LymeNet Home LymeNet Home Page LymeNet Flash Discussion LymeNet Support Group Database LymeNet Literature Library LymeNet Legal Resources LymeNet Medical & Scientific Abstract Database LymeNet Newsletter Home Page LymeNet Recommended Books LymeNet Tick Pictures Search The LymeNet Site LymeNet Links LymeNet Frequently Asked Questions About The Lyme Disease Network LymeNet Menu

LymeNet on Facebook

LymeNet on Twitter




The Lyme Disease Network receives a commission from Amazon.com for each purchase originating from this site.

When purchasing from Amazon.com, please
click here first.

Thank you.

LymeNet Flash Discussion
Dedicated to the Bachmann Family

LymeNet needs your help:
LymeNet 2020 fund drive


The Lyme Disease Network is a non-profit organization funded by individual donations.

LymeNet Flash Post New Topic  New Poll  Post A Reply
my profile | directory login | register | search | faq | forum home

  next oldest topic   next newest topic
» LymeNet Flash » Questions and Discussion » Medical Questions » Lyme & Peripheral Neuropathies

 - UBBFriend: Email this page to someone!    
Author Topic: Lyme & Peripheral Neuropathies
scoops244
Member
Member # 19753

Icon 1 posted      Profile for scoops244     Send New Private Message       Edit/Delete Post   Reply With Quote 
Hello everyone,

my Rhummy sent me for an EMG. He had finally convinced me that all of my symptoms were not Lyme related but rather related to other Skeletal issues. After getting the results back I was shocked to find out that I have peripheral Neuropothy.

Is this common for people diagnosed with Lyme? If so what are some of the things to expect? I thought my pain was all joint pain onky to find out it is not at all.

Posts: 34 | From Hazlet New Jersey | Registered: Apr 2009  |  IP: Logged | Report this post to a Moderator
njlymemom
LymeNet Contributor
Member # 15088

Icon 1 posted      Profile for njlymemom     Send New Private Message       Edit/Delete Post   Reply With Quote 
neuropothy is very common in lyme patients

my daughter's has finally disappeared, she was in extreme pain that kept her from walking

she is back to taking gym and playing a sport

she can run again, when just 2 years ago walking was very difficult

are you being txd for lyme? do you have a llmd?

bartonella can cause pain along nerve pathways, or at least in us it did

painful soles are common with bart too

have you been tested for the co-infections?

--------------------
This is NOT medical advice - and should NOT be used to replace your MD's advice. Info is only the opinion of those who publish the site.


The shortest way to do many things is to do only one thing at a time.

cb

Posts: 669 | From somewherebetweentherocks | Registered: Mar 2008  |  IP: Logged | Report this post to a Moderator
scoops244
Member
Member # 19753

Icon 1 posted      Profile for scoops244     Send New Private Message       Edit/Delete Post   Reply With Quote 
Hello,

I tested positive for Lyme, Was treated with 1 month of antibitics...I am being treated for other things. Along the way I had an EMG which showed Peripheral Neuropothy. I am now seeing a Neurologist. He is sending me for an MRI and Additonal blood tests... I usually cannot feelmy foot at all, it very painful.

Posts: 34 | From Hazlet New Jersey | Registered: Apr 2009  |  IP: Logged | Report this post to a Moderator
nenet
Frequent Contributor (1K+ posts)
Member # 13174

Icon 1 posted      Profile for nenet     Send New Private Message       Edit/Delete Post   Reply With Quote 
Unfortunately, 1 month is not considered to be long enough treatment for Lyme disease. Considering that is too short a treatment protocol, I would imagine you were not evaluated or treated by a LLMD, so I am guessing you also were not given a strong enough dose of antibiotics.

Peripheral neuropathy is definitely a Lyme symptom, and is a sign that the Lyme has been able to get into your peripheral nervous system, and therefore has likely had time to reach your CNS, which by that time it becomes very difficult to treat.

I hope that you can find an Lyme specializing physician so that you can get into prompt antibiotic treatment, which will likely help or alleviate your peripheral neuropathy symptoms.

