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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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WHY IS MY DIGESTION SLOW—IF TESTS ARE NORMAL

Gastrointestinal Dysregulation in Lyme Disease

Lyme Disease Gastrointestinal Symptoms Digestive symptoms can occur even when gastrointestinal testing is normal Lyme disease may disrupt autonomic control of the digestive tract This may explain constipation, bloating, nausea, and other digestive symptoms Lyme disease gastrointestinal symptoms may include constipation, bloating, nausea, early satiety, abdominal discomfort, and slowed digestion. These symptoms may persist despite

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Understanding Central Sensitization in Lyme Disease

Understanding Central Sensitization in Lyme Disease

What Is Central Sensitization? Why Pain Can Persist After Lyme Disease Pain may persist or spread after Lyme disease The brain and spinal cord can amplify sensory signals Central sensitization may overlap with peripheral nerve injury Central sensitization in Lyme disease refers to changes in how the brain and spinal cord process pain and other

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EXHAUSTED AFTER A FULL NIGHT’S SLEEP

Why Patients With Lyme Disease Feel Exhausted Despite Sleeping

Why Am I Exhausted Despite Sleeping? Lyme Disease and Non-Restorative Sleep Sleeping through the night but still exhausted Non-restorative sleep may occur in Lyme disease Autonomic dysfunction and inflammation may impair overnight recovery Many people with Lyme disease sleep through the night—or even 8 to 10 hours—yet still wake feeling exhausted. This pattern, often called

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WHY LYME BRAIN FOG HAPPENS

Brain Fog and Cognitive Dysfunction in Lyme Disease: Symptoms and Causes

Brain Fog and Cognitive Dysfunction in Lyme Disease: Symptoms and Causes Many patients with Lyme disease describe a frustrating and often frightening experience: they can no longer think the way they used to. Brain fog in Lyme disease reflects slowed thinking, poor concentration, and memory problems driven by neurologic and inflammatory changes. Concentration becomes harder.

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