Why Can’t I Get Better?

Solving the mystery of lyme and chronic disease

Psychobiotics for the Psyche

Different types of bacteria in our gastrointestinal tract produce brain altering chemicals. Altering these bacteria may provide new therapeutic avenues to reduce inflammation in the body and improve our mood and wellbeing. Read More

Thank you

Fascinating Dr. Horowitz, as a fibromyalgia patient I thank you, and will continue follow these developments with great interest.

Keep up the good work! So many of us are hoping for a pain less future.

Lyme and Fibromyalgia

A large number of my patients who come to see me for the first time have been diagnosed with CFS or Fibromyalgia. I have found that Lyme disease and associated tick-borne disorders frequently cause FM symptoms, and these patients often improve once all of the underlying etiologies causing FM are discovered and treated . There is a list of 16 overlapping medical problems that I call MSIDS, Multiple Systemic Infectious Disease Syndrome, which are described in detail in my book. Many of these cause FM symptoms by causing inflammation in the body. The GI tract is one of the first places we need to address to get the body back in balance and decrease inflammation.


I for one Advanced or Late stage Lyme sufferer can say that this science has done me wonders in my quest to regain control of my Psyche as in depression, anxiety, chronic pain, chronic inflammation and eventually not needed or requiring all the meds I needed to stabilize my mental and physical well being. Thank you Dr. Horowitz for your good science. Author of: My Successes Through Challenge and Adversity and Lyme Disease - David R Thomas


Dr Horowitz
What are the most effective Probiotics and foods that can help attain and maintain "gut health", especially when taking antibiotics for Lyme Disease or other TBD'S. Many thanks for your outstanding new book.

Probiotics for gut health

I generally use different combinations of probiotics to maintain gut health. There are several different strains of lactobacillus and bifidobacterium, combined with the yeast saccharomyces boulardii, that help support the gut and prevent antibiotic associated diarrhea. Examples are Theralac (Theralac.com), Ultraflora (Metagenics), VSL3.com, Florastora, etc.
As an example, the probiotic, Lactobacillus rhamnosus, is a type of acidophilus that has been shown in nearly 200 clinical studies to help prevent antibiotic associated diarrhea, as well as preventing Ecoli, Salmonella and Shigella, which are pathogenic organisms which cause diarrhea, from adhering well to the intestinal lining. Lactobacillus rhamnosus accomplishes this by lowering the intestinal pH where the lactic acid produced inhibits the growth of these harmful bacteria responsible for outbreaks of gastroenteritis and diarrhea.
When patients are on antibiotics for Lyme disease, we also combine different strains of Acidophilus (over 200 billion CFU’s)with saccharomyces boulardii,which is a beneficial yeast that has been proven to decrease the incidence of Clostridium difficile diarrhea. Using meta-analyses that appeared in a 2011 article in the Journal of Clinical Gastroenterology, , three types of probiotics (Lactobacillus rhamnosus GG, probiotic mixtures and Saccharomyces boulardii) have all been shown to significantly decrease the incidence of antibiotic-associated diarrhea, but only Saccharomyces boulardii is effective for the prevention of Clostridium difficile diarrhea.
The probiotics used also have to be acid resistant to be able to survive the acid environment of the stomach (as some of the ones discussed above), and dietary interventions to increase healthy prebiotics include increasing fermented foods in the diet, such as sauerkraut, kimchee, pickles, pickled ginger, olives, and kefir (as long as you are not diagnosed with systemic candidiasis).

Probiotics for Gut Health

Many thanks for this detailed response. This information is invaluable and much appreciated. I am in the process of reading your book and desperately wish I could get an appointment with you, as you are clearly a quite brilliant diagnostician/clinician. You need a clone or several clones!!

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Richard Horowitz, MD, is a board certified internist in private practice in Hyde Park, N.Y.


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