Lyme Science Blog

Babesia Testing Errors Can Delay Treatment Babesia treatment duration is one of the most misunderstood aspects of managing this co-infection. In my clinical experience, treatment often needs to go beyond the standard 7–10 days. I recently treated a patient who failed a 10-day course of atovaquone and azithromycin. He still had fatigue, sweats, and brain […]

Painful Feet and Lyme Disease You stand up to walk to the bathroom at night—and wince. The soles of your feet ache like you’re stepping on broken glass. Clinical Insight: Foot pain in Lyme disease may reflect nerve irritation, inflammation, or broader multisystem patterns rather than a simple local foot problem. Painful feet can be

Lyme Persisters: Why Symptoms Can Return After Treatment You finished treatment. The antibiotics are done. Your doctor says you’re cured. So why do you still feel terrible? For many patients, the answer may lie in Lyme persisters—dormant bacteria that survive antibiotic therapy and can reignite symptoms long after treatment ends. The Role of Lyme Persisters

PANS in Teens: When Lyme Disease Triggers Sudden Change A healthy 16-year-old became unrecognizable within days. Once outgoing and confident, he suddenly developed anxiety, irritability, and repetitive rituals. His handwriting deteriorated, grades plummeted, and he withdrew from friends. Parents were told it was psychiatric. But Lyme disease had triggered PANS—an autoimmune condition where infection causes

Physician Reluctance in Lyme Treatment: Risks for Patients Dr. Sarah reviewed the file carefully. Her patient exhibited all the classic symptoms of Lyme disease and had been exposed to ticks. But the test was negative. She knew from experience that early Lyme tests miss up to 50% of cases, yet she hesitated to make the

Lyme or Long COVID? Making Sense of Persistent Symptoms Three years after beating Lyme disease, Jennifer tested positive for COVID-19. Months later, the same crushing fatigue, brain fog, and joint pain that she experienced with Lyme had returned. Was it Long COVID — or Lyme again? Doctors disagreed, and meanwhile she felt worse by the

Stopping Lyme Disease Treatment Too Soon Can Backfire After 37 years treating Lyme disease, I’ve seen patients naturally wonder when they begin to feel better: Do I really need to keep taking these medications? In Lyme disease, this question comes up often. After weeks or months of therapy, fatigue, joint pain, or brain fog may

Risk Factors for Chronic Lyme Disease While many people treated for Lyme disease recover completely, a significant number develop chronic Lyme disease with persistent symptoms that continue long after standard antibiotics. These patients often report having ongoing fatigue, pain, sleep disturbance, neurological changes, and emotional strain that disrupts their lives. Understanding the risk factors for

Low-Dose Naltrexone for Lyme: What We Know (and Don’t) Low-dose naltrexone (LDN) has gained growing attention as a potential supportive therapy for people with chronic Lyme disease and persistent symptoms that may not fully resolve with antibiotics. Originally developed as a treatment for opioid and alcohol dependence, naltrexone in much smaller doses appears to have