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Elevated cholesterol is frequently seen in tick borne disease patients and it can manifest as increased total cholesterol, increased particle number, increased triglycerides, decreased HDL (good cholesterol) or a combination of any of the aforementioned. Essentially the cell membrane becomes injured by the organism and a signal is sent to the liver to produce more cholesterol to repair the lipid bilayer cell membrane. I use natural medicine to lower cholesterol using RedRice Yeast, nonflush Niacin, Fish Oil and Bergamot and generally in 6 months, cholesterol levels will return to normal. This is not applicable to insulin resistance where there is elevated triglycerides, low HDL, and insulin resistance. This requires strict diet management or the use of GLP-1 agonists. About Dr. Susan Marra Dr. Susan Marra is a world-leading Lyme Literate Naturopathic doctor specializing in the treatment of vector-borne diseases (Lyme, Bartonella, Babesia, Relapsing Fever, Ehrlichia, Anaplasma, Tularemia, Q Fever, Rocky Mountain Spotted Fever, Rickettsia Species), Neurodegenerative Diseases (Alzheimer's, Parkinson’s disease), Post Covid, Long Covid, anti-aging, and environmental illness (mold). Having trained with Dr. Richard Horowitz and Dr. Charles Ray Jones, Lyme disease experts on the east coast, Dr. Marra is well qualified to manage and heal tick-borne disease. Contact Us https://www.facebook.com/DrSusanMarra/ https://www.youtube.com/@dr.susanmarra https://DrSusanMarra.com Disclaimer: The information, including but not limited to, text, graphics, images and other material contained in these videos are for informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have seen, read, or heard in these videos.
Episode 56: Cholesterol and Tick Borne Disease
Red light therapy can be used to treat autoimmune disorders such as Lyme arthritis, Lupus, Psoriasis, Sjogrens, MS, etc…by lowering inflammation at the cellular level and modulating immune function. Autoimmune disease is caused by the immune system attacking “self” tissues because the immune system can sense that something is in the tissues (usually an intracellular infection) and mounts a response. By disrupting the inflammation cycle using red light, and treating their infection with methylene blue, you can return a patient back to normal and sometimes rid them of autoimmune disease. There is also a genetic component to this which should not be underestimated. About Dr. Susan Marra Dr. Susan Marra is a world-leading Lyme Literate Naturopathic doctor specializing in the treatment of vector-borne diseases (Lyme, Bartonella, Babesia, Relapsing Fever, Ehrlichia, Anaplasma, Tularemia, Q Fever, Rocky Mountain Spotted Fever, Rickettsia Species), Neurodegenerative Diseases (Alzheimer's, Parkinson’s disease), Post Covid, Long Covid, anti-aging, and environmental illness (mold). Having trained with Dr. Richard Horowitz and Dr. Charles Ray Jones, Lyme disease experts on the east coast, Dr. Marra is well qualified to manage and heal tick-borne disease. Contact Us https://www.facebook.com/DrSusanMarra/ https://www.youtube.com/@dr.susanmarra https://DrSusanMarra.com Disclaimer: The information, including but not limited to, text, graphics, images and other material contained in these videos are for informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have seen, read, or heard in these videos.
Episode 53: Red Light therapy and Autoimmune disease
Hypermobile EDS is a genetic condition whereby the body does not produce healthy structure and processing of collagen, a type of connective tissue. There are 13 genetic disorders that encompass this disorder, but essentially patients have very loose skin and collagen, hypermobile joints, pronounced joint pain, easy bruising, fatigue, and abnormal scar formation. Patients with hEDS who also have allergies and excessive histamine production are more prone to symptom flares as the results of histamine degrading the collagen. To date there is no known cure for EDS and supportive therapy such a PT or strain counterstrain therapy can help minimize pain. About Dr. Susan Marra Dr. Susan Marra is a world-leading Lyme Literate Naturopathic doctor specializing in the treatment of vector-borne diseases (Lyme, Bartonella, Babesia, Relapsing Fever, Ehrlichia, Anaplasma, Tularemia, Q Fever, Rocky Mountain Spotted Fever, Rickettsia Species), Neurodegenerative Diseases (Alzheimer's, Parkinson’s disease), Post Covid, Long Covid, anti-aging, and environmental illness (mold). Having trained with Dr. Richard Horowitz and Dr. Charles Ray Jones, Lyme disease experts on the east coast, Dr. Marra is well qualified to manage and heal tick-borne disease. Contact Us https://www.facebook.com/DrSusanMarra/ https://www.youtube.com/@dr.susanmarra https://DrSusanMarra.com Disclaimer: The information, including but not limited to, text, graphics, images and other material contained in these videos are for informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have seen, read, or heard in these videos.
