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

What to Do After a Tick Bite: Wait or Treat? If you’ve been bitten by a tick, one of the first questions that comes up is: What should I do now? Deciding whether to wait or start treatment early is one of the most important decisions after a tick bite. Knowing what to do after

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: Why Symptoms Fluctuate Autonomic dysfunction in Lyme disease often explains why symptoms come and go, worsen with stress, and persist despite normal testing. Key Insight: If your symptoms fluctuate, don’t match test results, or affect multiple systems at once, autonomic dysfunction may be driving the pattern. In clinical practice, autonomic

Traveling With Lyme Disease: Realistic Tips for Summer TRAVEL PLANNED? WORRIED ABOUT FLARES? CAN YOU TRAVEL WITH LYME DISEASE? Traveling with Lyme disease is possible—but it requires planning, flexibility, and an understanding of your body’s limits. Fatigue, POTS, food sensitivities, and flares can complicate travel, especially during summer months. With the right strategies, many patients

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

Lyme Disease and EDS: Can Infection Make Symptoms Worse? EDS GETTING WORSE WITHOUT EXPLANATION? NEW FATIGUE, POTS, OR BRAIN FOG? COULD LYME DISEASE BE PART OF THE PICTURE? Lyme disease and Ehlers-Danlos Syndrome (EDS) can overlap—sometimes leading to worsening symptoms that are difficult to explain by connective tissue dysfunction alone. “I was told it was

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. In some cases, persistent fatigue may follow unrecognized or repeated tick exposures, which

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,