Best Supplements for Lyme Disease (2026)

Lyme disease, caused by the Borrelia burgdorferi bacterium transmitted through tick bites, can trigger chronic fatigue, joint pain, neurological issues, and widespread inflammation. While antibiotics remain the primary treatment, targeted supplements can support immune function, reduce inflammation, restore gut health depleted by antibiotics, and address nutrient deficiencies common in Lyme patients. Here are the best supplements for Lyme disease recovery in 2026.

Quick Comparison

ProductKey IngredientFormBest ForRating
Zenmen Tick Immune SupportJapanese Knotweed + Cat’s ClawCapsulesBest Overall9.5/10
Effective Nutra Milk Thistle GummiesMilk Thistle 1000mgGummiesBest Liver Detox9.3/10
Green Organic Supplements Lyme SupportMulti-Herb Immune BlendCapsulesBest Immune Enhancer9.1/10
NOW Supplements NAC 600mgN-Acetyl CysteineCapsulesBest for Detox Support9.0/10
Garden of Life RAW Probiotics100 Billion CFUCapsulesBest Probiotic9.0/10
Nordic Naturals Ultimate OmegaEPA/DHA 1280mgSoftgelsBest Anti-Inflammatory8.9/10
Natures Craft Men’s MultivitaminMulti-Nutrient ComplexGummiesBest Nutritional Foundation8.7/10

1. Zenmen Tick Immune Support – Best Overall

Zenmen Tick Immune Support Supplement - Improved Formula - Japanese Knotweed, Cat's Claw, Chinese Skullcap, Cryptolepis Sanguinolenta, Sweet Wormwood - 90 Vegan Capsules, Made in The USA
  • ZenMen Tick Immune Support capsules are the only ones tested independently to confirm their ingredients and quality. That means you're getting the best for your health and your money.
  • An immune system support against tick bites that contains a powerful 20:1 herbal formula, including Japanese Knotweed and Cat's Claw. Also contains: Cryptolepis Sanguinolenta, Black Pepper Extract, Alchornea Cordifolia, Serrapeptase, Cistus Incanus, and Sarsaparilla.
  • Ideal For: Prepared travelers and outdoor adventurers who want to be mindful against tick exposure, and for customers who need help to support their immune system.
  • Benefits: Added Chinese Skullcap which may help manage a healthy response against tick discomfort, and Sweet Wormwood which contain antioxidants.
  • Directions: Take three (3) capsules daily or as recommended by a healthcare professional. For optimal results, use daily for three months and take with ZenMen Monolaurin. ZenMen Tick Immune Support can be taken on an empty stomach, with or without food. Always check with your health practitioner before taking any supplement.

Purpose-built for tick-borne illness recovery, this formula combines Japanese knotweed, cat’s claw, and Chinese skullcap — the core herbs recommended by Lyme disease protocols.

Zenmen’s Tick Immune Support is one of the few supplements specifically formulated for Lyme disease recovery. It includes Japanese knotweed (standardized to 20% resveratrol), cat’s claw (20:1 concentration), sweet wormwood, Chinese skullcap, cryptolepis sanguinolenta (20:1 concentration), serrapeptase, alchornea cordifolia, sarsaparilla, and black pepper extract for absorption. These herbs mirror the formulas used in the Buhner and Cowden protocols that functional medicine practitioners frequently recommend. Each bottle contains 90 vegan capsules at a 3-capsule daily serving.

  • Pros:
  • Comprehensive herbal formula based on established Lyme protocols
  • High-concentration extracts (20:1) for therapeutic potency
  • Includes serrapeptase for biofilm disruption
  • Cons:
  • Three capsules daily required for full serving
  • Should be taken under practitioner guidance alongside antibiotic therapy

Best for: Those recovering from Lyme disease who want a comprehensive herbal immune support formula based on established Lyme treatment protocols

