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How to prevent Lyme disease this summer
- ajdude 2y ago> Lyme disease is transmitted by the deer tick, also known as the blacklegged tick. Other ticks, such as dog ticks, can transmit other illnesses, but not Lyme disease. I've grown up dealing with all sorts of ticks, deer and dog, and I never realize that the latter did not actually carry Lyme disease!
- IncreasePosts 2y agoYeah, it's unfortunate that the biggest, easiest to spot ticks are the ones that are mostly harmless, and the tiny elusive sons of bitches are the ones that carry a chronic disease.
- IncreasePosts 2y agoSomething to note for anyone in Lyme disease range: The bullseye is the stereotypical sign, but it is not necessarily going to show up 100% of the time. When I was diagnosed with Lyme disease in ~Y2K New Jersey, I had the bullseye rash, and the doctor called in the nurses to look at it because he had never seen one before, despite diagnosing a lot of people with Lyme disease.
- Covzire 2y agoHard logic dictates maybe the other diagnoses were something else.
- southerntofu 2y agoNo, Lyme disease is entirely treatable in the first days following the infection. You can get it multiple times and treat it every time. Once you don't treat it for a few days, you'll have it for life and that's when it gets nasty.
- bregma 2y agoThis is untrue. Borelliosis is treatable at any time: it's caused by a spirochete very similar to syphilis. The second time I had it it was diagnosed about 10 months after infection began, and a simple course of 100 mg Doxycycline for 21 days was all it took. It's true that (a) sometimes an advanced case where the bacterial infection has spread to the brain requires a stronger intravenous antibiotic that will cross the blood-brain barrier and (2) the infection can cause permanent damage to the joints, heart, and even the brain. But the latter is no longer Lyme disease, it's just arthritis, heart disease, or brain damage and has to be treated symptomatically. You no longer have Lyme though.
- dabber 2y agoI've had it three times as a kid and the most recent one didn't produce a "bulls eye" rash. I knew what it was by then and went to the doctor, symptomatic, telling them that I had limes, but they hadn't seen it before and told me I had the flu. I got a second opinion with blood work that came back positive for limes. So if you have "the flu" symptoms around a time you were had been running around grassy area where limes is a thing, ask for blood work.
- astura 2y agoIt's "Lyme disease," named after Lyme, Connecticut (which, in turn, gets its name from Lyme Regis in England). Not "limes," that's a fruit.
- dabber 2y agoSure, but I'm not a doctor and anyone who is living in an area that I'm speaking to will understand what I wrote and those that don't (perhaps yourself included) might learn a new colloquial phrase given the context of the comment.
- Freak_NL 2y agoWhen writing about medical issues, spelling matters. If you don't like being corrected, then just ignore the helpful hint and move on. Doubling down on a typo is just weird.
- parthianshotgun 2y agoWe aren't mind readers, tell us the context, is it a regional spelling?
- astura 2y agoMaybe you couldn't get treatment because you told your doctor you "had limes" rather than "are exhibiting symptoms of Lyme disease after a tick bite." Precision matters in medical contexts.
- cs02rm0 2y ago
- eurleif 2y agoConversely, a doctor told my dad he couldn't have Lyme because he didn't have a bullseye rash. That resulted in a significant delay in treatment, and probably in permanent damage. I'm still mad about that.
- mindslight 2y agoThat's a typical experience of the US medical system, where you're lucky if you get ten minutes before they start looking around for a broom stick to shoo you out the door. One should have some idea of what levers one expects a doctor to pull. If a doctor isn't really engaging with your problem, then push towards those. Obviously you can't directly ask for them but rather focus on the right symptoms to nudge them there. You have to tiptoe around their ego. And if you're wondering why you've got to learn to be your own doctor instead of relying on specialization of labor, well, welcome to our post-capitalist overfinancialized hellhole. Also for this particular topic, you can send a tick in to UMass for testing and they'll tell you if it has Lyme and many other diseases. There's a bit of a turnaround time so it doesn't work for primary triage, but it's sure nice to find out that you're definitely in the clear.
- giantg2 2y ago"You have to tiptoe around their ego." Only if you have a shit doctor. I've had to be an advocate for medical care of family members, and I've had a few doctors actually compliment me on being an engaged advocate for their treatment. You still want to be respectful and open minded, but some basic study of the condition/treatment/lingo can go a long way to them seeing you as an informed patient they are willing to work with.
