Physician-led by Dr. Dalal Akoury, MD, MPH Board-Certified (Pediatrics) Fellowship-trained, St. Jude & Emory Published Author & International Speaker 40+ Years of Clinical Experience نتحدث العربية
Educational content only, not medical advice. Individual experiences vary. ☎ (423) 430-6170
Dr. Dalal Akoury, MD, MPH · 40+ Years of Clinical Experience

Lyme Disease Support in Johnson City, TN

Personalized care rooted in understanding, not promises: physician-led supportive care for adults with Lyme disease, alongside the treatment prescribed by their own physician.

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The information provided on this website is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Individual experiences vary. Please consult your licensed healthcare provider before making medical decisions.

Dr. Dalal Akoury listening to a woman discussing fatigue and knee discomfort at AWAREmed in Johnson City, Tennessee.Illustrative image; not an actual patient.
Overview

What is Lyme Disease?

Lyme disease is an infection caused by the bacterium Borrelia burgdorferi, which is transmitted to humans through the bite of infected blacklegged ticks (also known as deer ticks).

Supportive and adjunctive care alongside conventional medical treatment.

Common Symptoms

Symptoms of Lyme disease can vary but may include:

  • Fever
  • Headache
  • Fatigue
  • A characteristic skin rash called erythema migrans

If left untreated, the infection may occasionally affect the joints, heart, or nervous system.

Diagnosis

Lyme disease is diagnosed based on:

  • Symptoms and physical findings (such as the characteristic rash)
  • Possible exposure to infected ticks
  • Laboratory testing using validated methods (used in combination with clinical evaluation)

Treatment

Most cases of Lyme disease can be treated successfully with a course of antibiotics under the supervision of a healthcare provider.

Prevention

Steps to reduce the risk of Lyme disease include:

  • Using insect repellent when in areas where ticks are common
  • Promptly removing ticks from the skin
  • Applying pesticides where appropriate
  • Reducing tick habitats around homes and outdoor areas

Note: Ticks that carry Lyme disease may occasionally transmit other tick-borne illnesses as well. Always consult a healthcare provider for evaluation if you suspect tick exposure or Lyme disease.

Natural and Supportive Approaches Alongside Lyme Disease Treatment

Lyme disease, caused by Borrelia burgdorferi and transmitted through infected ticks, is found across the United States and globally. Awareness and early recognition are important because symptoms can vary and sometimes resemble other conditions.

Understanding some of the myths about Lyme disease is an important step toward prevention and timely medical care. Efforts are being made to spread awareness and education about this illness. One of the biggest challenges with Lyme disease is that it can be difficult to get a confirmed diagnosis without a known tick bite or the appearance of the classic “bull’s eye” rash. There are many different skin rashes that are associated with Lyme disease, however, and some are easily mistaken for skin infections or other insect bites.

Symptoms That Can Overlap With Other Conditions

Symptoms may include:

  • Fatigue or low energy
  • Difficulty with memory or concentration
  • Muscle and joint aches
  • Palpitations or irregular heartbeats
  • Headaches or migraines
  • Sleep disturbances such as insomnia
  • Numbness or tingling sensations
  • Mood changes, including irritability, anxiety, or depression

Note: Not all patients develop the classic “bull’s-eye” rash. Symptoms can appear in different ways and may overlap with other conditions, which is why Lyme disease is sometimes called “the great imitator.”

Supportive and Holistic Approaches

Lyme disease is treated with antibiotics prescribed by a physician. At AWAREmed, supportive care is offered alongside this standard treatment, never in place of it. Holistic approaches may complement conventional care by supporting overall wellness. Supportive strategies may include:

  • Herbal protocols – Some herbal therapies, including traditional Chinese herbs, may support wellness in consultation with a qualified practitioner.
  • Acupuncture – May support circulation and may help with discomfort or pain.
  • Nutrition – A balanced, nutrient-rich diet helps maintain overall health and may support the body’s natural defenses.
  • Supportive therapies – May help support comfort and the body’s natural detoxification processes during medical treatment of the infection.
Important: Natural or holistic therapies are supportive measures and should be used in conjunction with medical supervision. They are not a standalone treatment for Lyme disease. Always consult a qualified healthcare provider for diagnosis and treatment of Lyme disease.

