Long COVID: two months off work at worst, now much better with pacing and supplements
- Condition
- Long COVID
- At worst
- Severe (mostly bedbound)
- Ill before improving or writing
- 4.5 years
- Last post
- Oct 2026
In their words
- Condition: Long COVID
53/F, 1st infection 12/21. Never been the same. ME/CFS
In context ↗ - At worst: Severe
I am in month 8 going on 9 and I am in the worst it's ever been and my doctor gave me 2 months off from work.
In context ↗ - Now: Much better
I am not recovered. I am 40% better than I was in 2022 though.
In context ↗ - Began after: COVID
Caught what I believe was Omicron at Christmas 2021. Then long covid immediately after.
In context ↗
Read from 280 of their posts and comments; links to the 126 this page draws on
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Summary
A woman in the US caught Omicron COVID in December 2021 and has had ME/CFS-type long COVID since. Her worst point was month eight, when she went downhill fast and took two months off work. She improved slowly on supplements, antihistamines, NAC, CoQ10/NADH and pacing, and now works full time with one- to three-day PEM crashes. Reinfections, flu and some vaccines set her back.
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What they tried
What they credit
Also tried
Their words about each treatment
- Rifaximin · Helped
I have tried rifaximin 2x. The best 4 weeks of my life. Sadly, it's stupid expensive and no changes once off.
In context ↗ - neurofeedback · Helped
these therapies significantly improve my mental state
In context ↗ - EMDR therapy · Helped
EMDR therapy is a godsend in all of this.
In context ↗ - effexor (venlafaxine) · Helped
I take it. I was a hot mess and feel better. It took a while to start feeling the effects. 2 weeks to a month I believe.
In context ↗ - Zyrtec (cetirizine) · Helped
If I don't take Zyrtec my head feels like a bad hangover.
In context ↗ - Benadryl · Helped
Benedryl actually helps PEM on top of my daily zyrtec.
In context ↗ - Claritin · No change
Claritin did nothing for me.
In context ↗ - Claritin D · Worse
Only Claritin D makes me shake.
In context ↗ - fish oil · Helped
what helped my heart race was CoQ10 and fish oil.
In context ↗ - innulin · Not said
My friend suggested fish oil, xifaximin, melatonin and innulin.
In context ↗ - Culturelle prebiotic and probiotic gummies · Helped
I take Culturelle's prebiotic and probiotic gummies(2). Helped me tons on those awful antibiotics.
In context ↗ - tumeric · Not said
From there (8+ months), tumeric, NAC, extra b complex, vitamin d, and a pre/pro biotic.
In context ↗ - B complex · Helped
I also take a strong B complex and most of us drink a ton of water. Helps with energy and minimizing the depression.
In context ↗ - vitamin d3 · Helped
I am taking more vitamin d3 which is giving me extra energy.
In context ↗ - thyroid med · No change
Also in month 9, my thyroid was wacked and started taking that med. No change in energy.
In context ↗ - melatonin · Helped
NAC, zyrtec, 8 hrs of sleep, melatonin, taurine, complex b, regular vitamin, and fish oil
In context ↗ - NAC · Helped
I stopped drinking and started taking NAC at night and now I can go back to work.
In context ↗ - Acetaminophen (Tylenol) · Helped
Acetaminophen helps with PEM body aches.
In context ↗ - ibuprofen · Helped
Just pop regular ibuprofen for now. It helps temporarily.
In context ↗ - celebrex · Much worse
Tried one pill of celebrex. POISON.
In context ↗ - prednisone · No change
ENT put me on prednisone for TMJ, but no change for me. Just weight gain. Hate that drug.
In context ↗ - cortisone shot · Helped
Cortisone shot only lasted a week.
In context ↗ - PT · Not said
Ice, PT and one more drug/Celebrex...yay.
In context ↗ - neti pot · Helped
I also use my neti pot daily. The net pot is gamechanger.
In context ↗ - Sudafed · Much worse
Just a recent reminder if you have a head cold and decide to take Sudafed you will have a very bad crash...for several days.
In context ↗ - Phentermine · Worse
I was on Phentermine for Weight loss. Mam that rush was amazing. Not 100%, but I was at 75%.can only take it for 6 months then boom, down.
In context ↗ - paxlovid · Helped
Paxlovid kept me out of emergency room.
In context ↗ - antibiotics · Not said
On antibiotics and an anti nausea pills.
In context ↗ - tamiflu · Helped
get your butt into urgent care to get tamiflu. Saves my bacon.
