:
               | > Here is how we'd do that combination therapy. We'd mix
               | a standard antibiotic with oral para-Aminosalicylic acid
               | (PAS).
               | 
               | I responded to your comment above with this same claim. I
               | cannot find any sources that say reducing manganese was
               | the mechanism of PAS in TB.
               | 
               | A recent research paper on PAS in TB doesn't even mention
               | manganese once. It identifies Dihydrofolate Reductase
               | related actions as the mechanism against TB:
               | https://pmc.ncbi.nlm.nih.gov/articles/PMC5395024/
               | 
               | > orally delivered PAS is the the standard treatment for
               | treating excess manganese in humans.
               | 
               | EDTA has been the standard treatment. PAS has been
               | explored and trialed. It can be used, but I don't know if
               | I'd call it the "standard" treatment.
               | 
               | > (Sorry, but you're dead wrong about needing a
               | completely synthetic diet for months.)
               | 
               | I was talking about a low-manganese diet, which the
               | comment above me suggested. I don't know why you're so
               | set on calling me "dead wrong" so much when you can't
               | provide sources and aren't even reading what I'm writing.
               | 
               | > While PAS does harm a few kinds of stomach bacteria, it
               | is far better than a broad spectrum antibiotic. And if
               | the target disease is under stress already, then you need
               | less antibiotic to finish them off.
               | 
               | You're really going to have to provide sources for PAS
               | reducing manganese as a mechanism for fighting TB.
               | 
               | As I pointed out in my other comment, manganese is an
               | essential cofactor for one of the other anti-TB drugs in
               | the triple combination that was used in the past.
        
           | Aurornis wrote:
           | > I don't know how effective a low-manganese diet or
           | lifestyle would be though but it is very interesting.
           | 
           | You cannot achieve what the paper is discussing through diet
           | or supplements.
           | 
           | The paper is hypothesizing that if a drug could target the
           | components of B. burgdorferi that regulate manganese then
           | that would kill it.
           | 
           | You cannot deprive the cells of manganese or overwhelm them
           | through supplementation or restrictive diet. You would damage
           | your own body long before reaching levels that killed the
           | Lyme infection.
           | 
           | I really hope the alternative medicine people don't start
           | abusing this headline to push diets and supplements.
        
             | canadiantim wrote:
             | I really hope the anti-medicine people don't start grasping
             | for a middleman to get in between people and self care.
        
               | Aurornis wrote:
               | > self care.
               | 
               | Deliberately inducing manganese deficiency (which I doubt
               | you could pull off while still eating food) isn't "self
               | care". It's a misunderstanding of what this article is
               | saying.
               | 
               | Your body needs manganese and MnSOD (one of the target
               | enzymes mentioned in the article) just as much as Lyme
               | disease does.
               | 
               | You could theoretically kill the Lyme by killing the host
               | body, like that classic XKCD about destroying anything in
               | a petri dish if you don't care about collateral damage.
               | The key to making a successful treatment is finding a way
               | to kill the infection without killing the host.
               | 
               | Calling anything you're suggesting "self care" is
               | dangerous and wrong.
        
           | bitexploder wrote:
           | Take antibiotics. They generally just work.
        
             | DANmode wrote:
             | Assuming you've tested for, identified, targeted, and then
             | retested for, all of your coinfections.
             | 
             | Unfortunately, this doesn't seem ubiquitous.
        
             | kukkeliskuu wrote:
             | The problem with antibiotics at least in some countries is
             | that official guidelines take the position that chronic
             | Lyme does not exist, and thus doctors are forbidden to
             | write long-term prescription to antibiotics for Lyme.
             | Short-term may not work, as research suggests that
             | antibiotics works only on some phases of the life-cycle of
             | borreliosis and only for some co-infections.
        
