posted
Daughter did 11 weeks of Doxy, and is now in about the 5th week of Biaxin / Plaquenil. She has a good diet, and takes Saccharomyces plus other probiotics daily.
She got a vag. yeast infection, took a week of Mystatin, and it has not gone away.
Of course we contacted her LLMD, but it will take a few days to hear back.
I've seen lots of info on this site about yeast, but did a search and didn't find anything about her situation.
She called her Gyn office, they are not Lyme aware, and they prescribed Diflucan -- but only one pill. Does this sound right??
She tried to get them to prescribe a week's worth, but they said no. Anything she can do while waiting to hear back from the LLMD?
thanks, Judith
Posts: 228 | From Mass. | Registered: Feb 2009
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treepatrol
Honored Contributor (10K+ posts)
Member # 4117
posted
No 1 isnt right iam not a lady though. anyway get her to stop sugars no pop ,sweets etc and give her 3 acidophilis pills at a time 2 hrs after antibiotics and also get her yogurt eat as much of that as she can 3 or 6 a day acidophilis at least 3 times a day this will help restore the good flora in her. You mawant to also get her some i think its monistat?sp
-------------------- Do unto others as you would have them do unto you. Remember Iam not a Doctor Just someone struggling like you with Tick Borne Diseases.
posted
This will probably be a long-winded response from me here, but I hope some of the information might be useful for you.
I don't know the age of your daughter, so some of these suggestions might need to be altered depending on her age.
Persistent vaginal yeast infections usually require more than one single dose of Diflucan. That used to be what the manufacturer of the drug recommended -- one dose and it'll cure ya! But most doctors who deal with systemic/chronic yeast-infected patients know that their patients need more dosing.
For those undergoing continued Lyme treatment, many need continued dosing of Diflucan. Sometimes it is used daily, sometimes on a pulsing schedule (like every other day or 2-3 times a week, etc.). Whatever works.
I have systemic candida and have had to deal with its repercussions for years -- even prior to my Lyme treatment.
Here is some information that helped me manage it:
You already know about an anti-fungal diet, I presume, based on your comment above.
Oral antifungals are necessary in addition to good quality probiotics.
If your daughter is in a great deal of pain or discomfort, sitz baths with epsom salt can help relieve irritated tissue. Be careful though, sometimes epsom salt baths can provoke herxing reactions in Lyme patients.
Alot of times direct vaginal treatment/support is needed in addition to taking oral antifungals.
Some products that work really well are:
1. Boric Acid vaginal suppositories (yes these are safe to use vaginally). You can make your own. Simply purchase some Size 00 empty gelatin capsules from your pharmacy or online and fill each capsule with Boric Acid powder (also available from your pharmacy).
Each Size 00 capsule will provide 600mg of Boric Acid. It can be used once or twice a day. Or it can be pulsed and used as needed (i.e., a couple times a week).
2. A product called Yeast Arrest by Vitanica. Another vaginal suppository. This one has boric acid in it but also has a couple of herbs that help support the vaginal environment and promote healing and anti-microbial support.
3. A product called CandaClear. This is a probiotic vaginal suppository. It will replenish healthy vaginal flora if that is what's missing and leading to the infections.
4. If tissues are particularly irritated, Vitamin E suppositories can be used along with any of the above treatments. The Vitamin E will help the infection heal and also soothe the tissues. Carlson's makes a Vitamin E suppository. And a company called Wise Woman Herbals makes one as well.
5. You can try the over-the-counter vaginal yeast creams as well (like Monistat). Some people do just fine with them. They never worked for me. The boric acid treatment will eradicate all forms of yeast. The Monistat, for example, only targets one form, I think.
There are also prescription vaginal yeast creams that the doc can prescribe. Again, they don't always eradicate all forms of yeast like the boric acid does.
6. Some women have had success using tea tree oil suppositories.
Many women who are prone to this problem and are undergoing Lyme treatment find that they have to use vaginal support like what's listed above regularly in order to stay ahead the game.
And for what it's worth, some LLMD's consider persistent systemic yeast infections to be another co-infection with the Lyme.
I'm going to post a rather long article in a new post here. It's written by a Dr. Tori Hudson. It might have some suggestions that will help as well.
You can purchase the Yeast Arrest, Vitamin E suppositories and Candaclear from online vendors. And sometimes vitamin stores and compounding pharmacies will carry these products.