Episode 52: Hypermobile EDS
As most of you know, I am an avid dog lover, and have had a dog in my office for most of my career for both emotional support and mental health. My dogs are excellent office companions on your healthcare journey. So you can imagine, I am very aware and concerned for dogs that get Lyme disease. Fortunately, none of mine have ever had it, and I want to keep it that way. Lyme disease CAN affect dogs when they get bit by an infected tick. Canine Lyme disease symptoms include: -generalized body pain -limping -swollen joints -fever -vomiting -lethargy -anorexia -weight loss -lameness Unfortunately, it typically takes 2-5 months after the tick bite for dogs to show Lyme disease symptoms, and by then, the bacterial infection has become systemic. About Dr. Susan Marra Dr. Susan Marra is a world-leading Lyme Literate Naturopathic doctor specializing in the treatment of vector-borne diseases (Lyme, Bartonella, Babesia, Relapsing Fever, Ehrlichia, Anaplasma, Tularemia, Q Fever, Rocky Mountain Spotted Fever, Rickettsia Species), Neurodegenerative Diseases (Alzheimer's, Parkinson’s disease), Post Covid, Long Covid, anti-aging, and environmental illness (mold). Having trained with Dr. Richard Horowitz and Dr. Charles Ray Jones, Lyme disease experts on the east coast, Dr. Marra is well qualified to manage and heal tick-borne disease. Contact Us https://www.facebook.com/DrSusanMarra/ https://www.youtube.com/@dr.susanmarra https://DrSusanMarra.com Disclaimer: The information, including but not limited to, text, graphics, images and other material contained in these videos are for informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have seen, read, or heard in these videos.
Episode 51: Lyme Disease In Dogs
Methylene Blue and Red Light therapy for the treatment of Alzheimer disease are turning out to be very beneficial for some patients. Methylene Blue is very anti-inflammatory, crosses the blood brain barrier, is antibacterial, antiparasitic, antifungal, and reduces oxidative stress in the cells. Red Light therapy is very anti-inflammatory and is showing great benefit for Alzheimer patients. Probably Parkinson disease patients as well. When you combine them together, they are powerful treatments for neurodegenerative disorders. About Dr. Susan Marra Dr. Susan Marra is a world-leading Lyme Literate Naturopathic doctor specializing in the treatment of vector-borne diseases (Lyme, Bartonella, Babesia, Relapsing Fever, Ehrlichia, Anaplasma, Tularemia, Q Fever, Rocky Mountain Spotted Fever, Rickettsia Species), Neurodegenerative Diseases (Alzheimer's, Parkinson’s disease), Post Covid, Long Covid, anti-aging, and environmental illness (mold). Having trained with Dr. Richard Horowitz and Dr. Charles Ray Jones, Lyme disease experts on the east coast, Dr. Marra is well qualified to manage and heal tick-borne disease. Contact Us https://www.facebook.com/DrSusanMarra/ https://www.youtube.com/@dr.susanmarra https://DrSusanMarra.com Disclaimer: The information, including but not limited to, text, graphics, images and other material contained in these videos are for informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have seen, read, or heard in these videos.
Episode 50: Methylene Blue and Red Light for Alzheimer Disease
Early treatment for a tick attachment or a bullseye rash is SUPER important to prevent the development of Lyme disease or any other vector borne infection. If you have a tick attachment, pull the tick out, place it in a container (using gloves of course), and call Igenex 800-832-3200 and ask for a tick test kit. Then go to urgent care and show them the tick and ask for 2 months worth of antibiotics, preferably Doxycyline and Zithromax to prevent chronic infection. Please take probiotics as well to prevent any gut microbiome disturbance. About Dr. Susan Marra Dr. Susan Marra is a world-leading Lyme Literate Naturopathic doctor specializing in the treatment of vector-borne diseases (Lyme, Bartonella, Babesia, Relapsing Fever, Ehrlichia, Anaplasma, Tularemia, Q Fever, Rocky Mountain Spotted Fever, Rickettsia Species), Neurodegenerative Diseases (Alzheimer's, Parkinson’s disease), Post Covid, Long Covid, anti-aging, and environmental illness (mold). Having trained with Dr. Richard Horowitz and Dr. Charles Ray Jones, Lyme disease experts on the east coast, Dr. Marra is well qualified to manage and heal tick-borne disease. Contact Us https://www.facebook.com/DrSusanMarra/ https://www.youtube.com/@dr.susanmarra https://DrSusanMarra.com Disclaimer: The information, including but not limited to, text, graphics, images and other material contained in these videos are for informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have seen, read, or heard in these videos.