         | Aurornis wrote:
         | Nobody, in the article or otherwise, is suggesting that you can
         | take manganese to fight Lyme. I don't know where you got that,
         | but I hope nobody thinks to try it.
         | 
         | The idea would be to look at all of the components that
         | regulate manganese in B. burgdorferi and then look for drugs
         | that might disrupt how they operate.
         | 
         | Any solution would act indirectly by disrupting manganese
         | balance in a targeted manner directed at B. burgdorferi, not by
         | flooding the whole body with manganese. The cells regulate
         | their internal manganese anyway, so supplementing manganese
         | wouldn't force it to go into those cells anyway.
         | 
         | This is a PR release for some research that tries to stretch it
         | into a promising treatment, but it's really more of an
         | interesting discovery than a path to a new treatment.
        
           | Pet_Ant wrote:
           | > or otherwise
           | 
           | That's where you would be wrong. By the time you posted your
           | comment there are already people hawking manganese bracelets
           | on FaceBook as a cure for Lyme disease.
        
       | Aurornis wrote:
       | I'm seeing comments jumping to conclusions about taking manganese
       | supplements or trying to starve yourself of manganese. These are
       | dangerously wrong interpretations of the article.
       | 
       | Any interventions would have to be targeted directly at the B.
       | burgdorferi to disrupt their internal regulation of manganese.
       | It's a long shot used to make this research discovery sound more
       | impressive, not an actual cure.
       | 
       | Your own body uses manganese for critical processes like your
       | metabolism, critical brain functionality, and generating
       | important antioxidants in your mitochondria (MnSOD, the same one
       | mentioned inside of Lyme in the article).
       | 
       | Your body also regulates manganese absorption and excretion.
       | Manganese deficiency is extremely rare outside of genetic
       | conditions or other medical problems which interfere with this
       | regulation. You can't really starve yourself of manganese by
       | adjusting your diet or even by periods of fasting.
       | 
       | So if you're reading this and thinking you could defeat Lyme by
       | starving yourself of manganese or overdosing on manganese, don't.
       | That's not what this article is saying.
        
         | mlinhares wrote:
         | Some of the comments here are the kind of stuff that makes you
         | lose faith in humanity.
        
         | caycep wrote:
         | this sort of case presentation re manganese brain toxicity pops
         | up from time to time too:
         | 
         | https://pmc.ncbi.nlm.nih.gov/articles/PMC4515672/
        
         | btilly wrote:
         | I agree that we should not simply self-treat by supplements or
         | starving ourselves.
         | 
         | But you are dead wrong that interventions would need to be
         | directly targeted at B. burgdorferi.
         | 
         | The standard and effective treatment for TB back in the 1950s
         | was a combination therapy with Streptomycin, Isoniazid (INH),
         | and PAS. The purpose of PAS was to create a low manganese
         | environment in the body, which put stress on Mycobacterium
         | tuberculosis - the bacteria that causes TB. This stress did not
         | kill the bacteria by itself, but it did make it more vulnerable
         | to the rest of the treatment. Because of this treatment, we
         | have a lot of data showing how well people do with low
         | manganese for a period of 1-2 years. (That was the time that
         | this treatment required.) It wasn't pleasant (in particular it
         | came with nausea), but it was definitely survivable.
         | 
         | If low manganese really does stress B. burgdorferi, then a
         | similar combination is worth trying today. Better yet, this
         | combination would not require the development of a new drug
         | that needs FDA approval. It can be tried using only drugs that
         | have been long approved, and which are already part of standard
         | medical practice. (Granted, PAS is no longer used for TB. But
         | it is the standard treatment for an excess of manganese.)
        
