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Tick Bite Ethical Concerns Rethinking the single dose of doxycycline

Tick Bite Ethical Concerns: Rethinking the single dose of doxycycline

Tick Bite Ethical Concerns Start with False Reassurance A woman walked into my clinic six weeks after a tick bite. She’d been given a single dose of doxycycline at urgent care and told, “That’s all you need.” But now, she could barely get out of bed. Her fatigue was overwhelming. Her joints throbbed. Her thinking

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Traveling with Lyme disease: realistic strategies for summer and beyond

Traveling with Lyme Disease: Realistic Strategies for Summer

As a Lyme disease expert, I often hear the same concern: “Is traveling with Lyme disease even possible?” The answer depends on the person—but with the right mindset and preparation, many patients can travel while honoring their body’s limits. Whether you’re dealing with fatigue, POTS, food restrictions, or flares, this guide offers compassionate, realistic advice

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Single Dose Doxycycline For Tick Bite - Ethical Concerns

Single Dose Doxycycline For Tick Bite – Ethical Concerns

What if you did everything right after a tick bite—and still ended up sick? That’s what happened to a 37-year-old woman who followed medical advice after a hike in New York’s Hudson Valley. She removed an engorged tick and went to urgent care. The provider gave her a single pill—200 mg of doxycycline—and told her

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Can Lyme Disease make EDS symptoms worse or more complex?

Can Lyme Disease Make EDS Symptoms Worse or More Complex?

That’s a question I’ve heard more often in recent years—from patients, parents, and even colleagues. Ehlers-Danlos Syndrome (EDS) is already a complex condition with far-reaching effects. But when patients with EDS report a sudden downturn—new neurological symptoms, worsening fatigue, or cognitive decline—it’s worth asking whether something more is going on. And in some cases, that

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Lyme Disease and Dementia: When Brain Fog Isn’t Alzheimer’s

Lyme Disease and Dementia: When Brain Fog Isn’t Alzheimer’s

I’ve spent much of my career studying cognitive decline. Before I specialized in Lyme disease, I taught medical students about dementia. I ran programs evaluating memory loss in older adults. So when I say that Lyme disease and dementia can be confused, I don’t say it lightly. One of my patients was referred to me

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Persistent Lyme Disease: Signs That Treatment May Still Help

Persistent Lyme Disease: Clues You Can Treat

Too many patients with persistent Lyme disease are told, “You’re fine,” when they clearly aren’t. Their fatigue, brain fog, joint pain, and autonomic issues are dismissed or misattributed—and the longer that goes on, the more trust in the system erodes. But what if we approached persistent Lyme the way we approach other chronic illnesses? With

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