Episode 49: Early treatment for tick bites
Anxiety is a common symptom in complex chronic illness and is caused by excessive neuroinflammation from brain infections and/or mold or Covid. Anxiety results when the neurotransmitter GABA becomes dysregulated and there is excessive glutamate. BH4 Assist, GABA, Theanine, Valerian Root, and DMG can help naturally reduce anxiety. However, pharmaceuticals such as the benzodiazepines including Xanax, Klonipin, Valium, and Librium may have to be used in order for the patient to calm down. Anxiety can be paralyzing. About Dr. Susan Marra Dr. Susan Marra is a world-leading Lyme Literate Naturopathic doctor specializing in the treatment of vector-borne diseases (Lyme, Bartonella, Babesia, Relapsing Fever, Ehrlichia, Anaplasma, Tularemia, Q Fever, Rocky Mountain Spotted Fever, Rickettsia Species), Neurodegenerative Diseases (Alzheimer's, Parkinson’s disease), Post Covid, Long Covid, anti-aging, and environmental illness (mold). Having trained with Dr. Richard Horowitz and Dr. Charles Ray Jones, Lyme disease experts on the east coast, Dr. Marra is well qualified to manage and heal tick-borne disease. Contact Us https://www.facebook.com/DrSusanMarra/ https://www.youtube.com/@dr.susanmarra https://DrSusanMarra.com Disclaimer: The information, including but not limited to, text, graphics, images and other material contained in these videos are for informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have seen, read, or heard in these videos.
Episode 48: Anxiety in Complex Chronic Illness
Internal tremors and vibrations are common symptoms for complex chronic illness patients. Generally we see it in patients that have multiple TBD, mold/mycotoxin illness, Covid and Long Covid, and MCAS. These patients generally have autonomics nervous system dysfunction characterized by POTS symptoms and can include internal tremors and vibrations. When you treat the underlying infections, the vibrations generally recede but it may take many months to completely eliminate the vibrations. About Dr. Susan Marra Dr. Susan Marra is a world-leading Lyme Literate Naturopathic doctor specializing in the treatment of vector-borne diseases (Lyme, Bartonella, Babesia, Relapsing Fever, Ehrlichia, Anaplasma, Tularemia, Q Fever, Rocky Mountain Spotted Fever, Rickettsia Species), Neurodegenerative Diseases (Alzheimer's, Parkinson’s disease), Post Covid, Long Covid, anti-aging, and environmental illness (mold). Having trained with Dr. Richard Horowitz and Dr. Charles Ray Jones, Lyme disease experts on the east coast, Dr. Marra is well qualified to manage and heal tick-borne disease. Contact Us https://www.facebook.com/DrSusanMarra/ https://www.youtube.com/@dr.susanmarra https://DrSusanMarra.com Disclaimer: The information, including but not limited to, text, graphics, images and other material contained in these videos are for informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have seen, read, or heard in these videos.
Episode 47: Internal Tremors and Vibrations
The prevalence of ticks on the Kitsap Peninsula (Port Angeles, Port Townsend, Sequim, Poulsbo, Gig Harbor, Bainbridge Island, Bremerton, Silverdale) has bloomed this summer according to the Naturopathic vet here in Poulsbo. They are finding many ticks on dogs and the ticks are coming back positive for Lyme disease and Ehrlichia. Please use essential oils such as Eucalyptus, Lemon Balm, Cedar, or Sandalwood on your clothes to prevent tick bites and talk to your vet about what to use for your dog. PREVENTION is key. About Dr. Susan Marra Dr. Susan Marra is a world-leading Lyme Literate Naturopathic doctor specializing in the treatment of vector-borne diseases (Lyme, Bartonella, Babesia, Relapsing Fever, Ehrlichia, Anaplasma, Tularemia, Q Fever, Rocky Mountain Spotted Fever, Rickettsia Species), Neurodegenerative Diseases (Alzheimer's, Parkinson’s disease), Post Covid, Long Covid, anti-aging, and environmental illness (mold). Having trained with Dr. Richard Horowitz and Dr. Charles Ray Jones, Lyme disease experts on the east coast, Dr. Marra is well qualified to manage and heal tick-borne disease. Contact Us https://www.facebook.com/DrSusanMarra/ https://www.youtube.com/@dr.susanmarra https://DrSusanMarra.com Disclaimer: The information, including but not limited to, text, graphics, images and other material contained in these videos are for informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have seen, read, or heard in these videos.