--------------------
Dr. C's Western Blot Explanation

Lymenet Success Stories

ILADS Treatment Guidelines

Medical & Scientific Literature on Lyme

"Long-Term Antibiotic Therapy Improves Persistent Symptoms Associated with Lyme Disease"

Posts: 1176 | From KY | Registered: Sep 2007  |  IP: Logged | Report this post to a Moderator
TerryK
Frequent Contributor (5K+ posts)
Member # 8552

Icon 1 posted      Profile for TerryK     Send New Private Message       Edit/Delete Post   Reply With Quote 
Yes, neuropathy is common. I had it very badly when I started treatment. After the first year of treatment most of the neuropathy in my hands and feet were gone.

I agree with nenet. Unfortunately I've read many stories like yours. Standard IDSA (Infectious Disease Society of America) treatment is not long enough or strong enough to deal with lyme disease. Most doctors who are not members of ILADS (International Lyme and Associated Diseases Society) use the IDSA guidelines.

I'm not sure if you know this or not but there are battles going on regarding the treatment of lyme disease. Many who end up at lymenet with chronic lyme disease are the result of the IDSA guidelines.

The Attorney General of Conneticut found that the IDSA guideline authors had conflicts of interest and thus the IDSA has convened a new panel to review the guidelines and hopefully they will make adequate changes.

One can also get what we call co-infections from the tick that passes lyme. Some of these infections require an entirely different treatment than lyme disease. It is not unusual to have a co-infection and if you do, it is much more difficult to get rid of lyme.

Your best course of action in my non professional opinion is to seek out an ILADS trained LLMD. Most have extensive training in TBI's (Tick Borne Illnesses) and can give you proper testing and clinical evaluation for lyme disease and co-infections. Testing for most of these pathogens is poor at best.

You can go to the seeking doctor section of lymenet and put your location in the subject line and ask for help in getting a list of doctors that are close to you.
http://flash.lymenet.org/scripts/ultimatebb.cgi/forum/2?

ILADS is a group of physicians who specialize in treating chronic lyme disease. You will often hear them referred to as LLMD's (Lyme Literate Medical Doctors)
http://www.ilads.org/

You can go here and register and get a list of ILADS doctors that are closest to you.
http://tinyurl.com/6na364

You can also check for your local lyme group here.
http://www.lymenet.org/SupportGroups/

A great book that you can read that helps to understand the situation with lyme disease is "Cure Unknown". Written by a Science Journalist who is senior editor for Discover Magazine. She and her whole family faced lyme disease. The book covers a lot, history, science and her personal story and a few others personal stories.

Terry

Posts: 6282 | From Oregon | Registered: Jan 2006  |  IP: Logged | Report this post to a Moderator
sammy
Frequent Contributor (5K+ posts)
Member # 13952

Icon 1 posted      Profile for sammy     Send New Private Message       Edit/Delete Post   Reply With Quote 
Nice to meet you Scoops [Smile] I just wanted to reinforce what others have said above, find yourself an LLMD for proper treatment.

I also have peripheral neuropathy in my hands, arms, legs, and feet. It is a terrible feeling and I completely understand what you are going through. Now that my doctor has found the right combination of antibiotics for me, my neuropathy symptoms have greatly improved.

Another thing to look into is a medication called Metanx. Google it and talk with your doctor. It is a combination of the active forms of B12, B6, and Folic acid. I believe that it has helped me recover faster.

Take care.

Posts: 5237 | From here | Registered: Nov 2007  |  IP: Logged | Report this post to a Moderator
pepperspeck
LymeNet Contributor
Member # 18837

Icon 1 posted      Profile for pepperspeck     Send New Private Message       Edit/Delete Post   Reply With Quote 
I was diagnosed with severe peripheral neuropathy with muscle involvment, of my arms, legs, hands and feet as well. I was on high doses of neurontin for it.

After very aggressive IV antibiotics over a 3 year period, for lyme disease, I still had symptoms, although they were not as bad.

After a year off the antibiotics and supplemental detox, I was able to wean off the neurontin. (horrible drug, IMO). I am now 80% pain free and
normal function.

If I was not treated for lyme, I would be in a wheelchair or dead. Nice to meet you and hope you can find a llmd.

Lyme is certainly a diagnosis to consider, IMO.

--------------------
I found my original identity! It has been a bit over 12 years...can't blame me for forgetting my password, right?!!

