9001 Wilshire Boulevard, Suite 308, Beverly Hills, CA 90211

TEL: (310) 504-3700     FAX: (310) 919-1199

Erica Lehman, MD


About Lyme Disease


Lyme disease is an infectious bacterial disease caused by the spiral-shaped bacteria (spirochete) known as Borrelia burgdorferi. There are approximately 300 strains of Borrelia worldwide which instigate varied symptoms and add to the difficulty of testing and diagnosis.


Lyme Borrelia are often transmitted along with other micro-organisms known as Co-infections. These are opportunistic parasites, viruses, and other pathogens which may include, but are not limited to:


• Coxiella burnetii

• Tick-borne Relapsing Fever (TBRF)

• Powassan Virus

• Cytomegalovirus

• Toxoplasmosis

• Bruscella

• Anaplasma

• Babesia

• Bartonella

• Chlyamydia Pneumoniae

• Epstein-Barr Virus

• Erlichia

• HH6V

• Mycoplasma

• Rocky Mountain Spotted Fever

• Tularemia


In many cases, an infectious bacterial load is complicated by other issues. Food sensitivities, heavy metal or mold toxicity, gastrointestinal disorders, liver, hormonal, or mitochondrial dysfunction, or chronic inflammation can often worsen Lyme symptoms. These require a complex, individualized treatment plan.


We listen carefully to each patient's medical history to develop a clinical assessment. We use laboratory testing to aid in an integrative diagnosis and treatment plan. As each patient presents a different set of Lyme symptoms, protocols are designed specifically per patient.


Our approach to Lyme disease treatment stems from various modalities. We use combinations of antibiotics, herbal supplements, pharmaceuticals, dietary changes, IV treatments, and homeopathies.



About Lyme Testing


Currently, the CDC test for the bacteria that causes Lyme disease (Borrelia burgderfori) measures antibodies our body makes against the microorganism. This test focuses on a single strain, B31, which is mainly associated with arthritic symptoms. However, there are 12 known genospecies. One of these genospecies has over 100 strains in the United States and 300 strains worldwide. Only one strain is included in the current test.


Due to testing problems, less than one 1 out of 2 people who have Lyme have a positive test. The Centers for Disease Control (CDC) has advised physicians that Lyme disease should be diagnosed based on the patient’s clinical symptoms and not the laboratory test. The laboratory test is merely used to report cases as a field study to the CDC, which is much different from treating a sick person.



About False-Negative Test Results


Learn about why someone may have a false-negative test result. Click here.



Lyme Disease In California and The United States


Statewide Integrated Pest Management Program Report On Lyme Disease in California (PDF)

University of California, Agriculture and Natural Resources


Map of Lyme Positive Ticks

Los Angeles County West Vector and Vector-Borne Disease Control District


Lyme disease is in all 50 states!

Quest Diagnostics findings from over six million Lyme disease lab tests

Lyme Disease Prevention


Walk in the middle of trails. Avoid sitting on logs and leaning on trees. Wear a hat, tuck in hair if possible. Wear a long-sleeved shirt fitted at the wrist. Wear shoes, no bare feet or sandals. Wear long pants tucked into high socks. Consider DEET for skin and permethrin for clothes. Do tick checks immediately and then again 3 days after outdoor activity. Taking a shower reduces chances of missed ticks as they often travel to warm protected areas of the body. If you find a tick, remove it carefully (see below) and save it. Ask your vet about protection for your companion animals. Click here for a PDF of these tips.


Try Damminix Tick Tubes. Studies have shown that Damminix Tick Tubes reduces the risk of exposure to an infected tick by up to 97% on a treated property. Go to ticktubes.com for more info.

Tick Removal


Remove tick with tweezers. It's very important to get as close to the skin as possible and pull straight out. Save the tick in a sealed container for testing. Tick testing is available through IGeneX Labs.


Specially designed tick tweezers are available for purchase from TickEase.

Tick Tracker


In July of 2017, 13-year-old Olivia (also the founder of LivLyme Foundation) was on vacation in Missouri with her family. While outside Olivia noticed a tick on her dog, Mo (short for Missouri). Olivia & her mom watched the tick start to burrow into Mo’s leg. They quickly found needle nose tweezers to properly remove the tick from Mo. As Olivia was removing the tick she asked her mom, “Is there an app that can show what ticks are around us?” That night Olivia looked online and found that currently there was no app to help track, report, and educate people about ticks. This gave Olivia the idea to create the TickTracker app to help keep everyone safe. Check it out here.

Lyme Research


Our clinic has compiled an extensive listing of Peer-Reviewed Lyme research papers. Read them here.

Quick Links

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DISCLAIMER: Content on this site is not intended to constitute a medical diagnosis or treatment. Please see a medical professional in order to obtain specific advice for your medical conditions.