Hi @mmckee. I'm sorry that this has come back. I've read that with the early antigen elevated, it is probably reactivated and I'd say definitely if the IgM is elevated. I wouldn't worry about trying to interpret the results and put your energy into getting well. Join some online support groups and do your own research. Right now I'm hitting it from all angles-- supplements, diet, and just started Valtrex. Know you are not alone. Many of us have been couch ridden at ine time or another. I wish you well. Let us know how it goes