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Author Topic: Article on infections, Lyme, and mental illness
BorreliaBrain
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This article is new.... I think. My awesome friend found it on the MSNBC site tonight and alerted me. Fascinating. I think it's set to come out Dec. 1


http://www.msnbc.msn.com/id/3540627/


Diseases of the Mind

Bacteria, viruses and parasites may cause mental illnesses like depression and perhaps even autism and anorexia

By Janet Ginsburg
Newsweek International

Dec. 1 issue - Olga Skipko has had the good fortune to live most of her adult life in the Polish village of Gruszki, in the heart of the Puszcza Bialowieska, one of Europe's most beautiful forests and home to wolves, lynxes and the endangered European bison. Unfortunately, the forest is also a breeding ground for disease-carrying ticks. Skipko, 49, thinks she was bitten about 10 years ago, when she began having the classic symptoms of Lyme borreliosis, a tickborne nervous-system disease: headaches and aching joints. She didn't get treatment until 1998. ``I was treated with antibiotics and felt a bit better,'' she says.

That was only the beginning of her troubles. A few years later, she began to forget things and her speaking grew labored. It got so bad that she had to quit her job in a nursery forest and check herself in to a psychiatric clinic. ``I hope they will help me,'' she says. ``I promised my children that when I come back home, I will be able to do my favorite crosswords again.'' Doctors ran a battery of tests and concluded that her mental problems were the advanced stage of the Lyme disease she had contracted years ago.

Scientists have long known that some diseases can cause behavioral problems. When penicillin was first used to treat syphilis, thousands of cured schizophrenics were released from mental asylums. Now, however, scientists have evidence that infections may play a far bigger role in mental illness than previously thought. They've linked cases of obsessive-compulsive disorder, bipolar disorder and schizophrenia to a variety of infectious agents, and they're investigating autism, Tourette's and anorexia as well. They're beginning to suspect that bad bugs may cause a great many other mental disorders, too. ``The irony is that people talked about syphilis as the `great imitator','' says University of Louisville biologist Paul Ewald, ``but it may be the `great illustrator'--a model for understanding the causes of chronic diseases.''

Mental illnesses constitute a large and growing portion of the world's health problems. According to the World Health Organization, depression is one of the most debilitating of diseases, on a par with paraplegia. Psychiatric illnesses make up more than 10 percent of the world's ``disease burden'' (a measure of how debilitating a disease is), and are expected to increase to 15 percent by 2020. Much of this may be the work of viruses, bacteria and parasites. Psychiatrist E. Fuller Torrey, of the Stanley Medical Research Institute in Maryland, has found from studying historical asylum records that hot spots--higher-than-normal incidences--of mental illness can shift, much like infectious-disease outbreaks, which lends credence to the notion that infectious agents play a big role. ``Mental disorders are the major chronic recurrent disorders of youth in all developed countries,'' says Harvard policy expert Ronald Kessler, who directs the WHO's mental-health surveys.

Perhaps the most well known disease that's been linked to mental disorders is Lyme disease, which is caused by the Borrelia burgdorferi germ. First identified in the mid-1970s among children near Lyme, Connecticut, the disease has long been known to cause nervous-system problems and achy joints if left untreated. Now scientists are finding that Lyme disease can also trigger a whole smorgasbord of psychiatric symptoms, including depression. One New York man (we'll call him Joe) found out firsthand how debilitating the disease can be. When he began having bouts of major depression back in 1992, he had forgotten all about the tick bite he had gotten four years earlier. He spent two years in a blur of antipsychotic drugs, mental institutions, jails and suicide attempts. On a hunch, a doctor at a psychiatric hospital in New Jersey had Joe tested for Lyme disease. After an intensive course of antibiotics, Joe's improvement was dramatic and immediate. ``I started to have this fog lift,'' he recalls. Still, he will probably have to be on psychotropic drugs for the rest of his life.

Some psychiatrists fret that there may be thousands of people suffering from Lyme-induced depression without knowing why. Not only is Lyme disease tricky to diagnose--not everybody gets the circular rash, and lab tests still aren't wholly reliable--it can take a decade or more for mental disorders to set in. The U.S. Centers for Disease Control says that nine out of 10 cases of Lyme diseases remain unreported. There are 15 species of borellias--making them the most common tickborne disease-producing bacteria in the world.

