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Long COVID Mild → much betterIll 18 months before improving or writing

Long COVID with extreme fatigue and brain fog, now much better after therapy and rehab

Condition
Long COVID
At worst
Mild (working or studying, with limits)
Ill before improving or writing
18 months
Last post
Sep 2024
In their words
  • Condition: Long COVIDI've been long hauling since before the vaccines were available. In context ↗
  • At worst: MildI'm mainly extreme fatigue and brain fog. In context ↗
  • Now: Much betterI'm not 100% by any measure, but I'm a whole lot better than I was In context ↗
  • Began after: COVIDTested positive for COVID on July 4th.
Read from 98 of their posts and comments; links to the 34 this page draws on

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Summary

Owl 99818 caught COVID in July 2020 and long COVID symptoms returned in late 2020 with extreme fatigue and brain fog, plus headaches and tinnitus. Symptoms flared with cold weather, overexertion, early Pfizer shots and a 2022 reinfection. From 2023 they credited therapy, physical rehab and later a 1.5 mg medication with steady improvement; by 2023 they were hiking again but still symptomatic.

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What they tried

Their words about each treatment
  • zinc · No changeI've tried various supplements (mostly zinc, nac, D, B-complex, flush niacin, stamets 7 mushrooms, etc...) In context ↗
  • walking and biking · HelpedI actually benefit greatly from walking and biking. It improves my energy levels. In context ↗
  • Pfizer and Novavax COVID vaccines · No changethe vaccines didn't impact my LH symptoms one way or another In context ↗
  • Breo inhaler · HelpedWas prescribed a new inhaler (in additional to the albuterol I already used) called Breo. It helps, though good god it's expensive In context ↗
  • albuterol · Not saidin additional to the albuterol I already used In context ↗
  • Quercetin · Not saidSame. I eventually stopped taking it In context ↗
  • acupuncture · No changeI tried it for 3 or 4 months. Didn't notice any difference In context ↗
  • Paxlovid · No changeI did 10 days. Didn't help In context ↗
  • flu shot · No changeI got the flu shot 2 weeks ago (got one last year too). No difference in my LC symptoms. In context ↗
  • Zyrtec & Claritin · Not saidI've gone back and forth between them for 20+ years now due to having allergy issues. In context ↗
  • nattokinase · No changenattokinase does nothing for many of us, me included In context ↗
  • CBG · HelpedI believe CBG has helped me In context ↗
  • mental health therapy · Helped a lotI've spent the last 2 years working with a therapist on the mental side of things which has been tremendously helpful. In context ↗
  • MCT oil · No changeI tried this awhile back and it didn't do anything for me In context ↗
  • LDN · HelpedI started at 1.5mg last week. The first 3-4 days my fatigue was much worse and I really struggled sleeping. Since then, things have improved. In context ↗
  • anxiety meds · Helpedanxiety meds are one of the things quite helping me these days. In context ↗
  • Hep A/B vaccine · No changeas well as the Hep A/B vaccine. They've had no impact whatsoever on my long-covid. In context ↗

Approaches: CBT & mindset · Exercise and activity

Their path

What they say at each step doesn’t fit the worst point or outcome above on the severity scale, so the steps are listed as they describe them. Dates are when they posted.

WhenWhat happenedAfter
July 2020COVID-19 infectionTested positive for COVID on July 4th. Recovered a couple weeks later. Symptoms came back with a vengeance in November and have been around ever since. In context ↗
November 2020long COVID symptoms returnedSymptoms came back with a vengeance in November and have been with me since. In context ↗
January 2021crashed after riding exercise bikelater in the day I felt like I was going to die and still feel absolutely terrible. In context ↗
March-April 2021Pfizer vaccine doses worsened symptomsI got the Pfizer dose a little over 2 weeks ago and the next day all my symptoms turned the volume up to 10. In context ↗
May 2021headaches, eye and jaw pain easingThe good news is that my symptoms have started getting better. My eyes are no longer extremely sore in the morning. In context ↗
July 2021bad respiratory infectionstarted feeling VERY sick again last week. Like all my COVID symptoms cranking back up to a 10. In context ↗
August 2022COVID reinfection flared all symptomsThen all my long COVID symptoms flared WAY back up for a week. In context ↗
September 2022months of slow, steady improvementI've been on a trajectory of slow, but steady improvement for months now. In context ↗
October 2022symptoms slid again as cold weather returnedRealllllllly sliding again the past week or two. In context ↗
October 2023back to hiking after mental and physical rehabI'm hiking again. I'm doing more and more. In context ↗CBT and psychotherapy
August-September 2024still improving on low-dose naltrexone, walking and bikingI've been on a recovery path too and it's an ongoing process, there are going to be setbacks but you don't let that stop your progress. In context ↗Low-dose naltrexone

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI've had significant PEM since day one of this. In context ↗
  • Brain fogI'm mainly extreme fatigue and brain fog. In context ↗
  • Headaches & migraineeverything flared back up again (fatigue, brain fog, headaches, tinnitus). In context ↗
  • BreathlessnessI got a prescription for a Breo inhaler from my doctor and it helped quite a bit with that. In context ↗
  • Anxiety & low moodanxiety meds are one of the things quite helping me these days. In context ↗
  • Pain & fibromyalgiahad all of these (cheek/jaw would randomly hurt. Eyes would be sore. Etc...) In context ↗

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