Need help with questions for next appt in 1 week

This is a little unusual for me but I need help with questions for my LLMD for my next visit in 1 week. At this appointment, I’ll be at 7 months of no improvement in my number one symptom – insomnia but my doctor is maintaining we are making progress with improved blood work and therefore this is good news. But really if I’m not better at all then how is this progress?

The only major question I have is what is an acceptable time frame (9 months, 1 year, etc.) for us to say either treatment isn’t working or something else is causing my symptoms. Just feel like 7 months is really dragging on without any real answers as to why I’m not improving.

Any thoughts are appreciated.

It might be helpful to know a bit more about what's going on, like what kind of treatment you're doing and why that plan was chosen, and if other symptoms have improved. I'd be reluctant to trust blood work as the main marker of improvement. Which blood tests do your doctor think are indicative of improvement? Are you treating only Lyme, or other things that can cause insomnia like mold or parasites? Is the insomnia caused by adrenal issues or other conditions (possibly caused or exacerbated by Lyme) that might benefit from direct treatment? And I guess I'd like to know what your doctor has to say about why you do not feel any symptom improvement, and whether that indicates something else is wrong (chronic virus, mold, etc.).

Some say that the first symptoms you have are the last ones to go away. Perhaps that's true, but I certainly understand your desire to see at least some results after treating for so long.

Thanks, I’m currently on lyme and babesia herbal protocols which is similar to Buhner as well as gut improvement supplements. I possibly had Lyme for 25+ years and my only symptom really is insomnia which I’ve just had really for about 10 years.

Blood work showed an improvement in overall reduction of viruses and a worsening of bacterial loads (which I was told was expected) so she said these trends shows an improvement in the immune system. Eventually bacterial loads are expected to come back down.

Good question about the adrenals, I don't know the answer but thanks I'll ask that!

I'm going to get tested for bartonella on this visit as well.

S. Cerevisiae got worse (yeast overgrowth / considered bacteria category?)
M. Pneumoniae AB got worse (considered bacteria category?)
C3A got worse (an immune function testing marker)
Eosionophil Cationic Prot was flagged out of range (an indicated of immune system fighting babesia infection?)