{"id":528,"date":"2018-08-13T16:34:49","date_gmt":"2018-08-13T14:34:49","guid":{"rendered":"https:\/\/borelioza.sk\/?page_id=528"},"modified":"2025-10-02T23:04:19","modified_gmt":"2025-10-02T21:04:19","slug":"diagnostics","status":"publish","type":"page","link":"https:\/\/borelioza.sk\/en\/diagnostics\/","title":{"rendered":"DIAGNOSTICS"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"528\" class=\"elementor elementor-528\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-643d7c42 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"643d7c42\" data-element_type=\"section\" id=\"preco-my\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_top&quot;:&quot;opacity-fan&quot;}\">\n\t\t\t\t\t<div class=\"elementor-shape elementor-shape-top\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 283.5 19.6\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" style=\"opacity:0.33\" d=\"M0 0L0 18.8 141.8 4.1 283.5 18.8 283.5 0z\"\/>\n\t<path class=\"elementor-shape-fill\" style=\"opacity:0.33\" d=\"M0 0L0 12.6 141.8 4 283.5 12.6 283.5 0z\"\/>\n\t<path class=\"elementor-shape-fill\" style=\"opacity:0.33\" d=\"M0 0L0 6.4 141.8 4 283.5 6.4 283.5 0z\"\/>\n\t<path class=\"elementor-shape-fill\" d=\"M0 0L0 1.2 141.8 4 283.5 1.2 283.5 0z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4a0d2632\" data-id=\"4a0d2632\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2a8e0bf3 animated-slow premium-title-center elementor-invisible elementor-widget elementor-widget-premium-addon-title\" data-id=\"2a8e0bf3\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInDown&quot;}\" data-widget_type=\"premium-addon-title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\r\n\t<div class=\"premium-title-container style3\">\r\n\t\t<h2 class=\"premium-title-header premium-title-style3\">\r\n\t\t\t\r\n\t\t\t\r\n\t\t\t\t\t\t\t\t\t<span class=\"premium-title-text\" >\r\n\t\t\t\tDIAGNOSTICS\t\t\t<\/span>\r\n\t\t\t\t\r\n\t\t\t\t\t\t\t\t<\/h2>\r\n\t<\/div>\r\n\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-113afac2 animated-slow elementor-invisible elementor-widget elementor-widget-premium-divider\" data-id=\"113afac2\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"premium-divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\n\t\t<div class=\"premium-separator-container premium-separator-solid\" data-settings=\"solid\">\n\t\t\t<div class=\"premium-separator-wrapper\">\n\t\t\t\t<div class=\"premium-separator-wrapper-separator\">\n\t\t\t\t\t<div class=\"premium-separator-wrapper-separator-divider\">\n\t\t\t\t\t\t<div class=\"premium-separator-inner\">\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<div class=\"premium-separator-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<div class=\"premium-separator-divider-left premium-separator-left-side\">\n\t\t\t\t\t\t\t\t\t\t<hr>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"premium-separator-icon-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"premium-separator-icon-wrap premium-separator-img-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/borelioza.sk\/wp-content\/uploads\/elementor\/thumbs\/separator-icon-hearth-g-nuzuyibernmnov642qdcoejhv9954r3csdry3n4rgi.png\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"premium-separator-divider-right premium-separator-right-side\">\n\t\t\t\t\t\t\t\t\t\t<hr>\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t\t<\/div>\n\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"premium-clearfix\"><\/div>\n\n\t\t\t<\/div>\n\n\t\t<\/div>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-3b0b065 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3b0b065\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-91de197\" data-id=\"91de197\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8aa37c0 elementor-widget elementor-widget-image\" data-id=\"8aa37c0\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1600\" height=\"1200\" src=\"https:\/\/borelioza.sk\/wp-content\/uploads\/2018\/08\/P4070813.jpg\" class=\"attachment-full size-full wp-image-226\" alt=\"\" srcset=\"https:\/\/borelioza.sk\/wp-content\/uploads\/2018\/08\/P4070813.jpg 1600w, https:\/\/borelioza.sk\/wp-content\/uploads\/2018\/08\/P4070813-300x225.jpg 300w, https:\/\/borelioza.sk\/wp-content\/uploads\/2018\/08\/P4070813-768x576.jpg 768w, https:\/\/borelioza.sk\/wp-content\/uploads\/2018\/08\/P4070813-1024x768.jpg 1024w\" sizes=\"auto, (max-width: 1600px) 100vw, 1600px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-b911394 elementor-invisible\" data-id=\"b911394\" data-element_type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInRight&quot;}\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ce18a33 elementor-widget elementor-widget-toggle\" data-id=\"ce18a33\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-toggle\" role=\"tablist\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2161\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"tab\" aria-controls=\"elementor-tab-content-2161\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"\" class=\"elementor-toggle-title\">Procedure before the first examination<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2161\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-2161\"><p>Before your first appointment, you must have the results of the three blood tests listed below. These tests can also be arranged directly at our clinic for a fee. Blood samples are collected at our office:<\/p><ul><li>Monday to Thursday, from 7:00 AM to 1:00 PM (by appointment).