You need to find out how well your stomach is working. My daughter has gastro-paresis, her stomach does not contract any more. This is a result of long un-dx of lyme. The test that checkes this is called a stomach emptying test. When my daughter first started having problems it went in cycles, every six months or so. Good luck I hope this helps.
Lyme Mom for 10 years, looking forward to a lyme free life for all.