For its part, the parasite Toxoplasma gondii, which can be found in undercooked meat and cat feces, can lead to full-blown psychotic episodes. Some studies suggest that the parasite stimulates the production of a chemical similar to LSD, producing hallucinations and psychosis. Even when the parasite lies dormant in muscle and brain tissue, it can affect attention span and reaction time in otherwise healthy people. Researchers at Charles University in Prague have discovered that people who test positive have slightly slower-than-average reaction times and--possibly as a result--are almost three times as likely to have car accidents. That's a disturbing prospect, considering that the disease is so widespread: billions of people are thought to be infected.

Even a simple sore throat can lead to psychiatric problems. Few children avoid coming down with a streptococcus infection, also known as strep. Scientists now think that one in 1,000 strep sufferers also develops abrupt-onset obsessive-compulsive disorder (OCD) in a matter of weeks. Strep bacteria trigger OCD by igniting an overzealous response from the immune system, which attacks certain types of brain cells, causing inflammation. Symptoms generally die down after a few months but can flare up again, especially if there's another bout of strep, says Susan Swedo, a childhood-disease expert at the National Institutes of Health. The most effective treatment, still experimental, is to filter out the misbehaving antibodies from the blood. Best is to treat strep early on.

The specter of a depression germ or contagious obsessive-compulsive disorder is unnerving, but it also opens up many more treatment options--antibiotics, vaccines, checking for ticks. Geneticists believe that diseases may trigger the onset of inherited mental illnesses by activating key genes. Avoiding and treating infection may be just as important as the genes you inherit, and a whole lot easier to do something about.
With Joanna Kowalska In Warsaw

� 2006 Newsweek, Inc.

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pq
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heres another article. i lost the link to it.

At a recent evening lecture at the California Institute of Technology,
a neurologist was explaining the ins and outs of new brain-imaging
technology to an audience composed of Caltech professors, students, and
members of the general public. The audience was rather quiet, lulled by
the technical tone of the lecture. But when the neurologist mentioned
in passing that the disease afflicting one of his patients was caused
by a brain parasite, the whole room sat up and made a collective noise
of disgust and alarm. Brain parasites!
But, in fact, parasites infect us all the time. They live in our
bodies, even in our cells, and most of the time we do not even know
that they are there. The brain can provide a pleasant, nurturing
environment for parasites, because it has structures that prevent many
of the immune system's cells from entering, at least in the early
stages of infection. Add to that plenty of oxygen and nutrients, and
the brain seems like a rather nice place to live.


Despite its seemingly idyllic home, a brain parasite's life does have
its hardships. To begin with, the parasite has to find a way into the
brain. Invasion of any organ is difficult, but the brain is an
especially tough nut to crack due to a protective barrier between the
bloodstream and brain fluid, called the blood-brain barrier. This
barrier is made up of cells that make a tight seal along any blood
vessels so that most stuff from the bloodstream (including brain
parasites) can't leak into the brain. If the parasite does manage to
successfully enter the brain, it then has to deal with the attack of
the immune system. The cells of the immune system act together to rid
the body of any foreign organisms.

In humans, the immune system is
highly organized and efficient; parasites' evasion mechanisms have
evolved to be good enough to thwart the immune system, at least for a
little while. Unfortunately, the most effective parasites are the ones
we really have to worry about.
In fact, millions of people worldwide are infected by these efficacious
brain parasites. If you haven't heard about them before, it is
probably because most infected people live in nonindustrialized
countries, where living conditions are not very sanitary. Many of these
brain parasites cause debilitating conditions and sometimes even death.


So, in addition to being interesting biologically, brain parasites are
also important in the context of human disease.
Two parasites with disease-causing capabilities are the pork tapeworm,
Taenia solium, and the amoeba Naegleria fowleri. In addition to their
medical importance, these two organisms illustrate the many ways that
brain parasites are able to affect their hosts through their methods of
invasion and survival.


