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The symptom list is long because the infection is systemic: Persistent fatigue that doesn't improve with rest Brain fog, memory problems, difficulty concentrating Joint pain that migrates (knee one week, shoulder the next) Neurological symptoms: numbness, tingling, facial nerve involvement Heart palpitations and cardiac involvement Anxiety, depression, and mood instability Sleep disruption (both falling and staying asleep) Muscle weakness and exercise intolerance This symptom picture overlaps with chronic fatigue syndrome, fibromyalgia, multiple sclerosis, lupus, and depression