This past Satur­day, while brow­sing at the next-to-last garage sale (one of my favo­rite Satur­day mor­ning events), my ears per­ked up like a bunny when I heard a gal chat­ting with the owner of the house.  I heard things like “sick for 5 years…fibromyalgia…a lot of pain all over my body…had to quit my job and live with my parents…in bed for two years…they had to bath me...” and more mise­ra­ble ima­ges of something she was clearly glad to be over.

So, while my hus­band sat in the car with the patience of a saint, I lin­ge­red. When she finished chat­ting and was hea­ding to her car, I wal­ked towards her and said gin­gerly “I overheard your con­ver­sa­tion. Can I ask you about the fibrom­yal­gia and your expe­rience??” I couldn’t help myself.

As a Thy­roid Patient Acti­vist who has stood up to the inane allo­pathic fai­lure in the diag­no­sis and treat­ment of hypothy­roi­dism, I knew that the majo­rity of cases of “fibrom­yal­gia” were due to undiag­no­sed or poorly treat­ment hypothy­roi­dism, as well as the accom­pan­ying hell of adre­nal fati­gue,  thanks to the gar­bage can TSH lab test or the stu­pi­dity of T4-only treat­ment like Synth­roid.  Yet, here was a young woman, Mel, who was now the pic­ture of health. What was her story??

Mel’s story was a tale of sud­den onset follo­wed by five years of misery, all over body pain,  immense fati­gue, utter hel­pless­ness, debi­li­ta­tion, and neck lymph nodes SO swo­llen that they loo­ked like two huge goi­ters – right and left. It was also a sce­na­rio of no firm diag­no­ses, yet no hesi­ta­tion by doc­tors to make stabs– from fibrom­yal­gia to an unk­nown chro­nic fati­gue disorder.

But I knew right away what she pro­bably had: acute Eps­tein Barr Virus (EBV) reactivation.

I knew because I had the exact same malady which once took away more than a year of my life (as com­pa­red to Mel’s horri­fic five years).  And like her, with the use of medi­ta­tion (and in my case, intense ima­gery and homeo­pathics), I got well as if it never happened.

And we also sha­red a rea­son why the EBV virus became acti­va­ted in our bodies in the first place: STRESS.  For Mel, it appea­red to have nothing to do with anything thyroid-related, but an extre­mely stress­ful helping-vocation that was eating her alive. For me, it was the stress of having to be where I didn’t want to be, fee­ling overtly powerless…and on top of being on the lousy Synthroid.

And for thy­roid patients all over the world, inc­lu­ding you, the risk of reac­ti­va­tion of the Eps­tein Barr Virus is a cons­tant threat. It can result from one or more of the follo­wing bio­lo­gi­cal stresses:

Even worse, add life’s stres­ses as icing on the cake, and you’re a sit­ting duck for the risk of reac­ti­va­ted EBV.

What is EBV? Eps­tein Barr Virus,  also called human her­pes­vi­rus 4 ( HHV-4) is an oppor­tu­nis­tic virus that actually lies dor­mant in at least 95% of all adults over their 30’s. It’s what cau­ses mono­nuc­leo­sis, aka “mono”, as a tee­na­ger,  but you don’t have to have had mono to carry the dor­mant virus. Wiki­pe­dia sta­tes that it also pro­bably has a pri­mary role in many autoim­mune disea­ses, inc­lu­ding ” der­ma­tom­yo­si­tis, sys­te­mic lupus erythe­ma­to­sus, rheu­ma­toid arth­ri­tis, Sjogren’s syn­drome, and mul­ti­ple scle­ro­sis.” i.e. this is one nasty virus!

Why do so many thy­roid patients find them­sel­ves with it? Millions of thy­roid patients live their lives com­pro­mi­sed due to being on T4-only meds like Synth­roid, Levoxyl, levothy­ro­xine, Eltro­xin, Oro­xine, and other T4 med brands.  Addi­tio­nally, patients find them­sel­ves with poorly func­tio­ning adre­nals, poor diges­tion and other con­di­tions rela­ted to a poor treat­ment – all adding to a lowe­red immune sys­tem, which allows the oppor­tu­nis­tic EBV virus to take ahold, espe­cially in the face of extreme or chro­nic life stress.

