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Long COVID Moderate → relapsedIll 4.5 years before improving or writingNeeds ongoing treatment

Long COVID with severe reflux and brain fog, improved then relapsed, crediting time and diet

Condition
Long COVID
At worst
Moderate (mostly housebound)
Ill before improving or writing
4.5 years
Last post
Feb 2026
In their words
  • Condition: Long COVIDI got Long Covid August of 2021, so it’s been 25 months so far. In context ↗
  • At worst: ModerateI’ve not gone back to work because of this and other symptoms ... At first I couldn't even walk a quarter mile.
  • Now: RelapsedI had a short almost reprieve about 10 months in and then went downhill again. In context ↗
  • Began after: COVIDright after having Covid in August 2021, I felt soooo old, like 80!
Read from 105 of their posts and comments; links to the 43 this page draws on

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Summary

A 53-year-old woman developed long COVID after an August 2021 infection, with severe reflux, burping, constipation, tachycardia, PEM and brain fog. She improved from about month five, reaching roughly 65-80% of normal, but a hard physical therapy session in 2022 caused a crash and POTS, and a January 2024 reinfection set her back. She credits time and diet, is trying brain retraining and fasting, and took sertraline.

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Asking aboutQuail 57752’s story

What they tried

Their words about each treatment
  • Omeprazole / Prilosec (PPI) · No changeWas given Prilosec which I took for 2.5 weeks with no improvement. In context ↗
  • Sertraline (Zoloft) · HelpedSertraline 50 mg since I was having anxiety with occasional panic attacks. Took 2-3 weeks for it to start helping In context ↗
  • sleeping on a wedge · HelpedSleeping on a wedge to elevate my upper body has helped me at night. In context ↗
  • Gaviscon Advance · HelpedI take Gaviscon Advance after meals and before bed (this was an idea I found searching the internet) and that, plus a restricted diet, helps more than anything. In context ↗
  • Pepcid (famotidine) · HelpedI also added Pepcid 10-20 mg daily to twice daily as needed and I think that helps a bit? In context ↗
  • Ivermectin · No changeI tried 6 days of Ivermectin at 10 weeks in. It didn’t help me. I had no adverse effects. In context ↗
  • restricted diet / no sugar and dairy · HelpedI did see a huge improvement in GERD/LPR symptoms when I went completely without sugar/sweeteners (of any sort, except did have occasional small amounts of stevia and erythritol) for three weeks In context ↗
  • Magnesium Citrate · HelpedI was keeping it easily tolerable ( going every 2 ish days) with magnesium and a few prunes each day. In context ↗
  • Vitamin D3 with K2 · Not saidSome important ones are Vitamin D3 with K2, Magnesium In context ↗
  • Colace stool softener · Not saidI like to do natural things but had to resort to colace stool softener. In context ↗
  • Bisacodyl (Dulcolax) · Not saidTook a Bisacodyl (dulcolax) one night and even that took forever to work. In context ↗
  • Psyllium Husk · Not saidUsing a little Psyllium Husk but being careful because that can make matters worse. In context ↗
  • Senna tea · Not saidJust bought some Senna tea which I resort to on the 2nd and 3rd night if I haven’t gone. In context ↗
  • Fleet suppository · HelpedAlso use a fleets suppository since I’ve lost the “urge” to go and the suppository helps with that In context ↗
  • Melatonin · HelpedI also take Melatonin 5 mg before bed which helps me sleep In context ↗
  • CBD oil · HelpedI had started CBD oil and then have forgotten to take it the last several days. In context ↗
  • H1 receptor medicines · Not saidI did that for about 3 weeks or so and the constipation wasn’t as bad then. In context ↗
  • probiotics · Not saidI’m also trying a couple of different probiotics but ive always taken probiotics so hard to tell if it’s made a difference. In context ↗
  • L-glutamine · Not saidI've also restarted an L-glutamine powder daily (mixed in water). This was something I tried 9 months ago when I improved, and thought it may have been part of the improvement. In context ↗
  • Vitamin C (sodium ascorbate) · Not saidAlso Vitamin C (I use a sodium ascorbate powder mixed in water). In context ↗
  • Nizoral shampoo · HelpedNizoral shampoo helped me. In context ↗
  • Immuplex · Not saidI'm always on Immuplex and Thytrophin PMG because I have Hashimoto's Thyroiditis and hypothyroidism. In context ↗
  • Armour Thyroid · Not saidAlso take Armour Thyroid for hypothyroidism. In context ↗
  • potassium by mouth · Not saidThey ended up giving me some potassium by mouth. In context ↗
  • electrolytes · HelpedI’ve added those in and they’ve helped decrease heart palpitations and increased my overall sense of well-being. In context ↗
  • digestive enzymes · HelpedDigestive enzymes and HCL acid (zypan from Standard process) are helpful. In context ↗
  • Betaine HCL (Zypan) · HelpedI've been off Betaine HCL for a week or so, and notice my digestion is a lot worse. In context ↗
  • physical therapy · Much worseI worked too hard one day at physical therapy and the next day hit a brick wall. In context ↗
  • chiropractor · No changeNo one can seem to help me; not doctors, chiropractor, or physical therapy In context ↗
  • thiamin · Not saidi've been taking other things to support Mitochondria; e.g. thiamin, CoQ10, etc. In context ↗
  • ATP Fuel / ATP 360 · HelpedIm not still using ATP Fuel or ATP 360 which did seem to help somewhat. (the other reason for stopping them was the price.) In context ↗
  • GasX · HelpedGasX helps some. In context ↗
  • TTFD (synthetic B vitamin) · WorseI’ve recently been trying extra B Vitamins including a synthetic one called TTFD and the trapped gas situation has gotten out of control In context ↗
  • brain retraining · Not saidI’ve been using brain retraining to dig my way out of this mess and incorporating intermittent fasting too. In context ↗
  • intermittent fasting · Not saidI’m trying to focus on mind-body (neuroplasticity) work and gently easing into fasting. In context ↗
  • Silver Fern supplements · HelpedI can also attest to Silver Fern supplements working well!:) In context ↗
  • Loop Switch earplugs · HelpedI wear Loop switch earplugs. I wouldn’t be able to go in stores, restaurants, church without them. In context ↗
  • Propranolol · HelpedMy doctor also prescribed a tiny dose of Propanolol which I take in the morning and sometimes evening which also helps to keep my heart from racing. In context ↗
  • mind-body techniques (breathing exercises, body scans) · HelpedI’ve also learned a lot of mind-body techniques that have been very helpful—breathing exercises, body scans, etc. In context ↗
  • resting a lot / pacing · Not saidI rest a ton and sometimes nap. In context ↗

