I do have a close friend who also has HSV 2 and she only takes 1000mg of l-lysine and does watch what she eats (doesnt remove anything except cigarettes) She keeps a script on hand in case she feels any symptoms of a breakout and will take a 3 day when she feels it and hasn’t had another OB since her first in May. Stress can definitely do it though. I think I honestly had it for a few years and my first OB happened because of my lack of sleep, diet, and stress (I also had a missed period) idk. Its all confusing. My OB seems mild compared to what I’ve read about and my Dr told me it didn’t look like it was. More of a welt than sore and is almost cleared up (no pain when I wipe 🤦🏼♀️)