
Could Reactivated Epstein-Barr Virus Be the Hidden Cause of Your Fatigue?
Feeling Fatigued Even with Balanced Hormones? EBV Might Be to Blame
You’ve done the work. Your hormones are balanced, your diet is clean, and your labs say everything looks “normal.”
So why are you still exhausted?
If you’re struggling with persistent fatigue, brain fog, or low motivation — even with optimized testosterone, thyroid, or adrenal levels — there’s one hidden factor that’s gaining more attention: reactivated Epstein-Barr Virus (EBV).

What Is Epstein-Barr Virus (EBV)?
Epstein-Barr Virus is a member of the herpesvirus family, and it’s best known for causing mononucleosis (aka “mono” or “the kissing disease”).
But here’s the thing: over 90% of adults carry EBV in a dormant state — and for many, that’s not a problem.
However, under certain conditions, EBV can reactivate silently, creating a ripple effect of chronic inflammation and immune dysfunction — and one of the most common symptoms is unrelenting fatigue and we are seeing a significant increase in presentation post Covid.
The Link Between EBV and Chronic Fatigue
Unlike the original mono infection, reactivated EBV doesn’t always cause a sore throat or fever. Instead, it often shows up as:
Deep, persistent exhaustion (even with good sleep)
Brain fog and difficulty concentrating
Sensitivity to stress or exercise
Muscle aches or swollen lymph nodes
A general feeling of being “off” or rundown
Because these symptoms are vague and overlap with many other conditions, EBV is frequently missed — especially when standard hormone panels come back normal.

When Hormones Aren’t the Whole Story
In our clinic, we often see patients who’ve already optimized:
✅ Testosterone
✅ Thyroid function
✅ Cortisol levels
✅ Sleep hygiene and diet
Yet they still say, “I just don’t feel like myself.”
That’s when we look deeper — and EBV reactivation is a common root cause we uncover. You NEED someone like us with A LOT of experience in diagnosing AND treating this issue.
What Reactivates EBV?
Several factors can trigger EBV to wake up again, including:
High stress levels
Post-viral immune dysfunction
Gut inflammation or dysbiosis
Toxic exposures (like mold or heavy metals)
Nutrient deficiencies
Poor sleep and overexertion
These triggers weaken the immune system, allowing EBV to reactivate and sap your energy behind the scenes.
How We Test for EBV Reactivation
Unlike routine EBV antibody tests, we go beyond past exposure and look for signs of active viral reactivation, including:
EBV Early Antigen (EA-D)
Viral Capsid Antigen (VCA) IgM/IgG
Epstein-Barr Nuclear Antigen (EBNA)
By analyzing the patterns in these markers, we can determine whether EBV is quietly causing inflammation — and contributing to your fatigue.

Functional Medicine Approach to Reactivated EBV
If reactivated EBV is part of your fatigue picture, the good news is — there’s a path forward.
Our personalized treatment plans often include:
🌿 Antiviral herbal therapies (like monolaurin, cat’s claw, and olive leaf)
🌿 Immune support (vitamin C, zinc, medicinal mushrooms)
🌿 Mitochondrial repair (CoQ10, NAD+, L-carnitine)
🌿 Gut and detox support
🌿 Nervous system regulation and stress recovery
We don’t just chase symptoms — we address the root and help restore full-body resilience. Not every clinic is equipped to diagnose or treat this issue. It is very important you find an experienced practitioner.
Ready to Finally Get to the Bottom of Your Fatigue?
If you’ve been told “everything looks fine,” but you know you don’t feel fine, it’s time to dig deeper.
At Ascent Elite Health/Dr.Darrin A VanScoy, we specialize in uncovering and treating root causes like reactivated EBV — so you can stop running on empty and start feeling like yourself again.
📞 Schedule your functional fatigue consultation today
📲 Call/Text: (304) 382-2080
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