Approaches: POTS medication · Mind-body practices

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
August 2021Acute COVID-19, then went downhill into long haulStarted to improve the 3rd week but at the end of the third week began going downhill into long haul symptoms. In context ↗Moderate
late 2021Not back at work, heart rate 130 brushing her hair, severe reflux and burping, 20 pounds lostMy heart rate would go up to 130or so with just brushing my hair. That was in the first 4 months In context ↗Moderate
January 2022First improvements: derealization, tremors and brain fog easingI started to feel better at about 5 months out. In context ↗Moderate
March 2022Walking almost a mile and reintroducing foodsAt first I couldn't even walk a quarter mile. I'm up to almost a mile now In context ↗Mild
June 2022Able to walk several thousand steps a day and shower without dreadI’m able to walk 4500 to 6500 steps a day In context ↗Mild
September 2022crashed after a hard physical therapy session; PEM worse than ever, later POTSI worked too hard one day at physical therapy and the next day hit a brick wall. In context ↗Moderate
November 2022Back to about 80% on a good day after the crash15 months. I’d say I’m 80% on a good day and about 65% on a day that’s not so good. In context ↗Mild
January 2024COVID reinfection; upper GI symptoms worse againWas getting better until I got Covid again the first of January. Now it’s worse again. In context ↗Mild
June 2024Started brain retraining and gentle fasting; feeling slightly betterI’ve been using brain retraining to dig my way out of this mess and incorporating intermittent fasting too. In context ↗Mild
February 2026Heart rate no longer spikes as much on a low-dose beta-blocker plus mind-body workYes, my heart rate doesn’t spike a lot like it used to. In context ↗MildPropranolol (Inderal)

Adverse events

  • Sertraline (Zoloft)“I started on half a tablet a day at first and the anxiety worsened a bit for about 10ish days.” In context ↗ Mood or psychiatric effects
  • Physical therapy / physiotherapy“I worked too hard one day at physical therapy and the next day hit a brick wall ... PEM!--worse than ever before. It's been 6 weeks now and I still am so weak” In context ↗ Made symptoms worse
  • Thiamine / benfotiamine“I’ve recently been trying extra B Vitamins including a synthetic one called TTFD and the trapped gas situation has gotten out of control so I’m taking a 2 week break from supplements” In context ↗ Gut side effects

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI also have PEM and tachycardia with minimal exertion. In context ↗
  • Brain fogI have weakness, brain fog, and POTS. In context ↗
  • POTS & dysautonomiaStill having POTS symptoms, digestive issues and weakness. In context ↗
  • Gut problemsStill have terrible gas pressure, especially in chest and solar plexus region In context ↗
  • Heart symptoms & palpitationsPalpitations have lessened but still get them off and on. In context ↗
  • Muscle weaknessStill have weakness that waxes and wanes and I tire easily. In context ↗
  • Anxiety & low moodStarted having panic attacks while long hauling, about 4-6 weeks out In context ↗
  • Sleep problemsI’m going on my 5th month of longhauling and this has been one of my symptoms. In context ↗
  • Headaches & migraineif it’s particularly bad I feel it go into the sinuses of my head and cause head pressure In context ↗
  • Light & noise sensitivityI wouldn’t be able to go in stores, restaurants, church without them. In context ↗
  • Loss of smell or tasteI also had a phantom smell that would come and go. In context ↗
  • Neuropathy & tinglingthis weird numb/pressure-like sensation in my right anterolateral shin In context ↗
  • Pain & fibromyalgiaMy ribs, mid back, hip joints and right knee are all causing issues In context ↗
  • BreathlessnessI couldn’t sleep on my back or I’d wake up gasping for air In context ↗

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