The Question is how to deal with the rest of the symptoms while taking a high doses of oral Doxicycline?

1. Sheet 1
Analysis of the progress
of an antibiotic therapy to control
the typical symptoms of the Lyme borreliosis
infection of G. Torbohm

2. Sheet 2
The meaning of the following numbers
0 = no symptoms
1 = low symptoms
2 = constant mild symptoms
3 = constant symptoms
4 = constant strong Symptoms
5 = deep impact on ability to work
6 = heavy impact on ability to anything
7 = etc…

3. Sheet 3 Data basis for the following analysis of progress in a case of Lyme
borreliosis. February 2009
Symptoms of Gunnar Torbohm
Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
Arthritis in knees, elbows etc. 2 3 4 3 3 4 3 4 2 3 3 2 3 2 3 3 4 5 5 4 3 2 1 0 0 0 0 0
Stiff or painful neck 3 3 2 2 2 3 3 2 2 3 3 3 2 2 2 3 2 2 2 2 3 3 2 2 1 1 1 1
Meningitis infection 4 4 3 3 3 4 3 3 3 3 3 4 3 3 3 3 3 4 3 3 3 2 2 1 1 1 1 1
Constant headache 4 4 3 3 3 4 4 3 3 3 4 4 3 3 3 4 5 5 4 4 3 2 1 0 0 0 0 0
Missing ability to concentrate 2 4 2 1 1 4 4 1 1 1 3 2 1 1 2 0 2 4 4 4 3 1 0 0 0 0 0 0
Brain fog 2 4 2 1 1 4 4 1 1 1 3 2 1 1 2 0 2 4 4 4 3 1 0 0 0 0 0 0
Fatigue 2 3 2 2 3 3 2 2 3 3 2 2 2 3 2 2 5 5 5 3 2 2 1 0 0 0 0 0
Missing energy in the morning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Numbness in face/extremities 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Conjunctivitis night + morning 4 3 3 4 4 3 3 4 4 4 3 3 4 3 3 4 5 5 6 5 4 4 2 2 2 2 2 2
Irritable bladder 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 4 4 4 4 4 4 4 4 4 4 4
Constant pain in liver 3 3 3 2 2 2 1 1 2 2 2 3 2 2 2 2 3 3 2 1 0 0 0 0 0 0 0 0
Muscle pain or cramps 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 4 4 3 3 2 0 0 0 0 0
Pain in prostate gland 2 2 1 1 1 2 2 1 1 2 2 1 1 2 1 1 2 2 2 3 3 4 4 4 3 3 3 2
Quality of sleep in the night 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Verbal competencies 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Missing energy during day 4 0 0 3 3 4 3 2 4 3 2 2 0 2 4 2 5 4 5 5 4 3 4 3 3 2 1 1
Tachycardia; racing heart at night 2 2 2 2 1 1 1 1 2 2 2 1 1 1 2 2 3 3 3 3 2 2 2 2 1 1 0 0
Bone pain, joint pain 2 2 3 2 2 2 3 3 2 2 2 3 2 2 2 2 4 5 4 3 2 1 0 0 0 0 0 0
Pain in the region of the heart 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Shortness of breath 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Serious stomach problems 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 3 1
Fungal infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3 4 3 2 1
Therapy 1 Doxycycline 400 mg/d, 2X2, 9:00am/9:00pm
Nothing at all for about 24 months
Therapy 2 Fluconazol 200mg/d X X
Accumulation 38 39 32 31 31 42 38 30 32 34 36 34 27 29 33 31 51 59 57 52 42 34 26 21 24 22 17 13
Specials A B C
Mo.
Mo.
Mo.
Mo.
Do.
Do.
Do.
Do.
Mi.
Mi.
Mi.
Mi.
So.
So.
So.
So.
Di.
Sa.
Di.
Di.
Di.
Sa.
Sa.
Sa.
Fr.
Fr.
Fr.
Fr.
Day of the week:

