Back to the original question: Does Andy Cutler's Protocol Really Work? Yes and No.

I've been searching for an answer to my problems already for a year, or so. It seems like the pathogens are the ones that causes our problems. Many of my symptoms have been Lyme-like, but then again not. When I started looking into bacterias and viruses, I noticed some of the described Lyme symptoms can be generic, and related to many other bacterias and viruses: like depression, fatigue, aching joints, muscle pain, headache, dizziness, confusion, brain fog, heart palpitations, muscle twitches and adrenal fatigue etc. It appears that there are a lot of bacterias/viruses that can cause Lyme-like symptoms, but they are not Lyme and they are easier to deal with. The symptoms they cause are still similar, but less severe.

More evidence that your problems are indeed related to bacterias and other pathogens is the ammonia/acetaldehyde connection; if supplements that aim at detoxing these helps, you have further evidence for this.

The Cutler protocol does not include these, and I found these were essential for me. ALA on the other hand works well for killing these pathogens, and should generally be taken in the way Cutler suggests. However, I didn't find that all of his instructions worked for me, had to make rounds sometimes very short, because ALA could provoke a die-off that lasted for days, even after discontinuing its use. DMSA seems to have some undocumented anti-pathogenic effects, in addition to being an acetaldehyde chelator, that I'm really not familiar with.