What are symp­toms of a reac­ti­va­ted EBV? It can vary from patient-to-patient, but can inc­lude easy and excess fati­gue, achi­ness, joint pain, all over body pain, swo­llen lymph nodes, slight fever, rin­ging in the ears, and a gene­ral I-don’t-feel-well. When my EBV anti­bo­dies were acute, I would be in bed for 2 – 3 days after pulling weeds for just twenty minu­tes while sea­ted.  I couldn’t gro­cery shop; I couldn’t do hou­se­work. Nothing. Nada. I also had cons­tant rin­ging in the ears and achiness.

How do I find out if I have it?? Ask your doc­tor to send you to a lab to be tes­ted for it.   Or you can use Healthcheck USA–scroll down on the lat­ter link to find the test. Put STTM10 in the form to get a discount.

How do I treat it?? It’s not easy. I per­so­nally bene­fit­ted from taking a presc­ri­bed anti-virus medi­ca­tion. Though that les­se­ned my symp­toms by 50%, it wasn’t enough. I then moved to homeo­pathic medi­ca­tions and some dedi­ca­ted men­tal ima­gery to finally get rid of it, as well as lots of rest and the immune enhan­cing sup­port of vita­mins, mine­rals, sup­ple­ments plus healthy stra­te­gies i.e. wha­te­ver it takes to nou­rish your immune sys­tem. Nou­rishing sup­ple­ments inc­lude high dose Vit. C (2000 mg mini­mum),  Vit E as mixed tocophe­rals,  sele­nium (200 — 400 mcg), mush­room extracts, CoQ10, high dose B-vitamins, mine­rals plus plenty of healthy and raw foods.  And ulti­ma­tely as a thy­roid patient, being on a MUCH bet­ter hypothy­roid treat­ment with natu­ral desic­ca­ted thy­roid is the key, besi­des trea­ting one’s adre­nal fati­gue, glu­ten or diges­tive issues, low ferri­tin, and all other rela­ted conditions.

Bot­tom line, once you are ade­qua­tely trea­ting your thy­roid pro­blem (see the current Options for Thy­roid Treat­ment), addres­sing poten­tial adre­nal fati­gue, low ferri­tin, glu­ten issues, low B12, for exam­ple, and using good stress mana­ge­ment in the face of pres­su­res within your life, your risk of having a reac­ti­va­tion of the dor­mant EBV virus is very low.


  • Want to keep track of these “fringe web­site” blog posts? ;-) Curious what’s on Janie’s mind? Use the noti­fi­ca­tion on the lower left of the links, called a News­let­ter, or an RSS Feed.
  • The extre­mely hip and sophis­ti­ca­ted STTM t-shirts are half price! Great BUMPER STICKERS, too. Spread the word – YOU may make a dif­fe­rence in someone’s life.
  • Check out the patient-to-patient book with even more detail (and which doc­tors seem to res­pect more than websites).
  • Need to unders­tand all your best options for thy­roid treat­ment? Go here.
  • Keep infor­med of each live Thy­roid Patient Com­mu­nity Call on Talkshoe by sig­ning up as a follo­wer.

12 Responses to “Why you, as a hypothyroid patient, need to be aware of the Epstein Barr Virus”

  1. John said:

    Jun 28, 10 at 10:21 am

    Good info on an impor­tant topic. However,HealthCheck USA now requi­res a Doc­tors order.

    (From Janie: most of the tests lis­ted on the Healthcheck USA link in this post do NOT require a doctor’s order)

  2. Janet Wilson said:

    Jun 28, 10 at 10:24 am

    Wow. …Makes me won­der if the issues I had prior to natu­ral thy­roid treat­ment were EBV. I had exhaus­tion that was VERY close to your desc­rip­tion here — 15 – 20 minu­tes of pla­ying outside with a 3 year old wore me out for a cou­ple of days (as if I ran a marathon or something). Thank­fully, within 3 days of being on Armour, I star­ted to feel better.