One good vendor is Rockwell Nutrition. I'm not affiliated with them (or the products mentioned) in any way. Just a really satisfied customer.
*Vulvovaginal Candidiasis (Yeast Infection) by Tori Hudson, N.D.*
*Introduction and General Observations*
One of the most common chief complaints among female patients is vaginitis. Although it is often assumed that it is due to a yeast infection, only 33 percent of women with this complaint will have vulvovaginal candidiasis (VVC).
VVC encompasses a broad range of issues, ranging from patients who have colonization of yeast but are asymptomatic, to those who have frequent, recurrent and symptomatic episodes. An estimated 75 percent of all women will have at least one VVC infection in their life, 45 percent will have multiple episodes, and 5 to 8 percent will have recurrent (RVVC) episodes, which are defined as four or more episodes within one year.1
*Microbiology
*Studies throughout the world have shown that Candida albicans is the most common cause of VVC and is the organism identified in 85 percent to 90 percent of positive vaginal yeast cultures. However, there are infections with non-albicans species, such as C glabrata, C tropicallis, and C krusei, which are becoming more prevalent in the US. Of the non-albicans species, Candida glabrata is the most common.
The number of VVC cases that are due to non-albicans species has steadily increased, from 9.9 percent in 1988 to 17.2 percent in 1995.2 It is thought that this increase is due at least in part to the increased use of over-the-counter medications and that non-albicans species are becoming less susceptible to these agents.3
*Evaluation
*A diagnosis of VVC is made by a combination of history, clinical examination, specimen collection, a microscopic examination of a specimen using a potassium hydroxide (KOH) preparation, and, if necessary, a culture.
A history that is consistent with VVC includes itching, burning, a thick white vaginal discharge, dyspareunia, and dysuria. Keep in mind that deferential diagnoses include vulvar hyperplasia, vestibulitis, genital ulcerations, lichen sclerosis, or other dermatitis conditions.
*Prevention Concepts
* Preventing infections is almost always easier than treating them. Here are some simple strategies:
Tight clothing can predispose one to candidiasis.4
Women who wear panty hose are about three times more likely to experience an incidence of yeast vaginitis infections than those who do not.5
Safer sex practices, such as use of condoms, may be helpful in preventing even infections not clearly considered to be sexually transmitted, such as yeast and bacterial vaginosis.
Support a healthy vaginal ecosystem and immune system by having a generally whole foods diet and very little to no sugar and refined carbohydrates. Consider food, pollen, clothing detergent and semen allergies.
Increase intake of acidophilus yogurt and/or take supplemental lactobacillus supplements when using antibiotics.
Consider using condoms to prevent all types of vaginitis and to maintain a normal pH, and use condoms until the treatment regimen is complete to prevent recurrence.
*Overview of Alternative Treatments*
An important aspect of treating vaginal infections is looking at the problem more holistically and systemically rather than just finding drug alternatives to killing unwanted organisms.
To this end, we try to improve the vaginal immune system, support the systemic immune system, restore the proper balance of normal microflora in the vagina, restore the normal pH of the vagina, decrease the inflammation and irritation of the tissue itself, provide symptomatic relief and, when necessary, curb the population and overgrowth of the offending organism. Although this approach sounds basic and logical, it is radically different from the conventional approach, which is essentially to kill the overgrowth of the causative organism.
Although in severe, acute cases pharmaceutical antifungals may ultimately be necessary, there is evidence that the organisms are becoming resistant to overuse of these products. Even when the pharmaceutical over-the-counter medications or prescription medications need to be used, the principles and methods of some of the natural treatments can be an important part of a healthy vaginal ecosystem and immunity for the future.
Although the vaginal ecosystem is in a variable state throughout a woman's lifetime, nothing is more key to this ecosystem than lactobacillus. Perhaps no other concept is as important as the health of the ecosystem of the vagina.
The vaginal microflora of healthy asymptomatic women consists of a wide variety of anaerobic and aerobic bacteria dominated by lactobacillus. The range of bacterial types isolated is immense, including Staphylococcus species, Gardnerella vaginalis, Streptococcus species, Bacteroides species, Lactobacillus species, Mobiluncus, even Candida species (most commonly Candida albicans), and others.
Again, the predominant organisms isolated from the normal vagina are members of the Lactobacillus genus.
