Chronic Lyme Disease: Understanding, Diagnosing, and Treating the Hidden Illness - Part 2
- Colleen DeSimone
- Jan 22
- 3 min read
Updated: Jan 23

In the second part of our series on chronic Lyme disease, we will explore why conventional testing often fails, what to look for in a proper diagnosis, and how more advanced testing and treatment options can help those struggling with chronic Lyme disease.
Why Conventional Testing Often Fails
As we discussed in Part 1, traditional Lyme tests focus primarily on detecting antibodies like IgM and IgG. While these tests may be useful in identifying acute Lyme disease, they are less effective in chronic cases. Let’s take a deeper look at why conventional testing fails for chronic Lyme disease patients.
Immunological Evasion: The bacteria responsible for Lyme disease, Borrelia burgdorferi, have evolved several mechanisms to evade detection by the immune system. This means that even when a person has chronic Lyme, their immune system may not produce the typical antibody responses that are usually tested for in conventional labs.
Chronicity and Immune Response: In cases of chronic Lyme disease, the immune system may have already been overwhelmed, and the body's ability to produce antibodies may be impaired. Even if the immune system does produce antibodies, the level may not be sufficient to trigger a positive result on traditional tests. This explains why some patients test negative for Lyme disease, even when they have been suffering from persistent symptoms for months or even years.
Lyme Disease Variability: Lyme disease can vary greatly from person to person. In some individuals, the bacteria remain localized in certain tissues, like the joints or nervous system, while in others, the bacteria spread throughout the body. This variability means that testing methods that only look for antibodies in the bloodstream are insufficient to detect the disease in all of its forms.
Bacterial Forms and Hiding: Borrelia burgdorferi can exist in several forms within the body, including spirochetes (the spiral-shaped form of the bacteria) and cysts. These different forms can hide from the immune system and conventional tests, making it difficult to obtain an accurate diagnosis.
Advanced Testing for Chronic Lyme Disease
To properly diagnose chronic Lyme disease, more advanced and specialized tests are required. These tests go beyond just detecting antibodies and instead aim to detect the presence of the bacteria itself or other markers of infection.
PCR Testing: PCR (polymerase chain reaction) testing can detect the DNA of Borrelia burgdorferi directly from blood, tissue, or fluid samples. This method has higher sensitivity than antibody-based tests and can confirm the presence of the bacteria, even if it’s not producing detectable antibodies.
Advanced Antibody Testing: Some specialized labs offer more comprehensive testing for Lyme disease by examining a wider range of antibodies and looking for those that are specific to chronic infections. These tests may be more sensitive in detecting chronic Lyme disease than standard IgG and IgM tests.
Co-infection Testing: Lyme disease is often accompanied by co-infections such as Babesia, Anaplasma, and Ehrlichia, which can complicate diagnosis. Co-infection testing can be crucial in identifying these additional infections, which may be contributing to the chronic symptoms.
Stay tuned for Part 3 and Stay vibrant and Well-Nourished, friends!
Disclaimer: Please note that the information provided in this post is for educational purposes only and should not be construed as medical advice. It is not intended to diagnose, treat, cure, or prevent any disease. Additionally, while nutrients play a vital role in supporting overall health, not all nutrients are suitable for all individuals. Before making any changes to your diet or supplementation regimen, it's essential to consult with a qualified healthcare professional, especially if you have any underlying health conditions or are taking medications. Always prioritize your health and well-being by seeking personalized guidance from a healthcare provider.

