She’s 23. Bright, motivated, kind and always eager to smile. She came to our office after years of searching for answers to her fatigue, body aches, temperature swings, and lightheadedness that started without warning.
Testing eventually revealed she was dealing with Babesia, one of the lesser-known but highly impactful tick-borne co-infections. We started a targeted treatment plan that included antimicrobials, detox support, acupuncture and mitochondrial nutrients. In the first few weeks, she felt hopeful, after having an occipital nerve block done, her headaches were less frequent, she had less body pain and her energy had started to return.
But then something changed.
When she was weeks into her protocol, her mom called the office one Monday morning, worried. Her daughter had become withdrawn, anxious and couldn’t sleep.. She said she felt “like I’m going crazy”. Her heart raced at night. She had dark, intrusive thoughts that made no sense to her. And worst of all, she had stopped her medication without checking in because she felt like she just couldn’t swallow anymore pills—afraid that the treatment was making her worse.
It’s a story I hear often.
What Was Happening?
The medications to kill the parasitic Babesia caused an overall inflammatory response of the brain.
She wasn’t losing her mind. The process of die-off reaction can trigger a wave of inflammation and neurotoxicity—especially in sensitive patients or when infections like Babesia are involved.
Babesia in particular is a red blood cell parasite that releases pro-inflammatory molecules, affects oxygen delivery, and can trigger severe mood and neurologic symptoms. Inflammatory cytokines can cross the blood-brain barrier, activating microglia (the brain’s immune cells) and producing symptoms like:
Panic and paranoia
Intrusive or obsessive thoughts
Nightmares and air hunger
Brain fog, rage, or emotional volatility
These are not just mental health concerns—they’re signs of neuroinflammation. And they are treatable—with the right tools and support.
What Helped Her?
Luckily, her family saw changes and brought her back in. She cried when we explained what was happening—but this time, with relief. She wasn’t broken. Her brain was inflamed, and her nervous system was overwhelmed by the die-off. We sat down together and made a plan:
Paused medications for a few days to let the inflammation calm down
Restarted treatment at a lower dose, with pulsing to avoid overload
Burbur and pinella drops in water to help detox
Continuing her glutathione and binders to support detox
Encouraged her to take her magnesium, L-theanine, and omega-3s to support her brain
Encouraged gentle movement, hydration with electrolyte drinks, acupuncture, salt baths and infrared sauna
But most importantly—we agreed that she would not stop treatment without calling us first. Because when you’re navigating a complex illness, especially one that hides in the nervous system, staying connected to your care team is as important as any prescription.
The Takeaway
Communication is the key to successful treatment…. Don’t assume it means you’re regressing—or broken. It may be a signal that your body is fighting hard—and just needs help navigating the process. Pause. Reach out. Let’s reassess and adjust the plan.
Tick-borne illnesses can affect every part of us—the body, the brain, the mood, and the spirit. But with the right support, healing is possible. And more often than not, you are far stronger and more resilient than you realize.
We are here for you, and we want to help.
Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2
She came to me after years of struggling with chronic fatigue and pain. Her story was one I’ve heard many times, but it’s always deeply frustrating and all too familiar.
From a young age, she was the flexible one. A natural in gymnastics and dance, always praised for her agility and grace. But by her twenties, things started to shift. She began experiencing frequent sprained ankles and joint pain that never quite went away. She went to physical therapy and pushed through the pain to “get stronger.”
Over time, the pain spread—to her back, neck, and hips. Still, she kept going. Every trainer told her pain was part of progress—“no pain, no gain.”
So she kept pushing. Even as the injuries piled up.
Her joints began to dislocate and sublux with basic activities. She bruised easily, struggled to recover from even small cuts, and was repeatedly told she just needed to “build more core strength.” But no matter how hard she trained, her muscles stayed tight, her energy drained. She felt like she was falling apart.
Then came the other symptoms.
Her stomach became unreliable—bloating, pain, and nausea without a clear cause. She often felt dizzy when standing up, her heart racing. She developed strange sensitivities to smells, medications, and foods—once ending up in the ER with a reaction no one could explain. Through it all, she was told it was anxiety. Or stress. Or worse—all in her head.
When she came to the Kaplan Center, she had internalized a damaging belief: that she was lazy. Or weak. That if she just tried harder- maybe eat better, or try another type of exercise she’d feel better.
After a thorough evaluation, I told her I believed she had Hypermobility Ehlers-Danlos Syndrome (hEDS).
She froze. And then the tears came—not from grief, but something else.
“This whole time,” she whispered, “I thought it was my fault.”