           | Aurornis wrote:
           | > The purpose of PAS was to create a low manganese
           | environment in the body,
           | 
           | Do you have a source for this?
           | 
           | I searched, but this recent paper on the mechanism of action
           | for para-Aminosalicylic Acid (PAS) doesn't even mention
           | manganese. It says it targets Dihydrofolate Reductase
           | pathways: https://pmc.ncbi.nlm.nih.gov/articles/PMC5395024/
           | 
           | Searching for manganese and TB leads me to papers showing
           | that manganese is an essential cofactor for Isoniazid's anti-
           | TB action: https://pubmed.ncbi.nlm.nih.gov/31319159/ but
           | nothing about inducing low manganese states would be helpful
           | or intentional.
           | 
           | So I don't think I'm dead wrong at all. Unless you have some
           | sources, I don't think inducing manganese deficiency is
           | actually the mechanism of action for PAS.
           | 
           | > we have a lot of data showing how well people do with low
           | manganese for a period of 1-2 years. (That was the time that
           | this treatment required.) It wasn't pleasant (in particular
           | it came with nausea), but it was definitely survivable.
           | 
           | Again, do you have any source for this? Preferably a source
           | that indicates what manganese levels were reduced to during
           | treatment?
           | 
           | The side effects are likely due to the 3 drugs in combination
           | which have their own side effects, not low manganese (if it
           | occurred).
           | 
           | EDIT: This commenter was making the same claim down thread
           | and admitted they couldn't find a source for their claim:
           | https://news.ycombinator.com/item?id=45932379 It seems like
           | they're making assumptions and presenting it as scientific
           | fact.
        
             | butvacuum wrote:
             | "cofactor is a non-protein chemical compound or metallic
             | ion that is required for an enzyme to function as a
             | catalyst."
        
           | hinkley wrote:
           | I don't recall the chemical, but there was one mentioned on
           | Everything is Tuberculosis. Someone discovered that aspirin
           | makes TB metabolize more oxygen. Someone found a chemical
           | with the opposite effect, suppressing instead of exciting the
           | same pathway. Based on you're description I don't believe it
           | was PAS though.
        
         | DANmode wrote:
         | > Any interventions would have to be targeted directly at the
         | B. burgdorferi
         | 
         | Alcohol suspension tincture of the following antibacterial
         | herbs together, which target Lyme's various coinfections:
         | 
         | a. Cryptolepsis sanguinolenta
         | 
         | b. Polygonum cuspidatum (aka: Japanese knotweed)
         | 
         | c. Artemisia annua (aka: Sweet wormwood)
         | 
         | d. Uncaria tomentosa (aka: Cat's claw)
         | 
         | Begin with one drop two times per day, increasing to
         | tolerance/under advisement of your ND/MD, or wellness
         | consultant.
        
           | jiggawatts wrote:
           | Make sure to draw blood with leeches twice a week for the
           | best effect, but only after burying a lock of your hair at
           | midnight in the garden.
        
             | amypetrik8 wrote:
             | as for lyme disease - doxycycline works well
             | 
             | anon's herbals have SOME clinical evidence generally :
             | https://pmc.ncbi.nlm.nih.gov/articles/PMC2956313/
             | 
             | It's important to demarcate flavors of medicine at play
             | here:
             | 
             | - MD "allopathic medicine" this is what we all consider
             | normal medicine. They have hardcore requirements for
             | clinical evidence.
             | 
             | - ND "naturopathic medicine" is a fully government licensed
             | form of medicine (in certain places such as pacific
             | northwest). They generally have less hardcore requirements
             | for evidence, but do use evidence nonetheless, sometimes
             | pre-clinical. All this recent interest in "senolytics"... a
             | lot of what exists such as quercetin or fisetin, those are
             | herbals, the ND's domain. And these have preclinical
             | evidence against cancer. SOME are pretty cool and
             | scientific people, of course, some are crazy hippie dippies
             | what with the mushrooms and the healing crystals
             | 
             | - leeches "humoral medicine". This is an ancient and non-
             | empirical form of medicine based on primarily the works of
             | Roman physician Galen but bears similarities to medicines
             | in other nations like China - "hot" and "cold" disease
             | states vs hot & cold food, four humors, one of which is
             | blood. If the disease is "too much humoral blood" the
             | treatment is then the leech to lower that blood. This is
             | very much distinct from the ND (at least I hope)
        
               | DANmode wrote:
               | Yeah, the guy talking about the leeches is a different,
               | ignorant person busting balls,
               | 
               | but thanks.
        