2. Effective Nutra Milk Thistle Gummies – Best Liver Detox

Effective Nutra Milk Thistle Gummies | Sugar-Free Milk Thistle Extract 1000mg for Liver Detox & Antioxidant Support | Vegan, Gluten-Free| 45-Day Supply, Natural Berry Flavor, Made in USA (90 Count)
  • #1 ULTIMATE MILK THISTLE GUMMY: Not a fan of swallowing large capsules? Our milk thistle gummies taste good & go down easy. Each serving is packed with 1000mg. 90 Gummies in a bottle for the best value out there!*
  • GET ALL THE BENEFITS: Our Milk Thistle supplement is packed with 1000mg that may promote Liver Health, Antioxidant Support, Bone & Joint Support, Heart Health, Skin Health, Immunity & Digestive Support.*
  • HEALTHY & DELICIOUS: Yes, we did it! At Effective Nutra we want to provide a healthy and enjoyable experience. Our milk thistle 1000mg gummies are naturally berry flavored. With no artificial colors or flavors, you can be sure you’re getting the most nourishing health gummies out there!*
  • EFFECTIVE NUTRA’S SEAL OF EXCELLENCE: QUALITY YOU CAN TRUST: Our supplements are Vegan, Gluten-Free, Non-GMO, Third Party Tested, GMP Certified and proudly Made in USA with Globally Sourced Ingredients. That’s the Effective Nutra seal of excellence!*

Sugar-free milk thistle gummies delivering 1,000mg per serving support the liver’s critical role in processing bacterial die-off toxins during Lyme treatment.

Antibiotic treatment for Lyme disease creates significant bacterial die-off that burdens the liver. Milk thistle’s active compound silymarin protects hepatocytes and enhances bile flow to clear toxins more efficiently. These gummies make daily compliance easy with their sugar-free, great-tasting format while delivering a therapeutic 1,000mg dose. Liver support is especially important during the Herxheimer reactions that many Lyme patients experience when bacteria are being killed and releasing endotoxins.

  • Pros:
  • 1,000mg milk thistle extract per serving
  • Sugar-free gummy format for easy daily compliance
  • Supports liver during antibiotic-induced die-off
  • Cons:
  • Single-ingredient formula requires pairing with other Lyme supplements
  • Gummies may not suit those avoiding all sweeteners

Best for: Lyme patients on antibiotic therapy who need liver protection during die-off reactions

3. Green Organic Supplements Lyme Disease Immune Support – Best Immune Enhancer

A targeted herbal immune enhancer formulated specifically for Lyme disease support with traditional antimicrobial and immune-modulating herbs.

This supplement is one of the few on Amazon explicitly formulated for Lyme disease immune support. It combines traditional herbal ingredients with immune-enhancing properties to help the body fight Borrelia burgdorferi infection. The formula targets multiple aspects of Lyme recovery including immune modulation, inflammation reduction, and antimicrobial support. As a complementary supplement to antibiotic therapy, it helps strengthen the immune system’s ability to combat the persistent effects of Lyme infection.

  • Pros:
  • Specifically formulated for Lyme disease support
  • Targets immune modulation and antimicrobial activity
  • Can complement conventional antibiotic treatment
  • Cons:
  • Smaller brand with fewer reviews than mainstream supplements
  • Should not replace conventional Lyme treatment

Best for: Those seeking a Lyme-specific immune support formula to complement their antibiotic treatment plan

4. NOW Supplements NAC 600mg – Best for Detox Support

NOW Supplements, NAC (N-Acetyl Cysteine) 600 mg with Selenium, 250 Veg Capsules
  • FREE RADICAL PROTECTION*: Take 1 NAC capsule with selenium twice daily for free radical protection and to maintain cellular health*
  • IMPORTANT NOTE ABOUT THIS PRODUCT: Black spots may appear in NAC because of a normal oxidative reaction, but product is safe to consume. These spots are NOT mold or any other micro-contamination. Micro-testing has been performed to assess product safety
  • CERTIFICATIONS/CLASSIFICATIONS: Non-GMO, Made without Gluten, Kosher, Dairy Free, Egg Free, Nut Free, Soy Free,
  • GMP Quality Assured: A-rated, third-party certification means that every aspect of the NOW manufacturing process has been examined. Our in-house laboratories are ISO/IEC accredited for laboratory testing including for stability, potency and product formulation.
  • Packaged in the USA by a family owned and operated company since 1968

NAC supports glutathione production and liver detoxification to help clear the toxic burden created by both Lyme bacteria and antibiotic treatment.