- maxrecursion 2y agoWhen you go to an urgent care it is a total crapshoot. I've seen some of the worst doctors ever there. One literally looked at my throat for 5 seconds, said I had strep, and went back to playing on his phone, they weren't busy I was the only person in there. I've had other misread tests for my kids, saying they had strep when they had RSV. But some urgent care doctors have been really good. I think the ratio is changing in the wrong direction though.
- codingdave 2y agoI also was informed by a doctor that the bullseye sometimes manifests as just a band around your waist. Think in 3D when asking yourself if something new on your skin is a bullseye rash.
- sn9 2y agoFor future reference, if you strongly suspect something specific and you have reason to believe your doctor is wrong in dismissing your concerns, you can double-check that they're following evidence-based best practices by looking up the issue on UpToDate. For example, you can look up Lyme disease and see how it should be tested and when it shouldn't be tested (for which there are very real reasons). It requires a fee to use, but it's not much compared to healthcare costs of missing a diagnosis. If you find they're being negligent, definitely print it out and show it to them or get a second opinion.
- acheron 2y agoIt says to use DEET? No. Use permethrin (on clothes) and picaridin (on self).
- hedora 2y agoWhy not use DEET?
- huytersd 2y agoAnecdotally it’s useless. I’ve seen them walk right over DEET sprayed boots. They freeze up pretty much on contact with permethrin.
- eurleif 2y agoPicaridin and DEET are roughly equal in effectiveness, but picaridin is safer for pets, and doesn't have a nasty habit of destroying synthetic fabrics.
- vundercind 2y agoYes to permethrin, but beware it’s very dangerous for cats. Don’t spray your clothes anywhere near them. Maybe keep any clothes you treat with it in a room they can’t reach, or sealed in a container—I think once it dries it’s less-dangerous but I still wouldn’t want one to decide to curl up on a pile of them.
- b112 2y agohttps://canadianrockiestrailguide.com/ticks-permethrin-and-canadian-hypocrisy/ https://canadianrockiestrailguide.com/ticks-permethrin-and-c... I first heard about people using permethrin 5 years ago, but haven't looked into it too fully. Then I see this! There's likely some reason for it, Health Canada is known not to bow easily to corporate pressures, but I'm curious as to why.
- acheron 2y agoYeah I spray the clothes in the garage and let them fully dry out there. Everything I’ve read says once it’s dry there’s no issue, it’s only the liquid that’s dangerous for them.
- huytersd 2y agoJust go to your PCP and get your one time course of 2 doxycycline pills as soon as you get bitten. I also spray my hiking/yardwork pants and boots with permethrin. DEET is pretty useless, I’ve seen them walk right over DEET sprayed boots onto my pants. They make it about 5 steps through permethrin. I’m surprised advise from Harvard is getting this wrong. If you want even more protection, you can buy stocking like slacks and a shirt specifically made for this purpose on Amazon. I wear these when I’m weeding or clearing brush. All the above methods haven’t failed me in 5 years.
- keepamovin 2y agoAh faithful doxycycline, a legitimate cureall. Well tolerated, cheap, with few side effects when used sparingly.
- underbooter 2y agoJust watch out for the vomiting.
- keepamovin 2y agoFor me it's diarrhea. But yeah...Is the vomiting mostly with babies? Or even adults?
- komatsu 2y agoTaking antibiotics after every random bite is overkill. Antibiotics overuse is a serious issue for your body and for the general antibiotics resistance as well. When the tick is attached less than 24 hours it won't transmit Lyme disease according to the CDC. I check myself every evening after outdoor activities, remove 10-20 ticks every year and knock-knock never had Lyme disease yet. I wasn't aware of the permethrin effectiveness though. Thanks for letting us know.
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- reify 2y agoHow to prevent Lyme disease this summer? Not been out since covid. Looking a bit like skeletor but thats OK. I mean, is there anywhere safe these days. You could catch anything out there. All those viruses and germs in the air and people breathing on you. Now I can catch lyme disease off of those sneaky sneaky Ticks living in the long grass. Thank heaven I dont go out. I wont catch that bugger! The new staying in! Dont go out!
- treflop 2y agoAs far as I know, Lyme disease is much worse than COVID and most other common diseases that you can just catch randomly.
