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Home / What we treat / Chronic Lyme
Chronic Lyme & coinfections
Lyme literate care, finally on your schedule.
For people whose Lyme test came back negative but the symptoms are real. For people whose “treated” Lyme never went away. For people who’ve been told it’s anxiety, fibromyalgia, chronic fatigue, or “all in your head.” We work with you to figure out what’s actually going on, and treat it.
Telehealth visits available to adults located in Utah. Comprehensive Lyme Intake: $450 for 60 minutes. We’ll tell you honestly if we’re not the right team for your case.
Who we treat
The patients other practices send away.
Most of the people who find their way to a Lyme literate practice have been bounced through 5 to 15 doctors first. Here’s the picture we see most often.
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Confirmed Lyme
Positive ELISA + Western blot, or positive PCR. Treated with conventional antibiotics. Symptoms persisted or returned. You’ve been told that’s “not Lyme anymore.”
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Suspected Lyme
Tick exposure, EM rash, or classic symptom pattern. Standard testing was negative or inconclusive. Conventional providers said it’s “not Lyme” without further investigation.
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Post-treatment Lyme syndrome
Treated with antibiotics, never fully recovered. Persistent fatigue, brain fog, joint pain, neurological symptoms, autonomic dysfunction. The IDSA calls it post-treatment Lyme syndrome; you call it “still sick.”
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Coinfection-driven illness
Babesia, Bartonella, Mycoplasma, Ehrlichia, viral reactivation (EBV, HHV-6), the infections that come along with Lyme and often drive the worst symptoms. Frequently missed by conventional workups.
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Mold & mast cell overlap
CIRS, biotoxin illness, or mast cell activation that’s tangled up with chronic infection. We address the overlap, not just one piece of it.
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Long COVID with infectious overlap
COVID infection that uncovered or reactivated something else. Many long COVID cases have an underlying infectious component (Lyme, EBV, mast cell) that conventional long-haul protocols don’t address.
Our approach
Lyme literate, individualized, honest about complexity.
We don’t use a single Lyme protocol because there isn’t one. Every patient’s case is different in detection, duration, coinfection load, immune status, and what they can tolerate.
Our approach combines pharmaceutical antimicrobials (when appropriate), herbal antimicrobials (Cryptolepis, Japanese knotweed, cat’s claw, Cowden protocol components), homeopathic and spagyric remedies (Des Bio nosode protocols for the specific pathogens identified), supportive care (binders, drainage, mitochondrial support, mast cell stabilization where needed), and lifestyle/nutrition guidance.
We treat the patient, not the test result. We treat in phases (preparation → antimicrobial → consolidation → recovery), not in a single 30-day push. We adjust based on response, side effects, and Herxheimer reactions, not on a protocol calendar.
The toolkit
Telehealth-deliverable today. In-person tools coming Q3.
Most of what we do is deliverable through telehealth + a pharmacy mailbox. The procedures that aren’t come with our physical clinic in Q3 2026.
Available now · telehealth
What we deliver remotely
- • Des Bio nosode protocols (Lyme, Babesia, Bartonella, viral)
- • Pharmaceutical antimicrobials (oral, when indicated)
- • Herbal antimicrobial protocols (Cowden, Buhner, individualized)
- • Mitochondrial & methylation support
- • Mast cell stabilization (when needed)
- • Binder & drainage protocols
- • Comprehensive specialty labs (IGeneX, Vibrant, GI-MAP, mycotoxin panels)
- • Lifestyle, sleep, stress, nutrition guidance
Coming Q3 2026 · in-person
When the clinic opens
- • SOT (Supportive Oligonucleotide Technique), pathogen-specific cellular therapy
- • (in-person procedures coming Q3 2026)
- • IV therapy (high-dose vitamin C, ozone, NAD+, glutathione, Myers’)
- • In-person comprehensive intake (for complex cases that benefit from in-room evaluation)
Salt Lake / Provo area. Join the patient list and we’ll let you know when consultations open.
What to expect
The first 90 days.
Lyme treatment is a long road. The first 90 days are about figuring out what we’re actually dealing with and getting you stable enough to start treatment.
Comprehensive intake (90 min) + labs.
Full clinical history, symptom mapping, lab orders. Specialty Lyme/coinfection panels (IGeneX, Vibrant), GI-MAP, mycotoxin panels, comprehensive metabolic, hormones, whatever your case calls for.
Initial protocol + monthly follow-ups.
We start with preparation (drainage, support, mast cell stabilization if needed). Then individualized antimicrobial protocol begins. Provider review every 30 days, more often if needed during Herx reactions.
An honest note
What we won’t promise.
A cure. Nobody who’s honest about chronic Lyme uses that word. Our goal is meaningful symptom reduction, durable remission, and getting you back to your life.