Tapeworm:
From Pork Chops to the Brain
The pork tapeworm is one of the most common disease-causing brain
parasites. This parasite infects over 50 million people worldwide, and
is the leading cause of brain seizures. It is usually contracted from
eating undercooked pork, and once in the gut, it attaches to the
intestine, and then grows to be several feet long. Under certain
circumstances, these worms can also invade the brain, where thankfully
they don't grow to be quite so large.
Why does the worm sometimes attach to the intestine but at other times
travel to the brain? It all depends on what stage of its life cycle the
worm is in when it is swallowed. In its larval stage, the worm will
hook onto the intestine; however, if eggs are swallowed, they hatch in
the stomach. From there the larvae can enter the bloodstream and
eventually travel to the brain. But in order to reach the brain from
the bloodstream, the larvae must traverse the blood-brain barrier.
Unfortunately, researchers still don't know exactly how this happens.

Many scientists think that the larvae can release enzymes that are able
to dissolve a small portion of the blood-brain barrier to allow the
parasite to get through into the brain.
Once the larvae reach the brain, they cause a disease called
neurocysticercosis, by attaching to either the brain tissue itself, or
to cavities through which brain fluid flows. (Brain fluid carries
nutrients and waste to and from the brain, and acts as a cushion to
protect the brain against physical impact.) Once attached, the larvae
develop into cyst-like structures. The location of the cysts determines
the symptoms exhibited by the host.

If the larvae attach to the brain
tissue, then the host often experiences seizures. This occurs partly
because the presence of the larvae causes the activity of the brain to
become wild and uncontrolled, thereby causing a seizure. On the other
hand, if the larvae attach to the brain-fluid cavities, the host
experiences headaches, nausea, dizziness, and altered mental states in
addition to seizures. These additional symptoms occur because the flow
of the brain fluid is blocked by the larvae. Often, the presence of the
larvae also causes the lining of the brain-fluid cavities to become
inflamed, further constricting the flow of the brain fluid.

Since the
cavities are a closed system, blockage of the cavities exerts pressure
on the brain. This increased cranial pressure forces the heart to pump
harder in order to deliver blood to the brain area, increasing the
pressure on the brain even more. If the condition is not treated, the
heart eventually cannot pump enough blood to the brain, neurons begin
to die off, and major brain damage occurs.


Top: A pork tapeworm (Taenia solium) cysticercus, the form in which the
tapeworm is found in an infected brain. (Colorized image by P. W.
Pappas and S. M. Wardrop, courtesy of P. W. Pappas, Ohio State
University.)

Bottom: T. solium cysticerci in the brain of a
nine-year-old girl who died during cerebrospinal fluid extraction to
diagnose her headaches. This was in the 1970s-if it had happened 10
years later, noninvasive computerized tomography would have given an
accurate diagnosis, and the parasites could have been killed with
drugs. (Image courtesy of Dr. Ana Flisser, National Autonomous
University of Mexico.)


It is interesting to note that some of these symptoms, such as
seizures, are caused not only by the presence of the brain parasites,
but also by the immune system.

In general, parasites do not want to be
detected by the immune system, because then they will most likely be
eaten and killed. They try to do everything they can to avoid eliciting
a strong immune response.

Parasites also don't want to do anything
that can kill the host. If the host dies, then the parasites die too.
For this reason, people can have parasites for years and not show any
symptoms at all. But then, as the larval defenses break down, the host
immune system is able to have a greater effect, and the symptoms become
more obvious. What does the host immune system do to defend against the
parasites, and why do its actions elicit harmful effects on its own
body?


Defending the Body from Invaders
The main function of the immune system is to make sure that any foreign
object in the body is destroyed, including brain parasites.

Many of the
symptoms arising from brain parasite infection are due to the
interactions between the immune system and the parasite.

There are two
main methods by which the immune system tries to rid the brain of the
parasite. First, certain cells of the immune system make antibodies
specifically against the parasite. Antibodies are molecules that can
attach to a foreign organism and act like a signal flare, telling the
rest of the immune cells that this organism is foreign and should be
destroyed. There are also other immune cells, called phagocytes, which
travel around the body eating anything that isn't recognized as
belonging to that body. These cells are much more effective at
destroying germs that are labeled by antibodies.
Second, there are proteins in the body that are able to recognize some
general characteristics of many germs. These proteins make up the
complement system. The complement proteins are able to attach to the
germ and also act as signal flares to attract other immune cells that
can destroy the germ. However, these proteins are sometimes also able
to kill the germ themselves by forming a structure on the surface that
can cut the germ open.


Why the Immune System Can't "See" Tapeworm Cysts
The interaction between the immune system and the cysts is quite
amazing; it is a great example of how evolution can produce two
complementary systems. The immune system is seeking to find and destroy
the parasite, while the parasite is attempting to stay hidden and
alive.

