I wonder what the research is on chronic fatigue syndrom after lyme disease? I would not look for other reasons at this point as this ones staring you in the face, as it were, and you say it is what you see and what he describes. I vaguely remember that sometimes, when you think lyme disease is gone, it actually isnt and you need another lengthy course of antibiotics before rebuilding the immune system through probiotics, diet and supplements. But there mus be forums out there specializing in this?