MB is thought to be one of the most active drugs for killing bartonella persister cells so far discovered - however it is not particularly effective in fighting the growing forms - so is usually used in conjunction with other bart drugs ( rifampicin & clarithromycin etc) / or herbs.
there is apparently some risk of serotonin syndrome with MB - but not in all persons and it is also less likely at lower doses -
if it were me i would tread carefully if already suffering psych issues - but it could be that any treatment brings some risk of increasing those - so maybe some degree of elevated symptoms has to be navigated / endured ??
similarly many people get physical herx like effects from all treatments and have to manage that during treatment as best that can. i wish i had the answer for you. maybe it can be monitored and managed through an experienced LLMD?
many LLMD's use MB as an adjunct at 50mg 2x a day so pretty low dose and risk of serotonin syndrome should be lower at those doses. but again it needs to be added to other abx to be effective for bart. or possibly used alongside herbs - as Marty Ross MD suggests.
many people find they have to work up to even this dose - so i would be wary of jumping in at higher doses
i am using buhner co-infection herbs and MB and may well later add ABX if needed.
i started on 25mg and noticed mild herx like reactions - some stay at low doses and find some improvement - others increase up to 900mg per day for short periods.
Post Edited (Garzie) : 4/11/2021 8:36:47 AM (GMT-6)