First of all, there are many Lyme patients who have had acute Lyme with nausea and vomiting. I am one of them. I also have had my share of atypical EM's. I've had bull's eyes as well. So why are these symptoms considered unusual for acute cases?
The higher concentration in blood is interesting. How do they know this? Microscopy? If so, microscopy is frowned upon in mainstream circles. What did they compare levels with? And how many were they able to find again? Six? After how many years and samples? We are supposed to be impressed with this?
Whose Lyme disease? Steere's? Or is it more akin to what is described as garinii? Do they even know the disease's progression? Knees? Brain? Heart?
Why was it named after an institution? Did no one want his name associated with this? I'd love to have heard that conversation.
Finally, and perhaps most telling: Mayo.
There are two diseases I would not stand in line to go get a diagnosis at Mayo. One is ME/CFS. The other is Lyme.