  3. Johann Mitchell said:

    Jun 28, 10 at 7:12 pm

    Thank you so much for this post!

    I had EBV in 2005 and was VERY sick! It took me well over a year to reco­ver. Worst of all, I was so broke that I HAD to con­ti­nue wor­king while I had it, although I did lose a part time job because I just COULDN’T do it anymore.

    Lately, I’ve been aching all over just from a little wal­king or other minor exer­tion. Doc­tors have been poin­ting me in the direc­tion of pos­si­ble bone pro­blems, and telling me I should get a bone scan to see if I have some other bone pro­blem besi­des Paget’s, which I have in my skull.

    Before I jump off the deep end and get lots of expen­sive x-rays, maybe it would be good to get the test you’re tal­king about.

    Thanks for men­tio­ning this. The other day I was thin­king about one joint that’s been hur­ting a lot, and was even thin­king that I hadn’t had a pro­blem with that joint until the EBV. I don’t know why I didn’t think of this as a pos­si­bi­lity! The things the doc­tors are sug­ges­ting are more impro­ba­ble than a recu­rrence of the virus.

  4. Elizabeth Free said:

    Jun 29, 10 at 6:52 am

    Yet another big piece of the puzzle. I have some sort of yet-unidentified auto-immune thing going on, and this looks sus­pi­ciously compelling.

    I’m a sin­gle mom of a 10 year old son who has never seen his mom well. He sees pic­tu­res of me before I was preg­nant and doesn’t believe they’re me. I’m a dif­fe­rent color, dif­fe­rent shape, and much dif­fe­rent size. I don’t smile any­more. It’s NOT post-partum depres­sion, and it cer­tainly isn’t lack of moti­va­tion. I’ve wor­ked full time since his birth, des­pite 15 sur­ge­ries and exten­ded ill­ness. I can see the light at the end of the tun­nel, and I’m trud­ging toward it!! I work because I have no choice.

    I get itchy feet and hands, which results in deep blis­ters that leave scars. It really acts like a her­pes! I just dis­co­ve­red my thy­roid is ‘mis­sing’, my suprac­la­vi­cu­lar lymph nodes are gigan­tic. My gall blad­der fell prey to this mys­tery virus (although I never had gall blad­der symp­toms), I have a lesion on my colon which has been biop­sied and tes­ted nega­tive for coli­tis of any kind, can­cer, and crohn’s. I’m swo­llen like a tick. I went from ath­le­tic and toned to fat and fati­gued. 100 pound weight gain… it is my worst night­mare. I don’t know this woman in the mirror. It feels like prison.

    I’m going to see a doc­tor that comes highly-recommended on another thy­roid site (presc­ri­bes des­si­ca­ted thy­roid) this Satur­day, so I’m going to bring info on adre­nal fati­gue and EB Virus. (I was already diag­no­sed with hypoa­dre­nal aldos­te­roid something-or-another by my pre­vious doctor).

    My last doc­tor loo­ked at my swo­llen lymph nodes and told me they were my thy­roid. Next appoint­ment (follo­wing neck and chest CT), he asked me when I had my thy­roid remo­ved, and scan­ned my neck for a scar. What an incom­pe­tent!! He con­ce­des they are swo­llen suprac­la­vi­cu­lar lymph nodes, but thinks they’re nothing to worry about. Allow me to disagree?!?!?!?

    WARNING — IF YOU HAVE SWOLLEN LYMPH NODES, every web site I have seen sta­tes they indi­cate a SERIOUS medi­cal con­di­tion and need to be inves­ti­ga­ted. 80 – 90% of the time, they indi­cate and advan­ced case of can­cer in the trunk. DO NOT IGNORE THESE!!!

    Although all can­cer scans have come back nega­tive, my OB/GYN has urged me to find a “good” doc­tor (wor­king on it!!!) and con­ti­nue tes­ting until we find out the cause. They don’t swell for “no rea­son”, and are of spe­cial con­cern when the other lymph nodes aren’t swollen.

