OpenHealth Q&A

It sounds like you're understandably concerned about your recent mono test results, especially since you've experienced mononucleosis before. The test results indicate some changes in your Epstein-Barr virus (EBV) markers, which could suggest a reactivation of the virus or a recent infection. Here’s a breakdown of your results:

1. EBV Capsid IgG Index (6.4 AI): High levels of IgG antibodies typically indicate past infection, which is consistent with your history of mononucleosis.
2. EBV Capsid IgM (0.5 AI): Implies that there's not a current acute infection since IgM typically signifies a recent infection. Levels under 1.0 are generally considered negative.
3. EBV Nuclear Antibodies (> 8.00 AI): High levels of nuclear antibodies can suggest either a past infection or chronic reactivation but often correlate with a stable condition post-infection.

Immediate Next Steps:

1. Monitor Symptoms: Keep track of any symptoms such as fatigue, fever, sore throat, or swollen lymph nodes. Document changes in how you're feeling day by day.

2. Stay Hydrated and Rest: Prioritize hydration and good nutrition, as your body may be in a state of recovery or fighting a lower-level infection.

3. Avoid Strenuous Activities: If you're feeling fatigued or unwell, limit physical exertion until you've discussed your symptoms and test results with your doctor.

4. Prepare for Your Doctor Appointment: Write down any symptoms you're currently experiencing, along with the timeline of when they started. This will help your doctor provide accurate feedback.

While it’s normal to feel anxious about these results, many individuals who have had mono can have varying levels of EBV antibodies without it indicating a new infection. It’s great you’re reaching out for support, and your doctor will help clarify things further on Monday. If you notice any worsening symptoms in the meantime, don’t hesitate to reassess and seek help.