I went back to my LLMD after a month off antibiotics. Progress has been teasing, but I am not “there” yet. He is not 100% on why, so we decided to adjust the treatment and go at it another way. I am now on a Lyme/Bartonella protocol that is targeting cyst forms of the Lyme. Apparently, Lyme bacteria come in different forms and can hide out in biofilm and/or cysts. Different antibiotics and natural products tend to target different forms deferentially. After the first week, I am feeling better.
After taking 8,000 I.U. of sub-lingual D3 every day for several months my level was still only 36 (goal 60-80). So, he told to increase to 10,000 for now. I will also change brands to see if that helps at all.
As a side note, I listened to the recording of my visit and I am a bad patient. Poor guy was trying to figure out the puzzle and I answered his questions worse than a politician. He must have been wondering if I had even heard the questions.
Supportive treatment changes (by me, not ordered)
I have mixed feeling about dietary supplements. Most vitamins and minerals that we need can be taken in natural food form. That seems so much better than popping pills to make up for holes in our diet. Pills do not always absorb into the body and without the enzymes and other nutrients that accompany the target vitamin in whole foods, they may not be as effective. There are a few areas that I just seem unable to ingest the desired amount no matter how many juices and smoothies I mix up.
I thought I would share my list and my justification for needing each. Today is D3 day. Everyone should thoughtfully consider and research any supplement that is added to their regimen.
Do you take supplements?
I take this supplement because I have tested low. Sunshine without sunblock is not a good option for me because I have a skin condition (vitiligo) that takes pigment out of my skin and may increase my risk for sun damage. Another reason is that I have eliminated most fortified foods in my quest to eat more whole foods and avoid dairy.
I have had two tests with results of 15 and 23 ng/mL. The table below is from the National Institutes of Health.
Table 1: Serum 25-Hydroxyvitamin D [25(OH)D] Concentrations and Health* 
||Associated with vitamin D deficiency, leading to rickets in infants and children and osteomalacia in adults
||Generally considered inadequate for bone and overall health in healthy individuals
||Generally considered adequate for bone and overall health in healthy individuals
||Emerging evidence links potential adverse effects to such high levels, particularly >150 nmol/L (>60 ng/mL)
* Serum concentrations of 25(OH)D are reported in both nanomoles per liter (nmol/L) and nanograms per milliliter (ng/mL).
** 1 nmol/L = 0.4 ng/mL