A 28-year-old male asked:
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what labs are done to see if you have lyme disease?

2 doctor answers
Dr. Randy Baker
39 years experience Holistic Medicine
Thorough WesternBlot: The screen many doctors use, the elisa, only detects about half of those with lyme. A much more sensitive and specific test is the western blot, but i strongly advise doing this through ignenex in palo alto, a specialty lab, as the test offered by most other labs does not include tests for antibodies to the 31 ; 34 kda antigens, which are the most specific antigens for lyme! please see my comment.
Answered on Jan 1, 2014
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Dr. Randy Baker
Dr. Randy Baker commented
39 years experience Holistic Medicine
Provided original answer
Even a good Western Blot isn't always positive. A thorough discussion of the challenges of diagnosis by a leading expert: http://www.lymenet.org/BurrGuide200810.pdf The most thorough discussion of tests I've seen is at http://www.betterhealthguy.com/lyme/testing Consider http://www.spirostat.com/ And a new test to consider, though it's controversial: http://www.medscape.com/viewarticle/778482#1
Jan 1, 2014
Dr. Donald Colantino
60 years experience Internal Medicine
Lyme tests: Usually a lyme antibody test(enzyme immunoassay) is done. If this is negative no further tests for lyme disease are done. If the test is positive or even equivocal, a second test called western blot test is done. When both tests are positive, then the diagnosis is certain. Other tick borne diseases may resemble lyme disease but will not test positive for lyme.
Answered on Jan 2, 2014
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