Episode 46: Kitsap Peninsula Tick Prevalence
This is a case of a 65yo female with multiple tick borne illness, mold illness, menopause symptoms, chronic fatigue, and a host of other symptoms. She is on hormones, methylene blue, antibiotics, Itraconazole and a host of supplements. But she still had severe crushing fatigue so I suggested using a red light bed 20 minutes a day 3 days a week. After the first week, she had NO MORE FATIGUE. Game changer for her. Consider red light therapy for fatigue because it increases ATP production in the mitochondria. About Dr. Susan Marra Dr. Susan Marra is a world-leading Lyme Literate Naturopathic doctor specializing in the treatment of vector-borne diseases (Lyme, Bartonella, Babesia, Relapsing Fever, Ehrlichia, Anaplasma, Tularemia, Q Fever, Rocky Mountain Spotted Fever, Rickettsia Species), Neurodegenerative Diseases (Alzheimer's, Parkinson’s disease), Post Covid, Long Covid, anti-aging, and environmental illness (mold). Having trained with Dr. Richard Horowitz and Dr. Charles Ray Jones, Lyme disease experts on the east coast, Dr. Marra is well qualified to manage and heal tick-borne disease. Contact Us https://www.facebook.com/DrSusanMarra/ https://www.youtube.com/@dr.susanmarra https://DrSusanMarra.com Disclaimer: The information, including but not limited to, text, graphics, images and other material contained in these videos are for informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have seen, read, or heard in these videos.
Episode 45: Red Light Therapy and Fatigue
Low dose Naltrexone (.5mg-7mg at night) is helpful in 30-40% of patients with chronic pain related to tick borne disease and/or mold illness. LDN augments the natural inhibitory effect of the neurotransmitter GABA and blocks the excitatory neurotransmitter Dopamine. It also antagonizes toll-like receptor 4 found on macrophages and microglial cells resulting in an anti-inflammatory effect. You can obtain this medication from a compounding pharmacy like Infuserve in Florida (https://www.infuserveamerica.com/) or Key Pharmacy (https://keycompounding.com) here in Seattle. About Dr. Susan Marra Dr. Susan Marra is a world-leading Lyme Literate Naturopathic doctor specializing in the treatment of vector-borne diseases (Lyme, Bartonella, Babesia, Relapsing Fever, Ehrlichia, Anaplasma, Tularemia, Q Fever, Rocky Mountain Spotted Fever, Rickettsia Species), Neurodegenerative Diseases (Alzheimer's, Parkinson’s disease), Post Covid, Long Covid, anti-aging, and environmental illness (mold). Having trained with Dr. Richard Horowitz and Dr. Charles Ray Jones, Lyme disease experts on the east coast, Dr. Marra is well qualified to manage and heal tick-borne disease. Contact Us https://www.facebook.com/DrSusanMarra/ https://www.youtube.com/@dr.susanmarra https://DrSusanMarra.com Disclaimer: The information, including but not limited to, text, graphics, images and other material contained in these videos are for informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have seen, read, or heard in these videos.
Episode 44: LDN (Low Dose Naltrexone) and Lyme
The ideal patient is someone who listens carefully, takes notes if needed, and is ready and able to make the necessary lifestyle changes to help healing occur more quickly. Compliance with supplements and medication, 2 liters of water a day, no wheat, dairy or sugar, and 8 hours of restful sleep are of paramount importance in trying to heal from tick borne disease. About Dr. Susan Marra Dr. Susan Marra is a world-leading Lyme Literate Naturopathic doctor specializing in the treatment of vector-borne diseases (Lyme, Bartonella, Babesia, Relapsing Fever, Ehrlichia, Anaplasma, Tularemia, Q Fever, Rocky Mountain Spotted Fever, Rickettsia Species), Neurodegenerative Diseases (Alzheimer's, Parkinson’s disease), Post Covid, Long Covid, anti-aging, and environmental illness (mold). Having trained with Dr. Richard Horowitz and Dr. Charles Ray Jones, Lyme disease experts on the east coast, Dr. Marra is well qualified to manage and heal tick-borne disease. Contact Us https://www.facebook.com/DrSusanMarra/ https://www.youtube.com/@dr.susanmarra https://DrSusanMarra.com Disclaimer: The information, including but not limited to, text, graphics, images and other material contained in these videos are for informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have seen, read, or heard in these videos.