One way that the cysts are able to "hide" from the immune
system is by degrading the antibodies that attach to them.

There is
some evidence that the antibodies are used as a food source, and that
the cysts are able to coax the immune system to make more antibodies.
The cysts can even disguise themselves as part of the host's body by
displaying proteins on their surfaces that identify them as part of the
host-much as Wile E. Coyote hides from Sam Sheepdog in a herd of
sheep by wearing a sheepskin. Finally, the location of the cysts is
itself conducive to escaping detection by the immune system. The brain
is not easily accessible to the cells of the immune system due to the
presence of the blood-brain barrier, and so the parasites are partially
protected from random encounters with the body's defenders. Only when
the immune response is in full swing can the immune cells enter the
brain in large numbers.


Besides hiding from the immune system, the tapeworm parasites are able
to prevent the immune cells from killing them by using several
strategies. For instance, the parasites are able to prevent the
complement proteins from attaching to their surfaces. The tapeworms can
even release molecules that act as decoys, tricking the killer proteins
into leaving them alone. The cysts also release other proteins that are
able to protect them from being eaten, although how exactly this is
accomplished is still unknown. There is some evidence that these
proteins are able to prevent phagocytes from accurately targeting the
cysts.

One of the ways that phagocytes are able to go to the right
place in the body during an infection is by following a chemical trail.
This trail is produced by other immune cells at the site of infection.
Some of the proteins released by the cysts are able to obscure this
chemical trail so that the phagocytes become lost on their way to the
infection. Cysts are also thought to release a second set of proteins
that decreases the activity of new phagocytes. These proteins affect
another group of immune cells that control the activity of new
phagocytes; these regulatory immune cells then decrease the number of
active phagocytes.

Finally, a third set of proteins released by the
cysts is thought to be able to prevent phagocytes from producing the
proteins necessary to kill the cysts.
Victory?
The cysts are very successful in evading the immune system, but they
gradually become more and more vulnerable to attack. As the immune
system response gains strength, the most common symptoms of infection
become more and more obvious.

At first, the parasites are simply unable
to hide from the immune cells, and cannot pretend to be part of the
host's body anymore. Then the full immune system response kicks in,
and because the immune cells are able to detect the parasites, the
parasites are doomed. More antibodies and complement proteins are
released, more phagocytes are born, and more blood and immune cells
rush to the parasitic sites. The areas where the parasites are located
become swollen, which often leads to seizures and compression of the
surrounding brain tissue.

As the response progresses, the cysts are
replaced by scar tissue, and finally by calcium deposits. (Calcium
deposition often occurs in the body due to the activity of bacteria
living in the blood, rather than as a direct effect of the immune
system's response.) The scar tissue and calcium deposits are also
known to cause seizures.

In addition, the immune response causes
irreparable brain damage to the areas of the brain around the cyst as
the phagocytes ingest the cells surrounding the cysts, which also
contributes to the seizures.


Naegleria fowleri in the amoeboid form, near right, and in the cyst
form, far right. The scale bar is 10 micrometers. Images courtesy of
Bret Robinson, Australian Water Quality Centre and CRC for Water
Quality Research.
In fact, more harm than good often comes out of the immune response to
infection of the brain by tapeworms. Against most pathogens, however,
the immune response is actually beneficial to the body.

Foreign
organisms often cause lots of damage, and it is important that they be
destroyed as quickly and efficiently as possible. Furthermore, the
immune system response is generally the same regardless of the identity
of the foreign invader; and in most circumstances, the immune response
does not have negative effects.

Overall, the immune system is actually
highly effective at defending the body from foreign organisms.
Of course, the effectiveness of the immune system is largely dependent
on the ability of the body to mobilize its defenses.

Some parasites act
so quickly that the immune system is unable to react before the
infection becomes fatal.

One such brain parasite is Naegleria fowleri,
a water-borne amoeba.


Danger in the Waters
If you've never heard of Naegleria fowleri, don't be surprised.


Unlike the pork tapeworm, N. fowleri has only infected about 175 people
in the world, causing a disease called primary amoebic
meningo-cephalitis. But out of those 175 people, only six have
survived, giving a mortality rate of 97 percent. For this reason, it is
quite an important parasite to study, as there are no current
treatments that have proven effective against it.


