Post-Exertional Malaise in Lyme Disease: Why Pacing Matters
Someof my patients recovering from Lyme disease describe a familiar pattern: they finally feel well enough to be active—maybe a short walk, a trip to the grocery store, an hour of work—then crash. The next day, fatigue deepens, pain flares, and concentration fades. This isn’t ordinary tiredness. It’s post-exertional malaise in Lyme disease (PEM)—a delayed […]
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