I am taking charge of my health. I have been reading medical information regarding EBV and based on a lot of what is going on with me, and am afraid I might be heading down the CFS route and want to do whatever I can to avoid that. I read that so many CFS suffers had some sort of trigger period (for lack of a better term), and I'm afraid I'm at that point and want to be proactive in doing everything I can to avoid this debilitating disease. Basically right now I'm exhausted. Have been since early July. Gave birth 11/2012. REALLY heavy periods following that. Contracted a nasty HSV 1 virus February 2013 (confirmed culture). Continued heavy periods. Started aggressive training for triathlon I did July 2013. Gave blood in June (while on a VERY heavy period BTW). Early July I was hit with extreme fatigue and general yuckiness. Assumed it was stress (marital difficulties at the time) and/or a b-12 deficiency so I started supplementing (and laid down the law with the hubs LOL). That didn't get better. In August I lost most central vision in left eye, which promted a few dr visits. After several visits and many tests, I have "intermediate mono" and iron deficent anemia. I want to be REALLY agressive with the mono because a) it's my FOURTH time having it and b) it seems that CFS can be triggered by both the herpes virus and EBV and since I've had both recently and am generally unwell right now anyway, I don't want either settling in and starting CFS for me. Basically here's what's going on: Extreme fatigue with alternating excessive sleep and insomnia Something in my retina that is a result of a virus (can't remember name), like lesions that are supposed to heal on their own but some university study is having success treating them with Valtrex Hair loss Chest pressure Sore Tongue So could someone look at some of my tests results and give me some general guidance? I would be really grateful. I think you guys are undoubtedly more well read and knowledgeable about EBV/CFS, etc. than my family practice doctor or eye doctor! Basically everything has been run. Thyroid tests all perfect, Lyme negative, HSV no active infection, vit b-12 good. Oh, and my hormones are in the tank. Basically perimenopause levels but I'm only 36 and they were good in February. Undetectable levels of estradiol and progesterone. EBV EPSTEIN BARR VIRUS EARLY ANTIGEN D AB (IGG) 1.19 EPSTEIN BARR VIRUS VCA AB (IGM) < OR = 0.90 EPSTEIN BARR VIRUS VCA AB (IGG) >5.00 EPSTEIN BARR VIRUS (EBNA) AB (IGG) >5.00 IRON, TOTAL 27, 40-175 mcg/dL IRON BINDING CAPACITY 401, 250-450 mcg/dL % SATURATION 7, 15-50 % (calc) FERRITIN 5, 10-154 ng/mL Interestingly, ferritin was checked in February and was 61. My hemoglobin is 11.1 (hematocrit low, MCV low, RBC count normal). Also there was one elevated marker, the cardio CRP at 6, but I don't have any other cardiac risk factors at all. So basially the doctor says that I have later stage mono and it should clear on its own and I'm a little iron deficient and should supplement with OTC iron pills. I had to fight him to start Valtrex and he only gave me 1 week, which I'm taking now. The neuro opthalmologist had suggested the Valtrex originally because it can help the eye resolve quicker but I don't see him again until next week. I can ask him for more Valtrex. So first, is the EBV diagnosis correct do you think based on the results above? Is the fact that this is my FOURTH episode of mono and the fact that it's presenting TOTALLY different this time than it did when I was younger concerning? Is this the start of CFS, and if so, what steps should I take to combat it early on? Should I demand a longer course of Valtrex and if so, how long? Or is it just garden variety mono (again...) compounded by an iron deficiency? Also, does anyone know if mono can cause iron deficiency? Or is that just likely due to blood loss and over exercise? In the meantime, I've ordered monolaurin and floridix.