Lyme Science Blog

As a Lyme disease specialist, I’ve treated many patients who continue to suffer from persistent Lyme symptoms—even after completing a full course of antibiotics. They’re often told their fatigue, brain fog, joint pain, or headaches are simply “post-treatment Lyme disease” or stress-related. But that explanation doesn’t reflect what I see in my practice—or what my […]

A recent study published in Nature Microbiology has revealed how malaria parasites survive in the human body for years without causing symptoms—offering powerful insights into the Lyme disease persister theory. Researchers from Weill Cornell Medicine, including Dr. Kirk Deitsch, found that Plasmodium falciparum—the parasite responsible for malaria—can evade the immune system by silencing its var

When it comes to Lyme recovery, rest is often the first recommendation patients hear—but is it always the right one? When you’re dealing with exhaustion, joint pain, or brain fog, rest may feel necessary—and sometimes it is. But many of my Lyme recovery patients tell me that too much rest doesn’t help them recover. In

Hyperbaric oxygen therapy (HBOT) is often promoted as a way to relieve symptoms of chronic Lyme disease. Some patients seek it out when other treatments haven’t worked. But in my experience, HBOT doesn’t address the root problem—a persistent tick-borne infection. So let’s break it down—in the form of a clinical dialogue. 💬 A Clinical Dialogue

When It’s Not Long COVID—It’s Lyme In the wake of the pandemic, we’ve become more aware of how a virus can lead to long-term, multisystem illness. That’s been a good thing. Patients with brain fog, fatigue, and shortness of breath are no longer automatically dismissed. They’re told it might be Long COVID—and for many, that’s

Some infections go away on their own. Lyme disease is not one of them. Each year, I see patients who delayed treatment for Lyme disease—some because they didn’t recognize the symptoms, others because they were told their immune system would “take care of it.” But Lyme disease isn’t like a common cold or mild stomach

“What do you think about SOT?”She looked at me earnestly. She had already been through two rounds of antibiotics, herbal protocols, and a year of chronic symptoms.“I know it’s expensive, but people are saying it helps. Should I try it?” It wasn’t the first time I’d been asked. Patients often come to me with questions

“I finished my antibiotics. I did everything right. So why am I still sick?” That’s what one of my Lyme patients told me—months after treatment. Her fatigue hadn’t lifted. Her memory still slipped. Her symptoms weren’t improving.And she’s not alone. A landmark 20-year study of World Trade Center first responders—recently published in Nature Mental Health—offers

When patients come to the office with Lyme disease, many have already been treated — yet they’re still sick. Others are newly diagnosed, overwhelmed by strange symptoms and uncertain about what lies ahead. The question most often asked is: “What’s the best treatment?” There’s No One-Size-Fits-All Answer Lyme disease can affect the brain, nerves, joints,

Intravenous (IV) Rocephin, or ceftriaxone, is often viewed as the gold standard for late-stage Lyme disease. And yes, it has an important role. But in my practice, I don’t routinely start with IV treatment—even for patients with chronic manifestations like fatigue, brain fog, nerve pain, or autonomic dysfunction. Let’s break it down—in the form of