Member red (Member # 1886)
Registered: 26 November, 2001
70 posts

Posts: 164 | From NJ | Registered: Jan 2009  |  IP: Logged | Report this post to a Moderator
Pinelady
Frequent Contributor (5K+ posts)
Member # 18524

Icon 1 posted      Profile for Pinelady     Send New Private Message       Edit/Delete Post   Reply With Quote 
Welcome. Glad your looking for answers. Mine is

nerve and bone pain. I hurt all over. Vitamin B12

is great for

nerves. Continue to read and I suggest tesing by

Igenex and finding a LLMD if your doctor does not

know how to treat and refuses to diagnose. Sick

for 2 years before finding out for myself before

it killed me I had Lyme/Bb. Many here can help

and there is much to read.

--------------------
Suspected Lyme 07 Test neg One band migrating in IgG region
unable to identify.Igenex Jan.09IFA titer 1:40 IND
IgM neg pos
31 +++ 34 IND 39 IND 41 IND 83-93 +
DX:Neuroborreliosis

Posts: 5850 | From Kentucky | Registered: Dec 2008  |  IP: Logged | Report this post to a Moderator
scoops244
Member
Member # 19753

Icon 1 posted      Profile for scoops244     Send New Private Message       Edit/Delete Post   Reply With Quote 
Wow! Taht you for they responses! It is so true that I cannot get any doctors to agree to trea me for OR that I have Lyme. Even though I have a test to prove it and a Mass amunt of symtoms. They just do not know how r what to do. I can go to LLMD BUT they do not take any Insurance.

I am 33 with 2 young children and going thrue a Divorce. I have plenty of insurance but I do nto have money to pay an LLMD out of pocket. Such a shame!

Posts: 34 | From Hazlet New Jersey | Registered: Apr 2009  |  IP: Logged | Report this post to a Moderator
Pinelady
Frequent Contributor (5K+ posts)
Member # 18524

Icon 1 posted      Profile for Pinelady     Send New Private Message       Edit/Delete Post   Reply With Quote 
Post in : Seeking Dr. at ... who takes insurance.

--------------------
Suspected Lyme 07 Test neg One band migrating in IgG region
unable to identify.Igenex Jan.09IFA titer 1:40 IND
IgM neg pos
31 +++ 34 IND 39 IND 41 IND 83-93 +
DX:Neuroborreliosis

Posts: 5850 | From Kentucky | Registered: Dec 2008  |  IP: Logged | Report this post to a Moderator
nenet
Frequent Contributor (1K+ posts)
Member # 13174

Icon 1 posted      Profile for nenet     Send New Private Message       Edit/Delete Post   Reply With Quote 
Scoops, as Pinelady mentioned, you can ask for LLMDs that still can take insurance. I know I have read there are some on the East coast, just don't remember where.

Good luck!

--------------------
Dr. C's Western Blot Explanation

Lymenet Success Stories

ILADS Treatment Guidelines

Medical & Scientific Literature on Lyme

"Long-Term Antibiotic Therapy Improves Persistent Symptoms Associated with Lyme Disease"

Posts: 1176 | From KY | Registered: Sep 2007  |  IP: Logged | Report this post to a Moderator
davidx
LymeNet Contributor
Member # 8326

Icon 1 posted      Profile for davidx     Send New Private Message       Edit/Delete Post   Reply With Quote 
Pretty much my only symptoms have been neuropathy and it appears to be fairly common among people who have lyme. My first symptoms were neuropathy but it took another 3 years until a neurologist finally checked for lyme (and of course it came back positive).

By the way, you mentioned that you have plenty of insurance so you might want to check out what the out of network benefits are. This way you can see what you would have to pay and what the ins company would pick up.

--------------------
Same nightmare, different day!

Posts: 401 | From East Coast | Registered: Nov 2005  |  IP: Logged | Report this post to a Moderator
DolphinLady
LymeNet Contributor
Member # 6275

Icon 1 posted      Profile for DolphinLady     Send New Private Message       Edit/Delete Post   Reply With Quote 
Infrared light treatments can help, particularly NIR infrared. Lots of info on the net and in previous posts.
Posts: 925 | From California | Registered: Sep 2004  |  IP: Logged | Report this post to a Moderator
lymebytes
Frequent Contributor (1K+ posts)
Member # 11830

Icon 1 posted      Profile for lymebytes   Author's Homepage     Send New Private Message       Edit/Delete Post   Reply With Quote 
I had no idea you could have peripheral neuropathy and not know it!