*Alternative Treatments*
*Nutrition
*It cannot be overemphasized how the health of the entire body affects the internal ecosystem of the vagina. The pH of the vagina, the microflora that live there, the hormonal cycles, and the immune tissue in the vagina are all influenced by our general health and our dietary habits, and this in turn determines how susceptible we are as a host to the overgrowth of the unfriendly organisms that cause the vaginitis.
A generally healthy diet supports our body's defense system. A diet low in sugars and refined carbohydrates is particularly important in preventing candida vaginitis. In general, a well-balanced, whole-foods diet that is low in fat, sugars, refined foods and alcohol is optimal in preventing many common infections. Some women who have severe, stubborn cases of chronic candida vaginitis may benefit from more strict diets that avoid fermented foods. These "anti-candida" diets can be rigorous and stressful and are often unnecessary.
*Botanicals
Garlic (Allium sativum)*
Garlic extracts have been shown to inhibit the growth of Candida albicans by blocking lipid production, which thereby inhibits its growth.6 The major growth inhibitory component in garlic extract is allicin, and garlic products that have the highest amount of allicin would therefore be the most desirable. Garlic is diverse in its uses for vaginitis because it is both antibacterial and antifungal.7,8 Although I am not aware of any research on the use of garlic inserted in the vagina, this has consistently been one of my recommendations for women over the years for both candida (yeast) vaginitis and bacterial vaginosis. A carefully peeled clove (so as not to nick the garlic) can be inserted into the vagina for 6 to 8 hours. The garlic can be threaded like a necklace so that it can easily be removed, as if it were a tampon. "Garlic tampons" or garlic capsules can be inserted intravaginally in the evening and then lactobacillus capsules can be inserted in the morning to create a plan that both inhibits growth of the offending organism and repopulates the microflora to a normal healthy state.
Goldenseal (Hydrastis canadensis) and Oregon grape (Berberis vulgaris)
Goldenseal and Oregon grape root contain a substance called berberine, which acts both as an antimicrobial and immune enhancer. This immune effect is especially specific in epithelial mucus membrane tissue as is found in the vagina, mouth, and even the stomach. Berberine has been shown to possess antimicrobial activity against a wide variety of microorganisms, some of which are found in the vagina, such as Candida albicans, Escherichia coli, Staph aureus and others.9 Preparations of goldenseal and Oregon grape have been used both orally, in teas, capsules and liquid extracts, and intravaginally in douches and suppositories. Because of their ability to affect both yeast and bacteria, these two herbs would seem a logical choice in cases where multiple infectious agents are involved.
*Additional Treatments
Lactobacillus*
Although we often think only of Lactobacillus acidophilus, several species of lactobacillus populate the vagina. The predominant species of lactobacillus isolated from the vagina of healthy women remains controversial. The mechanisms by which lactobacillus does its remarkable job are many. A low vaginal pH is believed to be a primary mechanism controlling the composition of the vaginal microflora. Lactic acid is produced by the metabolism of lactobacillus; although there may be other ways in which the vagina maintains its normal acidic environment, the role of lactobacilli seems evident.
Lactobacilli thrive at an acidic pH of 3.5 - 4.5 and these values are indeed found in the normal vagina throughout the menstrual cycle. Lactobacilli have also been shown to interfere with how pathogenic bacteria adhere and colonize the cells of the vagina.10
The concept that lactobacilli might be useful when supplied in the diet, either as an oral supplement or intravaginally, dates back to the 1890s. While scientists have vacillated on the value of lactobacilli in prevention or in treatment, patients in need have not.
In fact, lactobacillus therapy is quite popular both with alternative practitioners and with women who seek simple self-treatment methods. A study was done in 1992 on the daily ingestion of yogurt containing Lactobacillus acidophillus in women with recurrent candida vaginitis. In the women who ate 8 oz daily of the yogurt, there was a threefold decrease in candida colonization when compared to the women who did not eat the yogurt.11 It is now also popular to ingest Lactobacillus acidophilus supplements in oral form in place of or in addition to eating yogurt. Another popular method is the application of lactobacilli directly into the vagina. Douching used to be a popular method but, since research has shown that douching may contribute to infertility and pelvic infections, a safer and more convenient method is available by introducing lactobacillus capsules or tablets into the vagina.12
As either a solo therapy or in combination with other vaginal or oral interventions, lactobacillus is the key to establishing normal vaginal microflora, preventing recurring infections, as well as treating acute candida and bacterial infections of the vagina.