N-Acetyl Cysteine serves double duty in Lyme recovery: it supports glutathione production for detoxification and has mucolytic properties that may help reduce inflammation in the respiratory and nervous systems. NOW’s formula provides 600mg per capsule with selenium and molybdenum cofactors. NAC has also shown potential for disrupting bacterial biofilms — protective structures that Borrelia burgdorferi can form to evade antibiotics. With 250 vegan capsules per bottle, it’s an exceptionally affordable addition to any Lyme protocol.

  • Pros:
  • Supports glutathione production for toxin elimination
  • May help disrupt bacterial biofilms
  • 250 capsules per bottle for outstanding long-term value
  • Cons:
  • Some people experience GI discomfort at higher doses
  • Should be timed carefully with antibiotic dosing

Best for: Lyme patients needing affordable, long-term glutathione and detoxification support

5. Garden of Life RAW Probiotics Ultimate Care – Best Probiotic

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With 100 billion CFU from 34 strains, this high-potency probiotic restores gut flora devastated by the antibiotic treatments essential for Lyme disease.

Antibiotic therapy — while necessary for Lyme treatment — decimates beneficial gut bacteria, leading to digestive issues, weakened immunity, and potential yeast overgrowth. This ultra-potency probiotic delivers 100 billion CFU from 34 strains including critical Lactobacillus acidophilus, Bifidobacterium, and Saccharomyces boulardii species. The RAW formula includes built-in prebiotics and digestive enzymes. Taking a high-quality probiotic during and after antibiotic treatment is essential for preventing gut dysbiosis and supporting immune recovery.

  • Pros:
  • 100 billion CFU for aggressive gut flora restoration
  • 34 probiotic strains for comprehensive coverage
  • Includes prebiotics and enzymes for enhanced colonization
  • Cons:
  • Requires refrigeration for optimal potency
  • Higher price point than standard probiotics

Best for: Lyme patients on or recovering from antibiotic therapy who need aggressive gut microbiome restoration

6. Nordic Naturals Ultimate Omega – Best Anti-Inflammatory

No products found.

This concentrated omega-3 formula delivers 1,280mg of EPA/DHA per serving to combat the chronic inflammation that drives Lyme disease symptoms.

Omega-3 fatty acids are among the most recommended supplements for Lyme disease due to their potent anti-inflammatory effects on joints, brain, and cardiovascular system — all areas commonly affected by Lyme infection. Nordic Naturals Ultimate Omega provides a concentrated 1,280mg of combined EPA and DHA per two-softgel serving, sourced from wild-caught fish that’s thoroughly screened for mercury and PCBs. Research supports omega-3 supplementation at 2,700mg daily (EPA+DHA) for chronic inflammatory conditions, making this a cornerstone of Lyme recovery.

  • Pros:
  • High-concentration EPA/DHA from wild-caught fish
  • Third-party tested for heavy metals and contaminants
  • IFOS 5-star certified for purity and potency
  • Cons:
  • Fish-derived, not suitable for vegans
  • May require 4+ softgels daily for therapeutic Lyme dosing

Best for: Lyme patients dealing with chronic joint pain, brain fog, and systemic inflammation

