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Long COVID RelapsedIll 6 months before improving or writing

Bedbound with long COVID, improved on low-dose naltrexone, then relapsed

Condition
Long COVID
At worst
Not stated
Ill before improving or writing
6 months
Last post
Jun 2026
In their words
  • Condition: Long COVIDLong hauling since an infection last may. In context ↗
  • Now: RelapsedMy recovery has stalled out after some big improvements this spring ... I crashed BAD last october and became bedbound ... I'm only starting to exit that crash now 4 months later
  • Began after: COVIDLong hauling since an infection last may. In context ↗
Read from 103 of their posts and comments; links to the 43 this page draws on

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Summary

After a COVID infection in May 2024 they were initially barely able to walk, then bedbound after a crash in October 2024. Low-dose naltrexone, started that November and titrated slowly, almost eliminated their pain and reduced PEM, so that by May 2025 they could drive short errands. After crashes in mid-2025, a severe one in October 2025 left them bedbound, and by April 2026 they still described themselves as severe.

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What they tried

Their words about each treatment
  • LDN · Helped a lotLDN basically eliminated my pain. I had a severe crash last fall, and once I started LDN it basically reduced my pain by 98%. In context ↗
  • pacing · Helpedpacing, time, LDN In context ↗
  • time · Helpedfatigue- time and rest mostly but also LDN In context ↗
  • rest · HelpedI think time, rest and LDN have helped the most In context ↗
  • Tyoenol · HelpedTyoenol has relived that for me before. In context ↗
  • isometric exercises and simple stretches · HelpedHe got me started on isometric exericises and simple stretches. That alone helped me rebuild muscle. In context ↗
  • zyrtec · Helpedfor some reason the zyrtec really helps In context ↗
  • gabapentin · HelpedI also take a small amount of gabapentin nightly for another condition I had pre-LC which helped reduce my pain so I could fall and stay asleep. In context ↗
  • water with salt · HelpedTry pounding an entire liter of water with some salt in it. That usually helped me In context ↗
  • propanylol · Worsei failed at propanylol, it erased my pots but it gave me breathing difficulties and heart rate drops to like 50 bpm In context ↗
  • visible armband · Not saidi decided to spring for the visible armband in hopes it helps me pace better In context ↗
  • abdominal breathing · HelpedI started doing 20 min total of abdominal breathing, 1x in morning and 1x in the evening In context ↗
  • high protein diet · Helpedone thing that helped me build back muscle has been high protein diet, gentle stretching, and for the past few months prone isometric exercises In context ↗
  • dxm · Not saidI took some today before seeing this post and ended up being happy and giggle for a couple of hours lol. In context ↗
  • creatine · HelpedEven 1mg helped me, I never went higher than that. It definitely gave me energy In context ↗
  • acupuncture · HelpedI did accupuncture in 2024 and it seemed to help. In context ↗
  • Utah Adapt · Not saidIm doing Utah Adapt which is PEM friendly In context ↗
  • ibuprofen · WorseI tend to have a weird reaction to ibuprofen In context ↗
  • cutting out trigger foods · HelpedI took out one of the worst foods I was eating and already had some improvement. In context ↗
  • novavax · HelpedMy autonomic symptoms even improved slightly (very slightly). Didnt do shit for my fatigue though. In context ↗
  • cold water · Not saidLately Ive started to finish off with cold water to bring my heart rate back down. In context ↗
  • brain retraining approaches · No changeI thought these approaches were worth a try and they didnt help at all In context ↗
  • CoQ10 / ubiquinol · Not saidIt made me feel like I drank a pot of coffee and also caused low blood sugar events and I had to stop taking it In context ↗

Approaches: Diet · Pacing · Physiotherapy and rehab · Radical rest

Their path

Very severeSevereModerateMildNear normalRecoveredonset6 mo12 mo18 mo

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
May 2024COVID infection; long haul begins, initially barely able to walkVery slowly I was able to walk again In context ↗Severe
August 2024could walk, shower and work a quarter of the time; POTS tachycardia gone since early Julyi can do most daily activities, work quarter time, but any real exercise is out of the question for me (for now) In context ↗Moderate
October 2024crashed after pushing activity; bed/couchbound for months and had to quit workOctober/nov i was bed/couchbound. I jad to quit working unfortunately. In context ↗Severe
February 2025step count up on a low LDN dose, still houseboundI'm on .5 and have gotten a boost in step count from 1800/day to around 2600/day so far In context ↗ModerateLow-dose naltrexone
May 2025driving short errands 3-4 days a week, gardening and showering standingNow in May, I've been driving short trips, and even doing drive-thrus and little bullshit errands 3-4 days a week. In context ↗ModerateLow-dose naltrexone
August 2025crashes in June and July; recovery stalled, still homeboundI had a crash in June and one in July, both were surprising given that it wasnt obvious what did it. In context ↗Moderate
October 2025bad crash leaving him bedboundI crashed BAD last october and became bedbound and you replied to me with kind and encouraging words. In context ↗Severe
February 2026starting to exit the four-month crash after raising LDN doseI went up to 5.5mg from 4.5 3 weeks ago and it gave me a pretty solid boost In context ↗SevereLow-dose naltrexone
April 2026still severe; hot showers give a few hours of reliefIm severe, and i have a similar experience of feeling better for a few hours afterwards. In context ↗Severe

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseIve been housebound since october due to fatigue/pem and pots like symptoms that dont meet criteria. In context ↗
  • Mast cell (MCAS) & allergiesI was diagnosed with MCAS In context ↗
  • Pain & fibromyalgiaAny pain I have now is manageable and ignoreable In context ↗
  • Heart symptoms & palpitationsmy heart palpitations suddenly stopped, just inexplicably In context ↗
  • Gut problemsthe digestive issues stopped entirely, like overnight at the begining of january In context ↗
  • Brain fogbrain fog clearing that I didnt realize I had In context ↗
  • Anxiety & low moodyeah nothing like adding on crushing depression to everything else we're going through lol In context ↗

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