Fortunately, natural infection by the parasite is very rare, although
N. fowleri is ubiquitous in the wild. It lives mostly in warm
freshwater lakes and ponds, but can even thrive in heated swimming
pools. Furthermore, N. fowleri is actually a free-living organism,
which means that it can survive without a host. This explains why N.
fowleri attacks are so rapidly fatal-since hosts are not necessary to
its survival, the parasite does not have to take pains to avoid killing
them.


Part of the reason that N. fowleri can survive in such numbers and in
so many different places is because it is an amoeba. Amoebas are
single-celled creatures that resemble sacks of fluid gelatin surrounded
by a greasy membrane. Because of their small size and few requisites
for survival, these organisms are found everywhere.

In addition, the
amoebas can form cysts in harsh conditions like extreme cold; in this
form, they are protected against the environment.
Attack of the Amoebas


When an amoeba invades a person, it is normally in its active,
reproductive phase. Invasion occurs when the amoeba attaches to the
inside of its host's nose and then travels up the nose to the brain.


The amoeba follows the path laid out by the olfactory nerve, although
sometimes it can also use the bloodstream. Several enzymes released by
the amoeba are able to dissolve the host's tissues, giving access to
the brain.

Once in the brain, the amoeba causes damage by actually
eating the nerve cells. As you can imagine, this is very harmful to the
host, and is the main reason why infection by N. fowleri causes such
rapid death.

The amoeba is able to eat neurons because it has surface
proteins that allow it to cut a hole in the covering of the cell. The
contents of the neuron leak out, and the amoeba can feed on the
nutrients it contains. The amoeba even has proteins on its surface that
tell it where the best food sources are. These proteins are able to
sense the presence of certain nutrients, and then send signals to the
rest of the cell indicating in which direction the amoeba should move
to eat those nutrients.

Finally, there are other proteins on the
amoeba's surface that direct it to the most vulnerable areas of a
neuron.


In addition to causing direct brain damage by ingesting neurons, the
presence of N. fowleri amoebas can cause inflammation of the
brain-fluid cavity linings. Similarly to infection by tapeworm,
blocking the brain fluid can cause increased pressure on the brain.
However, this effect is usually only secondary to the much more
destructive digesting action of the amoebas.
Brain tissue infected by Naegleria fowleri.

The dark dots are the
amoebas. Notice the empty space around the dots; this space used to be
tissue before the amoebas digested it. Image provided by the Division
of Parasitic Diseases, Centers for Disease Control and Prevention.


Fighting the Invader
The immune system, however, is not completely idle while this invasion
and destruction is occurring, although for the most part its efforts
are in vain. The amoebas use several strategies to stave off the immune
cells. Many of these strategies are similar to those used by tapeworm
cysts. For example, the amoebas are able to internalize antibodies on
their surfaces, although they don't need these antibodies as a food
source.

Other proteins on the amoeba's surface prevent the attachment
of complement proteins. If the complement proteins are able to bypass
these surface proteins, the amoeba is able to collect them in one area
of its membrane. Afterwards, the amoeba can shed that piece of the
membrane. The shed membrane acts as a decoy, attracting more complement
proteins that would otherwise attack the amoeba.
Why are these strategies effective in shielding the amoebas, but not
tapeworms, from the immune system?

The reason is that an amoebal
infection is rapidly fatal. The immune system does not have time to
fully mobilize its immune cell armies before the brain damage is so
extreme that the organism dies. Since these amoebas don't need the
host to survive, it's not a big deal if they kill him or her off.


Tapeworms, however, die when the host does, and so they try very hard
to keep from being detected by the immune system. And in fact, they do
a fairly good job at that, since most tapeworm infections aren't
noticeable until many years after the tapeworms get into the brain. The
immune system is only able to have a big effect on the infection when
the tapeworms start to die, often from old age.
Parasite Evolution


These two parasites offer only an inkling of the many organisms that
can infect the human brain. While the two seem to differ greatly, the
molecular weapons they use for defense and invasion are really very
similar.

For instance, there is evidence that both parasites use
enzymes to penetrate the blood-brain barrier, and both use a decoy
strategy to deflect the attention of the immune system. This similarity
results from evolution, which has slowly altered these parasites so
that they are as effective as possible at survival. As new treatments
and cures of brain-parasite-related diseases become available, it will
be interesting (as well as medically useful) to see how the strategies
of these parasites change.