This has been my main most tormenting symptom that causes pain throughout my body literally scalp to feet..

Infrared sauna's help me temporarily - but even temp relief with this horrendous pain is better than nothing.

--------------------
www.truthaboutlymedisease.com

Posts: 2003 | From endemic area | Registered: May 2007  |  IP: Logged | Report this post to a Moderator
scoops244
Member
Member # 19753

Icon 1 posted      Profile for scoops244     Send New Private Message       Edit/Delete Post   Reply With Quote 
HEllo,

It seems that the the neuropthy has progressed after a recent visit to my Rhummy doctor. HE gave me a cortizone shot in my foot for pain. From that point on it was downhill.

THe numbness started travelling up my foot, then up my leg almost to the knee. I can not feel my skin barely at all. Then while at work after an hour long meeting i seddenly could not feel my foot at all. my foot was paralized. I tried to walk and fell. I couldn't move my toes, my foot at all. This lasted almost 10 minutes. Then feeling came back enough to walk a little and it happened again. I went to the hospital and was admitted. They ran tests again. MRI was normal . But my Lyme tests came back postitive again..

My Neurologist is finally URGING me to see an LLMD. He said that while my MRI is clean that LYME can effect individual nerves. This has peaked his curiousity. While I still have no feeling in my leg ( skin) I am hopeful.

Posts: 34 | From Hazlet New Jersey | Registered: Apr 2009  |  IP: Logged | Report this post to a Moderator
Beautiful Disaster
LymeNet Contributor
Member # 21882

Icon 1 posted      Profile for Beautiful Disaster     Send New Private Message       Edit/Delete Post   Reply With Quote 
I have no feeling in my left leg...actually part of it is completely dead (you could pinch it and I wouldn't yelp) and it is so strange. When I touch it, it is like touching someone else, instead of me touching myself because there's no return feeling. It's a really raunchy feeling.

There weird thing about it is that overnight this happened to my leg and foot....and I couldn't feel my foot either. I would take HARD falls. I could not walk whatsoever. I had no control of it at all. I relearned to walk (mine didn't resolve so fast, it took me 2-3 months) but now my foot is hypersensitive and it is SO painful. It now burns and I have to wear a sock all of the time, even in the bath, but putting the sock on is a painful process.

There's a part of my leg that has normal sensation, but 80% of it is dead.

I have Lyme too. My short stint with i.v. therapy (only 30 days) didn't do much, I need much more. My leg happened 6 months after I got "treated" by an llmd.

I wonder every single day if this would have happened if I were able to have money and keep going to an llmd.

It costs so much money, I don't know how people here do it for so long. If you can do it, get an llmd. At least you have a neurologist who wants you to go. That's pretty cool. Good luck.

--------------------
---Beautiful Disaster---
IgeneX WB: IgM: 18+, 31+, 41+, 58+, IgG: 31++, 39 IND, 41++, 31kda Epitope Test: Positive
Labcorp: IgM: 23+, 41+
No LLMD due to money since Sept 2008. Was on Doxy, I.V. Rocephin (30 days), Flagyl. Also dx with Bartonella.

Posts: 139 | From United States, East Coast-ish | Registered: Aug 2009  |  IP: Logged | Report this post to a Moderator
Pinelady
Frequent Contributor (5K+ posts)
Member # 18524

Icon 1 posted      Profile for Pinelady     Send New Private Message       Edit/Delete Post   Reply With Quote 
You are lucky. My doc told me I was just depressed. Even when I couldn't feel my hands and feet. And when I did all I felt was pain. The sooner you get to a llmd the better.

--------------------
Suspected Lyme 07 Test neg One band migrating in IgG region
unable to identify.Igenex Jan.09IFA titer 1:40 IND
IgM neg pos
31 +++ 34 IND 39 IND 41 IND 83-93 +
DX:Neuroborreliosis

Posts: 5850 | From Kentucky | Registered: Dec 2008  |  IP: Logged | Report this post to a Moderator
hshbmom
Frequent Contributor (1K+ posts)
Member # 9478

Icon 1 posted      Profile for hshbmom     Send New Private Message       Edit/Delete Post   Reply With Quote 
http://www.mayoclinic.com/health/peripheral-neuropathy/DS00131


This link is to the Mayo Clinic entry for peripheral neuropathy.