What she was really living with was a genetic connective tissue disorder that explained everything. There are many types of EDS and hypermobility is the most common and can also cause:
Anxiety and depression—not from weakness, but from years of pain and dismissal
Suddenly, everything made sense.
At the Kaplan Center, we are well-versed in recognizing and managing EDS. Through careful history-taking, physical exam, and tools like the Beighton Score, we identify the patterns many patients have lived with but never had explained.
We collaborate with:
Our physical therapists specialize in mobility, proprioception, and joint stabilization—so you can learn to support your body instead of pushing through its warning signs.
Our nutritionist, who helps create personalized, protein-rich diets that reduce inflammation, support healing, and address sensitivities.
Acupuncture and craniosacral therapy help untangle the tension and dysregulation that so often live in the muscles and fascia of EDS patients.
We also know how to address the many comorbidities that accompany EDS—like MCAS, POTS, GI issues, and mood symptoms—because they’re not separate problems; they’re all part of the same story.
If you think you may have EDS—or know someone who might—please reach out. You deserve answers. You deserve a plan that honors your body.
And most of all, you deserve to know: it’s not your fault.
We are here for you, and we want to help.
Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2
Missed the webinars? You can still catch our insightful conversations on Long COVID — a condition that continues to affect millions. In these recorded sessions, our experts break down the latest understanding of symptoms, diagnosis, and treatment options, and answer real questions from participants. Whether you’re living with Long COVID or supporting someone who is, this webinar offers insight, hope, and guidance. Watch now and learn more about this complex condition.
Featuring Dr. Gary Kaplan, Medical Director & Founder of Kaplan Center for Integrative Medicine & author of two books, “Why You Are Still Sick” and “Total Recovery: A Revolutionary Approach to Breaking the Cycle of Pain & Depression”, and Nidhi Reva, Physician Assistant and Director of the Kaplan Center’s Long COVID Clinic and recipient of the Arlington, VA 2021 COVID-19 Hero award.
April 22, 2025
Key topics:
Definition & scope of Long COVID
Common symptoms of Long COVID
Overlaps with other chronic illnesses
Immune system dysfunction
Current approaches to diagnosis and treatment
Live Q&A with participants
May 20, 2025
Key topics:
What is Long COVID?
Types of Long COVID (4 main categories)
Possible Causes of Long COVID
Contributing Factors and Susceptibility
Diagnostic Challenges
Comprehensive Evaluation Approach
Treatment Philosophy and Modalities
If you have been experiencing symptoms longer than 6 weeks after the initial onset of your symptoms and would like to speak to someone who can help, please give us a call today.
We will obtain a comprehensive history, recommend complete and appropriate testing and utilize a variety of integrative medicine tools to help with recovery from the ongoing symptoms.
We are here for you, and we want to help.
Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2
“I Think I’m Losing My Mind”: When Treating Tick-Borne Illness Feels Worse Before It Gets Better
/in Conditions, Mental Health, Toxicity/by Nidhi RevaShe’s 23. Bright, motivated, kind and always eager to smile. She came to our office after years of searching for answers to her fatigue, body aches, temperature swings, and lightheadedness that started without warning.
Testing eventually revealed she was dealing with Babesia, one of the lesser-known but highly impactful tick-borne co-infections. We started a targeted treatment plan that included antimicrobials, detox support, acupuncture and mitochondrial nutrients. In the first few weeks, she felt hopeful, after having an occipital nerve block done, her headaches were less frequent, she had less body pain and her energy had started to return.
But then something changed.
When she was weeks into her protocol, her mom called the office one Monday morning, worried. Her daughter had become withdrawn, anxious and couldn’t sleep.. She said she felt “like I’m going crazy”. Her heart raced at night. She had dark, intrusive thoughts that made no sense to her. And worst of all, she had stopped her medication without checking in because she felt like she just couldn’t swallow anymore pills—afraid that the treatment was making her worse.
It’s a story I hear often.
What Was Happening?
The medications to kill the parasitic Babesia caused an overall inflammatory response of the brain.
She wasn’t losing her mind. The process of die-off reaction can trigger a wave of inflammation and neurotoxicity—especially in sensitive patients or when infections like Babesia are involved.
Babesia in particular is a red blood cell parasite that releases pro-inflammatory molecules, affects oxygen delivery, and can trigger severe mood and neurologic symptoms. Inflammatory cytokines can cross the blood-brain barrier, activating microglia (the brain’s immune cells) and producing symptoms like:
These are not just mental health concerns—they’re signs of neuroinflammation. And they are treatable—with the right tools and support.
What Helped Her?
