This is my first post. My Granddaughter, age 14 - PANS diagnosis on antibodies since July had her first flare resulting in her being out of school. Cause could be allergies or exposure to things at school. Dr changed antibiotic and rans labs to find mycoplasma IGG tripled since last lab. The set back was dramatic - and her fatigue was a huge issue to her getting to school - often falling asleep before she left for school. - now we have to deal with a truancy issue.... Her mood is off and she is not where she was the beginning of Sept - She is on probiotic and anti viral meds. Flare started mid Oct as it did last year......and every Oct for years before she was diagnosed. Would like some guidance/suggestions on school attendance during a flare and any other suggestions. I am at a loss of what to do next at this point.