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Post-Exertional Malaise in Lyme Disease: Why Pacing Matters

Post-Exertional Malaise in Lyme Disease: Why Pacing Matters

Someof my patients recovering from Lyme disease describe a familiar pattern: they finally feel well enough to be active—maybe a short walk, a trip to the grocery store, an hour of work—then crash. The next day, fatigue deepens, pain flares, and concentration fades. This isn’t ordinary tiredness. It’s post-exertional malaise in Lyme disease (PEM)—a delayed

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Why Lyme Symptoms Get Worse During Your Period

Why Lyme Symptoms Get Worse During Your Period

When Lyme Symptoms Worsen During Your Period Many women tell me the same thing: their Lyme symptoms get worse during their period, often in the exact same window every month. Fatigue deepens. Pain sharpens. Dizziness, palpitations, and air hunger return. What should be a predictable cycle becomes a predictable crash. Many women don’t realize that

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Why Lyme Disease Causes Heat and Cold Intolerance

Why Lyme Disease Causes Heat and Cold Intolerance

When Your Body Stops Regulating Temperature Normally Many patients with Lyme disease describe something they never struggled with before: they suddenly can’t tolerate heat or cold. They walk into a warm room and feel flushed or dizzy. A mild chill hits them and their body reacts as if winter has arrived. Some swing from sweating

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Lyme Disease Was Mistaken for Child Abuse:

Lyme Disease Was Mistaken for Child Abuse: A Commentary

When Lyme Disease Mistaken for Child Abuse Sets a Crisis in Motion Some medical cases stay with us long after we read them. One such case—published by Pan and colleagues in 2021—still stands out for how quickly Lyme disease mistaken for child abuse escalated into a family crisis. The case involved a toddler brought to

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Night Sweats from Babesia: An Overlooked Lyme Symptom

Night Sweats Babesia: The Symptom Doctors Miss

Night sweats from Babesia are one of the most distinctive — and most commonly missed — symptoms in tick-borne illness. Patients describe drenching sweats that soak bedding and clothing, often appearing without explanation and resistant to standard treatment. When night sweats follow a tick bite or appear alongside Lyme disease, Babesia coinfection deserves serious consideration.

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When Lyme Disease Makes Driving Difficult

When Lyme Disease Makes Driving Difficult

When the Road Stops Feeling Safe For many patients, the realization hits suddenly — you’re behind the wheel, and something feels off.The light changes, but your reaction time is slower. A familiar route looks disorienting. You miss a turn, or your vision blurs for a few seconds. These aren’t just “bad driving days.” For some

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PTSD-Like Symptoms After Medical Gaslighting in Lyme Disease

PTSD-Like Symptoms After Medical Gaslighting in Lyme Disease

Recognizing PTSD-Like Symptoms in Lyme Disease Many patients describe racing thoughts before appointments, fear of being dismissed, and physical reactions when discussing symptoms. These PTSD-like patterns arise not only from infection, but from the experience of being doubted, delayed, or disbelieved. Patients report: Flashbacks of being dismissed or misdiagnosed Anxiety before medical visits Insomnia and

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