4. Sheet 4 Data basis for the following analysis of progress in a case of Lyme
borreliosis. March 2009
Symptoms of G. Torbohm
Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Arthritis in knees, elbows etc. 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Stiff or painful neck 1 1 1 1 1 1 0 0 0 0 1 1 1 1 2 2 2 2 2 1 1 1 1 1 2 3 3 2 2 2 2
Meningitis infection 1 1 1 1 1 1 1 1 2 2 2 2 3 3 3 3 3 3 3 2 2 2 2 2 3 4 4 4 3 2 3
Constant headache 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 1 1
Missing ability to concentrate 0 0 0 0 0 0 0 0 0 0 1 1 2 2 2 2 2 2 2 2 1 1 1 0 1 2 2 2 1 0 1
Brain fog 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 2 2 1 0 0
Fatigue 0 0 0 0 0 0 0 0 0 3 3 1 0 0 0 0 0 0 0 0 0 0 0 0 1 2 2 2 1 0 0
Missing energy in the morning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Numbness in face/extremities 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Conjunctivitis night + morning 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Irritable bladder 4 3 2 2 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 2 2 1 1
Constant pain in liver 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Muscle pain or cramps 0 0 0 0 0 0 4 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pain in prostate gland 2 1 1 1 1 1 1 1 1 1 0 0 0 1 0 0 1 0 0 1 0 0 0 0 1 2 1 0 0 1 1
Quality of sleep in the night 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Verbal competencies 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Missing energy during day 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 2 2 2 2 1 0 0
Tachycardia; racing heart at night 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 2 1 2
Bone pain, joint pain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pain in the region of the heart 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 2
Shortness of breath 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Serious stomach problems 2 3 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 1 1
Fungal infection 1 0 0 0 0 0 0 0 2 3 3 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ? ?
Therapie 1 2X200 mg/d ----------Doxycycline 300 mg/d 3X1------------ 2 X 200 mg/d Doxycycline 9:00am/9:00pm
Therapie 2 Fluconazol 100mg/d !!! X X
accumulation 14 11 11 11 5 5 8 6 8 12 11 7 8 9 9 9 10 10 9 8 7 6 8 8 15 22 23 21 15 7 6
specials D E F G Photo-toxic-reaction on the nose H
Mo.
Mo.
Mo.
Mo.
Mo.
Do.
Do.
Do.
Do.
Mi.
Mi.
Mi.
Mi.
So.
So.
So.
So.
So.
Sa.
Sa.
Di.
Di.
Sa.
Di.
Sa.
Di.
Di.
Fr.
Fr.
Fr.
Fr.
day of the week:

5. Sheet 5 Data basis for the following analysis of progress in a case of Lyme
borreliosis April 2009
Symptoms of G. Torbohm
day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Arthritis in knees, elbows etc. 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Stiff or painful neck 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
Meningitis infection 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
Constant headache 2 2 2 2 1 1 1 1 2 2 2 1 1 2 2 2 2 2
Missing ability to concentrate 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Brain fog 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Fatigue 4 2 0 0 2 1 0 0 2 0 0 0 2 0 2 2 0 2
Missing energy in the morning 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Numbness in face/extremities 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Conjunctivitis night + morning 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Irritable bladder 1 1 1 1 1 0 0 0 1 1 1 0 0 0 1 1 1 0
Constant pain in liver 0 0 1 1 1 1 0 0 1 0 0 1 1 0 0 1 1 1
Muscle pain or cramps 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pain in prostate gland 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Quality of sleep in the night 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Verbal competencies 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Missing energy during day 2 1 0 0 0 0 0 0 2 0 0 2 2 0 0 2 2 1
Tachycardia; racing heart at night 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Bone pain, joint pain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pain in the region of the heart 2 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Shortness of breath 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Serious stomach problems 4 3 2 1 0 0 0 0 1 1 0 1 1 1 1 0 0 0
Fungal infection ? ? ? ? ? ? ? 0 0 0 0 0 0 0 0 0 0 0
Therapie 1 Doxycycline 400mg
Therapie 2 Fluconazol X X X X X .
accumulation 17 13 10 10 11 10 8 8 14 9 9 11 13 9 11 14 12 13
specials I
Mo.
Mo.
Mo.
Mo.
Do.
Do.
Do.
Do.
Do.
Mi.
Mi.
Mi.
Mi.
Mi.
So.
So.
So.
So.
Sa.
Sa.
Di.
Di.
Sa.
Di.
Sa.
Di.
Fr.
Fr.
Fr.
Fr.
day of the week:

