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Lysacek ended his season by winning the bronze medal at the 2006 World Championships in Calgary, Alberta.
He was once again troubled by illness, having been administered three different antibiotics to fight a bacterial infection, which at one point, caused him to cough up blood.
Lysacek was the 2010 United States Olympic Committee's Sports Man of the Year, Lysacek went to Spring Brook Elementary and then to Gregory Middle School.
During high school, Lysacek was a member of the honor roll, where he earned a number of academic achievement awards, including the Presidential Award for Academic Excellence in 1999.
He competed next at the 2005 World Championships in Moscow.
Lysacek was tied with Parker Pennington in second place ordinals and had one more first place ordinal, giving him the win in the free skate in the Total Ordinals of Majority tiebreaker, which pushed him ahead in overall factored placements, allowing him to win the title overall. Lysacek had a strong showing in the 2000–2001 season. Lysacek was named second alternate to the US team to the 2001 World Junior Championships and was placed on the team after Ryan Bradley withdrew due to injury.
He competed in his second season on the Junior Grand Prix circuit and won two silver medals. Lysacek performed two clean programs and came in second behind fellow American Johnny Weir, giving the United States a gold and a silver on the World Junior podium for the first time since 1987.
After graduating from high school in 2003, Lysacek made a coaching change and began to work with Ken Congemi and Frank Carroll in El Segundo, California. In the 2004–2005 season, having aged out of the junior level at age 19, Evan Lysacek made his senior international debut.
With Congemi and Carroll, Lysacek won both of his Junior Grand Prix events. Skating through a hip injury, Lysacek placed fifth at the 2004 Skate America, the first Grand Prix event of his career. Championships, Lysacek won the bronze medal after receiving the only 6.0 of his career for his short program.