In context ↗ - Covid Vax · Worse
Last November I got Moderna (mRNA) and flu shot at the same time. KNOCKED ME OUT. Big time PEM, and took me months to get back to baseline.
In context ↗ - flu shot · Worse
I got the flu vaccine last Monday. Knocked me out for 2 days but better.
In context ↗ - Montelukast · No change
I was on Montelukast. UC davis put me on it. Didn't change anything for me.
In context ↗ - Valtrex · Worse
Take Valtrex, very tired. Valtrex makes me very fatigued and headaches come back.
In context ↗ - omeprazole · Helped
I had GERD diagnosis before Covid so omeprezole 40mg helps ton.
In context ↗ - pepcid (famotidine) · Helped
I tried a pepcid last night. It helped a little.
In context ↗ - psyllium husk (NOW capsules) · Helped
I got the NOW capsules and taking 2, 2x a day between meals and its helping.
In context ↗ - steroid cream · Helped
I am using a steroid cream. It stops the itch but only for a couple of hours.
In context ↗ - pedialyte / electrolytes · Helped
I started taking pedialyte mixed with water or a Celsius. One a day. Has helped me tremendously.
In context ↗ - magnesium glycinate · Helped
Yes!! Totally helped my spasms. I still can crash under stress, but my gut is better.
In context ↗ - NADH+ · Helped
I noticed a huge difference in a week with NADH + its the Cordelia brand
In context ↗ - multivitamin · Helped
I pop 3 vitamin d as well as a multivitamin daily.
In context ↗ - vitamin c · Not said
I got up to 10,000 iu's of vitamin c.
In context ↗ - l-carnitine · Not said
Milk thistle, NAC 1000, and l-carnitine with 80+ oz of water a day.
In context ↗ - milk thistle · Not said
I take 2000mg of NAC at night and milk thistle in the morning.
In context ↗ - pu'er tea · Helped
It's not a miracle cure but it lifted my heavy head.
In context ↗ - Larin · Not said
I am on Larin that I take continously to help with my menopausal symptoms. However, now insurance won't let you renew every 21 days and did not have any for 3 days and actually felt better.
In context ↗ - HRT · Helped
HRT only helped me with hot flashes.
In context ↗ - Wegovy · Helped
The weight loss helped with energy but it was slight.
In context ↗ - Zepbound · No change
Sadly, I have no symptoms relief on Zepbound.
In context ↗ - WW (Weight Watchers) · No change
I joined WW when I felt better and only lost 5lbs in 2 months.
In context ↗ - giving up alcohol · Helped
I also gave up drinking completely. I would have a glass of wine or 2 on the weekends. It got me back to work.
In context ↗ - weight lifting and light cardio · Helped
of course I switched up my work outs and took them down a notch, adjustments were made but progress is there.
In context ↗ - pacing · Helped
Over the months I learned how to pace and able to do somethings.
In context ↗ - Meditation · Helped
Meditation helped me nap.
In context ↗ - Qi Gong · No change
I was part of a Qi Gong study for 6 weeks. It was helpful with meditation. But the Qi Gong Specialist didn't do much for long covid for me.
In context ↗ - therapy · Helped
Also therapy, plenty of sleep, and complex B for serotonin levels.
In context ↗ - praying the rosary · Helped
I am Catholic, so I pray the rosary alot. Somehow that gets me through.
In context ↗ - cold showers / cold water on neck · Helped
I actually turn the cold water on after my shower and hit the back of my neck. Makes a world of difference, but uncomfortable.
In context ↗ - vicks vapor rub · Not said
Also, I do old fashioned vicks vapor rub.
In context ↗ - cough syrup with codeine · Helped
Vicks, neti pot, steam and cough syrup with codeine are my best friends.
In context ↗ - B12 shots · No change
I did it for 6 months. No change.
In context ↗ - mucinex DM · Not said
took mucinex DM right away. I guess that helped.
In context ↗ - asthma inhaler (corticosteroid) · Not said
I upped my daily asthma inhaler(corticosteroid)to 2 puffs during COVID and took mucinex DM right away. I guess that helped.
