Conversation: The conversation between human and AI assistant.
[|Human|] I have Lyme disease and going through peri-menopause at the same time. I was on Estrodial/Testosterone shots and they worked great, but became too expensive. Now I am trying Estroven weight management w/ Black Cohosh and Soy and Synetrim CQ. I also take Prozac, Ativan and Armour Thyroid. I am seem to be totally exhausted after taking the Estroven for a few days. Could I be having Serotonin and Synetrim CQ interactions/? Thank you, Alison
[|AI|]  Hello, Welcome to Chat Doctor, As you were diagnosed to have Lyme disease which is an infectious disease caused by Cordelia bacteria, and it is a tick borne disease transmitted to humans by the bite of infected ticks. The symptoms are suggestive of the Lyme disease. I would suggest oral doxycycline, if you have taken this and if there is resistant to this you can take either cefuroxime or azithromycin. These medications should be taken for at least one to four weeks. You need a few tests including labs to check his kidney function and an ultrasound of the kidney area and a urine culture to rule out an infection. I think the best way to do this would be to go the primary doctor again and tell him or her the new symptoms. Thank you.