               | DANmode wrote:
               | Make it through 12 allopathic specialists before
               | receiving even one of the three diagnoses you need to get
               | your life back (finally stumbled across an MD who was
               | also an ND...),
               | 
               | you may be left unimpressed with allopathy as well.
        
             | DANmode wrote:
             | Are you a Lyme patient?
             | 
             | I was.
             | 
             | Bury me, don't care, doesn't change the fact I have my life
             | back due to addressing infection with antibacterials -
             | hardly controversial.
             | 
             | Biohacking only includes electronics, for this crowd?
        
               | stinos wrote:
               | _doesn't change the fact I have my life back due to
               | addressing infection with antibacterials_
               | 
               | As far as we know it's rather: you got your life back and
               | happened to take some herbs at the same time. Basic
               | correlation. Could be causal but no controls nor proof
               | whatsoever. Hardly controversial indeed.
        
               | DANmode wrote:
               | Yes, it's through the placebo effect alone I am no longer
               | bedridden.
               | 
               | You've cracked the case, detective!
               | 
               | As far as you know: nothing.
               | 
               | Same as before.
        
               | stinos wrote:
               | _Yes, it's through the placebo effect alone I am no
               | longer bedridden._
               | 
               | That could indeed be one of the possibilities. But,
               | again: no controls nor proof. Also, again, to be cystal
               | clear because looking at your tone it seems I hit a nerve
               | there: I never in any way said it's impossible those
               | herbs in fact helped.
        
           | atombender wrote:
           | There is a big difference between believing something cured
           | you, and _publicly promoting something as a cure_.
           | 
           | I see this all the time in various social media communities:
           | For example, people with an autoimmune diseases that got
           | better after eliminating dairy or starting to take willow
           | bark supplements or whatever. The moment they see a benefit,
           | they jump on Reddit or YouTube or whatever to promote it as a
           | cure and tell everyone to do the same thing as them.
           | 
           | Promoting an extremely specific medical treatment without
           | evidence larger than N=1 is both unethical and scientifically
           | sloppy. At least you could bother to temper the advice with
           | some caveats.
           | 
           | But apparently everyone on social media can be a medical
           | authority these days, and giving out medical advice without a
           | license is okay.
        
             | DANmode wrote:
             | Are you talking about me?
             | 
             | Notice how I said nothing about a "cure" - that was
             | actually only found in the contents of _your_ trigger-happy
             | response.
             | 
             | You're correct about the phenomenon you're referring to
             | _existing_.
             | 
             | You're _not_ correct about everyone you think you 're
             | observing it in. Obviously.
        
               | atombender wrote:
               | You're heavily implying it is a cure, yes. Even if it's
               | not a cure, you're still irresponsibly peddling an
               | unproven medical treatment that has no established effect
               | other than yourself, so my point stands. You have no
               | particular reason to believe it works on anyone else
               | because you haven't tried it on anyone else. This type of
               | pseudoscience doesn't belong on HN.
        
               | DANmode wrote:
               | Antibacterial herbs,
               | 
               |  _with_ gobs of research, and even a study or two,
               | supporting their efficacy for the targeted microbes,
               | 
               | are pseudoscience?
               | 
               | I'm heavily implying nothing.
               | 
               | My recommendation to address Lyme and coinfections like
               | Bab and Bart in this way
               | 
               | (in addition to antibiotics, if you choose)
               | 
               | is from research _and then_ personal experience.
               | 
               | Respectfully: do better, if you want to try and tell
               | people what belongs where.
        
           | gamblor956 wrote:
           | For those wondering... this is just antibiotics. It worked
           | because the biofilm created by Lyme disease doesn't have any
           | resistance to this combination for the period of time the
           | parent was using it. (The biofilm is the tricky part of
           | treating Lyme disease.)
        
