Why Can’t I Get Better: A Book Summary For Lymie Brain

I think Horowitz intends to confuse you by leaving cliff-hangers and putting information in the wrong chapters. I’ve heard that his consultations now cost well over $1000, and I just don’t understand why he would do that to desperate Lyme patients. I would LOVE for a Horowitz patient to come forward and tell me he helped, was worth every penny, and that now you are in remission and not dependent on an array of drugs. I think the problem with a lot of LLMD’s is that they make lots and lots of money on herbs and prescriptions that they give you. So while I am not saying that herbs and medications are unhelpful, I do think that we should all strive to be as independent as possible – independent from tens of dozens of ingested pills as a means of survival. I’ve done it (been a pill popper by necessity that is), I don’t regret being on a thorough protocol when times were dire, but I am also relieved to be quite functional WITHOUT all those pills after months and years of slowly weening myself into an independent women *queue Destiny’s Child.*

But I’m getting off topic.

If you have had a chronic infection for a long time, you may know of Dr. Horowitz as a bit of a “celebrity.”

His book Why Can’t I Get Better is extensive and full of insight but many people find it scattered and hard to get the most out of the info. This is the Lyme book that people seem to get their panties in a bundle over, so here it is in a nutshell:

  • The Infectious Diseases Society of America (IDSA) believes Lyme is easily diagnosable and treatable.
  • The International Lyme and Associated Diseases Society (ILADS) believes blood tests are unreliable and 30 day antibiotic regimens are insufficient.
    • The Lyme Disease Association (LDA),
    • The Lyme Disease Research Alliance,
    • The Tick-Borne Disease Alliance (TBDA),
    • And various Lyme support groups have joined the fight.

Horowitz, first an internist and now an LLMD, and belongs to the ILADS camp. He combines medical science with what he’s learned by listening to over 12,000 Lyme patients. He thinks modern medicine is wonderful for treating acute disease but not chronic diseases. He has allegedly seen antibiotics help patients regain pre-disease health but relapse when they come off, and so his treatment is not just to kill the bugs, but to heal the body.

According to Horowitz, chronically ill patients often have pathogens, immune dysfunction, environmental toxic loads, hormone imbalances, mitochondrial dysfunction, allergies, sleeping problems and psychological problems. His 16 point differential diagnostic map goes into more detail.

The 16 things to work on:

  1. Lyme and co-infections
  2. Immunity
  3. Inflammation
  4. Environmental toxins
  5. Nutrition
  6. Mitochondria
  7. Endocrine system
  8. Neurogenerative disorders
  9. Mental state
  10. Sleep
  11. Autonomic nervous system and POTS
  12. Allergies
  13. Stomach issues
  14. Liver
  15. Pain
  16. Exercise

Diagnosing Lyme

  • We can use ELISA, Western Blot, DNA PCR testing, LTT, or cultures
  • Click for details.
  • Lyme has a preference for eyes, brain tissue, glial cells, heart, collagen, muscle fibers, and membranes around the joints.

My views do not align with Horowitz on the extensive use of pharmaceutical. I may be biased, but I have done fine without any pharmaceuticals. Educate yourself on the dangers of antibiotics before use. Regardless:

Horowitz claims:

  • Patients notice a decrease in pain when put on tetracyclines, quinolones, penicillins, or cephalosporin antibiotics for other infections. Or they may first experience a herx.
  • Many don’t improve with a month of doxycycline or Rocephin.
  • Keep patients on sugar-free diets and supplement with acidophilus and saccharomyces boullardii.
  • Take enzymes for biofilm, as antibiotics don’t work on biofilm.
  • Antibiotics don’t guarantee Lyme-free babies in utero.

