December 9, 2025

The Moment Everything Changed: Beginning Exercise in Lyme Disease My patient didn’t ask how to get back to running. She whispered, “I tried to do a little more… and now I can’t get off the couch.” Her experience is something I see often when patients try to exercise in Lyme disease—small movements feel enormous, and […]

When Lyme vs Long COVID Feels Impossible to Tell Apart “Is this Lyme… or long COVID?” Patients ask me this with a mix of fear and exhaustion. They describe the same constellation of symptoms — the brain fog that makes conversations feel slippery, the dizziness that hits out of nowhere, the heart that races as

Many Lyme patients tell me the same story: “I used to tolerate a glass of wine — now it wipes me out.” What was once an ordinary social experience becomes unpredictable and uncomfortable. This shift is a hallmark of Lyme alcohol intolerance — a physiological change that now brings flushing, dizziness, anxiety, nausea, or next-day

Introduction: A Clinical Guide to Post-Exertional Malaise in Lyme Disease Patients often tell me they can complete a workout or a busy day without any immediate problem, only to crash hours later. This phenomenon—called post-exertional malaise Lyme patients frequently experience—is one of the most misunderstood patterns in post-infectious illness. Instead of symptoms appearing during exertion,

A Case That Surprised Both Patient and Clinician One of my patients recently developed black teeth after taking antibiotics for Lyme disease. The discoloration appeared suddenly and was deeply alarming to her — dark streaks and patches that looked like severe decay or even necrosis. She feared something irreversible had happened. But when she visited