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lyme and 70.3 questions
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Greetings. Long, long time lurker. Very, very rare poster.

47 year old male. I've been doing triathlons for twenty years - some years more than others. Front of middle of the pack to front of back of the pack depending on conditioning. This year's A race is Timberman, which I've raced many times before - first time in 2002. Still a great race, but back in those early days (pre-WTC) it was awesome. One year there were around fifty of us sitting around for awards - I had gotten a clydesdale award - and got into a great conversation with a super nice (and extremely fit) guy. Peter Reid.

Let fitness slide a bit over the past couple years and race performance showed it. Overhauled nutrition this year, dropped a fair amount of weight (230 to 200 - 6'4) and was feeling pretty good. Did a very local 70.3 (Mascomaman in N.H.) 10 days ago and was 50 minutes faster than last year (which is not a totally fair comparison because last year was a disaster). However, I felt I was clearly working with very much improved fitness heading into Timberman.

Took a light spin on the trainer the day after Mascomaman and felt like I was going to recover well. Swam Monday, but felt under the weather. Wasn't too concerned - figured it was this summer cold that is going around and worst case scenario might have to miss a couple days training - no big deal with Timberman still well over two weeks away. On Tuesday, felt really run down. Had a fever with no other symptoms which was weird. Felt a little better after a ride. Things got worse over the week - pushed through a run and a swim but was just going through the motions.

Friday morning a perfectly shaped bullseye rash shows up on my left thigh. Friday afternoon things go in a complete downward spiral healthwise. A little quick internet research indicates I've got a pretty legitimate cause for concern.

So I'm able to get in to see a Doctor Friday evening and he says there is no question its Lyme disease. Started a twenty one day cycle of doxycycline (antibiotic) that night. This weekend I continued to get worse, feeling far, far sicker than I ever have in my life. However, I feel I started turning the corner last night and hopefully the antibiotics are starting to do their job.

So that's my tale of woe. Timberman is in 13 days. If I still feel under the weather, there is no way I'm going to push myself to do it - I like triathlon but not enough to suffer beyond the suffering caused by the event itself. However, I am assuming (hoping) I'm going to feel better and maybe well enough to consider toeing the line. So I am curious:

1. Has anyone raced after getting Lyme? How soon after and how did it go?
2. Does anyone have any experience with racing in the middle of a cycle of antibiotics?

Any feedback on these questions or your general experience with Lyme disease would be appreciated. It is amazing how you can work so hard to get/keep in shape and be healthy and free of illness only to be flattened by a tick no bigger than a pinhead. I had no idea I had even been bitten.

Thanks!
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Re: lyme and 70.3 questions [wbp] [ In reply to ]
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Glad you caught it early. Ticks carry other diseases besides Lyme. I got a malaria like disease Babeosis as well as Lyme that wasn't diagnosed for 2.5 years. Both did a number on my healthy and my fitness. Ruined my left knee and I'm no longer in the sport.

Take all the abx and if you don't feel okay go back to your doc. The spirochetes of Lyme can be hard to kill especially if they get into certain places like your synovium or your brain. I wasn't treated long enough first go round of abx when I saw my family doc.
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Re: lyme and 70.3 questions [wbp] [ In reply to ]
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In short, do not race. There will be other 70.3's

Lyme disease is a serious infectious disease. I say this not to freak you out, but to lay out what I know and have, unfortunately experienced 2nd hand. It is one of the most misdiagnosed infectious diseases , with CDC figures grossly under-reporting Lyme frequency due to the false negatives of the test, HCP unfamiliarity of the disease symptoms, etc. In your case, you seem to be off to a good start with treatment, as the blood test has (presumably) confirmed the diagnosis of Lyme disease and you are on a course of antibiotics which will clear the Borrelia (bacteria strain of Lyme disease). I wouldn't stop here, though.

The Doxy will treat, and hopefully clear, the borrelia but it will not treat any co-infections the tick was carrying along with the borrelia bacteria. I would seek out an infectious disease specialist or Lyme clinic (they are plentiful in New England) and get yourself tested for the co-infections. If positive, the co-infections are treated with a different class and cocktail of antibiotics than Doxy.

I say all of the above having watched my fiancé's case go mis/un-diagnosed back in 2012 and all of medical complications which have happened since (I won't list them on a public forum). Not all Lyme cases are the same and I don't want you to read into the above as doom and gloom, just want to inform you a bit of your options. At the very least, I'd seek out additional testing just to rule out co-infections.

