When patients diagnosed with chronic Lyme are treated, no matter what happens as a response to the treatment is considered by believers to be evidence in support of the diagnosis. If they get better, then that is evidence that the treatment is working. If they get worse, then that is evidence that the treatment is working and they are experiencing the JHR (or "herxing" as the community calls it). If nothing happens, they just need more treatment. No matter what happens or doesn't happen, it's chronic Lyme.
from Science-Based Medicine http://ift.tt/2zOXVhl
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