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My wife has Lyme disease for 30 + years. Recently it is

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My wife has Lyme...

My wife has Lyme disease for 30 + years. Recently it is accompanied by Epstein-Barr, which totally incapacitates her. Her doctor has no further assistance for her. Any suggestions?

Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?

Please read my initial statement.

Submitted: 24 days ago.Category: Medical
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Answered in 3 hours by:
5/2/2018
Doctor: Dr. Nina Lim, Board Certified MD replied 23 days ago
Dr. Nina Lim
Dr. Nina Lim, Board Certified MD
Category: Medical
Satisfied Customers: 482
Experience: Primary Care Physician at West Palm Beach VA Medical Center
Verified

Hello, my name is***** and I would like to try to help.

Chronic fatigue syndrome is extremely difficult to treat because there are really no specific medications for it. The treatment is based on symptoms.

Managing sleep and the treatment of sleep apnea if it is present is important. So if you wife has not had a sleep study done yet, this is important.

Ensure that all other medical conditions - specifically hypothyroidism, as well as vitamin deficiencies (including vitamin D deficiency) have been ruled out. So if you wife has not had any recent labs, she will need a comprehensive blood test.

An exercise program that is not too strenuous such as yoga (even sitting yoga) can be helpful. Physical activity in combination with a healthy, clean diet is important.

If your wife has signs and symptoms of depression, this may need to be treated with medications or cognitive behavioral therapy through a psychologist/ counselor.

There are reports that low dose naltrexone may be helpful. Although the studies on this medication are not very robust, it really looks like a promising alternative treatment option.

Below is a link about low dose naltrexone.

https://www.healthrising.org/treating-chronic-fatigue-syndrome-mecfs/drugs-for-chronic-fatigue-syndrome-mecfs-treatment/low-dose-naltrexone-ldn-fibromyalgia-chronic-fatigue-syndrom/

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Doctor: Dr. Nina Lim, Board Certified MD replied 23 days ago
I hope that I was able to help and please let me know if you have any additional questions or if you would like me to clarify something. If you are satisfied with my service, please consider giving me a 5-star rating. Rating me now will not close the question. We can continue to chat until you are satisfied. Thanks.
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Dr. Nina Lim
Dr. Nina Lim, Board Certified MD
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Satisfied Customers: 482
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Experience: Primary Care Physician at West Palm Beach VA Medical Center

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