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well recent studies are giving new insight into why some Lyme disease patients suffer from long-term symptoms it all has to do with an immune system marker thatamp;#39;s found in the blood the Breakthrough is being healed as a major advancement in how doctors can approach the tick-borne disease letamp;#39;s bring an NBC News medical contributor Dr Natalie Azar for more on this hi Dr Azar good to see you so walk us through this new research how does this immune system marker lead to these lingering systems how does that change ultimately to our understanding of chronic lyme disease does this help us well I think it does and I think for us now itamp;#39;s easy urge to you know sort of conceptualize what a chronic lyme situation is given all of the folks who we know are suffering with long covet and the biggest mystery here is how do some people develop an infection whether itamp;#39;s covid or Lyme recover after appropriate treatment and never have any lingering symptoms and then the