I am 48, F, normal weight. had blood work for symptoms of extreme fatigue, lightheadedness, foggy brain, nausea and indigestion. blood work ruled out thyroid issues, glucose normal, negative hepatitis A, B, C. AST is 46, ALT 71, all else normal. positive for EPV, VCA is 3.63 and EBNA is 5. Dr. said I could have had mono. I had mono 27 years ago and I know antibodies stay in blood. Does this mean I have mono now?? Did not have fever or sore throat. Exercise regularly, no alcohol or drugs. This lethargy and tiredness definitely not normal. Dr. just said to be retested in 6-8 weeks but very concerned it might be something other than mono. Also have thickening of endometrium and large polyp that needs to be removed. Can that be related to high liver enzyme levels? Thanks!