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Herpes Simplex Virus Type 1 (HSV-1) infection is a common viral infection that primarily causes oral herpes, manifesting as cold sores or fever blisters around the mouth and lips. It is caused by the herpes simplex virus type 1, which remains dormant in nerve cells after initial infection and can reactivate periodically throughout life. The Herpes Simplex Virus 1 and 2 (IgG) with Reflex to HSV-2 Inhibition test is the most important test for diagnosis because it detects specific antibodies that confirm past or current HSV-1 infection.
HSV-1 infection is caused by the herpes simplex virus type 1, which spreads through direct contact with infected saliva, skin, or mucous membranes. You can contract HSV-1 by kissing someone with an active cold sore, sharing utensils or lip balm, or touching a cold sore and then touching your mouth. The virus enters through small breaks in the skin or mucous membranes, travels to nerve cells, and remains dormant in your system for life, occasionally reactivating to cause outbreaks of cold sores.
The Herpes Simplex Virus 1 and 2 (IgG) with Reflex to HSV-2 Inhibition test is the most important test for HSV-1 infection because it detects IgG antibodies that your immune system produces in response to the virus. This blood test can identify HSV-1 infection even when you have no symptoms or visible cold sores, which is valuable since many people with HSV-1 never develop noticeable outbreaks. The test also includes reflex testing to distinguish HSV-1 from HSV-2, ensuring accurate diagnosis of which herpes virus type you have been exposed to.
You should get tested if you have recurrent cold sores or fever blisters around your mouth, have been intimate with someone who has oral herpes, notice tingling or burning sensations on your lips before sores appear, or want to know your HSV-1 status before starting a new relationship. Testing is especially important if you are pregnant or planning to become pregnant, as knowing your status helps prevent transmission to your baby. Even if you have never had symptoms, testing can reveal if you have been exposed to HSV-1, since up to 90% of infected people never experience noticeable outbreaks.
What this means
Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.
Recommended actions
Increase resistance or strength training
Prioritize 7–8 hours of quality sleep per night, try to reduce stress
Include more zinc- and magnesium-rich foods (like shellfish, beef, pumpkin seeds, spinach)
Consider retesting in 3–6 months
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