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Long COVID Outcome unclear

Long COVID with POTS, MCAS, reflux and depersonalization; tried nicotine and xylitol gums

Condition
Long COVID
At worst
Not stated
Ill for
Not stated
Last post
Dec 2024
In their words
Read from 7 of their posts and comments; links to the 5 this page draws on

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Summary

A person with long COVID described POTS, MCAS, acid reflux and depersonalization. Nicotine gum helped their symptoms somewhat and helped them stop smoking in December, and xylitol gum eased reflux after meals. NAC and glutathione caused a strong histamine reaction. A medication brought a glutamate rebound that sharply worsened depersonalization for days, with only six pills available.

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What they tried

Also tried

Their words about each treatment
  • Nicotine gum · HelpedNicotine gum has saved my life, it got me off smoking in December and it definitely helps my symptoms In context ↗
  • Xlear max strength nasal spray · Not saidNo it doesn’t affect my pots, I use Xlear max strength In context ↗
  • sugar free chewing gum (xylitol) · Helpedgum helps me neutralize the acid after a meal, as chewing is producing saliva and neutralizing the ph In context ↗
  • NAC and glutathione · WorseI wasn’t able to tolerate NAC or glutathione, gave me a strong histamine reaction unfortunately In context ↗
  • benzodiazepines · HelpedYeah same I get 6 and when they’re gone they’re gone. ... I just like knowing I have a ‘lifeline’ if in crisis In context ↗
  • NAC (N-acetylcysteine) · Not saidI wasn’t able to tolerate NAC or glutathione, gave me a strong histamine reaction In context ↗

Their path

They say too little about how ill they were at each step to draw it on the severity scale, so the steps are listed as they describe them. Dates are when they posted.

WhenWhat happenedAfter
—long COVID onsetit keeps my LC GERD in check In context ↗
2024-02-10nicotine gum eased symptoms somewhat and helped them stop smokingNicotine gum has saved my life ... it definitely helps my symptoms In context ↗Nicotine patches
2024-12-08glutamate bounce-back after one benzodiazepine sharply worsened depersonalization for daysI get awful glutamate bounce back the following days after taking just one ... and takes days to recover In context ↗
2024-12-08still ill, keeps benzodiazepines as a crisis lifeline onlyI just like knowing I have a ‘lifeline’ if in crisis In context ↗

Adverse events

  • “I always rinse my throat out and gargle after using nose spray, as it typically sets off my MCAS” In context ↗ Autoimmune or inflammatory flare
  • NAC (N-acetylcysteine), Glutathione“I wasn’t able to tolerate NAC or glutathione, gave me a strong histamine reaction” In context ↗ Side effects
  • Benzodiazepines (unspecified)“But I get awful glutamate bounce back the following days after taking just one, it affects my LC depersonalization hard and takes days to recover.” In context ↗ Withdrawal problems

Symptoms mentioned

Their words about their symptoms

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