Posts: 1672 | From AL/WV/OH | Registered: Jun 2006  |  IP: Logged | Report this post to a Moderator
TerryK
Frequent Contributor (5K+ posts)
Member # 8552

Icon 1 posted      Profile for TerryK     Send New Private Message       Edit/Delete Post   Reply With Quote 
Cortisone is a steroid. Stay away from steroids, even topical if you have lyme disease or any infection unless it is an absolute necessity.

I would only trust an LLMD to help me decide if I absolutely had to have a steroid. There may be alternatives.

Steroids depress the immune system which can allow lyme to get even further out of hand.

Terry
I'm not a doctor

Posts: 6282 | From Oregon | Registered: Jan 2006  |  IP: Logged | Report this post to a Moderator
scoops244
Member
Member # 19753

Icon 1 posted      Profile for scoops244     Send New Private Message       Edit/Delete Post   Reply With Quote 
HEllo,

BEautiful Disaster, you wrote
"part of it is completely dead (you could pinch it and I wouldn't yelp) and it is so strange. When I touch it, it is like touching someone else, instead of me touching myself because there's no return feeling. It's a really raunchy feeling"

YOU JUST DESCRIBED WHAT I AM DEALING WITH TO A "T" !!!

I try to explain to people that you could put a sharp knife against my skin and I would not feel it at all!. SOme days my skin is more numb than others. I was able to walk again that same night. While I still am numb and lost strength in my foot I can walk. But i am scared that it will happenen again ( complete paralysis of the foot). IT is very frustrating.

I am seeing the neurologist now but honestly cannot afford an LLMD. I am a new single mom, going thru a divorce and trying to pay for daycare, my house. It sucks becuase I have insurance but LLMD's don't taake it. What are we supposed to do? wait until we are bed riddden? I am 33 years old with 2 small children.

sorry for venting on you all [Wink]

Cheryl- New Jersey

Posts: 34 | From Hazlet New Jersey | Registered: Apr 2009  |  IP: Logged | Report this post to a Moderator
scoops244
Member
Member # 19753

Icon 1 posted      Profile for scoops244     Send New Private Message       Edit/Delete Post   Reply With Quote 
HEllo,

BEautiful Disaster, you wrote
"part of it is completely dead (you could pinch it and I wouldn't yelp) and it is so strange. When I touch it, it is like touching someone else, instead of me touching myself because there's no return feeling. It's a really raunchy feeling"

YOU JUST DESCRIBED WHAT I AM DEALING WITH TO A "T" !!!

I try to explain to people that you could put a sharp knife against my skin and I would not feel it at all!. SOme days my skin is more numb than others. I was able to walk again that same night. While I still am numb and lost strength in my foot I can walk. But i am scared that it will happenen again ( complete paralysis of the foot). IT is very frustrating.

I am seeing the neurologist now but honestly cannot afford an LLMD. I am a new single mom, going thru a divorce and trying to pay for daycare, my house. It sucks becuase I have insurance but LLMD's don't taake it. What are we supposed to do? wait until we are bed riddden? I am 33 years old with 2 small children.

sorry for venting on you all [Wink]

Cheryl- New Jersey

Posts: 34 | From Hazlet New Jersey | Registered: Apr 2009  |  IP: Logged | Report this post to a Moderator
ninjaphire
LymeNet Contributor
Member # 18234

Icon 1 posted      Profile for ninjaphire     Send New Private Message       Edit/Delete Post   Reply With Quote 
Benfotiamine should be pretty helpful for peripheral neuropathy.

You should look into it, it works pretty well for me...

Posts: 330 | From Colorado, USA | Registered: Nov 2008  |  IP: Logged | Report this post to a Moderator
Pinelady
Frequent Contributor (5K+ posts)
Member # 18524

Icon 1 posted      Profile for Pinelady     Send New Private Message       Edit/Delete Post   Reply With Quote 
Cheryl there are docs who take ins. You could try

posting in Seeking Doc in xx section to get the

closest one. I would not wait till bed ridden.

Almost there I was and now doc says it will take @

a year of treatment which will cost you more in

the long run. If you can get to a LLMD he may be

able to help you with disability where you can

keep your job and ins. while you are doing the

treatment. I was stubborn and would not give it

up to expedite treatment. If I had I would have

been a lot better off. As now I am laid off. If I

had known this I would have taken leave instead.

