Lyme Disease Serology w/Reflex
Detects antibodies to the bacterium behind Lyme disease when symptoms and tick exposure point to it.
Consider this test if:
- An expanding circular rash, fever, fatigue, joint pain, or facial droop after possible tick exposure
- A known tick bite in an endemic region with symptoms developing days to weeks later
- Unexplained joint swelling, neurological symptoms, or heart-rhythm changes with a plausible exposure history
- Following up on symptoms that began after time spent hiking, camping, or in wooded or grassy areas
- HSA/FSA eligible
- Typical results in 1-2 days · Reviewed by a real clinician
- Drawn at a CLIA/CAP-accredited lab near you ·
Reflex testing
This uses a two-tier approach: if the initial antibody screen comes back positive or equivocal, confirmatory follow-up testing runs automatically to refine the result. This is done at no additional cost.
Pre-test considerations
No fasting required, and timing relative to meals does not matter. Timing relative to infection does: antibodies are often undetectable in the first 14 days after exposure, so testing very early can miss a real infection and may need to be repeated. Because antibodies can persist for months to years after an infection resolves, a positive result is interpreted alongside your symptoms and exposure history.
Video consult with your Care Team
A 1:1 call to discuss your health.
What members say on Trustpilot
What this test is for
Lyme disease is a tickborne infection caused by the bacterium Borrelia burgdorferi, spread mainly by blacklegged ticks in the upper midwestern, northeastern, and mid-Atlantic regions. This test looks for IgG and IgM antibodies your immune system makes against Borrelia, using the modified two-tier testing algorithm that first runs a combined total-antibody screen and, if positive or equivocal, confirms with separate IgG and IgM assays. It is designed to support diagnosis in people with symptoms consistent with Lyme, such as an expanding rash, fever, fatigue, joint pain, or facial palsy, plus plausible tick exposure. Timing matters: antibodies can be undetectable in the first two weeks of infection, and once present they can linger for months to years after the infection has cleared, so results are read against your symptoms, exposure history, and how long ago they started.
- Specimen
- Serum
- Method
- Immunoassay
- Measures
- Presence / threshold
What you'll learn
-
Insights that connect the dots. A clinician reads your whole picture, not one result in isolation, connecting family history, past results, and lifestyle into clear next steps.
-
Your personalized action plan. Nutrition, supplements, and training in one clinician-reviewed protocol, updated as your results change.
-
Track your trends. Upload results from any lab and see each biomarker trend over time, so you know what is working.
-
Never miss a recheck. Mito tells you what is worth retesting and when, then reminds you so nothing slips.
What to expect
- 1 Book instantly
Click, book, done. Choose a convenient lab location near you. Transparent, up-front pricing.
- 2 Quick lab visit
Testing to fit your busy schedule, usually 15 minutes or less. Walk-in and appointments available.
- 3 Typical results in 1-2 days
Your results post straight to your dashboard as soon as the lab completes them.
- 4 Expert guidance
Included with Mito membership. A clinician reviews your results and your personalized action plan follows, with clear next steps.
Everything your health needs,
in one membership
-
Every test at our cost
Members pay our cost on every test, with lab fees passed straight through. The full receipt is itemized, never padded.
-
Continuous tracking, all in one place
Upload past labs and watch your trends over time. Every marker and visit lives in one longitudinal record, so all your care stays together.
-
Year-round clinician support
Text anytime and get clinician-reviewed answers. When you want to go deeper, 1:1 consultations are available at affordable rates.
All for $9/month
Order any test or consult without joining. For $9/month, members unlock member prices, trend tracking, and year-round clinician guidance.
Mito Membership
$9 /mo
cancel anytime
Without membership
$0
pay as you go
At-cost pricing on labs, scans, and more
Supplements at 30% off retail prices Coming soon
On-demand clinician consults when you need guidance
Personalized action plans across supplements, exercise, nutrition, and sleep
AI health coaching to help you act on your results
Year-round medical support, with in-chat clinician escalation
All your health records in one personal vault, with trends and biological age tracking
Early access to new diagnostics and product releases
More tests to consider
Loading essentials…
Frequently asked questions
View all FAQsHow does pricing work?
Every test shows the member price next to the standard non-member price, so you can see what membership saves you. The member price is our cost, covering the lab and what it takes to run the service. It is never a profit on the test itself. Mito makes its money on the $9 membership, not on marking up your tests. Membership is $9 per month, and any applicable lab order or draw fee is itemized before you pay.
Where do I get tested?
Choose an available partner lab at checkout. If your cart contains multiple blood tests, Mito helps consolidate the eligible tests at one lab when possible. At-home kits and scans follow the collection or appointment process shown on their product page.
Is this eligible for HSA/FSA?
Yes. Eligible tests can be paid for with an HSA or FSA card at checkout.
When will I get my results?
Your results appear in your Mito dashboard after the laboratory completes processing. A clinician then reviews them before your analysis and personalized action plan are finalized. Timing varies by test, and specialty assays and at-home kits may take longer.
Do I need a physician's order?
No. Mito provides the laboratory order when one is required, so you do not need to arrange a separate physician visit before purchasing.
Recently viewed
Loading essentials…