    Thank you for the EB Virus infor­ma­tion. Like I said, it’s com­pe­lling and I sin­ce­rely hope this is the smo­king gun.

    Best wishes to all you other ladies and gent­le­men who have fallen vic­tim to CLUELESS doc­tors that can’t keep abreast of the latest research because they’re over­wor­ked. Keep researching, edu­cate your­sel­ves, and don’t give up. There is an answer.

  5. Tonya B. said:

    Jul 04, 10 at 8:13 pm

    Thanks for this post. I had EBV 15 years ago and it was awful. I just got­ten married, moved to another city and was put­ting my hus­band through school. Talk about stress! I had horren­dous bone pain which nothing touched and a chro­nic sore throat which only hap­pe­ned on one side of my throat. The only thing which see­med to help was get­ting B6 and B12 shots on a weekly basis. It took almost two years to reco­ver. Thir­teen years later, I have the same symp­toms and think the EBV is back. This time though it’s my thy­roid which had swe­lled up to the point of cut­ting off my air­way. I had a total thy­roi­dec­tomy and thanks to you have been on natu­ral thy­roid since. I am for­tu­nate in that I have a won­der­ful com­poun­ding phar­macy in town which makes my thy­roid now in a time relea­sed for­mula. The phar­ma­cist has also deve­lo­ped a trans­der­mal way of deli­ve­ring the thy­roid medi­ca­tion if for some rea­son you can’t take the medi­ca­tion orally. I thought we might have to go down that road due to my dia­be­tes medi­ca­tion bloc­king the thy­roid meds. Howe­ver, now with the time release for­mu­la­tion, I am doing much bet­ter. I got caught up in the Armour mess when they refor­mu­la­ted. I will cer­tainly now be on the watch for EBV though after rea­ding your post. It’s scary.

  6. Shannon Oddis said:

    Jul 22, 10 at 1:38 pm

    EBV is actually HSV 6, a strain of her­pes. If you look at some of the research out there is shows that some of the lab rats are star­ting to make the con­nec­tion. They now think that Fybro­mial­gia and EBV are one in the same.

  7. Sally Annne said:

    Jul 25, 10 at 4:08 am

    I had mono at age 19 which is EBV and some­ti­mes I won­der if it ever left my body. I was diag­no­sed with Hashi’s years ago but recently was told I no lon­ger have the anti­bo­dies but sure am still hypo. I am on Armour now after figh­ting to get it. I dont feel well on it but off of it I am bedrid­den with pain, fati­gue, brain fog, depres­sion so it does help. Most of my issues I think are sleep apnea, insom­nia and cir­ca­dian rhythm issues. It is hard to tell what the suf­fe­ring is really from some­ti­mes. I hear that most Ame­ri­cans have had EBV. I have also read of the inc­rea­sed inci­dence of lymphoma in peo­ple who have had EBV. They all seem to meld together and it is hard to sepa­rate and unders­tand the role each issue plays in the suffering.

    (From Janie: Sally, you need to be che­wing up the Armour to release the desic­ca­ted thy­roid from the excess cellu­lose. You also need to explore if you have adre­nal fati­gue, and treat it if you do: http://www.stopthethyroidmadness.com/adrenal-info )

  8. Richard Coers said:

    Jul 26, 10 at 11:06 am

    I could be a pos­ter child for this sub­ject. I had not been fee­ling well for a long time. I was on synth­roid and anti­de­pres­sants. After wor­king 20 days in a row, plus long hours on a really stress­ful pro­ject, I star­ted get­ting rolling hea­daches. Pure misery! Then I woke one mor­ning and my right eye had rota­ted off cen­ter and had limi­ted tra­vel. I was admit­ted to the hos­pi­tal and after 5 days of tes­ting, all they could find was ele­va­ted EBV titers. I then found a “life saving” holis­tic doc­tor that put me on Armour. I was still on disa­bi­lity for 6 months but made a come­back. I was also found to be glu­ten and dairy into­le­rant. I am able to work full time now. I had to switch to a cus­tom com­poun­ded thy­roid when Armour was impos­si­ble to get. Within days, I star­ted backs­li­ding. I am now on Erfa and am loo­sing weight and fee­ling bet­ter. I can still have bad days, but am sooooooo much bet­ter. Keep up the good work!!!!!

