Its been four years. Our DS had PANS/Bart and not sure what else. At 10 he fell apart and after 3 years of blended treatments and many diff specialists (plus No school) his immune system is stronger and most all past Extreme PANS symptoms are gone BUT we have a belligerent, arrogant unlikeable teen who is consumed with only himself 100% of the time. He is an clean eater and in very good physical shape now We are beyond blessed bc healthy lifestyle helped turn him around for sure. (no dairy, GF no soy) We r unable instill responsibilities bc his horrific focus/ memory is way of the charts