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thomblake comments on What science needs - Less Wrong
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Being from the relevant geographic region, that sounds intuitively implausible. I know lots of people who had Lyme disease, and most of them had symptoms after treatment. I feel as skeptical as if you'd told me that influenza is a genetic disorder.
The claim isn't though that there aren't post-disease symptoms. The issues are a) whether they can last for years after (rather than months) and b) if they are caused by still living bacteria.