Brief Answer:
May indicate acute/recent Lyme disease... Require further confirmation.

Detailed Answer:
Hello,

I have gone through your query and here is my advice.

As per your history, it may indicate acute/recent Lyme disease/infection.

Still, please let me know:
Do you have skin rash, joint pain, fever, sore throat, fatigue?
Are you taking any other medications?

So for further assessment, I would suggest you consult with a physician for detailed clinical examination and confirmation.

S/he may procure other relevant investigations complete hemogram, iron profile, ELISA/western blot test to confirm Lyme disease and to rule out any other possibilities for anemia/chronic disease as RDW (RBC distribution width) is on the higher side.

Further treatment mainly depends upon the underlying condition/confirmation. You may require antibiotics after consultation. For pain/fever, you can take tablet Acetaminophen.

Hope I have answered your query...
Let me know if I can assist you further.

---

Brief Answer:
May not be due to anemia...

Detailed Answer:
Hello,

Thank you for your reply. I have reviewed attached reports.

As per my knowledge, these results (lyme Ab, quant, IgM levels) may not be due to anemia.

Do you have any other symptoms as mentioned earlier?

So you may require further confirmation after physician consultation as suggested earlier.

Hope I have answered your query...
Let me know if I can assist you further.

---