Lyme Science Blog

Chronic Lyme Disease Controversy The chronic Lyme disease controversy centers on one question: can Lyme infection persist after standard treatment, or are lingering symptoms something else? The answer has divided clinicians, researchers, and public health authorities for decades. For many patients, the consequences are personal. They are told their tests are negative, their symptoms should […]

Lyme disease misdiagnosed as Long COVID After 37 years treating Lyme disease, I’ve seen an increasing number of patients diagnosed with Long COVID when infection was the underlying cause. A woman was told her fatigue, brain fog, dizziness, and poor sleep were just viral aftereffects. Some reassured her it would fade. Others told her it

Tick Bite Treatment Options: What to Know and When to Treat If you’ve been bitten by a tick, one of the first questions that comes up is: What should I do now? There are different tick bite treatment options, and in my practice, I walk patients through two main approaches: watchful waiting or 3–4 weeks

Tick Bite Ethical Concerns: Rethinking the single dose of doxycycline This article reflects broader ethical issues in medical diagnosis when certainty is lacking—especially in early tick-borne illness. 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

Autonomic Dysfunction in Lyme Disease In clinical practice, autonomic dysfunction frequently emerges as a central contributor to prolonged or fluctuating Lyme disease symptoms. While many patients recover steadily, others experience variability in heart rate, blood pressure, digestion, temperature tolerance, sleep, cognition, and stress resilience that does not follow a simple inflammatory or infectious pattern. This

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,

Single Dose Doxycycline For Tick Bite – Ethical Concerns This post has no ethics hub link yet. Let me add it plus cornerstone links and a proper Related Articles section. 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

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

Lyme Disease Fatigue: Why It Causes Crushing Exhaustion Quick Answer: Lyme disease fatigue is driven by immune activation, neuroinflammation, autonomic dysfunction, sleep disruption, and co-infections such as Babesia. It often includes post-exertional malaise, where even minor activity leads to significant energy crashes. Lyme disease fatigue is one of the most common and disabling symptoms of

Do I have Lyme disease? Do I have Lyme disease? It’s a question many people ask after experiencing fatigue, pain, or brain fog without a clear explanation. You may not remember a tick bite—or even see a rash. Testing may come back negative. Yet Lyme disease can still be the cause. That’s why early signs,