I'll try and answer the first question about LibreBoot. LibreBoot is a BIOS that does not normally ship on IBM/Lenovo laptops, but you can get such laptops refurbished with this BIOS software. If you don't know what LibreBoot is then it's almost certain you don't have it. What this means is that you have a BIOS from Lenovo and it uses a whitelist. This means you can't replace the internal card as only the card(s) in the whitelist will work. Generally that would consist of the cards that the laptop shipped with. That would be why you were told to go with a USB wifi adapter instead.

It may not be an issue with the USB controller although the description does align roughly with the results of the issue your describing. But it's still just one possibility that isn't that terribly uncommon. There are many reasons it might stop working. For example it could be your USB ports are worn out. This is also not terribly uncommon. USB ports were really designed to have devices inserted and removed frequently. As a result they can go bad. Changing ports might resolve that sort of issue too.

Internal cards and there ports aren't going to wear out generally speaking as the cards don't get inserted and removed frequently. Doing this though does have an impact on such devices/slots/connectors as well though if you were to insert/remove a card/connector frequently day after day for several months.

Ultimately I'd go with the 34mm PC Card if replacing the internal card was not an option. The 34mm PC Card uses the same highly desirable PCIE chipsets that are used internally. It's just an external form factor now. They are not quite as good as the internal cards, but still, better than the USB option.

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