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August 12, 2025

Shortness of Breath in Lyme Disease: What to Know

When It’s Hard to Breathe: Could it be Lyme? Shortness of breath can feel frightening — especially when it strikes without warning or a clear cause. While heart and lung conditions are common culprits, there’s another, often-overlooked possibility: Lyme disease. This tick-borne infection doesn’t just cause joint pain and fatigue—it can also affect the nervous

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PTLDS May Signal Persistent Lyme Infection

Post-treatment Lyme may signal persistent infection

Post-treatment Lyme disease syndrome (PTLDS) may involve a persistent Lyme infection — not just a lingering immune response. Yet many patients are never told this is possible. When symptoms persist after antibiotic treatment for Lyme disease, most patients are reassured that their illness is “resolved.” For some people (between 10-20%), symptoms like fatigue, brain fog,

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Babesia Treatment Duration: Why 10 Days May Not Be

Babesia Treatment Duration: Why 10 Days May Not Be Enough

When 10 Days Isn’t Enough In my clinical experience, Babesia treatment duration often needs to go beyond the standard 7–10 days. I recently treated a patient who failed a 10-day course of atovaquone and azithromycin. He still had fatigue, sweats, and brain fog. We extended therapy based on symptoms—not the calendar—and he improved. We considered

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