*Boric Acid
*The most successful natural treatment for VVC that I've encountered is the use of boric acid suppositories. Several studies confirm its success, ranging from 64% to 98% effective.13,14,15,16 Although regimens may vary, the most effective treatment in women with chronic, persistent VVC was using a 600 mg capsule vaginally, twice daily for 2 to 4 weeks. The only downside I have observed is that if the tissue has been irritated enough by the infection, the boric acid leaks onto the vulva as the capsule melts and then passes over this tissue, and burning can occur.
Using vitamin E oil or lanolin or even Vaseline on the external genitalia to protect them from the boric acid seems to avert any significant discomfort.
*Arden's Powder*
A colleague of mine has been using a product called Arden's vaginal douche powder for over twenty years. She attributes its antifungal properties to the essential oils of eucalyptus, thyme and boric acid powder. The menthol crystals in the oils provide quick relief from itching and burning even before the infection is cleared. Although I have not been a strong proponent of douching, this old-fashioned approach can most likely be used safely under low pressure.
Directions: Mix 1 tsp of Arden's Powder in 1 pint of warm water. Fill the douche apparatus with the solution and gently insert the nozzle into the vagina. Use two applications daily for the first two days, then reduce to one application daily for 5 more days. Avoid during menstrual period or pregnancy.
*Sample Natural Treatment Plan for Yeast Vaginitis Acute:*
Avoid sugars, refined carbohydrates, and alcohol. Eat 8 oz. acidophilus yogurt daily or take lactobacillus species capsules containing 2-4 billion organisms per day.
Insert one boric acid powder capsule a.m. and p.m. for 3-7 days in mild cases, and up to 14 days for resistant cases.
Chronic:
Avoid sugars, refined carbohydrates, alcohol, and fermented foods.
Eat 8 oz. acidophilus yogurt daily or take lactobacillus species capsules containing 4-8 billion organisms per day.
Take one garlic capsule one to two times daily by mouth.
Insert one boric acid powder capsule a.m. and p.m. for 14 days. Repeat for an additional 14 days if responding but not completely resolved after the first 2 weeks.
Prophylaxis
Avoid sugars, refined carbohydrates, alcohol, and fermented foods.
Eat 8 oz. acidophilus yogurt daily or take lactobacillus species capsules containing 2 billion organisms per day.
Take one garlic capsule daily by mouth.
Insert one boric acid powder capsule once daily at bedtime, during menstruation only, for 4 consecutive months.
During Pregnancy
Avoid sugars, refined carbohydrates, alcohol, and fermented foods.
Eat 8 oz. acidophilus yogurt daily or take lactobacillus species capsules containing 2-4 billion organisms daily.
Take one garlic capsule daily by mouth. Avoid boric acid suppositories and herbal suppositories.
Principles of Treatment
The main concepts for managing VVC are: Be certain of your diagnosis, manage other influences, and be creative and persistent when what you are doing is not providing relief or the patient has recurrences. Remember that VVC is frequently misdiagnosed by both patients and practitioners. Taking shortcuts in history, physical exams and testing can result in misdiagnosis, unnecessary treatments, and delays in effective treatment. Most cases of VVC will be very effectively treated with natural methods. For those unusual cases that are not, there are various oral and vaginal regimens including butoconazole cream, clotrimazole cream or vaginal tablets, miconazole cream or suppositories, terconazole cream or suppositories, fluconazole oral and nystatin vaginal tablets. Treatment options for non-Albicans candida infections include more aggressive fluconazole and terconazole regimens, flucytosine vaginally, and boric acid vaginal capsules.
VVC may seem trivial to many, but for some, the discomfort, the chronicity, and the health care costs incurred are far more than trivial. The practitioner who is methodical, arrives at an accurate diagnosis, and offers empathy and intellect in treatment, will provide the best care to the most patients.
