Hoshie, A LLMD's diagnosis should be a clinical one. Having said that, some of them do insist on more testing through Igenex.
My LLND did not - he just accepted my Western Blot from Igenex - it was positive, though.
I am not familiar what most LLMD's in the U.S. do for testing. Maybe there are others that will only require the Western Blot - runs around $200 plus Fedex charge and your Dr. appt. charge.
So, you're wanting to go the herbal route? Have you thought about
Buhner's protocol - it is not very expensive and it's quite straight forward (easy to follow).
Here's a link to it...
buhnerhealinglyme.com/I started Buhner's protocol on my own...while waiting to be tested.
There are other herbal protocols, Cowden is another one.
One of our Moderators, Traveler had success treating her lyme twice using the 'Chronic Tonic'. She orders in the dry herbs and makes a daily tea.