In regards to your question about homeopathic options.
Ledum is a common choice.
For dogs, doses are often extrapolated from human medicine - and in people they take one homeopathic pellet of Ledum 30c twice a day for 2 days following the tick bite. We typically give the same dose of Ledum 200c.
Regarding the actual diagnosis - Having a Lyme or Anaplasma positive status means that antibodies towards those antigens are present but that antibiotic treatment is not recommended in all asymptomatic dogs.
A positive status is common in many healthy dogs inendemic areas (up to 40% to 70-90% of healthy dogs are Lyme-positive in certain areas)
Moreover, treatment with antibiotics does not guarantee clearance of the carrier state.
When they are positive, we do like to check a urine sample and bloodwork to make certain the kidneys are healthy and there is no protein abnormally in the urine. A platelet count is also checked especially with Anaplasma.
If there is then a concern, special titers are sent to the lab to differentiate a carrier state and OLD infection as compared to active infection which needs treatment.
Reply any time if more information is needed!
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