In context ↗
Approaches: CBT & mindset · Antivirals · Diet · Exercise and activity · Pacing · Supplements
Their path
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
| When | What happened | Where they were | After |
|---|---|---|---|
| 12/26/21 | Omicron infection, long covid followed immediatelyCaught what I believe was Omicron at Christmas 2021. Then long covid immediately after.In context ↗ | Mild | |
| May 2022 | felt better mid month 5I felt better mid month 5 then slowly went back down to hell.In context ↗ | Mild | |
| August 2022 | went downhill fast, mostly in bed, 2 months off workI am in month 8 going on 9 and I am in the worst it's ever been and my doctor gave me 2 months off from work.In context ↗ | Severe | |
| September 2022 | some energy and clearer head after bivalent booster, back to workSome energy came back, when I was bed bound. My brain fog lifted a bit.In context ↗ | Severe | COVID vaccination as treatment |
| October 2022 | able to go back to work after NAC and stopping alcoholI stopped drinking and started taking NAC at night and now I can go back to work.In context ↗ | Mild | NAC (N-acetylcysteine) |
| January 2023 | back to square one after covid reinfection then fluI feel back to square one.In context ↗ | Moderate | |
| March 2023 | 75% recovered on supplementsI am 75% recovered(on all my supplements).In context ↗ | Mild | NAC (N-acetylcysteine) |
| April 2023 | jolts of energy around Easter, overdid itIt was Easter time of this year, literally a resurrection that I started getting jolts of energyIn context ↗ | Mild | |
| July 2023 | crashed after stressful work week, headacheboom, I am down today. Major crash with headache.In context ↗ | Mild | |
| October 2023 | relapse from stressI just relapsed due to stress.In context ↗ | Mild | |
| February 2024 | walking 10k steps, crashes shorterI walk 10k steps and boom need a nap. However no longer 3 day crashes.In context ↗ | Mild | Pacing and the energy envelope |
| May 2024 | settled at a new normal, not recovered but not worseningThis is my new normal. Not recovered. Not getting worse. 2.5 yrs in and tests are normal.In context ↗ | Mild | |
| August 2024 | reinfection plus 17,000-step amusement park crashReinfected in August and can't get back to baseline.In context ↗ | Mild | |
| September 2024 | good uptick before the holidaysI had a great uptick around September 2024, then holidays came and boom. Down.In context ↗ | Mild | |
| November 2024 | Moderna plus flu vaccine, big PEM for monthsKNOCKED ME OUT. Big time PEM, and took me months to get back to baseline.In context ↗ | Moderate | |
| January 2025 | RSV then Flu A back to back over ChristmasWasn't better til March.In context ↗ | Moderate | |
| March 2025 | almost back to baselineIt's March and I am finally almost back to baseline.In context ↗ | Mild | |
| May 2025 | plateau at 45-50% of her old selfI am better than when I first started out. Not much though. Like in weight loss, plateau'd at 45-50%.In context ↗ | Mild | |
| October 2025 | latest crash disproved her sense of being 70% betterI thought I was 70% better. This latest crash proved me wrong.In context ↗ | Mild | |
| November 2025 | Pfizer vaccine reaction with gut symptoms, bedboundCurrently bedbound. Winter crap and Vax.In context ↗ | Severe | |
| July 2026 | can work and get out sometimes, PEM less oftenI got a little better and figured out how to work and sometimes get out. PEM does sneak up on me, but not as often.In context ↗ | Mild | |
| October 2026 | tolerated Novavax, still working full timeI just got Novovax from Costco. Besides soreness in shot area. I am ok.In context ↗ | Mild |
Adverse events
- Neurofeedback“I even had neurofeedback session on Friday afternoon and could not get up Saturday.” In context ↗ Made symptoms worse
- Flu vaccine“I just had the flu shot yesterday. I feel like sh** right now. Feels like flu.” In context ↗ Side effects
- Flu vaccine“Flu shot knocked me out for a day and a half, finally feeling better.” In context ↗ Side effects
- COVID vaccination as treatment“Was down in the evening with fog and fatigue. At night, body aches.” In context ↗ Side effects
- Celecoxib (Celebrex)“Tried one pill of celebrex. POISON.” In context ↗ Side effects
- Paxlovid / nirmatrelvir“Had horrible stomach acid issues last night.” In context ↗ Gut side effects
- Paxlovid / nirmatrelvir“Horrible aftertaste.” In context ↗ Side effects
- Paxlovid / nirmatrelvir“This drug gives me insomnia.” In context ↗ Insomnia from treatment