--------------------
Suspected Lyme 07 Test neg One band migrating in IgG region
unable to identify.Igenex Jan.09IFA titer 1:40 IND
IgM neg pos
31 +++ 34 IND 39 IND 41 IND 83-93 +
DX:Neuroborreliosis

Posts: 5850 | From Kentucky | Registered: Dec 2008  |  IP: Logged | Report this post to a Moderator
TerryK
Frequent Contributor (5K+ posts)
Member # 8552

Icon 1 posted      Profile for TerryK     Send New Private Message       Edit/Delete Post   Reply With Quote 
Depending on your insurance, you may be able to bill your insurance company and recover part of your visit. I get about 60% of the office visit. It would be the prescriptions that might be a real problem but they may be covered too. You will need to call your insurance company to find out.

IF you had been seeing an LLMD, you would have been told not to take steroids and you likely would not be dealing with the severe worsening of symptoms you've experienced with the administration of steroids. Many here have had a similar experience with steroids.

It really pays in the long run to get an LLMD even if you have to borrow money to get one. Really sucks to be so sick that you are forced to give up your job like so many of us here.

Pinelady is right, there are some LLMD's who accept insurance.

Terry

Posts: 6282 | From Oregon | Registered: Jan 2006  |  IP: Logged | Report this post to a Moderator
Veromia
Member
Member # 22031

Icon 1 posted      Profile for Veromia     Send New Private Message       Edit/Delete Post   Reply With Quote 
For someone like you who cant go to the LLMD I say try the Salt/C protocol.


I'm going to try it pretty soon .

You have to order the pure sodium chloride (salt). I couldnt find it in health food stores.

And then any good vit C. 1 gram to every 10 pounds a day.

of both c and salt.

You must work up to that dosage though. Or you will have tummy pains.

More info for this at http://www.lymephotos.com/

--------------------
Let us fight with peace.

Posts: 90 | From Niles, Ohio | Registered: Aug 2009  |  IP: Logged | Report this post to a Moderator
Cindy Ss
Unregistered


Icon 1 posted            Edit/Delete Post   Reply With Quote 
Can neuopathy be the nerve vibrations without pain?

I have this off and on sometimes all day sometimes not day of internal vibrations that are in my legs mostly but feel all over really.

Is this a for of neuropathy? Nerve disturbance.

I do not have pain with it but it makes me feel very ill.

THanks, Cindy

IP: Logged | Report this post to a Moderator
LF
Junior Member
Member # 9168

Icon 1 posted      Profile for LF     Send New Private Message       Edit/Delete Post   Reply With Quote 
I developed neuropathy in both feet about the same time that I discovered that I was b12 deficient! LLMD prescribed IM injections of cyanocobalium (B12) daily, for 2 months, then weekly, then as needed. PN (neuropathy) went away! It can be caused by B12 deficiency; and can be cured with B12 injections. Also helped relieve exhaustion, depression, and memory! Google for more info. B12 deficiency seems to be very common these days, not only for Lymies. It's not a common blood test run by mainstream Drs. I became sick with Lyme in 1998, and didn't get diagnosed or treated until 2007.

Not medical advice; I'm just a long time Lymie.

Posts: 5 | From Florida | Registered: Apr 2006  |  IP: Logged | Report this post to a Moderator
   

Quick Reply
Message:

HTML is not enabled.
UBB Code is enabled.

Instant Graemlins
   


Post New Topic  New Poll  Post A Reply Close Topic   Feature Topic   Move Topic   Delete Topic next oldest topic   next newest topic
 - Printer-friendly view of this topic
Hop To:


Contact Us | LymeNet home page | Privacy Statement

Powered by UBB.classic™ 6.7.3


The Lyme Disease Network is a non-profit organization funded by individual donations. If you would like to support the Network and the LymeNet system of Web services, please send your donations to:

The Lyme Disease Network of New Jersey
907 Pebble Creek Court, Pennington, NJ 08534 USA


| Flash Discussion | Support Groups | On-Line Library
Legal Resources | Medical Abstracts | Newsletter | Books
Pictures | Site Search | Links | Help/Questions
About LymeNet | Contact Us

© 1993-2020 The Lyme Disease Network of New Jersey, Inc.
All Rights Reserved.
Use of the LymeNet Site is subject to Terms and Conditions.