7. Doctor’s Best High Absorption Magnesium – Best for Muscle and Nerve Support

Doctor's Best High Absorption Magnesium Glycinate Lysinate Supplement for Sleep Support - Chelated Magnesium Tablets for Women & Men, 200mg per Serving, Supports Calm & Relaxation, Vegan - 240 Count
  • MAGNESIUM GLYCINATE LYSINATE SUPPLEMENT: Our formula provides support for muscles, nerves, & sleep quality. It's 100% chelated, making it easy on the digestive tract & able to be taken any time of day
  • MAXIMUM ABSORPTION: Magnesium glycinate is good, lysinate glycinate is even better. Our magnesium mineral supplement takes the most direct route into your system for up to 6x better absorption
  • SLEEP AND MUSCLE RELAXATION: Magnesium supports healthy, restful sleep and relaxation by helping regulate melatonin, cortisol, and muscle function for overall wellness
  • 200 MG PER SERVING: Our mag glycinate supplement is not buffered with fillers or additives and is 200mg per serving, vegan, non-GMO, gluten-free, and soy-free. Each bottle contains 240 tablets
  • DOCTOR'S BEST: Good nutrition starts with sound science. For over 35 years, we have been dedicated to providing only thoroughly researched, rigorously tested, and clinically-approved supplements

Chelated magnesium glycinate at 100mg per tablet supports the muscle pain, cramps, anxiety, and sleep disruption common in Lyme disease.

Up to 50% of the U.S. population is magnesium deficient, and Lyme disease intensifies this deficit through increased metabolic demand and stress on the nervous system. Magnesium glycinate is the preferred form for Lyme patients because it’s highly absorbable and gentle on the stomach. This formula delivers 100mg of elemental magnesium per tablet from chelated magnesium lysinate glycinate, a form with superior bioavailability. Magnesium supports muscle relaxation, nerve function, sleep quality, and energy production — all areas impacted by Lyme.

  • Pros:
  • Chelated glycinate form for maximum absorption
  • Gentle on the stomach unlike magnesium oxide
  • 240 tablets per bottle for extended use
  • Cons:
  • 100mg per tablet may require multiple tablets for therapeutic dosing
  • No additional cofactors included

Best for: Lyme patients experiencing muscle pain, cramps, anxiety, or insomnia who need a well-absorbed magnesium supplement

8. NatureWise Vitamin D3 5000 IU – Best Immune Foundation

NatureWise Vitamin D3 5000iu (125 mcg) 1 Year Supply for Immune Support, Healthy Muscle Function, and Bone Health - Non-GMO, Gluten Free in Organic Extra Virgin Olive Oil, (Mini Softgel), 360 Count
  • IMMUNE, MOOD, BONE & MUSCLE SUPPORT*: Vitamin D supports healthy bones, muscle function, and a strong immune system.*
  • NATURALLY-SOURCED, NON-GMO: These Vitamin D3 immune support and bone health supplements* are formulated with a naturally-sourced vitamin D3 ingredient, and are gluten-free and non-GMO. Packaging may vary due to high demand, same great product and ingredients.
  • IN ORGANIC COLD-PRESSED OLIVE OIL: NatureWise Vitamin D3 is formulated with organic, cold-pressed olive oil that doesn't use heat or hexanes, to enhance the absorption of vitamin D3.*
  • CONTENTS CERTIFIED NSF: This supplement is NSF-contents certified, which means its contents are thoroughly tested for accuracy and purity. Ingredients are also analyzed for this certification to confirm they match label contents.
  • USA MANUFACTURED, 3RD PARTY TESTED: All NatureWise supplements are proudly manufactured the USA in facilities that comply to the strictest cGMP standards and undergo rigorous testing by third party labs to ensure the highest quality and purity.

High-dose vitamin D3 addresses the widespread deficiency that compromises immune function in Lyme patients, delivered in an olive oil base for optimal absorption.

Approximately 42% of U.S. adults are vitamin D deficient, and Lyme disease patients often have even lower levels due to the immune system’s increased demand. Vitamin D is critical for immune regulation and inflammation control — two areas severely impacted by Lyme infection. NatureWise delivers 5,000 IU of vitamin D3 (cholecalciferol) per softgel suspended in organic olive oil for fat-soluble absorption. Each bottle provides 360 mini softgels for a full year’s supply, making it one of the most cost-effective immune support options available.

