Posted 6/24/2022 4:15 PM (GMT 0)
be aware that EBV and lyme antibodies cross react meaning
serology for EBV can be positive if you have lyme
or serology for lyme can be positive if you have EBV
serology cannot really reliably tell them apart - and it seems few LLMDs are fully aware of this - preferring instead to do more treatments ....
also note that 95% of the population still have EBV inside them after getting it when younger - so serological methods are forced to try to choose a "cut-off" of antibody levels that differentiate past and active infections - but its pretty ropey science in a population that, by definition, has disrupted immune responses.
PCR test for EBV can distinguish true positive EBV from false positive EBV serology - so that is what i would do if i was concerned EBV was an issue