I am not a doctor but I want to relay information that I found fascinating. I have been suffering from chronic EBV since 4/90 but managing my symptoms and living the best life I can inspite of the fatigue, etc. However, in July after pressing for more blood work, my EBV VCA Capsid IgG levels which were around >1:640 in 4/90 are now at >1:10240. Two infectious disease doctors have never seen this alarming rate. They are trying to figure out the reason for the jump when the virus was inactive in 2004. I am writing to tell people to urge their doctors to do annual EBV or other herpes virus related tests. Now, I have hsv-1 and herpes 6 too. From what I have researched, these viruses can progress. This is the sad truth. I do not want to make everyone scared or worried. If I knew, there was a chance the ebv could progress, I would have done things differently over the last 18 years. I know stress can activate the viruses, I would not have taken certain positions. So if you are newly diagnosed, have your doctors monitor you annually if you have symptoms. I have had swollen lymph glands for almost a year and now I am getting the additional tests to rule out lymphoma. The veterans of this insidious disease probably know this but I really want to educate the newly afflicted. Keep in mind, lymphoma can strike anyone, not just people with elevated ebv titers. I have told my family that if I have something serious, it may be a little bit easier than dealing with the lost dreams and experiences from the last 18 years. Don't get me wrong, I feel blessed at the same time I feel cursed. I just want to spare someone from potential heartache in the future. One infectious disease specialist said, there is no magic bullet for us but we need to have great nutrition and supplements. She mentioned NADH as one supplement. Hope you didn't mind the long post.