- newaccount74 2y agoThe article is pretty clear: wear long sleeved clothes, tuck your pants in your socks, check your body for ticks when you get home. Ticks are dangerous, but if you are careful the risk is low.
- chickenchase-rd 2y ago[flagged]
- rapjr9 2y agoA neighbor caught a tick borne disease (not Lyme) even though she took precautions. The tick came off a tree onto her head and she didn't notice it there. So consider all attack angles. Watch out for West Nile also!
- microtonal 2y agoFWIW ticks generally don’t jump from trees, which is a common misconception: https://wgme.com/amp/news/i-team/ask-the-i-team-do-ticks-jump-off-trees-onto-people https://wgme.com/amp/news/i-team/ask-the-i-team-do-ticks-jum... If she didn’t notice it, it’s more likely the tick got on here from grass tips or bushes and worked its way up.
- newaccount74 2y agoWhat sucks about Lyme disease are the possible long term effects that an infection can have. Some people believe it's because of bacteria that stay hidden in your body, but I think the more likely explanation is an auto-immune reaction. There is no treatment for these long term effects. (It's called "post treatment lyme disease syndrome").
- b112 2y agoHmm. I know viruses definitely can hide in places, specifically muscle tissue but that sort of makes sense, as their reproductive strategy is to actually use cells to reproduce and such. But I guess there are all sorts of places for bacteria to hide out. One thing I've always wondered, is there were reports around 5+ years ago, of a "new organ" being discovered. This was some sort of layer of liquid below skin layers, which was never apparent after death. And it was only discovered as a result of improving capability to view our body while alive, in this case tech not really possible 30 years ago. https://www.scientificamerican.com/article/meet-your-interstitium-a-newfound-organ/ https://www.scientificamerican.com/article/meet-your-interst... I guess my point here is, if bacteria were in the interstitium they could hide out in this organ, and it's massive if it exists. I've wondered about this, as I suspect some fungal infections actually live in the interstitium for fluid ingestion and to travel to alternate sites, but then actually poke through the skin for air/etc. It could give a better clue as to why some fungal infections are hard to fight.
- atombender 2y agoAdding to this, bacteria can form biofilms that are undetectable with blood tests. This is thought to be one way that streptococcal bacteria such as _S. pyogenes_ can stay around in the body for a long time, perhaps indefinitely [1]. These biofilms become microcolonies of bacteria (in places such as in the tonsils) that can lie dormant and reinfect in cycles. People who experience recurring strep infections (i.e. strep throat or strep tonsillitis) are often advised to get a tonsillectomy. Additionally, strep is thought to be capable of inducing autoimmunity through a mechanism called molecular mimicry [2], and this mechanism been implicated in several diseases, including rheumatic fever and psoriasis. [1] https://www.ncbi.nlm.nih.gov/books/NBK333419/ https://www.ncbi.nlm.nih.gov/books/NBK333419/ [2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6684244/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6684244/
- rapjr9 2y agoThere is a new way to treat your property: https://lymeshield.com/ https://lymeshield.com/ It uses the original Lyme vaccine (which worked but which was withdrawn because nobody was buying it) to treat mice. You put out a bait station and the mice eat the vaccine laden bait and it kills Lyme in the mice. Ticks overwinter on mice, so if the mice are immune the ticks also get immunized. It's not perfect but they claim a 75% reduction in Lyme in ticks. Lymeshield seems to only have limited release and requires a licensed pesticide expert to install the bait station (not sure why, it seems trivial, but that's the only way the are selling it, maybe to prevent people from trying to vaccinate themselves by eating the pellets?)
- leobg 2y agoIn DE, we have “Zeckenrollen”. [1] They are filled with cotton material that mice will carry to their nest. And it’s treated with some tick killing substance. [1] https://zeckenrollen.de https://zeckenrollen.de
- goda90 2y agoProbably treated with permethrin. I've seen lots of guides about soaking cotton balls in permethrin and sticking them in cardboard tubes to place where mice might be nesting.
- leobg 2y agoGreat idea. Those Zeckenrollen are quite expensive, especially when you have a large area to cover.