  9. Christy B. said:

    Jul 26, 10 at 9:32 pm

    Hello, has ANYONE out there ever heard of having ACUTE EBV for over a year? I know the old EBV will always be pre­sent on lab, but all of my doc­tors seem to be puzz­led why my ACUTE EBV keeps sho­wing posi­tive, it’s over 2.0. So far, my Rheu­ma­to­lo­gist said my lab for early Rheu­ma­tiod Arth­ri­tis was dou­ble the high limit. (my sed rate & RF are always fine, it was some spe­cia­li­zed test that checks for early RA). The Rheu­ma­to­lo­gist wants to start me on some injec­tion, but says due to my pos­si­ble com­pro­mi­sed immune sys­tem, she wants cla­ri­fi­ca­tion on the ACUTE EBV, and to see an infec­tious disease Dr. My HIV, and Hepa­ti­tis Panels are all nega­tive. I am also found to have Hashimoto’s,(Double the high limit,I think 65). BUT, my TSH, T3, T4 are always nor­mal. Endoc­rine Dr. wan­ted to start on Synth­roid due to the fati­gue, but it made me VERY jit­tery, and I stop­ped taking it, my Dr. moni­tors my thy­roid regu­larly by TSH, which is 1.??, tur­ning toward hyperthy­roid without the synth­roid. I do have a hx. of Mela­noma, Level 2, and I am very anxious ALLL the time, for no appa­rent rea­son. Also, VERY NOTICEABLE short term memory pro­blems, that appear to be wor­se­ning. Any­way, any good advise would be appre­cia­ted. Thank you!

    (From Janie: I had “Acute” EBV for a year, but wor­ked hard to improve my immune sys­tem and knoc­ked it down after that year. When you have Hashi’s, you can­NOT go by the TSH. Read: http://www.stopthethyroidmadness.com/hashimotos And learn why Synth­roid is the worst med you take: http://www.stopthethyroidmadness.com/t4-only-meds-dont-work )

  10. Kathy G. said:

    Jul 28, 10 at 9:40 am

    Christy, in the 1970’s, I had Acute Mono for one and a half years. I had posi­tive tests for 6 months, then felt bet­ter after that so I had no more tes­ting. After that I was fine for 6 months, so I got preg­nant and had no pro­blems then. Howe­ver, about 6 months after the birth of my child, the virus came back on a recu­rrent basis. I went all the way through labor, then had to have an emer­gency c-section. I breast fed my son and he had colic (which I dedu­ced, after the fact, was pro­bably due to the enzy­mes in the pineap­ple juice I was drin­king which curd­led the milk). I even tra­ve­led. But loo­king back, I believe what retrig­ge­red the Mono was when I began to exer­cise again. I went to Nau­ti­lus before the birth but could not return imme­dia­tely after­wards. I feel it was the resis­tence exer­cise com­bi­ned with the stress and exhaus­tion of caring for my son which allo­wed this disease to return. To this day, if I have to go to phy­si­cal the­rapy, my lymph nodes will swell some times for months on end. Over the years, I’ve lear­ned that when I feel the pain in my left shoul­der return (refe­rred pain from the spleen), to take some anti-inflammatory and relax. Now to the thy­roid con­nec­tion. Preg­nancy can change your hor­mo­nes and you can become hypo or hyperthy­roid. I didn’t notice any change at that time, but about ten years later I rea­li­zed I had a pro­blem. (My mother had thy­roid disease and so do my siblings.) But as you know its almost impos­si­ble to get it pro­perly diag­no­sed or trea­ted. I had to go to three dif­fe­rent endoc­ri­no­lo­gist over a ten year period before I ever got any help­ful treat­ment. The last doc­tor even adjus­ted my dosage three times before I got any real relief. So don’t be afraid to change your doc­tor if you’re not get­ting any help. I also expe­rien­ced all of the pro­blems ever­yone else has with their medi­ca­tion. The synthe­tics didn’t work for me, Armour did. Howe­ver, recently I heard about natu­ral hor­mone repla­ce­ment the­rapy. Appa­rently, all of your hor­mo­nes have to be balan­ced in order for your body to ope­rate in an opti­mum state. These medi­ca­tions merely replace what your body is mis­sing and are not like the synthe­tic hor­mo­nes women took for years which cau­sed so many health pro­blems. These are used by both men and women and are pre­pa­red in a com­poun­ding phar­macy espe­cially for you so that you’re assu­red that you receive the same dosage each time, which did not hap­pen with most thy­roid pills. I have been taking both com­poun­ded Armour thy­roid and other hor­mo­nes for about 18 months and I’m fee­ling much bet­ter now.