  • Pros:
  • 5,000 IU per softgel for therapeutic Lyme dosing
  • 360-count bottle provides a full year’s supply
  • Olive oil base enhances fat-soluble vitamin absorption
  • Cons:
  • Should test vitamin D levels before supplementing at 5,000 IU
  • Single nutrient — doesn’t include K2 for calcium balance

Best for: Lyme patients with confirmed or suspected vitamin D deficiency who want affordable, high-dose immune support

9. Jarrow Formulas Curcumin Phytosome – Best for Joint Pain

Jarrow Formulas Methyl Vitamin B12 5000 mcg - 60 Chewable Tablets, Naturally Fruit Flavored- Bioactive B12 Vitamin - Supports Cellular Energy Production, Brain Health & Metabolism - 60 Servings
  • Bioactive B12: Jarrow Formulas Methyl B-12 (methylcobalamin) is the biologically active form of vitamin B12; supports brain and nerve health, cellular energy production, healthy cell replication, and red blood cell production (1)
  • Homocysteine Metabolism: Methyl B-12 is required for the normal metabolism of homocysteine, supporting its conversion to methionine
  • Better Retained With Jarrow B12: Research suggests that methyl B-12 is better retained in the body than cyanocobalamin, and supplementation may be needed by some vegetarians and vegans (1)
  • Convenient Chewable Tablet: Each naturally fruit flavored chewable tablet delivers 5000 micrograms (mcg) of methyl B-12; our B12 methylcobalamin formula does not contain wheat, gluten, soybeans, dairy, egg, fish, shellfish, or peanuts, tree nuts or sesame
  • Superior Nutrition & Formulation: The goal of Jarrow Formulas is to promote optimal health with high-quality, effective, affordable, and superior formulation of dietary vitamins and supplements; our customers can be assured of purity, value & potency

Meriva curcumin phytosome technology delivers 29x better absorption than standard curcumin to reduce the joint pain and inflammation central to Lyme disease.

Curcumin’s anti-inflammatory properties are well-documented, but standard turmeric supplements have notoriously poor absorption. Jarrow’s Curcumin Phytosome uses patented Meriva technology that binds curcumin to phosphatidylcholine, achieving 29 times better absorption than conventional curcumin extracts. At 500mg per capsule, it delivers clinically meaningful anti-inflammatory support for the joint pain and systemic inflammation that plague Lyme patients. The formula is particularly effective for reducing the chronic pain that persists in post-treatment Lyme disease syndrome.

  • Pros:
  • Meriva phytosome technology for 29x better absorption
  • Clinically studied for joint pain and inflammation
  • 120 capsules per bottle for a 2-month supply
  • Cons:
  • More expensive than standard turmeric supplements
  • Some users need 2 capsules daily for noticeable results

Best for: Lyme patients with chronic joint pain and inflammation who need a high-absorption curcumin formula

10. Jarrow Formulas B-Right B-Complex – Best for Energy and Brain Support

NOW Foods Supplements, Vitamin C-1,000 with Rose Hips, Sustained Release, Antioxidant Protection*, 250 Tablets
  • SUSTAINED RELEASE: NOW Vitamin C-1000 was specially formulated to provide a sustained release of vitamin C, known for its vital role in the immune system
  • Product Note: Exposure to heat or sunlight may lead to melting/damage of product. Hence customers are expected to be available during the product delivery
  • WITH ROSE HIPS: Added source of vitamin C.
  • CERTIFICATIONS/CLASSIFICATIONS: Vegan/Vegetarian, Quality GMP Assured, Non-GMO, Soy Free, Kosher
  • GMP Quality Assured: NPA A-rated GMP certification means that every aspect of the NOW manufacturing process has been examined, including our laboratory/testing methods (for stability, potency, and product formulation).

A methylated B-complex formula supports the energy production, nerve health, and mental clarity often compromised by Lyme disease.

B vitamins are essential for energy production, nerve health, and cognitive function — three areas significantly impacted by Lyme disease. Jarrow’s B-Right uses the most bioavailable forms of each B vitamin, including methylcobalamin (B12), methylfolate (folate), and pyridoxal-5-phosphate (B6). Lyme disease depletes B vitamins through increased metabolic demand, and antibiotic treatment can further reduce absorption. The methylated forms are especially important for the estimated 40% of the population with MTHFR gene mutations that impair standard B vitamin conversion.