Episode 43: The Ideal Patient
I like to use the Mymycolab test to test for mycotoxins because the results are reproducible and it is a blood test rather than a urine test. The test measures both IgG and IgE antibodies to 12 mycotoxins so that you can determine if you also have an allergy to the mycotoxins. I generally do a pretest challenge with Glutathione, NAC, Vit C, and Cytodetox or Toxex for 14 days before the blood test to stir things up so that we can get a really good measurement of the mycotoxins present. Then it takes 3 weeks to get the results and then you know what you have and it will be easier to treat. YOU MUST VACATE the moldy environment though before you treat. Otherwise you will never get well. About Dr. Susan Marra Dr. Susan Marra is a world-leading Lyme Literate Naturopathic doctor specializing in the treatment of vector-borne diseases (Lyme, Bartonella, Babesia, Relapsing Fever, Ehrlichia, Anaplasma, Tularemia, Q Fever, Rocky Mountain Spotted Fever, Rickettsia Species), Neurodegenerative Diseases (Alzheimer's, Parkinson’s disease), Post Covid, Long Covid, anti-aging, and environmental illness (mold). Having trained with Dr. Richard Horowitz and Dr. Charles Ray Jones, Lyme disease experts on the east coast, Dr. Marra is well qualified to manage and heal tick-borne disease. Contact Us https://www.facebook.com/DrSusanMarra/ https://www.youtube.com/@dr.susanmarra https://DrSusanMarra.com Disclaimer: The information, including but not limited to, text, graphics, images and other material contained in these videos are for informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have seen, read, or heard in these videos.
Episode 42: Mymycolab and pretest challenge
Red light therapy is a nontoxic light therapy ranging from roughly 630nm to 810nm and can be used to treat inflammation and all kinds of diseases such as neuropathy, Parkinson disease, MS, Alzheimer disease, skin disorders, fatigue, migraine head aches, hypertension and a host of other illnesses. Here in Seattle we do not get enough sunlight so red light therapy is a nice way to get those wavelengths in your body. Just 15-20 minutes 3 times a week and significantly lower inflammation and increase blood flow and lymph movement. I will be offering this sometime later this year. About Dr. Susan Marra Dr. Susan Marra is a world-leading Lyme Literate Naturopathic doctor specializing in the treatment of vector-borne diseases (Lyme, Bartonella, Babesia, Relapsing Fever, Ehrlichia, Anaplasma, Tularemia, Q Fever, Rocky Mountain Spotted Fever, Rickettsia Species), Neurodegenerative Diseases (Alzheimer's, Parkinson’s disease), Post Covid, Long Covid, anti-aging, and environmental illness (mold). Having trained with Dr. Richard Horowitz and Dr. Charles Ray Jones, Lyme disease experts on the east coast, Dr. Marra is well qualified to manage and heal tick-borne disease. Contact Us https://www.facebook.com/DrSusanMarra/ https://www.youtube.com/@dr.susanmarra https://DrSusanMarra.com Disclaimer: The information, including but not limited to, text, graphics, images and other material contained in these videos are for informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have seen, read, or heard in these videos.
Episode 41: Red Light Therapy
Hypercoagulable blood from immune activation is a common problem that we see in patients with Lyme disease and Bartonella. It is characterized by dark thick blood. For sure there is a genetic component to this proclivity, i.e., Factor 5 Leiden and Factor 8 Leiden. This is characterized by elevated D-dimer, PAI, Fibrin monomer, Thrombin and can be treated with proteolytic enzymes like Lumbrokinase, Nattokinase, Serrapeptase, Bromelain or sublingual Heparin. You want to have steady nice flowing blood so that tissues can be appropriately oxygenated and receive nutrients. About Dr. Susan Marra Dr. Susan Marra is a world-leading Lyme Literate Naturopathic doctor specializing in the treatment of vector-borne diseases (Lyme, Bartonella, Babesia, Relapsing Fever, Ehrlichia, Anaplasma, Tularemia, Q Fever, Rocky Mountain Spotted Fever, Rickettsia Species), Neurodegenerative Diseases (Alzheimer's, Parkinson’s disease), Post Covid, Long Covid, anti-aging, and environmental illness (mold). Having trained with Dr. Richard Horowitz and Dr. Charles Ray Jones, Lyme disease experts on the east coast, Dr. Marra is well qualified to manage and heal tick-borne disease. Contact Us https://www.facebook.com/DrSusanMarra/ https://www.youtube.com/@dr.susanmarra https://DrSusanMarra.com Disclaimer: The information, including but not limited to, text, graphics, images and other material contained in these videos are for informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have seen, read, or heard in these videos.
Episode 40: Hypercoagulable blood in Lyme disease and Bartonella
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