  11. Dave said:

    Jul 28, 10 at 12:09 pm

    Its not just EBV that is the pro­blem. I have been on Natu­rethy­roid for a few years, I have tried T3 only and what I have found that most of my pro­blems are from infec­tions.
    I would argue that most of the peo­ple on this site are har­bo­ring infec­tions. These infec­tions pro­bably cau­sed the autoim­mune thy­roid in the first place. Then having low thy­roid lea­ves a per­son with a wea­ke­ned immune sys­tem.
    I have had to try various sup­ple­ments, anti­bio­tics, anti-virals, and fun­gals but I am get­ting my health back.

    One of the rea­sons you may still have hypo symp­toms is infec­tions. As you peo­ple will research and (I know you will) many will find out that they have the same pro­blems. EBV, CMV, Chya­mi­dia Pn, Myco­plasma, Lymes, Can­dida.
    For some eating correctly and taking thy­roid will be enough but I sus­pect that as we get more and more toxic as a society more peo­ple will have pro­blems get­ting regu­la­ted.
    I DO NOT recom­mend the Fibro and Fati­gue cen­ters. They are money hungry. I sug­gest many of you find a doc willing to treat infec­tions and or another doc that will treat the thy­roid.
    I believe that these autoim­mune con­di­tions can be correc­ted. I have done count­less hours of research. I am glad to see EBV men­tio­ned on this site but know this peo­ple that is only ONE of the seve­ral infec­tions you have.
    For me I have found a few medi­ca­tions to be won­der­ful drugs for me. I was against anti­bio­tics and presc­rip­tion drugs but have found they are neces­sary for my improvement.

    I think if someone is not res­pon­ding to thy­roid treat­ment they need to look into infec­tions and or food aller­gies. I believe it is a big mis­take to add hydro­cor­ti­sone in many cases. I know you will disa­gree but hydro­cor­ti­sone will supress the infec­tion. You will feel bet­ter slightly then will get much worse.
    There are many peo­ple that are on the marshall pro­to­col that have lowe­red there thr­yoid anti­bo­dies, and got there adre­nal func­tio­ning back with out ste­roids.
    I have tal­ked with seve­ral peo­ple that have tried various amounts of thy­roid, ste­roids and only got bet­ter when they added anti infec­tious agents to there regi­ment.
    I do not know everything, I know some of you will disa­gree with me, but this is what I have found after years of trial and error.
    Your thy­roid is mal­fun­tio­ning for a rea­son. Find that rea­son.
    Hope you all heal well.

    (From Janie: Dave, yes, there can defi­ni­tely be a infection/inflammation issue going on in many. Sen­si­ti­vi­ties are other issues that can need inves­ti­ga­tion, too, such as glu­ten into­le­rance. But there are seve­ral years of suc­cess by patients with cor­ti­sol that is hard to refute. Cor­ti­sol sup­ple­ment works when the adre­nals are pro­ven fatigued. )

  12. Melissa said:

    Aug 08, 10 at 5:24 pm

    Which anti viral persc­rip­tion medi­ca­tion did you take Janie? I would like to know so i can ask my doc­tor for it.

    (From Janie: it was amantadine.)


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