Symptoms of Lyme Disease

First recognized in 1975 when a group of children living near Lyme, Connecticut became ill with arthritis, Lyme disease has since been reported in nearly all 50 states. Within a few days to several weeks after being bitten by an infected tick, most people (about 70 to 80 percent, according to the CDC) develop a red, expanding rash around the bite. The center of the rash may clear as it grows giving the appearance of a bulls-eye pattern. The rash may feel warm, but it is usually not painful or itchy. Other symptoms in the early stage of Lyme disease may include the following:

  • Fatigue
  • Fever
  • Chills
  • Joint pain
  • Muscle aches
  • Headaches
  • Stiff necks
  • Swollen lymph nodes

Later stages of Lyme disease can be serious and may include long-lasting symptoms such as:

  • Arthritis in the arms and legs
  • Memory loss
  • Numbness in hands, arms, legs, and feet

Lyme disease is usually treated with a course of antibiotics; the type and length of the course depend on the stage of the illness and are decided by your physician. Antibiotics are usually taken by mouth, but in severe or advanced cases of Lyme disease, they may be given by injection. Early diagnosis and treatment are important: if treatment is delayed, recovery may take longer and symptoms may last for months or even years. That is why it is important to see a physician promptly. Dr. Dalal Akoury, MD, MPH, and the AWAREmed team offer supportive care alongside the antibiotic treatment prescribed by your physician.

Lyme disease is caused by Borrelia burgdorferi, which is carried by Ixodes scapularis or Ixodes pacificus ticks. These ticks are primarily found in the northeast, northwest, and upper Midwest of the United States. However, such ticks are also found globally in bushy areas. We can reduce the risk of Lyme disease by staying away from tick-infested areas. If this is not possible for whatever reason, outdoor enthusiasts should wear long pants tucked into their socks and a long-sleeved shirt tucked into their pants. In the event a tick bites you, it should be removed carefully without delay by inserting tweezers between the tick and the skin and lifting gently. In most cases, a tick needs to be attached to the skin for 36 to 48 hours or more to transmit the disease, which is why prompt removal matters.

When neurologic symptoms occur, they are probably triggered by the direct action of the bacterium and an immunologic reaction. Many people who live with lingering Lyme disease symptoms deal with fatigue and pain from day to day. Ordinary tasks can become challenging and stressful, leading some individuals to self-medicate with drugs and alcohol, which can be addictive.

Who This May Be Appropriate For

This supportive service may be appropriate for:

  • Adults who have been diagnosed with Lyme disease and want supportive care alongside the antibiotic treatment prescribed by their physician
  • People with lingering symptoms such as fatigue, joint aches, or sleep changes after Lyme disease treatment who want a physician-led review
  • Those looking for a physician-led evaluation of symptoms that may overlap with other conditions, in coordination with their other physicians
  • People who want education on nutrition and lifestyle strategies that may support overall wellness
  • Adults who want to keep their primary care and specialist physicians informed and involved in their care

A consultation with Dr. Akoury helps decide whether this service is a good fit for you. It is not a substitute for emergency care or for care from your primary care or specialist physicians.

What to Expect at AWAREmed

Your first step is a consultation with Dr. Akoury. She reviews your symptoms, medical history and previous lab work. Based on this review, she may suggest a personalized, supportive plan, which may include nutrition and lifestyle guidance, alongside the antibiotic treatment and care prescribed by your own physicians.

Learn more about Dr. Akoury's background and integrative approach.

Request Your Appointment Today

To request your appointment, please call (423) 430-6170 or contact us online.

See also: Chronic Fatigue and Functional Medicine, or book a consultation.