6. Sheet 6 Specials
A: Start of Doxycycline 300-400 mg a day.
B: 4 days in bed, sleeping, strong pains, poor concentration…
C: Symptoms of fungal infection
D: Serious stomach problems  change from 400 (2X2) to 300 mg
(100X3)!!!
E: First time dancing after 15 jeers
F: Symptoms of fungal infection
G: Photo-toxic-reaction on the nose
H: 2 days in bed, sleeping, strong pains, poor concentration…
I: There is a microbiological, scientific explanation behind the rest of the
symptoms!?

7. Sheet 7 - Overview without further information
Graphic analysis of a therapy period with Doxicycline under the
Diagnosis of a Lyme disease infection of Mr G. Torbohm starting on
the16th February 2009.
Serie1
A B C D E F H
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 53 55 57 59

8. Sheet 8 - The level of Doxicycline and the progress of the symptoms
Graphic analysis of a therapy period with Doxicycline under the Diagnosis
of a Lyme disease infection of Mr G. Torbohm starting on 16 February
2009.
Start
Serie1
February March 09
2 X 200 mg Doxycyclin / d 3 X 100 mg Doxycyclin / d 2 X 200 mg Doxycyclin / d
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 53 55 57 59

9. Sheet 9 - Moments of a rising level in the symptoms
Graphic analysis of a therapy period with Doxicycline under the
Diagnosis of a Lyme disease infection of Mr G. Torbohm starting on
16 February 2009.
Serie1
Start
February March 09
? ? ? ?
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 53 55 57 59

10. Sheet 10 Explanations of the rising level of symptoms
Graphic analysis of a therapy period with Doxicycline under the Diagnosis
of a Lyme disease infection of Mr G. Torbohm starting on 16 February
2009.
Serie1
Start
February March 09 Why is the progress stopping ?
Herxheimer- Fluconazol
Reaction ?
Disco
Fluconazol
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 53 55 57 59

11. Sheet 11 - Overview of progress without further information
from the16th February to the 18th of April 2009.
The Question is how to deal with the rest of the symptoms while
taking a high doses of oral Doxicycline?
?
February March April
1 4 7 10 13 16 19 22 25 28 31 34 37 40 43 46 49 52 55 58 61 64 67 70 73 76

12. Sheet 12
The current treatment started after two
years without any pharmaceutics therapy
at all.
Lets have a closer look on some of the
symptoms at the beginning of the therapy
and their response to Doxycycline.

13. The beginning of the therapy cycle on the 16the of February 09.
Sheet 13
The red arrow represents the progress in a short form 
Symptoms of: Gunnar Torbohm
Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
Arthritis in knees,
elbows etc.
2 3 4 3 3 4 3 4 2 3 3 2 3 2 3 3 4 5 5 4 3 2 1 0 0 0 0 0 ?
Stiff or painful neck 3 3 2 2 2 3 3 2 2 3 3 3 2 2 2 3 2 2 2 2 3 3 2 2 1 1 1 1 ?
Meningitis infection 4 4 3 3 3 4 3 3 3 3 3 4 3 3 3 3 3 4 3 3 3 2 2 1 1 1 1 1 ?
Constant headache 4 4 3 3 3 4 4 3 3 3 4 4 3 3 3 4 5 5 4 4 3 2 1 0 0 0 0 0 ?
Missing ability to ?
concentrate
2 4 2 1 1 4 4 1 1 1 3 2 1 1 2 0 2 4 4 4 3 1 0 0 0 0 0 0
Fatigue 2 3 2 2 3 3 2 2 3 3 2 2 2 3 2 2 5 5 5 3 2 2 1 0 0 0 0 0 ?
Conjunctivitis night + ?
morning
4 3 3 4 4 3 3 4 4 4 3 3 4 3 3 4 5 5 6 5 4 4 2 2 2 2 2 2
Constant pain in liver 3 3 3 2 2 2 1 1 2 2 2 3 2 2 2 2 3 3 2 1 0 0 0 0 0 0 0 0 ?
Muscle pain or ?X
cramps
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 4 4 4 3 3 2 0 0 0 0 0
Pain in prostate ?
gland
2 2 1 1 1 2 2 1 1 2 2 1 1 2 1 1 2 2 2 3 3 4 4 4 3 3 3 2
Missing energy ?
during day
4 0 0 3 3 4 3 2 4 3 2 2 0 2 4 2 5 4 5 5 4 3 4 3 3 2 1 1
Bone pain, joint pain 2 2 3 2 2 2 3 3 2 2 2 3 2 2 2 2 4 5 4 3 2 1 0 0 0 0 0 0 ?
Accumulation 38 39 32 31 31 42 38 30 32 34 36 34 27 29 33 31 51 59 57 52 42 34 26 21 24 22 17 13 

