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January 3, 2026

PTLDS Ethical Challenges Deserve Attention

The Ethical Cost of Dismissing PTLDS

The Ethical Cost of Dismissing PTLDS The ethical challenges of post-treatment Lyme disease syndrome (PTLDS) often begin at the moment symptoms persist after treatment. Patients may do everything right—receive a timely diagnosis, complete recommended antibiotics, and follow medical advice—yet continue to worsen. This is not simply a clinical dilemma. It is an ethical one. Why […]

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Gastrointestinal Dysregulation in Lyme Disease

Gastrointestinal Dysregulation in Lyme Disease

Gastrointestinal Dysregulation in Lyme Disease If your digestion has slowed and nothing seems to help, you’re not alone. Many patients with Lyme disease develop gastrointestinal symptoms that persist despite dietary changes, fiber supplementation, hydration, or normal testing. These symptoms may include constipation, bloating, early satiety, nausea, abdominal discomfort, or a constant sense that digestion is

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Understanding Central Sensitization in Lyme Disease

Pain Processing and Central Sensitization in Lyme Disease

Pain Processing and Central Sensitization in Lyme Disease When Pain Persists Beyond Infection Some patients with Lyme disease experience pain that spreads, fluctuates, or intensifies long after the acute infection has been treated. Symptoms may worsen with stress, sleep disruption, or physical exertion and often seem disproportionate to findings on examination or testing. When conventional

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Why Patients With Lyme Disease Feel Exhausted Despite Sleeping

Why Patients With Lyme Disease Feel Exhausted Despite Sleeping

Why Patients With Lyme Disease Feel Exhausted Despite Sleeping Patients with Lyme disease sleep disorders often describe the same experience: they sleep through the night yet wake feeling depleted. This is not about sleep duration—it is about biologic fatigue and impaired recovery. Many patients with Lyme disease experience what clinicians describe as non-restorative sleep, a

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Brain Fog and Cognitive Dysfunction in Lyme Disease

Brain Fog and Cognitive Dysfunction in Lyme Disease

Brain Fog and Cognitive Dysfunction in Lyme Disease Many patients with Lyme disease describe a frustrating and often frightening experience: they can no longer think the way they used to. Concentration is harder. Words feel just out of reach. Tasks that once felt automatic now require intense effort. This constellation of symptoms is commonly referred

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