  • Pros:
  • Methylated B vitamins for superior bioavailability
  • Supports energy, nerve health, and cognitive function simultaneously
  • 100 capsules per bottle at an affordable price
  • Cons:
  • May cause vivid dreams or restlessness if taken late in the day
  • High B-vitamin doses can cause bright yellow urine (harmless)

Best for: Lyme patients dealing with chronic fatigue, brain fog, and neurological symptoms who need comprehensive B vitamin support

How to Choose the Best Supplements for Lyme Disease

Lyme disease supplement protocols should address four key areas: immune support to help fight the infection, anti-inflammatory compounds to reduce pain and swelling, gut health restoration (especially during antibiotic therapy), and nutrient repletion for vitamins and minerals depleted by the disease. Work with a Lyme-literate practitioner to customize your protocol based on your specific symptoms and treatment phase.

Timing matters significantly with Lyme supplements. Probiotics should be taken at least 2 hours away from antibiotics to avoid being killed by the medication. Anti-inflammatory supplements like omega-3s and curcumin can typically be taken with food. Detox support supplements (NAC, glutathione) are best taken on an empty stomach for maximum liver support.

Quality is paramount — choose supplements that are third-party tested, GMP-certified, and use bioavailable ingredient forms. Methylated B vitamins, chelated minerals, and phytosome or liposomal delivery systems ensure you’re actually absorbing what you’re paying for. Avoid mega-dose formulas unless specifically recommended by your practitioner.

Be patient with results. Most Lyme patients notice initial improvements in energy and brain fog within 2-4 weeks, but joint pain, neurological symptoms, and immune recovery can take 3-6 months of consistent supplementation alongside conventional treatment.

Frequently Asked Questions

Can supplements cure Lyme disease?

No, supplements cannot cure Lyme disease. Antibiotics remain the primary treatment for Borrelia burgdorferi infection. However, supplements can significantly support recovery by boosting immune function, reducing inflammation, restoring gut health damaged by antibiotics, and addressing the nutrient deficiencies that Lyme disease creates. They are best used as complementary support alongside conventional medical treatment.

What are the most important supplements for Lyme disease?

The most commonly recommended supplements for Lyme disease include probiotics (to counter antibiotic damage), omega-3 fatty acids (for inflammation), vitamin D (for immune support), magnesium (for muscle pain and nerve function), NAC (for detoxification), and a B-complex (for energy and cognitive function). Herbal supplements like Japanese knotweed and cat’s claw are also widely used in functional Lyme protocols.

Should I take probiotics during Lyme antibiotic treatment?

Yes, taking probiotics during antibiotic treatment for Lyme disease is strongly recommended. Antibiotics kill beneficial gut bacteria along with Borrelia, leading to digestive issues, yeast overgrowth, and weakened immunity. Choose a high-potency probiotic with at least 10 billion CFU and take it at least 2 hours after your antibiotic dose to prevent the medication from killing the beneficial bacteria.

How long should I take Lyme disease supplements?

Most Lyme patients benefit from supplementation for 3-12 months depending on the severity and duration of their infection. Foundational supplements like vitamin D, magnesium, and omega-3s may be beneficial long-term. Herbal immune support and detox supplements are typically used for 3-6 months and then reassessed. Continue probiotics for at least 3 months after completing antibiotic therapy to fully restore gut flora.

Can I take all these supplements together?

Most Lyme supplements can be taken together, but proper timing optimizes their effectiveness. Take probiotics away from antibiotics, NAC on an empty stomach, fat-soluble vitamins (D3, omega-3s) with food containing healthy fats, and B vitamins earlier in the day to avoid sleep disruption. Consult your healthcare provider about potential interactions with your specific antibiotic regimen.

What supplements help with Lyme disease brain fog?

Supplements that specifically target Lyme-related brain fog include omega-3 fatty acids (for brain inflammation), B-complex vitamins (especially B12 for nerve health), magnesium L-threonate (which crosses the blood-brain barrier), NAC (for glutathione-mediated brain detox), and sulforaphane from broccoli seed extract (which has anti-neuroinflammatory properties).

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