I have Chronic Lyme Disease too and it makes everything difficult. I am walking around with a chronic infection and am on two different heavy duty antibiotics, one IV, which can exacerbate the MG. I have had this for 7 years. I am on a ton of meds; I also have another autoimmune disease, small fiber neuropathy. Throw in hypothyroidism and dysautonomia (POTS.) It's kind of a big mess but the MG is definitely the worst offender with the Lyme and coinfections pulling in a close second. In the last year I've been treated for Rocky Mountain Spotted Fever, Babesiosis, and Bartonella, all tick borne infections. Lots of different antibiotics. Just treating the Lyme now, but these infections are all chronic and can and do recur.

However the symptoms I'm having are mostly MG related except perhaps the fatigue and lack of motivation, and brain fog. I have made a lot of progress with the Lyme, just in time to get diagnosed with MG a year ago.