Antibiotics for cell wall formation:

  1. Penicillins
  2. Cephalosporins
  3. IV Vancomycin
  4. IV Primaxin

Antibiotics for cystic forms:

  1. Plaquenil
  2. Grapefruit seed extract
  3. Flagyl
  4. Tindamax

Antibiotics for intracellular forms:

  1. Macrolides
  2. Quinolones
  3. Tetracyclines

For more from Horowitz check out:

(My Opinion About This Book)

Hey, if I hadn’t read and re-read it, I would be curious. So if you really want to check out this book, I have affiliate links on my website you can use to go to Amazon where you can get a used copy at a low cost – preferably one that’s already been highlighted by it’s previous user. But if you don’t want to go through the annoying, confusing hassle of reading this book, my notes are succinct and I leave my opinion out. And if I do impose my opinion within my Horowitz pages – I try to make it clear that it’s opinion time.

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6 thoughts on “Horowitz decoded”

  1. Hi 🙂 I just stumbled across your website and appreciate the info. However, I’d like to correct a mistake in this article.

    You write, “Horowitz, first an internist and now an LLMD, belongs to neither camp.” [In reference to the IDSA and ILADS]. This is wrong. Dr. Horowitz *clearly and without a question* belongs to the ILADS camp. He is a founding member of ILADS! Just felt the need to point this out 🙂

  2. Thanks Julia. I’m pretty sure I changed this and got back to you awhile back, but the non-techy goof I am, I have since crashed my blog and was left with an outdated backup to restore.

  3. I’m pretty sure I have read or tried to read every Lyme book published in the last i8 years and your little inexpensive book says it all and more!!! The best books I have are written by Drs. who have had tick borne disease and you!!! Thank for this terrific book……Dian

    1. Wow Dian, your kind words have made my day. I wrote that book and this blog after coming out from many hard years, grateful to see the light and inspired to help. I feel like it’s been so long now since I’ve had to deal with Lyme personally that I can no longer be “a voice” in the field (which is why I rarely publish new content) but I am really happy that once upon a time, I wrote my take on real, legit, lasting recovery. Emphasis on lasting. For me personally, those tools I wrote about paid off long ago and writing that book made it all worth it. I’m so glad that you enjoyed it and I hope there is something in there that you can use to your advantage, be it for yourself or a loved one. Thanks again and a million. Best, Yessi

      1. Yessi, I just discovered your website and am reading this years later in Feb 2018! I’m 25 and I live in Toronto and have been treating Lyme by an ND with antibiotics prescribing rights in BC who I really do like. All my symptoms had been gone for several months and I had stopped treatment, but one has returned recently and has thrust me into a period of fear and depression. Thank you for sharing your personal resources. I just got your ebook on Amazon.

        1. T.dot represent! Several months symptom free is absolutely something to celebrate – cheers to that. Stopping treatment is scary. It’s a wait and see game and it’s not always easy to decipher between Lyme relapses and general body-run-down. I don’t know enough about you to give you an accurate response but I will speak from personal experience. I dealt with Lyme for…years – years of autonomic neuropathy and brain fog and dizziness and joint pain and doctors visits. Sometimes it feels like a distant memory, but I’ve also had colds and tired and achey days and honestly, these moments of weakness scare me. They take me back to my worst days and then I start to think “Shietttt….Lyme is back,” and then a few days later my cold is gone, or I get enough sleep, and I start to feel healthy again. So sometimes that fear is crippling – so much so that it becomes a self fulfilling prophecy. Stress is no joke. Try to stay positive. It’s not uncommon to have a weakened immune system post-abx. Have a strategy. Document how you’re feeling for a few days. Try alternatives such as immune support, sleep, nutrition, some supplements such as vitamin C, B, D, or amino acids such as tyrosine. Try to maintain all the healthy habits you had built while you were in treatment. You’ve come pretty far already so that’s great and your chances of staying in remission are good. I think the most important thing of all is to keep a fighter mentality – be in it to win it, it’s a marathon and all that jazz. Stay strong and have no fear! Check in with your ND soon and shoot me a message if ever you have any questions!