@mopete your situation sounds a lot like my own and others. The bloodwork you’ve had done is good enough and proves the virus is active. Have they tried putting you on Valtrex? I’ve been on 500mg 2x/day for 10 yrs. in July a new pcp decided I shouldn’t take it and I proceeded to go back 10 yrs. I convinced him to put me back on 2 weeks ago and am back in business. Try and push your doc to put you on it. There’s plenty of literature.