Lyme without initial symptoms?

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Is it possible to present with mid-to-late-stage Lyme if one never had initial symptoms -- e.g. no EM and no flu symptoms when bitten?

Also, what methods did you use to attribute you symptoms to Lyme instead of a viral infection (especially when considering that the most Armin and Igenex tests have been shown to be of doubtful quality)?
 
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I first went to a Doc in 2017 with the symptoms I now understand to be ME/CFS. He did a battery of tests, including 9 vials of bloodwork to check for such things as heavy metal poisoning. The only thing to stand out were two markers for Lyme. I never noticed any bullseye rash, nor anything else that is normally associated with Lyme.