         | hinkley wrote:
         | I have heard that forensic analysis can see a distinct
         | sufficient enough difference in bone manganese levels to
         | identify the diet of a deceased person. Vegetarian diets end up
         | with excess Mn stored in the bones. Like calcium, it's needed
         | and water soluble so you've gotta store it for a rainy day.
        
       | anon_cow1111 wrote:
       | Lyme desperately needs more attention and revised CDC guideline
       | as it's becoming an epidemic in the northeast United States.
       | 
       | As and outdoor-hobbies type person I've had it 3 out of 4
       | previous years and have begun sourcing antibiotics from
       | agricultural suppliers, or directly from India. Contrast this to
       | my childhood in the same region, when tick-borne diseases were
       | never even a blip on the radar. Supposedly this is because of
       | climate change and much warmer winters allow deer ticks to spread
       | rapidly.
       | 
       | From my own anecdotes and research, none of the traditional
       | guidance is accurate:
       | 
       | -Never had a bullseye rash
       | 
       | -Never had a tick attached more than 24 hours
       | 
       | -When a tick was attached around 24 hours, infection rate was
       | close to 50% and symptoms appeared within 10 days. Contrast to
       | ~3% infection rate per cdc average.
       | 
       | ...I suppose the sad irony here is that lyme is not getting
       | attention because well... current generations never _touch grass_
       | and the outbreak never appears as bad as it actually is.
        
         | methyl wrote:
         | what were your symptoms?
        
           | anon_cow1111 wrote:
           | First year:
           | 
           | Very covid-like symptoms, to the point where I initially did
           | a quick home covid test (or multiple tests if I remember)
           | that was negative. Very distinct soreness around the crease
           | of the hip/leg joint, probably a lymph gland.
           | 
           | Second year: exact same symptoms but less intense, still
           | started antibiotics immediately
           | 
           | third: again same but less intense, I ignored it until
           | general full-body joint pain occurred then immediately went
           | on antibiotics, after a few months of that it started to
           | clear up.
        
             | vatsachak wrote:
             | Glad that your lyme was temporary
        
               | bitexploder wrote:
               | Lyme disease and bacteria are always temporary. The long
               | term disease/syndrome many people attribute to it is
               | something else similar to long COVID and still debated.
        
               | anon_cow1111 wrote:
               | This is the one area where the CDC actually does have
               | accurate advice, Lyme is excellent at hiding itself from
               | your immune system and tends to burrow into joint tissue
               | where antibiotics have difficulty reaching. DON'T assume
               | the disease is temporary, as the bacteria is well-known
               | to cause lasting nerve damage even after it dies off
               | completely. I have more than one friend who wasn't as
               | lucky as me and still suffers with symptoms to this day.
        
               | financltravsty wrote:
               | Having done the research myself, it seems to be biofilms
               | that the bacteria create leading to a "dormant" yet still
               | metabolically active state that releases inflammatory
               | byproducts throughout the body.
               | 
               | The recommended course of action seems to be disulfiram
               | to bust those biofilms + antibiotics to finally kill it
               | all off.
        
               | kukkeliskuu wrote:
               | In my understanding (from some years back when I was
               | researching this myself), Lyme takes multiple forms, and
               | in some phase in their life cycle are able to hide inside
               | red blood cells. Antibiotics work only for some of the
               | forms.
        
               | jeromegv wrote:
               | Lyme Disease has existed for a very long time, it is
               | always treatable by antibiotics and can be tested by
               | tests. Antibiotics work.
        
               | kukkeliskuu wrote:
               | Some researchers think that the difficulty in healing
               | Lyme disease is related to the fact that Lyme changes
               | form and antibiotics only target some of the forms. In
               | some countries, doctors are forbidden to make long-term
               | prescription for antibiotics based on the idea that
               | chronic Lyme does not exist.
        
