Hi @jnrbutterfly . I too have had a positive IgM. My VCA IgG, EBNA, and early antigen were all above what the lab could detect. It looks like you either have a reactivation or this is your initial infection. If you are an adult, I'm guessing it's a reactivation. I got my initial infection at age 20 and now in a reactivation in my forties. Over 90% of the population has EBV sleeping in their body. It is a herpes virus (Herpes-4 to be exact) so like other herpes viruses it can awaken. Stress, whether physical, mental, emotional, can trigger it. Once I was fed up with it and the fact that my doctors were not taking my symptoms seriously, I began to do research on my own. I became a part of some EBV Facebook groups to see what was/wasn't working for others in my situation. Then researched some of the things that popped out. Some of the things that have helped others are nutrition (cut out processed sugars, gluten, dairy, eggs...), herbs, antiviral meds, changing lifestyle (decreasing stress as much as possible), and other supplements to support deficiencies (like iron and zinc). Is there anything that you have tried over the past 5 months. There are some resources that may be helpful for you. http://www.ebvhelp.com is run by Kasia Kines, PhD who just wrote "The Epstein-Barr Virus Solution." Rodger Murphree, DC has treated thousands of people with chronic fatigue syndrome. He also has a book called "Treating and Beating Fibromyalgia and Chronic Fatigue Syndrome." Jacob Teitelbaum, MD is a great resource as well. His website is http://www.vitality101.com. It takes patience and persistance!!!