Disclaimer: I am not a healthcare provider. What I have written above is based on my 2+ year exposure to Lyme disease, countless doctor consultations, and reading relevant medical journals.

Please, feel free to PM me if you'd like to discuss further.
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Re: lyme and 70.3 questions [dobrie10] [ In reply to ]
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You need at 2 weeks doxycycline if caught early. Not one day

Yellowfin Endurance Coaching and Bike Fits
USAT Level 1, USAC Level 3
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Re: lyme and 70.3 questions [wbp] [ In reply to ]
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Keep an eye on your GI tract. See if anything changes after the antibiotic treatment. I've been told by a doctor that drinking kefir or taking probiotics during a course of antibiotics can act as a preventative measure, but pretty sure that's just guesswork.
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Re: lyme and 70.3 questions [surfNJmatt] [ In reply to ]
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Thanks - doing three weeks.
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Re: lyme and 70.3 questions [wbp] [ In reply to ]
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Can I ask what ever happened?Did you go through with your race?
I was just diagnosed with Lymes and have been training for my 1St Full, IM Chattanooga. Its in 4 weeks. I have missed 2 weeks already of training due to fever and just feeling plain crappy! Thanks!
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Re: lyme and 70.3 questions [ITriMommy] [ In reply to ]
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ITriMommy wrote:
Can I ask what ever happened?Did you go through with your race?
I was just diagnosed with Lymes and have been training for my 1St Full, IM Chattanooga. Its in 4 weeks. I have missed 2 weeks already of training due to fever and just feeling plain crappy! Thanks!
Completely irrespectible of how wpb's case turned out - I am really sorry for you, but don't race. Even if you feel good - like the thread states Lyme (and the more and less comon companion infections) can get very serious (2nd hand experience), so you really have to make sure your body gets all the help it can. Doing an IM is the exact opposite.
Also it would propably be a bad idea as some symptoms might get misattributed to the reaction to the IM.

Im sure that is not what you wanted to hear, but the risc is just too great.
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Re: lyme and 70.3 questions [Ibeti] [ In reply to ]
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I have and it did not go well.

However in my case I did not know I had the Lyme disease until after my race. It was at IMLP this year. At mile 90 into the bike it all went south really quick. Almost crashed out on my bike....everything went really fuzzy and things started to spin...out of know where.....prior to this I was killing it (2:34 on the first loop) and it felt really easy.

Same thing happened again two days later while driving home from LP. Scared the piss out of me. Went to the doc the next day started all the tests to see what was going on. CT scan, MRA (insurance would not pay for the MRI) blood work...etc.....blood came back negative for Lyme but as others have posted and my doc told me you can have many many many false negatives........I live in Loudoun County Va the capital of the US for Lyme

Three days later when things really started to feel bad (all day headaches, aching joints, run down feeling all day long) my wife and I sat down to watch the Republican debate on T. V. and low and behold guess what she finds on the back of my ankle ?? Yep the smallest ass deer tick....when she went to pull it off the skeleton of the tick was the only thing that came off...you could tell it had been on there for a while......

Went back to the doc the next day and I started the 30 day regime of anti's....felt even worse at first (but my doc warned me I would) now about three weeks later I'm starting to feel normal again...have started back to riding, running and swimming.....Doc said I was lucky to find the tick and get on the Anti's early...the longer it takes to diagnose and get on anti's the worse it gets.

Based on what I just went through I would say that if you have Lyme I would skip the race...it's no joke.

Best......
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Re: lyme and 70.3 questions [ITriMommy] [ In reply to ]
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Well, for what it's worth I did do the race. Actually had a good race - shaved a good chunk of time off from the year before. I think the fact that I dropped some weight due to the lyme's actually helped. I did Timberman this summer and thought I would crush my performance from last year (due to pretty much not training during the three weeks of antibiotics last year) but was a minute slower. Might have been due the tough heat on the run this year.

