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Long COVID Severe → much betterIll 18 months before improving or writingNeeds ongoing treatment

Long COVID with POTS, PEM and brain fog, now much better with electrolytes and PEA400

Condition
Long COVID
At worst
Severe (mostly bedbound)
Ill before improving or writing
18 months
Last post
Mar 2024
In their words
  • Condition: Long COVIDUnfortunately during the first few weeks of covid I had a doctor advise me to "push myself" and to not let my body get deconditioned. In context ↗
  • At worst: SevereFor many months, I had to rely on my partner to do nearly everything for me because even the smallest chores kicked my ass. In context ↗
  • Now: Much betterI only nap, maybe once a month now, so I've improved greatly. I've still quite sick, but the napping isn't a problem anymore. In context ↗
  • Began after: COVIDduring the first few weeks of covid In context ↗
Read from 11 of their posts and comments; links to the 10 this page draws on

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Summary

Long COVID from about September 2022 left them with intense POTS, PEM, brain fog and three-to-five-hour naps on bad days; doctor-advised exercise left them worse for months. Electrolytes helped crashes; diet changes, smaller meals, PEA400, propranolol and stopping pushing themselves cut napping to about once a month, and PEA400 eased brain fog, letting them read and drive occasionally. They still called themselves quite sick and not working, and paid $70 a month for PEA400.

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What they tried

Also tried

drinking water· Helped a lotGatorade / electrolyte drinks· Helpedeating significantly smaller meals more frequently· Helpedsupplements suggested by family doctor and the internet· No changepush through exercises· Much worse
Their words about each treatment
  • push through exercises · Much worseI stupidly trusted him and did that, and it's been MONTHS and I still feel far worse than before that. In context ↗
  • supplements suggested by family doctor and the internet · No changealmost everything did nothing except spend money I didn't have In context ↗
  • drinking water · Helped a lotWhat basically erased by migraines was drinking water In context ↗
  • stopping pushing myself and resting · HelpedI had to stop pushing myself. For many months, I had to rely on my partner to do nearly everything for me because even the smallest chores kicked my ass. In context ↗
  • Gatorade / electrolyte drinks · HelpedI definitely feel like my crashes are not nearly as extreme since I've started drinking them. In context ↗
  • completely changed my diet · HelpedFoods i used to enjoy i have become sensitive to, and foods i couldnt tolerate before i now have no problem eating. In context ↗
  • eating significantly smaller meals more frequently · HelpedStarted eating significantly smaller meals more frequently throughout the day In context ↗
  • PEA400 · Helped a lotPEA400 completely changed my life. It's decreased my brainfog by such a significant amount that I am now able to read, learn, and drive again In context ↗
  • Propranolol · HelpedPropranolol. I have hyper POTS. In context ↗

Approaches: Beta-blockers · Diet · Pacing · Supplements

Their path

Very severeSevereModerateMildNear normalRecovered6 mo9 mo12 mo15 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. The chart starts 6 months after onset: the story doesn’t say how ill they were before that. 1 step says too little to place on the scale and is only in the table. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
September 2022COVID-19, then long COVID symptomsduring the first few weeks of covid In context ↗Not stated
March 2023worse after doctor-advised exercise; intense POTS, PEM and 3-5 hour napsI'm now at 6 months. I have intense POTs symptoms, and still PEM. In context ↗Severe
March 2023electrolytes made crashes less extremeI definitely feel like my crashes are not nearly as extreme since I've started drinking them. In context ↗SevereSalt, electrolytes and fluids
October 2023PEA400 and POTS medication cut time in bed and eased brain fogAfter 3 months of taking it, I probably spend 15-20 fewer hours in bed each week. In context ↗ModeratePalmitoylethanolamide (PEA)
March 2024napping about once a month; still quite sickI only nap, maybe once a month now, so I've improved greatly. I've still quite sick, but the napping isn't a problem anymore. In context ↗Moderate

Adverse events

  • Everyday exercise and activity“I had a doctor tell me that I needed to push through excerises until I was right at the point before passing out. I stupidly trusted him and did that, and it's been MONTHS and I still feel far worse than before that.” In context ↗ Made symptoms worse

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI have intense POTs symptoms, and still PEM. In context ↗
  • POTS & dysautonomiaI have intense POTs symptoms In context ↗
  • Brain fogMine has gotten substantially better!! I definitely am not 100% In context ↗
  • Sleep problemsI usually nap 3-5 hours on bad days. In context ↗
  • Headaches & migraineI have pre-covid migraines with auras for YEARS. I still sometimes get them if I don't take care of myself well enough. In context ↗

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