- rapjr9 2y agoIn the US we have Damminix: https://ticktubes.com/ https://ticktubes.com/ Same thing, it is indeed permethrin on cotton balls in cardboard tubes. I've used them for several years. They help but they aren't a complete solution. Another thing I've tried is to attempt to control mice (remove wood piles and other places they nest) which also helps a little. There are a -lot- of mice in the woods if you live in a rural area. The owls in the area help too by eating the mice. A neighbors guinea hens used to roam my yard once in a while. Nothing has worked as well as Met52 so far. As far as I can tell there are no federal or state attempts to stop the spread, the problem has just been growing year after year.
- keepamovin 2y agoA Lyme disease vaccine from Pfizer and Valneva is in a Phase 3 trial right now. We’re hopeful that the vaccine will be ready in 2025. The UMass Chan Medical School is also studying another potential therapy to prevent Lyme disease that is in clinical trials. This prevention is not a vaccine but a monoclonal antibody that kills the Lyme bacteria in the tick’s gut. This is good news. I like the idea of the monoclonal antibody. What potential side effects for humans?
- oliv__ 2y agoSide effects? What are you a conspiracy theorist? /s
- keepamovin 2y agoHehe. Oh to go back to simpler free thinkin’ times
- rapjr9 2y agoThere was a fungus that you could apply to your yard which killed ticks. It was called Met52, made by Novozymes. They appear to have sold the rights to it to Lallemand: https://www.lallemandplantcare.com/en/usa/products/product-details/lalguard-m52-od/ https://www.lallemandplantcare.com/en/usa/products/product-d... https://www.lallemandplantcare.com/wp-content/uploads/2023/03/LALGUARD-M52-OD_PRO_General-Greenhouse-US-EN_03-2024-2.pdf https://www.lallemandplantcare.com/wp-content/uploads/2023/0... https://www.lallemandplantcare.com/wp-content/uploads/2023/03/SDS-LALGUARD-M52-OD-EN-2.pdf https://www.lallemandplantcare.com/wp-content/uploads/2023/0... https://www.lallemandplantcare.com/wp-content/uploads/2023/03/LALGUARD-M52-OD_Specimen-Label-US-EN_01-2023.pdf https://www.lallemandplantcare.com/wp-content/uploads/2023/0... The above specimen sheet does mention use against ticks. Also if you look up the old Novozymes safety sheet it mentions use for tick suppression (pages 4 and 5): https://evenspray.com/wp-content/uploads/2021/04/Met52_EC_label_2019.pdf https://evenspray.com/wp-content/uploads/2021/04/Met52_EC_la... I had Met52 applied to my yard just before it went off the market for use against ticks and haven't seen a tick since. Possibly the fungus has taken up residence in the soil, though I still take precautions since Met52 protection was not supposed to last forever and required periodic reapplication. You can still buy Met52 and Lallemand's version: https://www.evergreengrowers.com/m52-lalguard.html https://www.evergreengrowers.com/m52-lalguard.html https://www.planetnatural.com/product/met52-ec/ https://www.planetnatural.com/product/met52-ec/ I have not been able to find any information about why it is no longer advertised for use against ticks. The pesticide specialist I hired to do my yard says Met52 was discontinued because no one was buying it (not enough profit). It's still widely used against a variety of agricultural pests in greenhouses and on farms. It's supposed to be very safe, it is not a poison and it targets only specific pests, though the application instructions say the applicator should wear a high quality pesticide style respirator when applying it (breathing lots of spores does seem like a risk and maybe the liquid the spores are in is toxic). I am NOT recommending anyone try applying it themselves. Talk to a licensed pesticide specialist if you want to make inquiries about it. It could be an option for some people. It appears to be available in most of the USA.
- rpmisms 2y agoI'm incredibly fortunate to have never had a tick bite, but my wife has and got Lyme. Don't fuck around, go get the antibiotics immediately. If your doctor doesn't believe you, write a formal complaint to their board after finding another doctor.
- armada651 2y agoI did get a tick bite that I only noticed after three days. I didn't screw around and immediately went to the urgent care to get that thing removed by a professional. They also didn't wait for any kind of rash before giving me antibiotics given how long the tick was there. Lyme disease is no joke.
- jakjak123 2y agoTicks are incredibly common. People in my area of the country get hundreds of ticks during their life. It's also fairly rare they carry Lyme disease and gets you infected. You definitively should not be given antibiotics without a clear reason.
- switch007 2y agoWhat would the "clear reason" be?
