1. John Mansberger MD Medical Director Archbold Integrative Medicine Center

3. “Integrative medicine... combines mainstream medical therapies and CAM therapies for which there is some high-quality scientific evidence of safety and effectiveness.” http://nccam.nih.gov/health

4. Holistic Medicine is the art and science of healing that addresses care of the whole person – body, mind, and spirit… integrates conventional and complementary therapies to promote optimal health and to prevent and treat disease by addressing contributing factors.” American Holistic Med Assoc, est 1977

5.  Post-Lyme Syndrome?  Autoimmune Disorder?  Chronic Infection?  Something different?  All of the above?

6.  First described by Rheumatologist  Three Equivocal Studies  Conflict of interest  Insurance company interests

7.  Animal Studies  Anecdotal Evidence  Fallon Study  Physician Experience

10.  Diet and Nutrition  Supplements and Nutrients  Medications  Stress Reduction  Physical Therapies  Anything that helps empty the rain barrel

11.  S-Sleep  H-Hormones  I-Infections  N-Nutrition  E-Energy/Exercise

12.  Anti-Inflammatory Diet  Food Allergies  Gluten Free Diet  Replacement of Nutrients  Healing the Gut

13.  D-Ribose, L-Carnitine, Co-Q10  Magnesium, Vitamin D, B Vitamins  Artemesia, Olive Leaf Extract, Cat’s Claw  Fish Oil, Turmeric, Devil’s Claw  Meyer’s Cocktail- IV Nutrients

14.  Antibiotics-Doxcylcline, Rocephin, Clarithromycin, Flagyll  Hormones-Thyroid, Adrenal, HRT  Sleep Medications  Muscle Relaxants  Pain Medications

15.  Cognitive Therapy  Mindfulness Meditation  Yoga  Tai Chi  Massage

16.  Manual Therapy  Exercise  Yoga  Massage  Acupuncture

17.  Represent complex disorders that often require a multidisciplinary approach, and will benefit from a Holistic or Integrative Plan  Integrative Medicine represents a bigger tool box, plus a more compassionate and effective system In Conclusion