Muscle twitching lyme or bart?

Hello,

I was recently diagnosed with lyme and have started a teeatment with doxy as the only abx and surrounded that with a bunch of vitamins and probiotics. My test came back negative for bartonella and truthfully I was a little surprised. I have occassional pain in feet and calves but yhe big issue is constant muscle twitching and gi issues. My legs are constantly twitching with occassional twitches in my arms and torso.

My nd thinks that these could just be lyme as my test results from ignex came back negative for bartonella.

My question is can this just be lyme and not a bartonella? I have a few rashes but nothing like the characteristic scratch that is seen in bart. I have only been on abx for less than a week but i am very impatient and was hoping i would see small improvements already or at least feel different due to herxing.

I am tempted to start a bart protocal on the side but i hesitate going behind my llnds back, as they are much more knowledgeable than me.

Any advice from you smart people would be greatly appreciated!!!

For me personally I think my terrible muscle twitching is Bart specific. My Llmd thought so as well. Soon after starting Bart meds the twitching died down tremendously...granted still have lots of other symptoms (GI, etc).

I also tested negative for bartonella but was clinically diagnosed. Tested positive for lyme though.

Group question:
how did your LLMDs test for Bartonella?

My LLMD tests for Bart via Fry Labs (I was positive for "unknown protomyxzoa" but the smear showed two clearly invaded red blood cells and a huge biofilm colony)…

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I have bad muscle twitching and GI issues and i don't have bart.

I believe for me, it is just the lyme. I take powdered magnesium to calm the twitches

I get twitching from some medications.
I'm still trying to establish if I have bart?
I don't even have a positive Lyme test.
Mt diagnosis was clinical.