What are the 3 stages of Lyme disease?

Introduction: Why Lyme Disease Needs a New Approach

Lyme disease often goes undiagnosed or misdiagnosed for years, turning a curable condition into a chronic, life-altering illness. At Patients Medical in NYC, we use functional and integrative medicine to uncover the root causes of your symptoms and provide long-term healing.

We treat the whole person—not just the bacteria.

What Is Lyme Disease?

Lyme disease is a tick-borne illness caused by the bacterium Borrelia burgdorferi. It often begins with flu-like symptoms and a telltale bullseye rash. However, many cases progress through stages—each with increasing severity and complexity if left untreated.

The disease unfolds in 3 distinct stages:

The disease unfolds in 3 distinct stages:

Stage 1: Early Localized Lyme (Days to Weeks After Tick Bite)

This initial stage occurs within 3 to 30 days of a bite. Symptoms include:

  • Erythema migrans (bullseye rash)
  • Fever and chills
  • Muscle and joint aches
  • Swollen lymph nodes
  • Headache

At this stage, prompt treatment can lead to full recovery. However, many patients never recall a tick bite or develop the classic rash.

Stage 2: Early Disseminated Lyme (Weeks to Months Post-Bite)

If left untreated, the bacteria spread through the bloodstream to joints, heart, and nervous system. Symptoms may include:

  • Facial palsy or Bell’s palsy
  • Meningitis-like symptoms
  • Migratory joint pain
  • Severe fatigue
  • Heart palpitations or Lyme carditis

Many people are misdiagnosed during this phase as symptoms mimic other illnesses like fibromyalgia, MS, or chronic fatigue.

Stage 3: Late Disseminated Lyme (Months to Years Later)

This chronic stage can develop months or years after infection and is the hardest to treat. Symptoms may include:

  • Chronic arthritis (especially in large joints like the knees)
  • Cognitive issues (brain fog, memory loss)
  • Peripheral neuropathy
  • Depression and mood changes
  • Sleep disturbances

We often see patients at this stage who were never properly diagnosed or treated early on.

Root Causes: Why Did You Develop Chronic Lyme?

From a functional medicine perspective, we explore deeper issues that allow Lyme to take hold and persist:

  • Co-infections: Babesia, Bartonella, Ehrlichia, and others complicate recovery
  • Immune dysregulation: A weakened or overactive immune system can’t fight Lyme effectively
  • Toxic load: Mold, heavy metals, and pesticides hinder the body’s ability to detox
  • Leaky gut and microbiome imbalances
  • Hormonal imbalances and adrenal fatigue

Diagnostic Testing We Use

We go beyond standard Western Blot tests. Our comprehensive testing includes:

Tick-borne co-infection panels

CD57 immune cell counts

Inflammatory markers (CRP, cytokines)

Stool microbiome and leaky gut testing

Heavy metal and mold mycotoxin tests

Hormone and adrenal function panels

Integrative Treatments for Lyme Disease

Herbal Antimicrobials

We use physician-guided protocols with herbs like cat’s claw, Japanese knotweed, andrographis, and garlic extract to target Lyme and co-infections.

IV Vitamin Therapy

Customized infusions with vitamin C, glutathione, B-complex, magnesium, and ozone can reduce inflammation and improve detoxification.

Nutritional Protocols

Anti-inflammatory, gut-healing diets with personalized food sensitivity support.

Detox Support

Binders, sauna, and lymphatic drainage therapies help remove biotoxins from the body.

Immune Modulation

Low-dose immunotherapy, adaptogens, and stress management tools help calm an overactive immune system.

Hormone & Mitochondrial Repair

We address adrenal burnout, thyroid dysfunction, and cellular energy depletion.

Real Case Study: Sarah’s Journey with Lyme Disease

Sarah, age 45, came to us with severe fatigue, joint pain, and cognitive issues after being diagnosed with Lyme disease. She had been on antibiotics for several months but still felt unwell. After comprehensive testing, we discovered she had multiple tick-borne co-infections and nutrient deficiencies. We created a customized 4-month treatment plan that included:

  • Herbal support with Andrographis and Cat’s Claw
  • IV vitamin therapy with magnesium and vitamin C
  • Gut health restoration with probiotics
  • Cognitive therapy to address brain fog
  • Dietary changes to reduce inflammation

Three months later, Sarah reported significant improvements in her energy, cognitive function, and joint pain, and she was able to resume her normal activities.

Testimonials

Frequently Asked Questions

Lyme disease is caused by the Borrelia burgdorferi bacteria, transmitted through the bite of an infected black-legged tick. Co-infections from other tick-borne pathogens can complicate the disease.

Lyme disease is diagnosed through clinical evaluation and testing for Borrelia antibodies or DNA. Co-infections may require additional testing.

Yes, Lyme disease can be managed with an integrative approach that combines herbal therapies, nutritional support, detoxification, and conventional treatments.

Common symptoms include fatigue, joint pain, cognitive impairment (brain fog), headaches, muscle aches, and a characteristic bullseye rash (erythema migrans).

With early diagnosis and treatment, Lyme disease is often curable. Chronic Lyme disease may require a longer-term treatment approach.

Support your immune system through proper nutrition, supplements (like vitamin C, magnesium, and omega-3s), stress reduction, and IV therapy.

Co-infections are other pathogens carried by ticks, such as Babesia or Anaplasma, that can worsen symptoms and complicate treatment.

Yes, Lyme disease can lead to cognitive issues such as memory loss, brain fog, and anxiety, which can be addressed with targeted therapies.

If you suspect Lyme disease, seek medical attention immediately. Early diagnosis and treatment are critical to preventing long-term complications.

Long-term treatment can sometimes result in side effects such as digestive issues, herxheimer reactions (detox symptoms), and nutritional deficiencies, which can be managed with integrative care.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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