Luckily, her family saw changes and brought her back in. She cried when we explained what was happening—but this time, with relief. She wasn’t broken. Her brain was inflamed, and her nervous system was overwhelmed by the die-off. We sat down together and made a plan:
But most importantly—we agreed that she would not stop treatment without calling us first. Because when you’re navigating a complex illness, especially one that hides in the nervous system, staying connected to your care team is as important as any prescription.
The Takeaway
Communication is the key to successful treatment…. Don’t assume it means you’re regressing—or broken. It may be a signal that your body is fighting hard—and just needs help navigating the process. Pause. Reach out. Let’s reassess and adjust the plan.
Tick-borne illnesses can affect every part of us—the body, the brain, the mood, and the spirit. But with the right support, healing is possible. And more often than not, you are far stronger and more resilient than you realize.
We are here for you, and we want to help.
Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2
A Patient’s Story: From Pushing Herself to Be Stronger—To Acceptance
/in Conditions/by Nidhi RevaShe came to me after years of struggling with chronic fatigue and pain. Her story was one I’ve heard many times, but it’s always deeply frustrating and all too familiar.
From a young age, she was the flexible one. A natural in gymnastics and dance, always praised for her agility and grace. But by her twenties, things started to shift. She began experiencing frequent sprained ankles and joint pain that never quite went away. She went to physical therapy and pushed through the pain to “get stronger.”
Over time, the pain spread—to her back, neck, and hips. Still, she kept going. Every trainer told her pain was part of progress—“no pain, no gain.”
So she kept pushing. Even as the injuries piled up.
Her joints began to dislocate and sublux with basic activities. She bruised easily, struggled to recover from even small cuts, and was repeatedly told she just needed to “build more core strength.” But no matter how hard she trained, her muscles stayed tight, her energy drained. She felt like she was falling apart.
Then came the other symptoms.
Her stomach became unreliable—bloating, pain, and nausea without a clear cause. She often felt dizzy when standing up, her heart racing. She developed strange sensitivities to smells, medications, and foods—once ending up in the ER with a reaction no one could explain. Through it all, she was told it was anxiety. Or stress. Or worse—all in her head.
When she came to the Kaplan Center, she had internalized a damaging belief: that she was lazy. Or weak. That if she just tried harder- maybe eat better, or try another type of exercise she’d feel better.
After a thorough evaluation, I told her I believed she had Hypermobility Ehlers-Danlos Syndrome (hEDS).
She froze. And then the tears came—not from grief, but something else.
“This whole time,” she whispered, “I thought it was my fault.”
What she was really living with was a genetic connective tissue disorder that explained everything. There are many types of EDS and hypermobility is the most common and can also cause:
Suddenly, everything made sense.
At the Kaplan Center, we are well-versed in recognizing and managing EDS. Through careful history-taking, physical exam, and tools like the Beighton Score, we identify the patterns many patients have lived with but never had explained.
We collaborate with:
We also know how to address the many comorbidities that accompany EDS—like MCAS, POTS, GI issues, and mood symptoms—because they’re not separate problems; they’re all part of the same story.
If you think you may have EDS—or know someone who might—please reach out. You deserve answers. You deserve a plan that honors your body.
And most of all, you deserve to know: it’s not your fault.
We are here for you, and we want to help.
Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2
Long COVID Webinar and Q&A
/in COVID-19, Long Covid/by Kaplan CenterMissed the webinars? You can still catch our insightful conversations on Long COVID — a condition that continues to affect millions. In these recorded sessions, our experts break down the latest understanding of symptoms, diagnosis, and treatment options, and answer real questions from participants. Whether you’re living with Long COVID or supporting someone who is, this webinar offers insight, hope, and guidance. Watch now and learn more about this complex condition.
Featuring Dr. Gary Kaplan, Medical Director & Founder of Kaplan Center for Integrative Medicine & author of two books, “Why You Are Still Sick” and “Total Recovery: A Revolutionary Approach to Breaking the Cycle of Pain & Depression”, and Nidhi Reva, Physician Assistant and Director of the Kaplan Center’s Long COVID Clinic and recipient of the Arlington, VA 2021 COVID-19 Hero award.
April 22, 2025
Key topics:
May 20, 2025
Key topics:
If you have been experiencing symptoms longer than 6 weeks after the initial onset of your symptoms and would like to speak to someone who can help, please give us a call today.
We will obtain a comprehensive history, recommend complete and appropriate testing and utilize a variety of integrative medicine tools to help with recovery from the ongoing symptoms.
We are here for you, and we want to help.
Our goal is to return you to optimal health as soon as possible. To schedule an appointment please call: 703-532-4892 x2