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Long COVID Somewhat betterIll 2 years before improving or writingNeeds ongoing treatment

Long COVID with fatigue and brain fog, somewhat better on tirzepatide

Condition
Long COVID
At worst
Not stated
Ill before improving or writing
2 years
Last post
Aug 2026
In their words
  • Condition: Long COVIDwith long covid for like 2 years now In context ↗
  • Now: Somewhat betterand the brain fog is noticeably better. not gone but like 40% improvement. energy is still trash but at least i can think clearly enough to work. In context ↗
  • Began after: COVIDwith long covid for like 2 years now In context ↗
Read from 3 of their posts and comments; links to the 2 this page draws on

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Summary

Island 49525 had long COVID for about two years with fatigue, brain fog and joint pain, and had tried LDN, antihistamines, pacing and supplements with only slight benefit. About three weeks before posting they started tirzepatide for weight gain from being so sedentary and possible anti-inflammatory effect; brain fog improved by roughly 40% while energy stayed poor. In a later comment they said they had been on it about six weeks, with fatigue up and down, and wondered whether insomnia could be a side effect after reading someone else's comment.

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What they tried

Their words about each treatment
  • LDN · Helpedtrying everything - LDN, antihistamines, pacing, supplements. some stuff helped a little but nothingmoved the needle. In context ↗
  • tirzepatide · Helpedstarted tirzepatide about 3 weeks ago ... and the brain fog is noticeably better. not gone but like 40% improvement In context ↗

Their path

Very severeSevereModerateMildNear normalRecoveredonset6 mo12 mo18 mo2 y

How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, with time counted from when the illness began. Hover or tap a point. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
2024long COVID onsetwith long covid for like 2 years now. fatigue, brain fog, joint pain, the whole package In context ↗Mild
2026-08-22brain fog about 40% better on tirzepatidestarted tirzepatide about 3 weeks ago ... the brain fog is noticeably better. not gone but like 40% improvement In context ↗MildTirzepatide (Mounjaro, Zepbound)
2026-08-23six weeks on tirzepatide, fatigue up and downI started on 0.5mg and have been on it about 6 weeks now. The fatigue thing worries me because mine has been up and down too In context ↗MildTirzepatide (Mounjaro, Zepbound)

Symptoms mentioned

Their words about their symptoms
  • Brain fogthe brain fog is noticeably better. not gone but like 40% improvement In context ↗
  • Pain & fibromyalgiafatigue, brain fog, joint pain, the whole package In context ↗
  • Sleep problemsThe insomnia thing is interesting though, I hadn't connected that as a possible side effect until reading your comment In context ↗

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