at Massachusetts General Hospital are studying whether it is helpful to add
disease-altering drugs such as those used to treat rheumatoid arthritis to
antibiotics first line to treat Lyme disease.Side effects are of some concern.A much safer and less expensive way to treat the secondary autoimmune
response of Lyme is low-dose immunotherapy (LDI).
I have had
reports of TTFD and niacinamide giving pain relief from two different
physicians prominent in the field of nutritional medicine, Derrick Lonsdale and
Jonathan Wright.Both of them emphasize
that if you take single B-vitamins over time you can create an imbalance of
other B-vitamins.It is best to take
high potency B1, B6, and B12 concurrently or perhaps separately, even 3 or 4 a
day to accomplish significant pain relief from osteoarthritis or muscle
pain.Rare cases of B6 given
independently in doses greater than 200 mg a day have resulted in toxicity.
See Jonathan Wright’ Green Medicine, Sept. 2016 and Derrick
Lonsdale, personal communication, November, 2016.
of joint swelling and pain might be as important as sophisticated testing to
distinguish the type of arthritis you have.Multiple joints are usually involved with rheumatoid arthritis,
osteoarthritis, and autoimmune problems.Autoimmune and rheumatoid arthritis are more likely to be symmetrical
and involve the upper body. Lower body involvement points more toward osteoarthritis
and gout.Of course it is also possible
to have more than one form of these common diseases.Your diagnosis is important because the
treatment might be different for different conditions.
The risk of
complications from colonoscopies might outweigh the potential benefits after
the age of 75, unless you have a history of polyps previously treated.Mammograms over the age of 70 and sometimes
earlier than that can lead to overtreatment.Thermographies might be better as a preventive test.With no previous history of precancerous
lesions, pap smears can be discontinued at age 65.PSA’s have no benefit after the age of 75 and
are optional for men before that.Bone
density tests are recommended every five years, beginning at age 65 for women
and 70 for men.One ultrasound per
lifetime to screen for abdominal aneurysm is recommended.I would add CardioRisk tests for arterial
plaque, a questionnaire for the risk of falls, and periodic blood tests for
vitamin D, CRP sensitive, glucose, Lp(a), and other lipids.
See AARP Magazine, February/March issue, 2017, p. 24-25.