I recently read a comment on another thread that treating for candida is a waste because we need to get to the "causes" of this illness. I didn't want to write an answer on that thread because it wasn't what the thread was about. Obviously not everyone with classic CFS succeeds in improving at all through candida treatment, just as not everyone with classic CFS improves at all through any other CFS treatment yet put forth. I think it is wrong to dismiss (especially offhandedly!) any treatment that has been shown to help a substantial number of people when one is trying to get better. Control of yeast seems to fit into this category. Recently a thread on this board asked whether people were treating "chickens" (the causes of their illnesses) or the "eggs" (such as pain and fatigue). The "chickens" discussed included a wide variety of factors. It wasn't just viruses or lyme. The person who started that thread was munch1958, who has controlled strictly for diet as part of her many-pronged approach (including addressing candida) in order to get from her previous very severe level of of disability to her current 95% of normal functioning. It would be nice if Valcyte or some drug proved to be the "answer" for CFS, and that we didn't have to worry about anything else while we were following that course of therapy. Thus far I haven't seen that this illness works that way though. The yeast comment troubles me because it makes it seem that yeast is something that should be _rightfully_ ignored, and that anyone who treats for it is wasting their time. Considering that many people here have experienced substantial long-term improvement (though obviously not total wellness) just through treating yeast, it seems to me reasonable for anyone with CFS to at least consider that it conceivably might be helpful for them too. Functioning at 60% is functioning at 60%, regardless of whether one gets there from antivirals or from some other combination of "lesser" treatments. And if we could get to 80% or higher with (say) a combination of antivirals and other treatments, that would be even better. Yeast is considered to be an issue for CFS patients by doctors prominent in this field, including those who are fully aware that it is not the cause. For instance. Dr. Paul Cheney has talked about the fact that our bodies' relatively anaerobic environments make it especially likely that yeast and other pathogens (like lyme and chlamydia pneumoniae) will grow out-of-control. Allowing gut yeast to grow unchecked is undesirable for a number of reasons: * It creates gut problems, including "digestive difficulties." Not only is this inconvenient (diarrhea, constipation), it also prevents nutrients from being absorbed from food properly. Some doctors (such as Dr. Kenny de Meirleir) believe that the gut is an integral part of immune functioning, and if so then keeping it in good shape may help us to address other pathogens and/or autoimmune issues as well. * If it grows unchecked, it grows into the sinus cavity. Sinus infections are widely known for creating tireness and lethargy even in normal people, and so having it contributing to our "core" fatigue would seem undesirable. (In my case this was especially problematic, since having it pressing up against or possibly growing into my inner ear at one point set off severe spinning sensations from BPPV that made my choices in life to either lie in bed without moving my head, vomit repeatedly, or take strong dangerous medicine basically forever to control the vertigo.) * For those who are allergic to candida, it can cause a variety of symptoms such as spaciness and tiredness. * It can grow into vaginal infections that (again since candida grows well in the relatively anaerobic environments of our bodies) are extremely difficult to eradicate. Many women on this board have suffered from vaginal yeast infections or vulvadynia (the latter apparently caused by a form of candida other than abicans) continuously for many years. Obviously, we all hope that we will be able to eliminate the underlying cause(s) of this yeast overgrowth. Dr. Montoya seems to think that antivirals may be successful at making the environments of our bodies more aerobic, as evidenced by his use on Valcyte patients of the bicycle test commonly used to assess VEGF (vascular endothelial growth factor). Perhaps improvements in the immune system efficiency and effectiveness would allow the body to control yeast better on its own too. I for one would be delighted if I didn't have to follow a no-sugar diet, buy expensive probiotics and other supplements, and occasionally take antifungal drugs to control my chronic yeast problem. Hopefully addressing the root causes of my illness will allow me to do stop having to do those things. In the meantime, not making every effort to feel as good as I can by treating secondary problems (such as yeast) seems that it would be a mistake. Obviously I want to get totally better in the future, but that doesn't mean that I also don't want to live life as fully as possible now.