A doctor is examining a patient's neck for chronic symptoms possibly related to Borrelia burgdorferi.
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US CDC links Borrelia burgdorferi to chronic symptoms

As recently as 2006, the IDSA guidelines referred to the very real symptoms of chronic Lyme disease as ’the aches and pains of daily living’. Years of grassroots advocacy by ordinary people is finally paying off with the recognition that these symptoms are seriously debilitating. The US National Academies conducted a public workshop to better understand infection associated chronic diseases…

Source

CanLyme reference

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