         | dzuc wrote:
         | treat your clothing with permethrin
        
           | tiku wrote:
           | Can't easily buy it in Europe. Some dog sprays have it, and
           | stuff against wood bugs.
        
             | josters wrote:
             | At least in Germany you can get Nobite sprays in drug
             | stores. This (German) security sheet[1] lists 2% Permethrin
             | as an ingredient.
             | 
             | [1] https://nobite.com/wp-
             | content/uploads/2025/03/Nobite_Kleidun...
        
             | hawk_ wrote:
             | Is Lyme disease much of a problem in Europe though?
        
               | manmal wrote:
               | Yes, a big one actually. In Austria, it's really really
               | bad. I've had it twice (rash and all) 20y ago already.
        
               | canucker2016 wrote:
               | At a party, I heard one person mention that a doctor had
               | told him that he had BOTH north american lyme disease AND
               | european lyme disease.
               | 
               | Lucky him.
               | 
               | He was at the doctor's office because of severe symptoms
               | that he suspected were due to lyme disease since he had
               | received several tick bites years ago.
        
         | dylan604 wrote:
         | > -Never had a tick attached more than 24 hours
         | 
         | > -When a tick was attached around 24 hours,
         | 
         | These comments directly contradict the other. Either you've
         | never had a tick for 24 hours which means the second comment
         | isn't true, or your first comment is not true.
        
           | anon_cow1111 wrote:
           | "Around 24 hours" means approximately 1 day. "More than 24
           | hours" means more than approximately 1 day. Please do not
           | comment further unless you actually have something useful to
           | add.
        
             | nandomrumber wrote:
             | Yeah nah. I agree with the comment you replied to.
             | 
             | The error bars on _around 24 hours_ and _more than 24
             | hours_ over lap at least a bit.
             | 
             | If I had a tick for 23 hours and the guidelines say 'more
             | than 24' I'd be treating it the same as 'more than 24' for
             | practical purposes.
             | 
             | There is at least some natural variation in the host and
             | the pathogen for there to be at least some people for who
             | the guidelines aren't strict enough.
             | 
             | Public health policy is a balance of factors, one of which
             | is trying to not overwhelm services with trivial / non
             | maladies.
        
               | anon_cow1111 wrote:
               | The actual error bar of "typical time-to-infection", as
               | per CDC guideline is 36 hours minimum. 24 is my generous
               | amount of error factor in the most optimistic (or worst,
               | if you're a human and not a tick) direction.
               | 
               | So in other words, this was my experience, and it was at
               | least 50% worse in timescale than the cdc predicted
        
         | MangoToupe wrote:
         | > current generations never touch grass and the outbreak never
         | appears as bad as it actually is.
         | 
         | I must say, I played in tall grass a lot as a child, catching
         | insects and whatnot. Now I won't go anywhere near them without
         | pretty serious protection, and I spend a great deal of time
         | outdoors
        
           | toast0 wrote:
           | When I was young, tall grass was fine. But kids these days
           | know to beware of Pokemons in the tall grass.
        
         | anonnon wrote:
         | > ...I suppose the sad irony here is that lyme is not getting
         | attention because well... current generations never touch grass
         | and the outbreak never appears as bad as it actually is.
         | 
         | The Morgellons outbreak is also much worse than it appears, or
         | so I've heard.
        
         | sarchertech wrote:
         | Did you get tested or did you diagnose yourself?
        
         | jandrewrogers wrote:
         | The quantity of ticks in the eastern US is insane. I would be
         | in favor of a serious look at eradicating them.
         | 
         | It isn't too bad in the Mountain West comparatively in my
         | experience, though you have some bad areas in California. I am
         | an outdoorsy person. While I live in the western US my
         | experiences in the woods of the eastern US still stick in my
         | mind. In some areas it was literally crawling with ticks.
         | 
         | I currently live in Seattle. The western side of the Cascade
         | Mountains are essentially devoid of ticks and no one knows why,
         | it is a bit of a scientific mystery. Years of tromping through
         | the bush and I've never seen one here, which is great. It does
         | make me wonder if there is something in the ecosystem here that
         | could be adapted to mitigate tick populations elsewhere.
        
