@Hip, that sounds about half right.
I swear, over the years I have found when it come to treating - or trying to treat - no one has more guts than
@Hip .@Hip and
@halcyon have taught me more than I care to admit that bias is bias. Their concept as to the cause of ME/CFS for at least a large subset is smart and undeniable.
Lyme is tough. The only true 100% test is a culture. That is unwieldy and very expensive outside of a biopsy of a bullseye. It just won't work most of the time. The majority of other tests are either indirect or partial tests like PCRs.
PCRs are nice, but not very sensitive. Say about one in five may prove accurate, depending.
The other major tests involve immune responses, such as antibodies or cytokines. There are polemics involved with both.
Ultimately, preferences come into play.
I think they all play a role since a Borrelia diagnosis is such an amorphous thing. Accordingly, the more information you can get, the better. It gets so complicated. This is not a neat equation.
That being said, I like the western blot, but outside of the CDC's parameters. But the western blot - which usually is tied into a specific strain - may come up short for many reasons. Still, that is my favorite.
I also like the C6 for a baseline, but that only works if it picks up the strain, or the patient's immune system hasn't been compromised.