i just had my first (skype) appt with Dr. Ty Vincent, and i liked him.
fyi, i do not think the charges are out of control. most lyme literate doctors who do integrative medicine in the northeast of the USA charge about $400-500 for the first appt, if they don't take insurance. and that is the case with Dr. Vincent. it cost me $500 for 1 hr (and 22 minutes) of his time.
(I know a patient who went to a well-known ME and lyme doc in calif, and she paid $900 for the first appt!)
and the antigen doses (which are in syringes, but you take them not as shots but as sublingual liquid) will be shipped for $100. that is for the antigen doses and the shipping/handling. they charge is technically for the shipping/handling. but what they are sending will last me a few months for sure. you can only take a (sublingual) dose once every other week or so, if you have no reaction. if you have a bad reaction, you must wait 7 wks for your immune system to settle back down (my words, not dr vincent's) before you do another weaker dose.
if you have a good reaction, i don't recall how long you wait until your next dose.
you start with a low strength dose and increase the strength if you don't respond to the lower strength/dose. it takes time. but if you get the exact right strength for your particular body, then you feel better, and that is your "right" strength/dose.
i am starting with EBV and mycoplasma, not with lyme, antigens. he came to his conclusion after i told him my history.
also, re: $, after the first appt, you do not pay anything for the weekly email check in with the nurse. from what i understand, if you have questions not related to you doing better or worse, that is when they ask for $25-50 for an email reply.
i'm excited. i hope this works for me. and for others who are doing it.