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your symptoms are not typical after lyme disease.
you could be suffering from excessive anxiety symptoms
severe anxiety can cause benign fasciculation twitching of muscles.
the single focus T2 change in the brain is not related and most likely is due to a spot of microvascular ischemia from a small broken blood vessel in the brain.
you may benefit from taking anti-anxiety medications. have you taken these before?
muscle aches and pains can be from fibromyalgia or weather changes or lack of exercise.
it is your anxiety causing your benign fasciculation muscle twitching.
you may benefit from a sinus CT scan to see if you need allergy medications or sinus surgery for your chronic maxillary sinus disease.
you may need to improve your diet and exercise to help improve your health.