- Valtrex / valacyclovir“Just more tired, that's what it does. Makes you sleepy.” In context ↗ Side effects
- Corticosteroid pulses“ENT put me on prednisone for TMJ, but no change for me. Just weight gain. Hate that drug.” In context ↗ Side effects
- NAC (N-acetylcysteine)“It burned my stomach because GERD prior to Covid.” In context ↗ Gut side effects
- Diphenhydramine (Benadryl)“I was taking benedryl but that left me tired.” In context ↗ Side effects
- Pseudoephedrine (Sudafed)“if you have a head cold and decide to take Sudafed you will have a very bad crash...for several days.” In context ↗ Made symptoms worse
- Pseudoephedrine (Sudafed)“Not realizing the minute I stopped my body would completely shut down.” In context ↗ Withdrawal problems
- Pseudoephedrine (Sudafed), Phentermine (Adipex)“I was on diet drug Phentermine, and Sudafed for a shitty cold that knocked me out for 3 weeks. Both made me crash hard after I had stopped them.” In context ↗ Withdrawal problems
- Pseudoephedrine (Sudafed)“I just took Sudafed for a cold and I crashed for a month.” In context ↗ Made symptoms worse
- “I puked and then was fine.” In context ↗ Gut side effects
- COVID vaccination as treatment“Like this latest Covid Vax. It's almost a week and I still feel like shit” In context ↗ Made symptoms worse
- COVID vaccination as treatment“I am still suffering(2 weeks) from the Moderna covid Vax” In context ↗ Made symptoms worse
- COVID vaccination as treatment“The covid Vax really set me back. Still crashing from that.” In context ↗ Made symptoms worse
- COVID vaccination as treatment“Covid vax knocks me out for 2.5 weeks.” In context ↗ Made symptoms worse
- Venlafaxine (Effexor)“I have had the side effects on missing only 8 hours and it wasn't fun at all.” In context ↗ Withdrawal problems
- COVID vaccination as treatment“Yea, I got put down really hard after this last booster.” In context ↗ Made symptoms worse
- Semaglutide (Ozempic, Wegovy)“Doc put me on Wegovy. I am more tired than I used to be” In context ↗ Side effects
- Valtrex / valacyclovir“It makes me tired prior to LC.” In context ↗ Side effects
- Pseudoephedrine (Sudafed), Phentermine (Adipex)“be very mindful of doctors/NP's advising to take stimulants. That killed me in 2024. My body has not stopped aching since October.” In context ↗ Made symptoms worse
- Turmeric / curcumin, Milk thistle (silymarin), Herbal remedies (unspecified)“Was taking this tea(pu'er) to help with gut issues. Crashed bad from that.” In context ↗ Made symptoms worse
- COVID vaccination as treatment“Then felt better, covid Vax, down 3 weeks and just as I felt better caught a bad cold at Thanksgiving.” In context ↗ Made symptoms worse
- COVID vaccination as treatment“Early Nov, got flu and covid Vax. That knocked me out for 3 weeks” In context ↗ Made symptoms worse
- COVID vaccination as treatment“I got Moderna this time and I was so sick.” In context ↗ Made symptoms worse
- Turmeric / curcumin, Milk thistle (silymarin), Herbal remedies (unspecified)“Tried this pu'er tea and it helped. However it was a stimulant/mask. You know how CFS likes that.....bad crash.” In context ↗ Made symptoms worse
- Semaglutide (Ozempic, Wegovy)“It makes me fatigued later in the day.” In context ↗ Side effects
- COVID vaccination as treatment“then vaxxed 2 weeks later and it's been awful since. My body aches all the time.” In context ↗ Made symptoms worse
- COVID vaccination as treatment“Moderna knocked me out. I am still suffering.” In context ↗ Made symptoms worse
- COVID vaccination as treatment“In 11-2024, got the dual flu and Moderna. Novovax and Pfizer not available. I crashed bad all through the holidays” In context ↗ Made symptoms worse
- Semaglutide (Ozempic, Wegovy)“On wegovy. Almost highest dose. I feel more tired.” In context ↗ Side effects
- Loratadine (Claritin)“Only Claritin D makes me shake.” In context ↗ Side effects
- Semaglutide (Ozempic, Wegovy)“however the PEM is brutal after each NEW dose after a month. Each time I went up. It was awful.” In context ↗ Made symptoms worse
- Semaglutide (Ozempic, Wegovy)“I am on the highest dose now and it's kicking my ass especially after second week.” In context ↗ Made symptoms worse
- Semaglutide (Ozempic, Wegovy)“The lower doses didn't impact me that much except the nausea after eating crap. ... The fatigue is unbearable for the first month starting a new higher dose.” In context ↗ Side effects
- Semaglutide (Ozempic, Wegovy)“Just really tired the first month and a half after new dose.” In context ↗ Side effects
