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It's chronic fatigue syndrome, which can be triggered by actual Lyme, but hangs around after whatever illness has been cleared from the body. They mistakenly think it's still a bacteria in there. The antibiotics help their symptoms because a broad range of antibiotics act as a strong anti inflammatory in ways current NSAIDs don't, so it feels like it makes them better. The bladder pain community I'm in deals with the same crap of people thinking they have a permanent 'embedded infection' and there are people who take antibiotics for years.
Chronic Fatigue Syndrome/Long Covid is real, though. Probably some autoimmune shit going on. Women are notoriously ignored in medical studies and are more likely to have autoimmune disorders.
When no one helps you, you cling onto the first bullshit that make sense. And let me be clear on how there is absolutely no help for chronic, weird symptoms as a woman. You slowly just start to lose your mind as your life falls apart and no real doctor will offer anything but vitamin D and antidepressants. (It was endometriosis. I had undiagnosed endometriosis for 20 years no one gave a shit about).