[spacebatsghost]

Most non-Lyme Literate Medical doctors prescribe Doxycyclin. If you are seeing a Lyme Literate Medical doctor they'll put you on a cocktail (often Clarithromycin, Doxy, Alinia (anti-parasitic), and a few others. This also depends if you have co-infections or not.

[twic]

The UK NICE guidelines suggest doxycycline, and have a section discussing the evidence for that:

https://www.nice.org.uk/guidance/ng95

"Lyme literate" seems to be a pseudoscience term related to the ME-like crypto-syndrome "chronic Lyme disease" - for example, see towards the end here:

https://sciencebasedmedicine.org/legislative-alchemy-2014-so...

[Balgair]

A family member is on Doxycyclin for another issue unrelated to Lyme. It has caused them a fair amount of nerve degeneration issues in the toes and fingers. This is perhaps the risk that the some doctors are trying to avoid.

[nradov]

There is no formal certification process for "Lyme Literate Medical Doctors". Many are quacks who don't follow evidence based medicine guidelines.

https://sciencebasedmedicine.org/florida-revokes-medical-lic...