I'm not sure what to think of what Dr. Lerner says. On one hand there clearly are people who took Valcyte for 6 months and were able to go off and are well. Seems to be people who saw Dr. Montoya and maybe a percentage of people who saw Dr. Lerner. But I saw Dr. Lerner for a while (and his treatment didn't help me) and he basically said 80% of people need to keep taking his antiviral prescriptions for what appeared to be indefinately or else they'd loose the gains they made. And only a portion of the people who took the antivirals actually got to a point where they'd consider themselves without symptoms. Most went from a 2 to 6 or 7 on his scale if I recall correctly - varying levels of improvement. So I'm not sure what that represents. I think he said he took Valtrex for something like 8 years himself (not quoting, but it was a long time). Not sure if the people who he treats really "get well" or just have thier symptoms reduced to a tolerable level so long as they stay on the antivirals. Perhaps its also a diagnostic issue. Dr. Lerner is a very experienced ID doc, but maybe some of the people who see him appear to have chronic herpes viral infections so he treats them, but that isn't the main cause of their illness, thus they never really get 100% better. Its the old - if you have a hammer... everything looks like a nail. Perhaps if Montoya's study every gets published (whats the deal with that BTW??? been a long time) it will give more details on who actually will respond and the treatment can be more narrowly applied.