Posted 2/20/2015 7:22 PM (GMT 0)
There are many many tests that can be performed to clarify diagnosis and treatment, and a lot of tests can be performed to specify pathways of immune inflammatory response. Some are in wide usage, like procalcitonin measurements, and some are less used, like IL-6. Some measure the interleukins or cytokines themselves, some the metabolic byproducts or effects of inflammation, eg CRP.
But in most of our cases this sort of testing becomes academic quickly once treatment is begun, since we are killing bugs, doing what we can to boost immune function, clearing dead bacterial toxin loads, and beginning to restore normality to a skewed and damaged system. Readings will be haywire!
There will be cytokine storms for many LD patients as this process progresses, and the occurrence of herxes leads one to see that it's a step in healing. Most of the time, a clinician will cease testing for cytokine related labs once out of diagnostic phase and into treatment, and will only retest to answer nagging questions along the way if necessary.