Die-off for me starts with chills, normally at night, followed by a hot toxic rush, like I'm being sandblasted. Then the next day I feel foggy, hungover, fatigued and headachey. I drink lots of water, take lots of Vit C, and know that the toxins are in freefall. This can last for a few days. The only problem is distinguishing between what is real Herxheimers, and therefore an improvement in the body, and what is an exacerbation of symptoms, as they are similar, if not the same, for me.

I have found that when my symptoms are very bad, and I feel very toxic, a 'sweat bath' really helps. Run a bath as hot as you can stand it, pour in a few handfuls of natural salt (Himalayan salt is best but very expensive) and sit and sweat for half an hour. Fill the bath only to waist level, so your upper body can really sweat and lose toxins. Drinks lots while you're in the bath, to push the toxins through, and drink afterwards and take Vit C. This makes a real difference to me - I feel almost clear-headed the next day. After a few days I start to feel toxic again, and know that I have to have another bath. I do this twice a week. You might get some relief from your symptoms this way Steve.