A timeline. Some patients see major changes in 3 months. Others take 18 months. We’ll be honest about what we’re seeing as we go.
A perfect protocol. Lyme treatment requires adjustment. Herx reactions happen. Some treatments work for some patients and not others. We change course when the evidence calls for it.
A cheap solution. Specialty labs alone can run $500 to 1,500. Treatment-phase budgets often run $300 to 800/month including medications and supplements. We’ll be transparent about cost at every stage so you can plan.
Initial visit · $250 targeted or $450 comprehensive
Tell us a few things.
We’ll text you within one business day to confirm care path and pricing tier. Then we send your detailed intake form and, after your provider reviews it, a lab order. You draw labs, then we meet for your initial visit (paid at booking) where we cover your story, review your labs, and build your protocol in one go.
Common questions about Lyme care at Align
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Do I have to have a positive Lyme test to be a patient? +
No. Many of our patients have negative or inconclusive Lyme tests but a clear clinical picture, symptoms, exposure history, and lab patterns that point toward Lyme or a coinfection. Standard two-tier testing (ELISA + Western blot) misses a meaningful percentage of cases. We use a combination of clinical evaluation and more sensitive testing (Vibrant America, IGeneX, T-Lab options) when warranted. We see patients with confirmed Lyme, suspected Lyme, and post-treatment Lyme syndrome. -
What is "Lyme literate" care, and how is it different from what I’ve had before? +
Most conventional providers follow IDSA guidelines, which generally treat Lyme as a short-course antibiotic problem (2 to 4 weeks of doxycycline) and dismiss persistent symptoms as something else. Lyme literate providers (typically ILADS-trained) recognize that some patients have ongoing infection or post-infection inflammatory states that don’t resolve with short-course antibiotics, and treat accordingly. We use a combination of pharmaceutical, herbal, homeopathic/spagyric, and supportive protocols, individualized to each patient’s clinical picture, history, and lab results. -
Do you treat coinfections (Babesia, Bartonella, Mycoplasma, etc.)? +
Yes. Coinfections are common in chronic Lyme cases and often the reason single-organism Lyme treatment doesn’t resolve symptoms. We test for and treat the common coinfections: Babesia, Bartonella, Ehrlichia, Anaplasma, Mycoplasma, Rickettsia, and viral reactivation (EBV, HHV-6, CMV) using appropriate antimicrobials, herbals, and Des Bio protocols. -
I’ve heard about SOT injections. Do you offer them? +
SOT (Supportive Oligonucleotide Technique, from RGCC) requires in-person administration. Our physical clinic opens Q3 2026 in the Salt Lake / Provo area, at which point SOT will be part of our offering. In the meantime, we use comparable telehealth-deliverable tools: Des Bio nosode protocols, targeted herbal antimicrobials, oral antimicrobials, and supportive care. If SOT is the right next step for you specifically, we’ll discuss timing and let you know when it’s available. -
How long does treatment take? +
Honestly: longer than you want it to. Most chronic Lyme protocols run 6 to 18 months, sometimes longer, with multiple phases (preparation, antimicrobial treatment, recovery). We don’t promise quick fixes. That’s a sign of a clinic that doesn’t understand the disease. We do promise honest assessment at every stage, regular adjustment based on response, and an end goal of meaningful symptom reduction and ongoing remission, not perpetual treatment. -
Will my insurance cover any of this? +
Some pieces, eventually. Office visits and standard labs may be insurance-billable starting Q3 2026 once our credentialing is complete (today: cash-pay only). Specialty Lyme labs (IGeneX, Vibrant), Des Bio remedies, and SOT are not covered by insurance regardless. We’ll lay out the cash-pay vs. insurance picture clearly during your consult. -
How much does this cost? +
Comprehensive Lyme Intake: $450 (60-minute video, includes pre-visit intake review, comprehensive Lyme labs, initial protocol design). Specialty labs billed separately. Ongoing monthly protocol management (visit + adjustments + Rx): $175/month. Specialty labs and supplements/medications are billed separately. We publish the full pricing structure at intake so there are no surprises. Many patients budget $300 to 800/month total during active treatment. -
I’ve been gaslit by doctors before. How do I know you’re different? +
You don’t, until we sit down and talk. That’s why the comprehensive intake exists: ask the questions you couldn’t ask elsewhere, see how we respond, and decide if we’re a fit. The intake is paid ($450, 60 minutes) because chronic illness work requires real time and a real evaluation. We won’t pretend to have all the answers, won’t promise outcomes we can’t deliver, and won’t take you on if we’re not the right team. If you’ve been dismissed before, you’ll know within the first few minutes whether this feels different.
Start with a Comprehensive Lyme Intake.
We’ll listen to your story, give you our honest read on whether we’re the right team, and tell you what we’d do next. No pressure. No upsell.