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Anthony Bray, MD
Anthony Bray, MD, Doctor
Category: Endocrinology
Satisfied Customers: 10337
Experience:  14 years experience in the field of Family Practice
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I have CFS for last 3 years.. It started with EBV and still

Customer Question

I have CFS for last 3 years.. It started with EBV and still have severe fatigue, depression, unrefreshing sleep.. Recently my EBV titer for VCA IGG was 3.75.. Now taking valtrax 1g twice a day.. Its almost 4 months now but no improvement..
Submitted: 1 month ago.
Category: Endocrinology
Expert:  Anthony Bray, MD replied 1 month ago.

Hello !

I suggest follow up with your primary care doctor

I advise even though you do not feel like it but try to get daily MODERATE exercise

A wakefulness promoter may help ---Provigil as example ( ask your doctor )

How much sleep per night so you get?

The sleep quality may be a factor for ongoing fatigue

True that chronic active mono could stilll be factor ( full EBV titers IgG and IgM) would be of interest ....

To check other causes of fatigue might yield answers ---

Sleep study

B12 level

Thrroid function

CBC

Serum iron

Depression? That may benefit from a stimulating type antidepressant such as Wellbutrin ....

I hope that this is helpful for you

If you have further questions or concerns then I will be happy to get back with you

If my answer has been helpful and to your satisfaction then please remember to leave positive feedback

Thank you and Best Regards,

Anthony Bray MD

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