- armada651 2y agoI'm guessing that having a tick for longer than 24 to 48 hours was a clear enough reason. I assume people who get hundreds of ticks will be checking more thoroughly and remove them within two days. I agree antibiotics shouldn't be prescribed without a clear reason. People are being prescribed antibiotics all over for things like the common cold and for some insane reason we're still putting antibiotics in farm animal feed. But it seems unethical to then take a gamble on whether someone contracted Lyme disease or not just to give the antibiotics we save from that gamble to someone with a runny nose. If we want to save antibiotics then we should test the removed tick for Lyme disease, not wait for symptoms to appear.
- Contax 2y agoWhy is it that every time I read something like this my whole body feels itchy? Or when I read about lice I feel an urge to scratch my head? Like, is there a term for this? Some article?
- chickenchase-rd 2y agoin a pinch I rub black pepper or thyme (hopefully a fine powder) everywhere and on clothes.. (I think thyme tests higher as a repellant for ticks and BPepper for mosquitos). rub it between your hands to heat it a little to activate the oils inside and apply liberally. Just remember - do not do it casually at social situations and be wary of staining your clothes and triggering an alergic reaction on yourself.
- effluvium 2y agoSounded like BS so I looked it up. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886999/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886999/ "Figure 1d and Supplemental Table S2 show the complete protection times (CPTs) measured using the EPA procedure (tick on-arm assay) for different formulations. The organic lotion base provided no protection from tick crossings. The 10% lotion formulations that provided the longest protection from tick crossings were cinnamon oil, clove oil, 2PEP, and geraniol with CPTs longer than one hour. The formulation with 10% thyme oil displayed a CPT of 55 min, while the rest of the formulations tested did not provide CPTs significantly different from the untreated and unscented lotion controls. Our positive control, 10% DEET in unscented lotion, provided protection for up to six hours, at which time we stopped the experiment."
- qwertox 2y agoI did get Lyme disease. I had no idea that it was a thing because I did not get educated about it, not even about ticks. I was just fascinated by the bullseye and never went to see a doctor. Sometime later I felt sick with fever and something like an itching inside the head, but since it went away, I never bothered with it again. I also never made a connection between this and the bullseye, maybe it was the cause. I'm constantly wondering if it would be beneficial to talk to a doctor about it, but it was almost 25 years ago.
- consumer451 2y agoSimilar thing happened to me. Got some bites, they went away. Didn’t think twice about it. A month or two later, I got very ill, it was Advanced Neurological Lyme disease. My vision loss was at about 30-40%, I still feel the arthritis all the time, but my vision is nearly entirely restored. One of the worst aspects was the cognitive loss. For months I suddenly had ADHD-like symptoms, and had brain fog like I had the biggest bender of my life, for months. My spelling/grammar went down the drain, I still just miss words when writing. I wasn’t able to work for a long time, and am still recovering financially from this stupid bug bite. Don’t mess around people, take prophylactic doxycycline dose.
- consumer451 2y agoI would like to point out that I did not have rings, just normal looking bug bites.
- deleted 2y ago[deleted]
- switch007 2y agoI got Lyme when I was 26 (in an area with it, after handling an animal famous for ticks). GP refused to believe Lyme could be a possibility. Eventually got a test (probably an inferior one, knowing our health service), which came back negative. But I had a bullseye rash, flu-like symptoms etc. I'm convinced I had it. I wasn't prescribed antibiotics because the test was negative The 2 years following I had bad muscles pains - particularly in my wrists (I've been using computers since I was 12... never had RSI), bouts of flu-like symptoms/body aches, decreased mental ability. Can't really tell if I've still got residual issues what was getting older and my body generally falling apart more and more. Then again, since then, I've been to the GP for various symptoms and many blood tests coming back negative, time and time again. I'm still annoyed by the GP denying even the possibility of it.