14. Sheet 14
Lets have a closer look to the symptoms
are left under a powerful Doxycycline
therapy and their location in the different
body systems after about 60 Days of
treatment.

15. Sheet 15
The red arrow represents the progress in a short form.
The X symbolises a non significant progress of a symptom.
Symptoms of: Gunnar Torbohm in April 2009
Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
Arthritis in knees, etc. 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 
Stiff or painful neck 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2  ?
Meningitis infection 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2  ?
Constant headache 2 2 2 2 1 1 1 1 2 2 2 1 1 2 2 2 2 2  ?
Concentration 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0X
Fatigue 4 2 0 0 2 1 0 0 2 0 0 0 2 0 2 2 0 2  ?
Conjunctivitis 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1  ?
Constant pain in liver 0 0 1 1 1 1 0 0 1 0 0 1 1 0 0 1 1 1  ?
Muscle pain or cramps 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0X
Pain in prostate gland 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1  ?
Missing energy during ?
2 1 0 0 0 0 0 0 2 0 0 2 2 0 0 2 2 1 
day
Bone pain, joint pain 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0X
Accumulation 17 13 10 10 11 10 8 8 14 9 9 11 13 9 11 14 12 13 

16. Sheet 16
It seems that some of the persistent
symptoms are related to the brain-blood-barrier.
This also explains the symptoms in the prostate
gland and the conjunctivitis!
Nervous system Joints
• Stiff or painful neck • Arthritis in knees, etc.
• Meningitis infection • Stiff or painful neck
• Constant headache
• Fatigue
• Conjunctivitis
• Pain in prostate gland
• Missing energy during day

17. Sheet 17
To me there occur two questions
I would like to ask you as my doctor.
Is there evident research on
the effectiveness of different antibiotics
and their concentrations including Doxycycline
to eradicate different genospecies of
Borrelia burgdorferi sensu lato?
&
How to get a constant and significant
influence on the persisting symptoms?

18. Sheet 18
The answer to the first question is yes:
The Dissertation of Dr. Martin Sicklinger
analyses the in-vitro-sensitivity of
Borrelia burgdorferi sensu lato
against four different Antibiotics.
A comparison of genospecies
Borrelia afzelii,
Borrelia garinii and
Borrelia burgdorferi sensu stricto.
University of Munich 2006

19. Sheet 19
Abstract of this Dissertation
•Amoxicillin was especially effective against Borrelia
burgdorferi sensu stricto,
•Azithromycin showed very good results against
Borrelia garinii,
•while Borrelia afzelii reacted very sensitive to
Ceftriaxon.
•Doxycycline showed evidently worse results in this
in-vitro-test and on top of that the highest range of
clusters in the test results.

20. Sheet 20
The answer to the second question is still open.
Please give me advise about the next steps of treatment.
Dr. Powell
New Hayesbank Surgery, Bybrook, Kennington,
Ashford, Kent, TN24 9JZ
is still open to support my therapy and asks for advice too.
It would be helpful if you could send a short letter of advice.