LLMD/ILAD confused and do I need Igenex?

Hi, so I'm unclear on the difference between the two? I found an ND that is an ILAD, is that an okay route to go? It sounded like on the phone she went by symptoms and not any further blood test as my blood panel only showed reactive bands 23 and 41, so I'm not sure if it is worth doing the igenex test with someone else? Another practitioner mentioned ispotlyme. I'm also wondering if I should get it incase I need to go the antibiotic route, since I'll have to show it to a western trained doctor. I now realize I've been sick with lyme and possible co-infections for a very long time but this latest virus I got is bringing it all to surface. Any feedback navigating this is appreciated.

Yes, using an ND that is trained by ILADS is an okay way to go!

As Opugirl said, no need to do Igenex - and I'll go a bit further and say that you don't need to have any testing right now that your doc doesn't insist on. It's an extra expense that you just don't need right now. Especially since you believe you've had these infections for a while. The longer you have had these infections without adequate treatment, the more likely you will test negative as the bacteria has had plenty of time to overwhelm the immune system and form biofilms and other evasion techniques these very complex bacteria have.

So, save your money for treatment. Don't worry about "if" you have to have some other kind of treatment.

"If" that day comes, you will actually be in a better position to test positive after you've had some treatment. It's known that some treatment can bring out the bacteria, as they try to repopulate. I didn't test positive for any of the tick-borne infections until after i had completed a full 12 months of strong abx - then I tested fully CDC positive for not only Lyme, but RMSF as well - and not just once, but twice!