Related reading: Living with chronic fatigue syndrome: a practical guide

Frequently Asked Questions

What is the focus of the Lyme disease education at AWAREmed?+
Our educational approach focuses on the complexity of Lyme disease as a multi-systemic illness. Under the supervision of Dr. Akoury, we provide information on how precision medicine may be used to help assess the immune, neurological, and inflammatory impacts of Borrelia burgdorferi and associated co-infections.
Why is Lyme disease often referred to as "The Great Imitator"?+
Lyme disease earned this title because its symptoms—such as fatigue, joint pain, and cognitive "brain fog"—can resemble many other conditions like fibromyalgia, MS, or chronic fatigue syndrome. Our physician-led assessments focus on navigating these complexities, in coordination with your other physicians, to help clarify what may be contributing to your symptoms.
How may precision medicine add to the assessment of Lyme disease?+
Precision medicine uses individualized assessments alongside standard testing, which can sometimes yield false negatives, especially early in the infection. Reviewing a patient’s history, symptoms, and unique immune response may help provide a more detailed educational roadmap for supporting overall wellness.
How does AWAREmed support people with chronic or late-stage Lyme disease?+
AWAREmed does not claim to treat Lyme disease, and no specific outcome is promised. Lyme disease is treated with antibiotics prescribed by a physician. Our services are educational and supportive, focusing on integrative strategies that may help support the body's natural defenses and physiological balance under medical oversight.
Who oversees the Lyme-related clinical assessments at the center?+
Every assessment is physician-led and conducted by Dr. Akoury, a licensed Medical Doctor with over 40 years of experience. Her background in oncology and complex cellular health informs her careful clinical oversight for patients dealing with persistent wellness challenges.
Should I continue seeing my infectious disease specialist or GP?+
Yes, it is essential to maintain regular care with your primary or specialty physicians. Our integrative services are designed to be complementary and educational; they do not replace conventional antibiotic treatments or the medical management provided by your existing healthcare team.
What role does "Detoxification" play in Lyme disease support?+
Some people with Lyme disease experience "die-off" reactions or feel unwell during treatment. We provide evidence-informed education on how supportive care may help support comfort and the body’s natural detoxification processes during the wellness journey, alongside the treatment prescribed by your physician.
How does AWAREmed approach safety for patients with Lyme-related sensitivities?+
Safety is a priority, supported by close medical supervision and a careful review of the patient's history. Dr. Akoury’s evidence-informed approach aims to apply all supportive and nutritional protocols carefully and transparently within a professional medical framework.
What can I expect during an individualized Lyme assessment?+
You can expect a comprehensive clinical review of your symptoms, history, and previous lab work led by Dr. Akoury. This individualized assessment serves as the foundation for a supportive educational plan tailored to your specific physiological needs.
How can I begin the educational process for my Lyme concerns?+
The process begins with a detailed application followed by a clinical consultation with Dr. Akoury. This allows our team to determine how our physician-led, precision medicine approach can best provide the supportive education you need for your wellness journey.
Why AWAREmed

Why Patients Choose AWAREmed in Johnson City, TN

Physician-Led Care

Every plan starts with an evaluation by Dr. Dalal Akoury, MD, MPH.

A Personalized Approach

Care is shaped around your health history, your goals and your daily life.

Works With Your Doctors

Integrative, supportive care alongside your primary and specialty physicians.

In Person or Virtual

Visits at our Johnson City office; consultations can also take place online where licensing rules allow.

Dr. Dalal Akoury, MD, MPH, integrative medicine physician in Johnson City, Tennessee

Meet Dr. Dalal Akoury, MD, MPH

Founder and Medical Director of AWAREmed Health and Wellness Resource Center.

Learn more about Dr. Akoury

Visit Us in Johnson City, Tennessee

AWAREmed Health and Wellness Resource Center
1604 Lamons Lane, Suite 202
Johnson City, TN 37604
(423) 430-6170

We welcome patients from Johnson City, Kingsport, Bristol, Greeneville and the surrounding Tri-Cities area, and we also offer virtual visits.

Ready to Begin?

Take the First Step Toward Personalized Care

Book an appointment with Dr. Dalal Akoury, MD, MPH to discuss a personalized, whole-person care plan.