- acc_297 2y agoSorry to hear that a friend of mine could tell a very similar story it’s weird some doctors refuse to consider Lyme
- SOLAR_FIELDS 2y agoI had a very similar story that I’ve shared on here before. I fortunately very much knew it was Lyme because I got it in Europe where the bullseye rash is much more common. My PCP, in his infinite wisdom, said it was a skin rash and wanted to refer me to a dermatologist instead. Why? Because he couldn’t be bothered to Wikipedia Lyme disease and learn that the European one takes 8 weeks to appear, and because the gestation time didn’t line up with his knowledge of American Lyme disease, well, surely it’s not Lyme disease, even though it was an extremely obvious bullseye rash right where I had gotten the bite. It didn’t matter to him that I told him that I had gotten it in Europe AND that I had looked it up and noted that the European variant takes longer. I live in Texas and I was lucky/smart enough to tell my PCP to piss off and walk into an urgent care where a nurse who was born in Maryland immediately diagnosed me and gave me antibiotics. If you get a tick bite do not ignore this. It will fuck up your life if you do. It’s insane your doctor didn’t just proactively prescribe antibiotics. The long term effects of Lyme disease are bad enough that it is absolutely something that is worth giving antibiotics for even if you aren’t 100% sure. The incident has made me have a pretty strong skepticism of whatever doctors say. I now know that you, and only you, are responsible for your own medical care unfortunately. It is insufficient to trust someone simply because they have the letters MD after their name
- hahajk 2y agoI'm super concerned about the new longhorned tick that was recently found in eastern states. It can reproduce asexually and spreads fast. Scientists are still figuring out if it can transmit Lyme to humans (it can at least carry it). A terrifying sentence: "It is common to find hundreds of ticks on one animal" https://www.dep.pa.gov/Business/ProgramIntegration/Vector-Management/Ticks/Pages/Asian-Longhorned-Tick.aspx https://www.dep.pa.gov/Business/ProgramIntegration/Vector-Ma...
- heelix 2y agoOur kid was lucky enough to have the bullseye mark on her skin when she came down with a massive fever. Had not thrown out my medical microbiology college texts from the late 80's and sure enough - the picture matched up. She ended up getting some pretty serious antibiotics. I really, really wish there was a human vaccination available for lymes. We treat our jacket and pant legs with permethrin when we are in heavy wood. That makes a huge difference for the normal wood ticks, so has become part of the normal routine.
- Simulacra 2y agoDon't go outside barefoot?
- aclimatt 2y agoSame story as a lot of people here. I got Lyme when I was in my early twenties. I had no bullseye rash and no evidence of a tick bite. And I lived in California which made it even more confusing. Woke up one day with debilitating headaches (I never got headaches normally). Lasted for two weeks, doctor said I had "viral meningitis" which should clear up on its own. Coincidentally they did, and thought all is well! Next week my elbow hurts. Then my pinky. Then my foot. Then my neck. Every day it would be a new obscure part of my body, until a month in I was in so much pain I could barely walk. For someone in their early 20s, this was debilitating. The doctor comedy of errors continued. They said I had juvenile arthritis, which is a common misdiagnosis and an insane one considering how acutely this came on. She prescribed me steroids but I declined because I didn't trust her diagnosis (fun fact I learned later: steroids make Lyme worse and harder to treat). I got referred to a rheumatologist who likely would have continued down the same short-sighted path, but thanks to a modern medical miracle -- no appointments available for 6 months (!), that didn't happen either. I was losing patience and time, so I started researching everything I could. I forced the doctor to run blood tests for everything possible, including Lyme, Rocky Mountain spotted fever, everything. She almost refused to give me the tests because "that's impossible! you've never had the bullseye and there are no ticks in California!" She even accidentally left the Lyme test off my lab sheet (??) which I only caught when I double checked the paperwork with a lab tech. I was starting to lose hope thinking being nearly paralyzed would be the rest of my life. And then the western blot came back positive. 48 hours on doxycycline and EVERYTHING disappeared. Over 3 months of debilitating pain, and all I needed was a pill of the most common antibiotic out there. Just wow. I had to follow up with the CDC and an infectious disease specialist. So how did I get bit by a tick all the way in California? Turns out, I went camping near Boston a week before this all happened. I told the whole story to the infectious disease doctor (who grew up in the northern Midwest). His response? "Classic Lyme" Get tested for Lyme y'all. It's one of the most misdiagnosed infections out there. And if you have all the symptoms but test is negative and have been in nature, just take doxycycline. Not worth risking your life.
- maxerickson 2y agoDid you tell the first doctors you had recently been in the woods in MA?
- grosswait 2y agoAfter 5 ticks since December, I just discovered and started using Cedarcide (https://cedarcide.com/products/tickshield?variant=42159482175708 https://cedarcide.com/products/tickshield?variant=4215948217...) - the reviews have me optimistic. I'll definitely be adding Permethrin to my defenses!