*References:* 1 Foxman B, Barlow R, D'Arcy H, Gilespie B, Sobel J. Candida vaginitis: self-reported incidence and associated costs. Sex Transm Dis 2000;27(4):230-235. 2 Spinillo A, Capuzzo E, Gulminetti R, et al. Prevalence of and risk factors for fungal vaginitis caused by non-albicans species. Am J Obstet Gynecol 1997;176:138-141. 3 Odds F. Resistance of yeasts to azole-derivative antifungals. J Antimicrob Chemother. 1993;31:463-471. 4 Elegbe I, Botu M. A preliminary study of dressing patterns and incidence of candidiasis. Am J Public Health 1982; 72: 176-177. 5 Heidrich F, Berg A, Bergman J. Clothing factors and vaginitis. J Family Practice. 1984; 19 (4): 491-494. 6 Adetumbi M, Javor G, Lau B. Allium sativum (Garlic) inhibits lipid synthesis by Candida albicans. Antimicrobial Agents and Chemotherapy. 1986; 30 (3): 499-501. 7 Moore G, Atkins R. The fungicidal and fungistatic effects of an aqueous garlic extract on medically important yeast-like fungi. Mycologia, 1977. 15: 466-468. 8 Cavallito C, Bailey J. Allicin, the antibacterial principle of Allium sativum. Isolation, physical properties and antibacterial action. J Am Chem Soc 1944; 66: 1950-1951. 9 Amin AH, Subbaiah TV, Abbasi KM. Berberine sulfate: antimicrobial activity, bioassay, and mode of action. Canadian J Microbiology. 1969; 15:1067-1076 10 Chan RCY, Bruce AW, Reid G. Adherence of cervical, vaginal and distal urethral normal microbial flora to human uroepithelial cells and the inhibition of adherence of gram-negative uropathogens by competitive exclusion. J Urol 1984; 131: 596-601. 11 Hilton E, Isenberg H, Alperstein P, France K, Borenstein M. Ingestion of yogurt containing Lactobacillus acidophilus as prophylaxis for candidal vaginitis. Annals of Internal Med. 1992; 116: 353-357. 12 Jeavons H. Prevention and treatment of vulvovaginal candidiasis using exogenous Lactobacillus. J Obstet Gynecol Neonatal Nurs 2003;32(3):287-96. 13 Hilton E, Rindos P, Isenberg H. Lactobacillus GG vaginal suppositories and vaginitis. J Clinical Microbiology. 1995; 33 (5): 1433. 14 Keller Van Slyke K, Michel V, Rein M. Treatment of vulvovaginal candidiasis with boric acid powder. Am J Ob/Gyn 1981;141:145-148. 15 Jovanovic R, Congema E, Nguyen H. Antifungal boric acid for treating chronic mycotic vulvovaginitis. Journal of Reproductive Medicine 1991;36(8):593-597. 16 Sobel J, Chaim W, Nagappan V, Leaman D. Treatment of vaginitis caused by Candida glabrata: Use of topical boric acid and fulcytosine. Am J Ob/Gyn 2003;189:1297-1300.
Posts: 503 | From Maryland | Registered: Oct 2007
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AZURE WISH
Frequent Contributor (1K+ posts)
Member # 804
posted
Maybe she needs differnt probotics? I know it took trial and error for me to fins the right ones for me and sometimes the amount changes with the abx I am on. Oh and i am sure you know this but the probotics should be taken at least 2 hours away from the abx. My stomach digests slow so i actually have to space it further or it doesnt work.
Just so you know not all diflucan pills are an everyday thing. I know there is an extended release version that isnt taken as often.
Just so you know diflucan can be hard on the liver. Maybe this was a consideration of your dr?
When you say your daughter is watching her diet ... has she cut out sugar and eating low carb? If she is a child, I would want extra guidence on diet before it was altered. (like right now i even have to cut out fruit except lemon and limes... I don't know how good that is for a kid though.) Sometimes I have to be more strict with my diet than others ... its another one of those things that I adjust as needed like the probotics.
There are also herbs that kill yeast. Maybe ask your dr about them when you get in contact with him. Some of the herbs can be more toxic than others so I would want to ask my dr before i started any.
I hope her dr can figure out a way to get the yeast under control and prevent an future issues with yeast.
posted
When I was on doxy, I got both thrush and a vaginal yeast infection. I took ONE Diflucan plus the Monistat and that knocked it right out. For persistant irritation, this is going to sound funny but it works, use a whole clove of garlic as a suppository. Seriously, it's cheap, you probably have them in your pantry, and it does help.
Good luck!
PS: The probiotics I take are call Phyto Pharmica, and I got the referral for them right here in this forum. Have been using them for years with good effects.
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I'm nearing 7 months on abx. I'm 30, and have my 1st-ever vaginal yeast infection.
It started Friday just after my LLMD's office closed (typical, right?)
