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Long COVID Mild → near normalIll 4 years before improving or writingNeeds ongoing treatment

Long COVID with insomnia, almost back to normal after time and nortriptyline

Condition
Long COVID
At worst
Mild (working or studying, with limits)
Ill before improving or writing
4 years
Last post
Aug 2026
In their words
  • Condition: Long COVIDYes my covid infection was in April 2021 and my long haul started in late June. In context ↗
  • At worst: MildYes for about 6 months it was very difficult to walk or maintain my fulltime job but I managed. In context ↗
  • Now: Near normalLong covid wrecked me for 4 long years before finally letting me get most of my life back. Still have altered taste/smell and still pace myself whenever im working for fear of crashing again but im mostly normal. In context ↗
  • Began after: COVIDmy covid infection was in April 2021 and my long haul started in late June In context ↗
Read from 101 of their posts and comments; links to the 36 this page draws on

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Summary

A 27-year-old butcher developed long COVID two months after mild COVID in April 2021, with anxiety, breathlessness, insomnia and neuropathy while still working full time. He credits time, diet and probiotics, and nortriptyline, which eased nerve pain and helped him sleep. Reinfections and a two-mile run caused flare-ups. After about four years he was mostly normal, still pacing, with altered taste and smell.

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What they tried

Their words about each treatment
  • probiotic foods and probiotic supplement · HelpedThe only thing that's helped me a little is eating probiotic foods In context ↗
  • amitriptyline · HelpedI did take it for nerve pains in my groin for some time ... I think it worked for the most part In context ↗
  • antihistamine · HelpedI just take a antihistamine every day and my breathing feels better but not 100% In context ↗
  • therapist · HelpedSeeing a therapist helped me a ton In context ↗
  • deep breathing exercises · Not saidHot baths and deep breathing exercises In context ↗
  • lymphatic drainage · No changeTried it at the start of lm lc cause some of my lymph nodes were swollen. Didn't work. In context ↗
  • fish oil · Not saidI also tried all the supplements like the fish oil In context ↗
  • high dose vitamin C · Not saidhigh dose vitamin C In context ↗
  • one a day vitamin / multivitamins · Not saidI started taking a once a day vitamin for 3 months or so ... I think it's time helping more than supplements
  • melatonin · Not saidI was taking melatonin at night and it was kind of hit or miss if i was able to sleep. In context ↗
  • nortriptyline · Helpedprescribed me nortriptyline which has actually significantly helped In context ↗
  • antidepressants · Not saidmessed around with a couple different antidepressants and ultimately stuck with nortriptyline In context ↗
  • getting off social media · Helpedgetting off social media and taking a break from longhaulcovid subreddit In context ↗
  • compression socks · HelpedCompression socks In context ↗
  • stretching · Not saidlots of different stretching In context ↗
  • vitamin injections · Not saidI got vitamin injections a couple times thinking it was some sort of deficiency In context ↗
  • cannabis · WorseAt the start of my LC I would try to smoke and it would give me insane anxiety In context ↗
  • inhaler · HelpedUsed an inhaler that partially worked and antihistamines. In context ↗
  • Singulair · WorseSingulair over the course of 3 months made me suicidal ... it didn't do anything for me In context ↗
  • omeprazole · Helpedthey've put me on omeprezol which I think has helped some In context ↗
  • antibiotics · HelpedI think taking that along with antibiotics has gotten mostly rid of my sinusitis In context ↗
  • Rolaids or Tums · Not saidStill have to take Rolaids or tums. In context ↗
  • endoscopy with throat dilation · HelpedI had an endoscopy last week and they stretched and dilated my throat. I've actually gotten a little relief from it In context ↗
  • prednisone · Helped a lotshe did prescribe me 40mg dose of prednisone for 5 days and this has been the best 5 days I've had since this nightmare has begun In context ↗
  • running and body weight lifting · WorseDecided to finally try to run/jog my usual route which is about 2 miles felt great initially but about 3 days later a bunch of my lc symptoms have resurfaced In context ↗
  • resting and pacing · HelpedI'm probably 90 percent better just making lifestyle changes and resting a lot. In context ↗

Approaches: CBT & mindset · Antibiotics · Pacing · Tricyclic antidepressants

Their path

Very severeSevereModerateMildNear normalRecoveredonset12 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
late June 2021long covid symptoms began about two months after a mild COVID infectionmy covid infection was in April 2021 and my long haul started in late June In context ↗Mild
2021-09anxiety through the roof, stopped going out, but kept working full timeAt my worst my anxiety was through the roof and I didn't go anywhere or do anything for months In context ↗Mild
2021-10-26about 75-80 percent better than at the startI'm probably about 75/80 percent better. In context ↗Mild
2022-01nortriptyline for nerve pain; able to sleep at nightprescribed me nortriptyline which has actually significantly helped In context ↗Mild
May 2022crashed after a COVID reinfection; sore muscles and breathlessness returnedmy muscles have been more sore and my shortness of breath has came back In context ↗Mild
2022-07-01back to about 90 percent two weeks after the reinfectionI felt like crap for a solid 2 weeks In context ↗Mild
2023-05-04crashed after jogging his usual 2-mile routeabout 3 days later a bunch of my lc symptoms have resurfaced In context ↗Mild
late December 2023third infection flared everything back upthe most recent one being in late December of 2023 which has flared everything back up In context ↗Mild
2024-03five days on prednisone felt like being his pre-COVID selfthis has been the best 5 days I've had since this nightmare has begun In context ↗Near normalCorticosteroid pulses

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Anxiety & low moodthe main one I have is my anxiety getting really bad In context ↗
  • Sleep problemsneeding plenty more sleep In context ↗
  • Heart symptoms & palpitationsshortness of breath/heart palpations In context ↗
  • Breathlessnessmy shortness of breath has came back In context ↗
  • Temperature regulationthe night sweats In context ↗
  • Flu-like symptomscurrently experiencing about a 4month long sore throat In context ↗
  • Loss of smell or tasteStill have altered taste/smell and still pace myself In context ↗
  • Vision problemsStill have some weird astigmatism from time to time In context ↗
  • TinnitusMy tinnitus came on strong about month 3 of my long haul In context ↗
  • Neuropathy & tinglingmy peripheral neuropathy has pretty much subsided and my muscle twitching isn't as prominent anymore In context ↗
  • Muscle weaknesssignificantly weaker than what I was precovid In context ↗
  • Pain & fibromyalgiamuscle/joint pain In context ↗
  • Headaches & migraineweird tension headaches In context ↗
  • Brain fogmy brain fog cleared up this past month In context ↗
  • Gut problemsi still have flare ups with it and my gallbladder In context ↗
  • POTS & dysautonomiaI have mild vertigo but nothing crazy In context ↗
  • Mast cell (MCAS) & allergieshave a lot of food sensitivities In context ↗
  • Post-exertional malaisestill pace myself whenever im working for fear of crashing again In context ↗

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