- Semaglutide (Ozempic, Wegovy)“The occasional bleh brought on by hayfever or moving up in dose on Wegovy.” In context ↗ Made symptoms worse
- COVID vaccination as treatment“It really messed me up last year. I was so miserable for a month” In context ↗ Made symptoms worse
- Semaglutide (Ozempic, Wegovy)“the first couple days after the weekly injection is exhausting.” In context ↗ Side effects
- COVID vaccination as treatment“last one in November knocked me out passed Thanksgiving.” In context ↗ Made symptoms worse
- COVID vaccination as treatment“I got really sick when I vaxxed in November 2024 and didn't feel better again til March.” In context ↗ Made symptoms worse
- “I tried WW. Body fought back. I was starving and felt nauseous.” In context ↗ Side effects
- Pseudoephedrine (Sudafed), Phentermine (Adipex)“I did pills, it's only 6 months. It was a stimulant. Man did I crash and burn bad.” In context ↗ Made symptoms worse
- Semaglutide (Ozempic, Wegovy)“I get very tired on the first 2 days of injection.” In context ↗ Side effects
- COVID vaccination as treatment“Last November I got Moderna (mRNA) and flu shot at the same time. KNOCKED ME OUT. Big time PEM, and took me months to get back to baseline.” In context ↗ Made symptoms worse
- Semaglutide (Ozempic, Wegovy)“I still get fatigued on the first 2 days of dosing” In context ↗ Side effects
- Flu vaccine“I do get 2 days more tired but manageable.” In context ↗ Side effects
- Flu vaccine“Even flu, I was down for 3 days.” In context ↗ Side effects
- COVID vaccination as treatment“Last year Covid vax(Moderna) made me so sick. 6 weeks” In context ↗ Made symptoms worse
- COVID vaccination as treatment“Last year it was modernas Covid Vax. I was down for 2 months” In context ↗ Made symptoms worse
- COVID vaccination as treatment“I am on day 3 of Pfizer Vax and my gut is wrecked.” In context ↗ Gut side effects
- COVID vaccination as treatment“I didn't experience PEM until last night.” In context ↗ Made symptoms worse
- COVID vaccination as treatment“My latest Covid vax(pfizer) left me with stomach flu/ibs-d/crohns symptoms.” In context ↗ Gut side effects
- COVID vaccination as treatment“I felt very flu-ey after the first hour then bedbound. ... my PEM was soo bad.” In context ↗ Made symptoms worse
- Valtrex / valacyclovir“Valtrex makes me very fatigued and headaches come back.” In context ↗ Made symptoms worse
- Tirzepatide (Mounjaro, Zepbound)“I have trouble falling asleep too and get very lethargic a day or 2 after dosing. Sometimes a small PEM crash.” In context ↗ Side effects
- Turmeric / curcumin, Milk thistle (silymarin), Herbal remedies (unspecified)“They suggested I start a Pu'er tea. It does feel better only to find out it is a stimulant. I crashed bad after it.” In context ↗ Made symptoms worse
- Tirzepatide (Mounjaro, Zepbound)“the first 2 days is hard fatigue. ... Also, the chills.” In context ↗ Side effects
- Venlafaxine (Effexor)“I take a low dose of effexor, just don't forget it daily. Its awful.” In context ↗ Withdrawal problems
- Valtrex / valacyclovir“I get really tired on it when I take it.” In context ↗ Side effects
Symptoms mentioned
Their words about their symptoms
- Post-exertional malaise
PEM does sneak up on me, but not as often.
In context ↗ - Brain fog
Despite all the extreme fatigue, brain fog and twitching
In context ↗ - POTS & dysautonomia
Never tested for POTS. However, getting dizzy from getting up off the couch.
In context ↗ - Sleep problems
not waking up refreshed.
In context ↗ - Pain & fibromyalgia
My body aches all the time.
In context ↗ - Headaches & migraine
I have this weird side head pain
In context ↗ - Gut problems
Gut issues, need to lay off bread. Feel so bad after any bread.
In context ↗ - Breathlessness
My breathing is worse.
In context ↗ - Heart symptoms & palpitations
Random irregular heartbeats
In context ↗ - Muscle weakness
My leg muscles are reducing and knees are weaker.
In context ↗ - Neuropathy & tingling
I hate how cold I get and how shit falls asleep alot, like hands and feet.
In context ↗ - Anxiety & low mood
I am experiencing more depression.
In context ↗ - Flu-like symptoms
body aches like fever-no fever
In context ↗ - Loss of smell or taste
After 7 months at least I have my smell and taste back.
In context ↗ - Temperature regulation
can't warm myself without artificial heat(water or heating element)
In context ↗
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