So I used a 3-day over-the-counter combo pack, and it helped.
On Monday, my LLMD called in a diflucan Rx. It is 7 pills, 100 mg to be taken once a day. It has 3 refills, so if I use them all that'll be one full month of diflucan.
I also have adjusted my diet. Before I thought I was one of the "lucky" ones who could still be ok eating the occasional sweet. I've since mended my ways...
Good luck and take care.
Posts: 455 | From Was in PA, then MD, now in the Midwest | Registered: Nov 2008
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gemofnj
Frequent Contributor (1K+ posts)
Member # 15551
posted
Its not only important to knock it out, but control its existence because it will come back if you dont follow an 'anti yeast protocol' especially during antibiotic therapy.
I know this may be redundant for the regulars readers, but here are a few good tips I learned about controlling yeast.
Probiotics ALONE will not keep yeast under control, especially if a carb free diet is not maintained. In case you didnt know, sugar / carbs FEEDS yeast, big time.
The best kind of probiotic is the refrigerated kind with high culture / high strain. One good over the counter is Renew Life Ultimate Flora CRITICAL CARE which contains 50 billion live cultures and 8 strains. You can usually get this or something similar in your health food store.
Your LLMD may have a good one. Mine sells Iflora PROFESSIONAL by Sedona Labs. It has 20 billion and 16 strains. It is very good. Replenish probiotics often AWAY from abx and at bed time.
Step 1: DIET (low carb/low sugar/high protein diet
Step 2: Detox to slough off toxins by candida (lemon water, exercise if tolerated, sauna, hot tub, etc.
Step 3: ANTIFUNGALS along with the probiotics can aid in controlling yeast.
Step 4: Oral hygiene-prevents reinfection
Herbal antifungals along with oral hygiene can be very effective if used before yeast gets out of control. Herbals, can be olive leaf, garlic, pau de arc, grapefruit seed extract or oregano, etc.
Olive Leaf Extract, Grapefruit Seed Extract and Oregamax work great in rotation or combination along with good refrigerated high culture/high strain probiotic and a low carb diet. Add a little detox in, and it accelerates the results.
Combine that with good oral hygiene, (ie brushing tongue every day, rinsing with a strong antiseptic mouthwash (such as listerine) for 30 seconds-UH HUH it burns, but works.
After brushing, dip your toothbrush in bleach and rinse thoroughly after ever use). Yeast actually starts on the tongue. If you dont disinfect your toothbrush, you can reinfect yourself!!
Detox can be in the form of steam/sauna, warm to hot baths, low impact exercise and/or detox products or methods as tolerated, to get rid of the candida toxins or die off.
There are tons of other additional yeast aid products. To name a few, kolerex, candicyn, candi gone, threelac, cuturelle and candex, etc.
But, with all that being said, some folks need still need prescription antifungals such as nystatin or diflucan in addition to the probiotics, diet and detox -- Especially if they dont totally follow a good regimen.
For vaginal yeast, use a vinegar based douche. It neutralizes the ph down there. There is one called Yeast Guard. Its pretty good.
Always check in with your doctor.
Good luck and hope this helps your daughter.
Posts: 1127 | From atlantic city, nj | Registered: May 2008
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posted
The garlic doesn't sound funny at all! It is what I use and it works WONDERS. If you knick the garlic when you peel it, she might have some burning, and she will smell like an Italian restaurant because the yeast killing action AND the smell travels up the entire system.
She can pm any of the women here, I'm sure. We can talk to her about it, too.
Diflucan is really hard on the system, but I did 4 days when the garlic didn't make it disappear. Most the time the garlic and diet restrictions take care of it.
Wish her luck.
Posts: 564 | From Tick Hell | Registered: Oct 2008
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Aniek
Frequent Contributor (1K+ posts)
Member # 5374
posted
Get the book The Yeast Connection by William Crook. It's a great guide to managing yeast.
Theralac is the best probiotic I know of. Keep up the sacchormyces as well, as it helps with the lower intestine.
Talk to your LLMD about Cumanda, it is an herb distributed by Nutramedix. It is used as part of the Cowden protocol and I found it really managed my yeast when I didn't take Diflucan.
But many people treating Lyme take a Diflucan every week, or even every day, throughout treatment.
-------------------- "When there is pain, there are no words." - Toni Morrison Posts: 4711 | From Washington, DC | Registered: Mar 2004
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