In any event, I am certainly not advising as to what you should do! You asked the question and that is your answer. Whatever you decide to do, best of luck. I have trained for and completed an Ironman (Lake Placid) so I feel your pain.
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Re: lyme and 70.3 questions [wbp] [ In reply to ]
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I'm glad it went well for you, but consider consulting with a Lyme Literate Doctor (LLMD). The medical community's understanding of lyme is evolving very quickly, and there seems to be consensus building that 3ish weeks of doxy isn't adequate to completely kill the disease, depending on the dose and how soon medication began after becoming infected.

I tested positive in 2002 after being extremely sick. I did the 3 weeks of doxy and seemed better, but still had some symptoms for 13 years. Earlier this year, I began deteriorating quickly. Long story short, after being told it's my age, rheumatoid arthritis, psoriatic arthritis, and that it's psychosomatic, I finally got an appointment with a LLMD, who said it's clearly lyme. About 2 weeks ago, I began a multi-month regimen of multiple antibiotics, joint health supplements, probiotics, and IV treatments. I hope to race again some day.

Don't take your PCP's word as gospel regarding this disease, unless they are a LLMD who approaches it aggressively from multiple directions at once. This is a serious disease that hides, then comes back later.

Start your reading here: International Lyme & Associated Diseases Society

ETA: Here's more of my story if you're interested.

____________________________________________
Don Larkin
Reach For More
http://www.reachformore.fit/
USAT Lvl1 Coach, NSCA-CPT, NASM-CPT, BS Exercise Science
Last edited by: TriMyBest: Aug 30, 15 8:08
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Re: lyme and 70.3 questions [wbp] [ In reply to ]
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Thanks for letting me know. glad you had a good race! Luckily mine was caught somewhat early but just didn't know once I started the antibiotics if I would feel immediate relief. I have some lingering fatigue and of course missed 2 weeks of training from being so sick.
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Re: lyme and 70.3 questions [ITriMommy] [ In reply to ]
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ITriMommy wrote:
Can I ask what ever happened?Did you go through with your race?
I was just diagnosed with Lymes and have been training for my 1St Full, IM Chattanooga. Its in 4 weeks. I have missed 2 weeks already of training due to fever and just feeling plain crappy! Thanks!

I have no medical advice but just wanted to sympathize. Took about 10-14 days of aches, chills, fever, zero energy to finally get diagnosed. After the third or fourth day or antibiotics I started to feel better. A week later I went for a "run" managed about 1.25 15 minute miles. I was blazing fast. Take your time, get better, race the next one.


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Re: lyme and 70.3 questions [JesseR] [ In reply to ]
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I was even more lucky. I'm not sure exactly what day I was bitten but it was a Saturday playing golf or Sunday doing yard work. We have a party on Sunday night and I woke up Monday feeling hungover. I felt the same on Tuesday and found the classic bullseye bite on Tuesday afternoon. I started treatment that night and completed the Columbia Triathlon 5 days later. No racing, I didn't even wear a watch. Just had fun and enjoyed the day.

Catching it early is key. I got better quickly.
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Re: lyme and 70.3 questions [ITriMommy] [ In reply to ]
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I certainly didn't experience immediate relief. In fact, during the first three days on the antibiotics I felt far, far worse than before I started taking them. I was interested to read the comment above about someone's Dr. telling them they would initially feel worse on the antibiotics. Mine never told me that, but I definitely did. It was at least a week before I could do anything and was even then still pretty weak. But by week three I was feeling much better. Good luck!
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Re: lyme and 70.3 questions [svennn] [ In reply to ]
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I had a pretty curious case. No bullseye rash, instead I had different sized and shaped rashes all over. Some were warm to the touch, others weren't. Had one over my big toe that hurt to the point I was limping. Urgent care docs had no clue and sent me to dermatologist. He walked in with his nurse, looked me over and left. Came back 5 minutes later with 4 more people in tow. My wife found it pretty humorous to see me standing in my underwear with 5 people touching all my rashes with inquisitive faces. So much so that she took a picture to remember the fun. They ended up take 3 skin biopsies incase it was cancer or something. Finally blood work showed it was lyme.
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Re: lyme and 70.3 questions [JesseR] [ In reply to ]
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I had undiagnosed neuro lyme for 5 years. Dizzy all the time, spaced out, fogginess, etc..

had a bazzilion test and was worried I had cancer or ms.

Finally showed a positive Lymes test and have taken a few years to feel close to normal


Get the proper treatment, Demand it!

Yellowfin Endurance Coaching and Bike Fits
USAT Level 1, USAC Level 3
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