[ 29. November 2006, 02:59 PM: Message edited by: pq ]

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lymie tony z
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If you seriously want anyone to read this you'll have to break it up in two or three line paragraphs....

HOWEVER...I have been telling all my shrinks in the past eight years that pathogens are responsible for mental illness....

NONE will even consider it!

IF they did...their behavioral practice would not be worth squat!

zman

--------------------
I am not a doctor...opinions expressed are from personal experiences only and should never be viewed as coming from a healthcare provider. zman

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Michelle M
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Borrelia Brain, it is SOOOO awesome to see you!

I'm so happy I haven't even read the article yet!!

[woohoo]

OK. Now I'll go back and read the article!

[kiss]

Michelle

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lymemomtooo
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This is so true!!!! I live with a lymie with mental issues and pre-lyme she was sharp, kind and loving. It is gone and so is her brain.
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Areneli
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The first one is one year old
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lou
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http://www.fs.fed.us/r5/sanbernardino/recreation/deepcreek/
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MagicAcorn
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BorreliaBrain -

Great article. A very good read.

You know I understand the breaking up of articles. But when you continually do that you can lose sight of when you get better. I read this with no difficulty - meaning one of my old problems has cleared up. Hooray!

Acorn

--------------------
 -

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kelmo
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THIS IS FABULOUS. You MUST save this to our Library files!
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Carol in PA
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Areneli is right, this article was in a previous issue of Newsweek.

pq:
The article you posted desperately needs to be formatted.


Carol

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GiGi
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http://pr.caltech.edu/periodicals/eands/articles/LXVI4/brainworms.html

We went after them with everything available and are continuing to do so. Parasites are also holding heavy metals in their cell walls besides taking up the nutrients that you no longer have access to. Toxic heavy metals are being released into your body during the life cycles of these parasitic creatures.

Colonics

Bitrizide

Albendazole

Sputnik

Rizoles

Alinia

Colonix - DrNatura.com

Active Air www.eng3corp.com. Use as much as the day allows to stimulate well oxygenated blood flow into every nook and cranny of the body from top to toe, so that none of the invaders can get a foothold. That is our therapeutic tool and our prevention.

Take care.

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Tj33
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Wow! Great information!!!!

My wife's 2nd daughter went off the deep end when she was nine. They had to put her in special home. When she came of age she was better but not well.

She ended up getting involved with the law (drugs) and she has disappeared. She had the classic symptoms of Lyme brain infection as do many people in Wisconsin...
The rampant alcoholism is probably part of it...

I copied the above posts with a freebie program called ClipTrak and pasted about 10 pages into Word. Then I reformate for easier reading..

ClipTrak will handle 50 pages and more of copy paste.. It replaces the computer very limited cut/copy/paste program..

Plus, it has a popup storage listing that you go back to past copies and use again....

Thanks BBrain and PQ for the great information!!

Tj

PS. Hey Lou, there is another hot spring just off I-8 east of Hoytville in Imperial Valley.. In the 60s I used to stop there and take a soak. But, now it is a popular winter camp ground and too many use it...

Grandma was right, she wouldn't let us kids swim in the farm ponds because they were too dirty... Grandma's hickory switch kept us honest...

Posts: 192 | From Phoenix, AZ | Registered: Apr 2005  |  IP: Logged | Report this post to a Moderator
BorreliaBrain
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Member # 7603

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Hiya Michelle M and everybody,

Glad to "see" you all too - and glad to be posting again. I've been lurking here and there...

I was one of the last patients to get in to see Dr.B before he retired (that was a sad day for me). I'm on tons of abx now that he rx'd, including Bicillin shots 3x/ week (ouch).

Anyway, I will be at the rally tomorrow as part of the NYC contingent - so maybe I'll see some of you there.

So that article is over a year old, eh? Huh, I guess it came out last Dec. 1. Oh well - it's pretty neat and I'm glad I found it. I liked your article too pq - v. v. interesting.

Hopefully, one day medicine will finally figure all this out. In the meantime, I might do more of what GiGi suggests, I hear a lot of people really like that Colonix stuff.... I took Alinia once, herxed like maaaaaad.

How r you doing Michelle? Hope everyone else is as well as can be... hope everyone shows up tomorrow!

BB

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