           | CSSer wrote:
           | Come down to Ojai valley. They'll be crawling all over you in
           | no time. I grew up in the east. Most of the ticks we had at
           | least couldn't even carry Lyme or Rocky Mountain Spotted
           | Fever. California is wild.
        
       | ck2 wrote:
       | whenever I need a crash-course on a vitamin or mineral I check
       | the Linus Pauling Institute at Oregon State University for
       | quality info written by and reviewed by Phds
       | 
       | https://lpi.oregonstate.edu/mic/minerals/manganese
        
         | cactusplant7374 wrote:
         | Didn't Pauling fall prey to pseudoscience regarding Vitamin C?
         | It's embarrassing to name an institute after him.
        
           | ck2 wrote:
           | yes he basically created the "vitamin C cult" of the time
           | which is like the "vitamin D cult" of today
           | 
           | HOWEVER
           | 
           | Linus Pauling was also a legit brilliant chemist that won two
           | nobel prizes and authored over 1000 papers
           | 
           | He created "quantum chemistry" and "molecular biology"
           | 
           | And was also a big peace activist
           | 
           | So he is forgiven for the Vitamin C stuff
           | 
           | https://en.wikipedia.org/wiki/Linus_Pauling
        
       | meindnoch wrote:
       | Lyme disease is basically a political weapon in today's America.
        
         | bazmattaz wrote:
         | Huh? Explain
        
       | anonnon wrote:
       | Before you start supplementing with manganese, know that
       | excessive manganese exposure (usually occupationally) is a
       | recognized contributing risk factor for the development of a
       | Parkinson's-like movement disorder:
       | 
       | https://pmc.ncbi.nlm.nih.gov/articles/PMC5272970/
       | 
       | https://www.e-jmd.org/journal/view.php?number=335
        
       | phyzome wrote:
       | Incidentally, if _your_ body is either starved of or overloaded
       | with manganese, it _also_ suffers... :-)
        
       | kukkeliskuu wrote:
       | Lyme disease seems difficult to understand, as it has features
       | that challenge some basic assumptions how diseases work in
       | general.
       | 
       | One such assumption is that borreliosis is always the same. But
       | researchers have been able to capture on video the morphosis of
       | borreliosis spirochets to biofilm, and also spirochets hiding
       | inside red blood cells. Antibiotics apparently only work on some
       | of these forms, thus if you are using antibiotics to cure
       | yourself, you need long-term antibiotics to permanently kill
       | borreliosis.
       | 
       | There is actually a whole subculture of hobbyists investigating
       | their own blood samples, prepared in certain way, to capture on
       | video how the borreliosis emerges when the red blood cells die.
       | 
       | Lyme is actually not a single disease but a syndrome of
       | borreliosis together with some co-infections. These co-infections
       | appear to work synergistically together. If you reduce the amount
       | of one of them, others increase in numbers, weakening you so that
       | the original co-infection can make a comeback.
       | 
       | Also, sometimes curing borreliosis or co-infections can make you
       | feel worse. This is called the Herxheimer reaction. One of the
       | reasons for this seems to be that sometimes the symptoms are
       | actually not due to the co-infections themselves, but toxins that
       | are released in your body when the co-infections die within the
       | body. Thus, the more effective the cure, the more toxins, and you
       | feel worse.
       | 
       | If I remember correctly, there are around 40 subspecies of
       | borreliosis. The tests can recognize only few of these.
       | 
       | I also remember reading about research where random people
       | (without symptoms) were tested for certain types of borreliosis.
       | If I remember correctly, around 15% tested positive. This means
       | that actually many of us may carry these diseases, but at a level
       | that does not cause symptoms. But if our body is weakened, these
       | diseases may become active.
        
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