<\/li><\/ul><p>You must schedule your blood draw in advance by calling +421 2 206 206 88 during the above hours, where you will receive further information. Fasting is not required for the blood draw (we recommend a light, non-fatty breakfast and adequate hydration).<\/p><p>f you choose to arrange the required blood tests on your own, here is the list:<\/p><p><strong>Serological antibody testing<\/strong> for: <em>Borrelia burgdorferi<\/em> (using NIF, ELISA, or Western blot methods), <em>Chlamydia pneumoniae, <\/em><em>Chlamydia trachomatis, <\/em><em>Mycoplasma pneumoniae, <\/em><em>Bartonella, <\/em><em>Babesia, <\/em><em>Yersinia, <\/em>and similar pathogens<\/p><p>Additional Examinations:<\/p><ul><li>Serum autoantibody testing (NIF method): <br \/><ul><li>ANA \u2013 anti-nuclear antibodies ABMA \u2013 anti-basement membrane antibodies ABMG \u2013 anti-glomerular basement membrane antibodies ABMT \u2013 anti-tubular basement membrane antibodies AMA \u2013 anti-mitochondrial antibodies AMCA \u2013 anti-cardiac muscle antibodies ANCA \u2013 anti-neutrophil cytoplasmic antibodies ANLA \u2013 anti-nucleoli antibodies APCA \u2013 anti-parietal cell antibodies ARA \u2013 anti-reticulin antibodies ASKMA \u2013 anti-striated muscle antibodies ASMA \u2013 anti-smooth muscle antibodies ATA \u2013 anti-thyroid antibodies AVEA \u2013 anti-vascular endothelial antibodies anti-Hu\/Ri \u2013 anti-Hu and Ri proteins AMa \u2013 anti-neuronal nucleoli antibodies anti-Yo \u2013 anti-Yo protein AHFA \u2013 anti-hair follicle antibodies AGSA \u2013 anti-adrenal gland antibodies<\/li><\/ul><\/li><li>Monoclonal CD antibody profiling:<br \/><ul><li>CD3+ T lymphocytes CD3+CD4+ T helper cells CD3+CD8+ T cytotoxic cells CD4\/CD8 immunoregulatory index CD3\u2013CD16+56+ NK cells CD19+ B lymphocytes<\/li><\/ul><\/li><\/ul><p>Results from blood tests performed at our clinic (LTT tests) are available within 7 to 10 working days. In the meantime, you may schedule your initial consultation by phone. During the first visit, we will record your medical history \u2014 including tick exposure, symptoms, disease progression, treatment history, post-treatment symptoms, and any previous lab or imaging results.<\/p><p>The above-mentioned blood tests will be evaluated, the disease stage determined, and treatment or hospitalization recommended if further testing is needed.<\/p><p>Follow-up is scheduled:<\/p><ul><li><p>6 weeks after starting treatment<\/p><\/li><li><p>Then again after 12 weeks<\/p><\/li><\/ul><p>Additional tests for co-infections may be added during treatment if necessary.<\/p><p>All listed examinations and blood tests are subject to fees, as our clinic does not have contracts with health insurance providers. Pricing for blood draws and tests is available by phone or email.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2162\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"tab\" aria-controls=\"elementor-tab-content-2162\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"\" class=\"elementor-toggle-title\">LTT Tests<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2162\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-2162\"><p>\u00a0<\/p><p>Elispot-LTT: This is an LTT technique approved by the FDA and CDC in the United States. It measures actual T-cell activity in the blood against <em>Borrelia burgdorferi<\/em>, <em>Chlamydia pneumoniae\/trachomatis<\/em>, <em>Ehrlichia<\/em>, and <em>Anaplasma<\/em>.<\/p><p>In May 2011, the U.S. FDA and CDC officially approved the Elispot-LTT (T-spot) technique. This method represents an Interferon-Gamma Release Assay (IGRA) in the form of a Lymphocyte Transformation Test (LTT).<\/p><p>Studies on the specificity and sensitivity of the <strong>Borrelia-Elispot-LTT<\/strong> report:<\/p><ul><li><p><strong>Specificity:<\/strong> 82\u2013100%<\/p><\/li><li><p><strong>Sensitivity:<\/strong> 84%<\/p><\/li><\/ul><p>Sources:<\/p><ul><li><p>Skogman et al.: <em>\u201cAdaptive and Innate Immune Responsiveness to Borrelia burgdorferi sensu lato in Exposed Asymptomatic Children and Children with Previous Clinical Lyme Borreliosis,\u201d<\/em> Clinical and Developmental Immunology, Vol. 2012, Article ID 294587.<\/p><\/li><li><p>Lehman PV et al.: <em>\u201cUnique Strengths of ELISPOT for T Cell Diagnostics,\u201d<\/em> in: Kalyuzhny AE, <em>Handbook of ELISPOT: Methods and Protocols<\/em>, Methods in Molecular Biology, Vol. 792, 2nd Ed., Springer, 2012: pp. 3\u201323.<\/p><\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2163\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"tab\" aria-controls=\"elementor-tab-content-2163\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"\" class=\"elementor-toggle-title\">Borrelia Elispot-LTT<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2163\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-2163\"><p>Borrelia infection activates not only the humoral immune response but also T-lymphocytes. When Borrelia ceases to be active, the T-cell immune response is no longer present. The test shows the actual, current activity of Borrelia burgdorferi, whether chronic or acute Lyme disease. Elispot-LTT is highly sensitive and can detect even a single Borrelia-reactive T-cell in the blood. Elispot-LTT is very helpful in monitoring chronic or acute therapy. Under normal circumstances, Elispot-LTT becomes negative within 6\u20138 weeks after the completion of effective treatment.