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January 1, 2026

Chronic Lyme vs PTLDS: The Debate

Chronic Lyme vs PTLDS: The Debate

The debate over chronic Lyme vs PTLDS isn’t just about words—it’s about whether patients feel validated or dismissed. Many patients use chronic Lyme disease to describe ongoing fatigue, pain, and brain fog. Some clinicians prefer post-treatment Lyme disease syndrome (PTLDS), a term that sounds more neutral but often feels minimizing. Did You Know? Most patients […]

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post-treatment Lyme disease syndrome (PTLDS)

What Is Post-Treatment Lyme Disease Syndrome (PTLDS)?

Many patients expect Lyme disease to resolve once antibiotic treatment is completed. For some, however, symptoms persist or evolve long after therapy ends. Post-treatment Lyme disease syndrome (PTLDS) is commonly used to describe ongoing fatigue, pain, cognitive dysfunction, and neurologic symptoms that persist long after standard treatment for Lyme disease. For patients, PTLDS is not

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Immune Dysregulation and Neuroinflammation in Lyme Disease

Immune Dysregulation in Lyme Disease

Many patients with Lyme disease experience persistent symptoms that are increasingly understood to involve immune dysregulation, even long after the initial infection has been treated. These symptoms are often misunderstood or minimized. Increasingly, they are recognized as reflecting immune dysregulation and neuroinflammation—a state in which immune signaling fails to return fully to baseline and continues

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When Vision Lingers: Understanding Palinopsia and Repeating Images

When Vision Lingers: Understanding Palinopsia and Repeating Images

When Vision Doesn’t Let Go Some patients notice that an image disappears, but their vision does not fully reset. Lights may trail, words linger on the page, or objects seem to echo briefly in space. These experiences can be confusing and unsettling, particularly when they occur without warning. This phenomenon is known as palinopsia. Although

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