POTS stands for Postural Orthostatic Tachycardia Syndrome.
whatislyme.com/potsdysautonomia/Violet, if you still have ongoing symptoms, you still have an ongoing infection, not something people get post Lyme, but with Lyme and company.
"The second part of the MSIDS model, immune dysfunction, is very important because there are often autoimmune manifestations present, due to an overstimulated immune system from Lyme. Patients may get positive anti-nuclear antibodies (ANA), which doesn’t mean they have lupus. They get positive rheumatoid factors, which doesn’t mean they have rheumatoid arthritis (RA).
We find these autoimmune markers, including anti-thyroid antibodies, and anti-ganglioside antibodies (which are associated with neuropathy – tingling, numbness, burning) – and can also be associated with POTS (postural orthostatic tachycardia syndrome)/dysautonomia. These people come in with low blood pressure and palpitations, saying they feel tired, dizzy, and with cognitive dysfunction.
Clearly, there are autoimmune manifestations, but my clinical experience has proven to me that, chronic, persistent infection is often underlying the process, as autoimmune markers often turn negative with antibiotic treatment."
(broke up the paragraph only so that it's easier to read)
lymeconnection.org/news_publications/meet_the_lyme_disease_experts.html/title/dr-richard-horowitz