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2164\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"tab\" aria-controls=\"elementor-tab-content-2164\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"\" class=\"elementor-toggle-title\">Indications<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2164\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-2164\"><ul><li>diagnosis of chronic Lyme disease<\/li><li>diagnosis of acute Lyme<\/li><li>disease determination of treatment duration<\/li><li>monitoring of treatment outcomes<\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2165\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"tab\" aria-controls=\"elementor-tab-content-2165\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"\" class=\"elementor-toggle-title\">Tests<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2165\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-2165\"><p><strong>Tests \u2013 in cooperation with CPM Bratislava.<\/strong><\/p><ul><li>Borrelia Burgdorferi\u00a0<\/li><li>CHLAMYDIA PNEUMONIAE<\/li><li>CHLAMYDIA TRACHOMATIS<\/li><li>EHRLICHIA\/ANAPLASMA<\/li><li>YERSINIA<\/li><li>EPSTEIN BARR-VIRUS (EBV)<\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2166\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"tab\" aria-controls=\"elementor-tab-content-2166\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"\" class=\"elementor-toggle-title\">CD57<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2166\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-2166\"><p>CD57+ cells document the degree of immune suppression in chronic disease. According to current literature, CD57+ cells are a prognostic laboratory parameter during and after antibiotic treatment.<\/p><p>Clinical research and case studies show that chronic Lyme infections are often accompanied by changes in cellular immune defense. Evidence includes reduced counts of Natural Killer Cells (NK; CD3-CD56+), and especially reduced absolute counts of activated NK cells (CD3-CD56+CD57+). While acute Lyme infection and other diseases show normal CD57 parameters, patients with chronic Lyme disease often have values of 100 CD57 cells\/\u03bcl or lower in the blood. This change has been particularly observed in patients whose nervous system is affected by chronic infection, and less so in patients with tissue or skeletal involvement. The reduction in CD57 cells persisted until symptoms improved through antibiotic treatment and other therapeutic approaches. A reduced CD57 cell parameter is a measurable signal of active chronic infection and may serve as an indicator of successful therapy.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0002a21 elementor-widget elementor-widget-text-editor\" data-id=\"0002a21\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\">\n\t\t\t\t<p>Appointments for blood draws are made by phone.<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-8a9c38f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8a9c38f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-dc1aa60\" data-id=\"dc1aa60\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-534d2fe\" data-id=\"534d2fe\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e15cf14 elementor-widget elementor-widget-premium-addon-button\" data-id=\"e15cf14\" data-element_type=\"widget\" data-widget_type=\"premium-addon-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\r\n\r\n\t\t<a class=\"premium-button premium-button-style4 premium-btn-lg premium-button-style4-bottom\" href=\"http:\/\/borelioza.sk\/#sluzby\">\r\n\t\t\t<div class=\"premium-button-text-icon-wrapper\">\r\n\t\t\t\t\t\t\t\t<span >\r\n\t\t\t\t\tSP\u00c4\u0164\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<div class=\"premium-button-style4-icon-wrapper bottom\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<i class=\"fa fa-arrow-left\" aria-hidden=\"true\"><\/i>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t<\/a>\r\n\r\n\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-9b9b3a1\" data-id=\"9b9b3a1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>DIAGNOSTICS Procedure before the first examination Before your first appointment, you must have the results of the three blood tests listed below. These tests can also be arranged directly at our clinic for a fee. Blood samples are collected at our office: Monday to Thursday, from 7:00 AM to 1:00 PM (by appointment). You must [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"class_list":["post-528","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/borelioza.sk\/en\/wp-json\/wp\/v2\/pages\/528","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/borelioza.sk\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/borelioza.sk\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/borelioza.sk\/en\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/borelioza.sk\/en\/wp-json\/wp\/v2\/comments?post=528"}],"version-history":[{"count":66,"href":"https:\/\/borelioza.sk\/en\/wp-json\/wp\/v2\/pages\/528\/revisions"}],"predecessor-version":[{"id":2151,"href":"https:\/\/borelioza.sk\/en\/wp-json\/wp\/v2\/pages\/528\/revisions\/2151"}],"wp:attachment":[{"href":"https:\/\/borelioza.sk\/en\/wp-json\/wp\/v2\/media?parent=528"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}