Herx, Lyme, or Co-infection?

Sorry if I post too much or ask questions that have been answered before...brain fog is bad lately.
I'm going on my fourth week of abx and am having symptoms, some of which I've had before but they are a little different. Not sure if it's a herx, just lyme symptoms, or possibly a coinfection..

-overwhelming fatigue is back
-waking up in the morning is very difficult again (this had gotten a lot better)
-overwhelming sugar cravings (not pasta or starches...just sugar and sweets)
-very itchy skin
-pain during the night, especially in hips and knees (this had gotten a lot better)
-night sweats/chills (not extreme but noticeable)

Also, my follow-up is in 3 weeks, so I will be off abx for a week prior to the appointment. Should I expect to feel worse going off the abx? I know everyone is different, I just want to be prepared and forewarn my boss if possible.
Thanks again. xoxo

There is very little consistency with lyme. There is no rhyme or reason to it. It can be a pain in your arm one minute and brain fog the next. Wait an hour and it will be different. And sometimes it can be a pain that lasts days.

By week 4 you can still herx. I believe you can herx at anytime you decrease your detox and continue on the same amount of meds. You have disrupted the balancing of med/detox ratio = herx.

So the answer to your question is that it can be both. Lyme symptom or herx symptom. Oh gosh, and yes, it can be a co-infection that is thumbing it's nose at you.

I suffered with itchy skin. I always thought it was the dead bugs wanting to get out of my body. I would scratch myself to the point where I got welts, it itched so badly. My itching came at all times so I finally got a wash cloth and rubbed that on me so I would not break my skin. I had one upstairs and one downstairs. Then I bought a dry brush - aww it felt so good. I still love it. I have had a loofa in my shower for years but that was not convenient.

Pain that would keep me from a good night's sleep, I handled the next night with children's liquid benadryl. Just a little cap full and I would sleep like a baby. Very susceptible to that stuff I found out. Sleeping is important. It is horrible to feel unrested and have lyme.

And most importantly, there are never too many questions asked. You don't know it, but you may be asking for someone else that is way to shy to join us. Please ask - you and someone need answers.

When my knees hurt to put together at night I put a pillow in between them. I have a pillow right beside my bed that I can grab for this.

Lyme messed with my body thermostat and sometimes I sleep so hot. This pillow is always cool and feels good.