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Long COVID Very severe → somewhat betterIll 4 years before improving or writing

Bedbound with long COVID, some gains after ketotifen and LDN but still 99% bedridden

Condition
Long COVID
At worst
Very severe (bedbound, unable to do basic care)
Ill before improving or writing
4 years
Last post
Nov 2024
In their words
  • Condition: Long COVIDGot LC in 2020 and got treated with: extensive exercise! In context ↗
  • At worst: Very severeI'm now in a powered wheelchair to go to the bathroom, 99% bedridden and can only leave the house in an ambulance. In context ↗
  • Now: Somewhat betterI'm severe and was extremely severe In context ↗
  • Began after: COVIDWhen we both got covid and LC he went to bed immediately
  • Says they never had: Anxiety & low moodI'm very severe with ME but have no anxiety or depressive symptoms whatsoever.
Read from 66 of their posts and comments; links to the 29 this page draws on

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Summary

Developed long COVID in 2020 with POTS, fainting and post-exertional malaise; prescribed graded exercise left her increasingly bedbound and hospitalised. A severe MCAS flare with repeated anaphylaxis nearly killed her in 2022. Ketotifen, LDN, ivabradine, a low-histamine diet and a stellate ganglion block brought slow gains. By 2024 she was still very severe, 99% bedridden, using a powered wheelchair to reach the bathroom and only leaving home by ambulance.

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What they tried

Their words about each treatment
  • super low histamine diet · Helpedthe super low histamine diet without gluten and lactose, which helps more than anything else In context ↗
  • prescribed sport / pushing through · Much worseGot told to just push through, I loved sport so I did it. I ended up hospitalised for extreme pots and mcas In context ↗
  • Desloratadin / antihistamines · HelpedIt got better with a histamine free diet, Ketotifen and loads of antihistamines. In context ↗
  • cortisone shots · Not saidI got high doses of antihistamines and cortisone shots. In context ↗
  • Ketotifen · Helped a lotKetotifen brought me back from only tolerating three foods and being hospitalised, like it's my mcas miracle drug In context ↗
  • Cromolyn · Much worseI was hospitalised for a bad reaction to Cromolyn In context ↗
  • Stellate ganglion blockage · Helped a lotA SGB saved my life, I was a bit worse than her before it. In context ↗
  • LDN · Helped a lotI'm on 2 mg, because more gloves me migraines, but the 2mg already Hel a lot In context ↗
  • Ivabradin · Helped a lotI only take half the normal dose of Ivabradin, but that's already an incredible big help! In context ↗
  • omega3 capsules · HelpedWhat helped too were omega3 capsules, I can only tolerate molecular distilled ones and have to take it with food, so it won't touch my mouth, but it helps. In context ↗
  • PEA · HelpedNothing helped, after a week of omega3 it started to heal. PEA too. In context ↗
  • NADH rapid sublingual (Dr. Birkmayer) · HelpedI use the NADH rapid sublingual from Dr. birkmayer and it helps a lot. In context ↗
  • Ubiquinol from Kaneka · Not saidUbiquinol from Kaneka (300mg a day) In context ↗
  • Nattokinase · No changeNattokinase didn't change anything, also tried different brands. In context ↗
  • Baby Aspirin · Not saidIf the docs were ok with it I'd also start with Baby Aspirin and Nattokinase way earlier than I did. In context ↗
  • Paxlovid · Helped a lotI got the first Paxlovid dose and it kicked COVId in it's butt. In context ↗
  • meditation and neurotraining · Helpedthanks to meditation, neurotraining etc. I don't have any depressive or anxious symptoms but I'm still severe In context ↗
  • Vitamin D drops (Sunday.de) · Not saidI can only tolerate the drops from Sunday.de In context ↗
  • melatonine · Not saidAlso 5-8mg of melatonine, I don't take it for sleeping, I got it prescribed due to it's positive effect on the brain In context ↗
  • TBI/stroke brain-rest strategies · HelpedI found it helpful to use TBI/stroke strategies. Like only using the brain for 10 minutes, and then take a break of 5 minutes. In context ↗

Approaches: H1 antihistamines · Antihistamines & MCAS · Diet · Supplements

Their path

Very severeSevereModerateMildNear normalRecoveredonset12 mo2 y3 y4 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
2020COVID-19 followed by long COVID with POTS and PEM; kept working and tried to return to sportGot LC in 2020 and got treated with: extensive exercise! In context ↗Mild
early 2021prescribed graded exercise, got worse and worse, hospitalised with extreme POTS and MCASI ended up hospitalised for extreme pots and mcas, and then got diagnosed with CFS/ME in the hospital. In context ↗Severe
late 2022MCAS flare with constant anaphylaxis, a week in hospital, nearly diedA year ago I got so bad that I nearly died and was in the hospital for a week and I was constantly going into anaphylaxis. In context ↗Very severe
2023slow gains on mast-cell protocol and diet, able to add a few foods and gain weightThe improvement steps are tiny, but they are there. In context ↗Severe
December 2023COVID reinfection with very high fever and low oxygen, helped by Paxlovidgot COVID two weeks ago. My family wanted to admit me to the hospital, cause my fever was so high and oxygen saturation low In context ↗Severe
February 2024still slowly getting somewhat better with POTS treatmentI'm the worst POTS case my hospital has ever seen and I still get better somewhat. In context ↗SevereIvabradine
November 2024stellate ganglion block helped a lot; still very disabledA SGB saved my life, I was a bit worse than her before it. In context ↗SevereStellate ganglion block

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI always got sick the next day after sport. In context ↗
  • Brain fogThe better my neuroinflammation gets, the better my cognitive function gets. It's still bad In context ↗
  • POTS & dysautonomiaI got POTS to the point that I started to faint on a regular basis In context ↗
  • Mast cell (MCAS) & allergiesI react to everything, but worst are temperatures, foods, fragrances In context ↗
  • Sleep problemsWhat made the difference for my sleep was Ketotifen at night In context ↗
  • Pain & fibromyalgiaMainly cognitively and with pain In context ↗
  • Headaches & migraineI had fever, muscle pain, migraine, vertigo In context ↗
  • Gut problemsI didn't even know before how being bloated felt In context ↗
  • Light & noise sensitivityLight and sound are my enemies.. I wear earplugs or headphones 24-7 In context ↗
  • Heart symptoms & palpitationswhenever I tried to sit up my heart went above 180 and I passed out immediately In context ↗
  • Muscle weaknessWith dizzyness, fever, weakness... until I got bedridden. In context ↗
  • Flu-like symptomsI often woke up the next day and thought I caught a virus. In context ↗
  • Loss of smell or tasteBefore I couldn't smell anything for over a year In context ↗
  • Hair lossAlopecia is now an official post covid complication with a likelihood of 25%. LDN helped me. In context ↗

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