Long COVID with falls and severe brain fog, mostly restored with masking and lithium
- Condition
- Long COVID
- At worst
- Severe (mostly bedbound)
- Ill before improving or writing
- 4 years
- Last post
- Feb 2024
In their words
- Condition: Long COVID
My Long Covid is primarily the neurological type with movement disorder symptoms, cognitive and memory impairment.
In context ↗ - At worst: Severe
I couldn't walk due to my Long Covid causing weakness, ataxia and falling
In context ↗ - Now: Near normal
So long as I have zero, I have essentially normal function.
In context ↗ - Began after: COVID
until it seems Covid pushed my health over the edge, gave me two autoimmune diseases
Read from 37 of their posts and comments; links to the 20 this page draws on
Summary
A long COVID patient ill for four years from age 36 developed a degenerative neurological illness with movement disorder, falls, memory loss and severe brain fog. Strict N95 masking against reinfection, a biologic injection (Tremfya) and low-dose lithium restored most function, though symptoms return after exposures. After a December 2023 clinic exposure brought stroke-like symptoms, symptoms flared and they were mostly stuck in bed after a later exposure.
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What they tried
What they credit
Also tried
Their words about each treatment
- ice baths · Helped
I started with ice baths and fasting all day, eating only dinner, mostly vegetables. ... It definitely helped somewhat, but was also very strenuous.
In context ↗ - fasting all day, eating only dinner · Helped
fasting all day, eating only dinner, mostly vegetables. My neurologist asked me to eat more though, and it turned into winter, so I stopped.
In context ↗ - N95 masks · Helped a lot
Then I started wearing an N95 to avoid reinfection. That has consistently helped during my whole illness. Symptoms decrease and some disappear entirely.
In context ↗ - beta blockers (propranolol) · Helped a lot
I took beta blockers the in second year of my illness, when I had terrible anxiety ... They worked immediately and very well.
In context ↗ - beet juice · Helped a lot
In the third year I read about endothelial damage causing neurological symptoms and started drinking beet juice every day. I had immediate improvement, with better circulation to my face and less brain fog.
In context ↗ - L-arginine · Helped
Later I added L-arginine and Coenzyme Q10 because I read here that those also improve endothelial function ... They also work well, maybe better even.
In context ↗ - Coenzyme Q10 · Helped
Later I added L-arginine and Coenzyme Q10 ... They also work well, maybe better even.
In context ↗ - Tremfya (biologic injectable) · Helped a lot
so I started taking that and it wiped out 95% my neurological symptoms after the second dose
In context ↗ - music and dance lessons and Duolingo · Helped a lot
I started taking music and dance lessons and doing Duolingo everyday. ... after a couple months that went away and I recovered mentally and my coordination.
In context ↗ - low dose lithium (lithium orotate) · Helped a lot
Then I started taking low dose over the counter lithium supplements, (which is long known to decrease neuroinflammation), and that helped also.
In context ↗ - lamotrigine · Worse
took a mood stabilizer that was recommended and that I'd never tried before (lamotrigine) for several months. ... The memory loss began (very sporadically at first) a few months after beginning that medication.
In context ↗ - Vitamin D · Helped
Vitamin D (It was very low like many long haulers)
In context ↗ - Iron · Helped
Iron (I had anemia for a while)
In context ↗ - Folic Acid · Helped
Folic Acid (The anemia was probably due to the DMARD pills
In context ↗ - Vitamin B-12 · Helped
Vitamin B-12 (I've been deficient for a long time
In context ↗ - daily zone 2 cardio · Helped
Avoiding strenuous exercise (make sure you never push through pain!) and doing daily zone 2 cardio
In context ↗ - avoiding PM 2.5 air pollution · Helped
Avoiding PM 2.5 air pollution levels of over 10 micrograms per cubic meter of air
In context ↗ - physical therapy (calf raises) · Much worse
I did a little physical therapy and was encouraged to push myself. ... For two weeks afterward I had muscle soreness and pain that I'd never experienced before
In context ↗ - HEPA filter, Xlear nasal spray and nose-only mask at the dentist · Not said
I have literally brought a small HEPA filter and ran it right next to the chair, did Xlear nasal spray and a nose-only mask at the dentist. All those things are 100% worth it.
In context ↗ - Korean red ginseng · Helped
Korean red ginseng helps.
In context ↗ - avoiding fried foods and sweets · Helped
I try to avoid fried things now and boost my endothelial health with beet juice, Coenzyme Q10, L-arginine, etc. It seemed to work very well as the pain went away along with the digestive problems.
In context ↗ - Zyn nicotine pouches · Helped a lot
I've tried them also. They work fine. Got rid of my brain fog very quick
In context ↗ - pork liver pate or Pho with beef tendon · Helped
The main things that fixes my TMJ disorder is eating a thin spread of pork liver pate daily on toast for about six weeks
In context ↗ - raw garlic cloves · Helped
Yes, I did this for a month as part of my recovery from an exposure at the doctor's office that led to TIA-like symptoms. I believe it speeded my recovery
In context ↗ - electrolyte drink (Scratch) · Helped
Also, electrolyte drink has proven somewhat helpful. I use Scratch.
In context ↗ - resting very seriously at home in bed · Helped
I rested very seriously at home in bed ... and after 1.5 months have returned to my baseline from before.
In context ↗ - Manta sleep mask and no backlit devices in the bedroom · Helped
Putting all backlit devices in another room for charging before going to bed helps. ... Wearing a Manta sleep mask to block out all ambient light helps.
In context ↗ - Inositol · Helped
I'm trying it also and it seems harmless to beneficial.
In context ↗
Approaches: Alternative therapies · Diet · Exercise and activity · Biologics & antibodies · Radical rest · 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. The first step with a time is 3.8 years after onset: the story doesn’t say how ill they were before that. The dashed part: the story doesn’t say when. 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
| When | What happened | Where they were | After |
|---|---|---|---|
| 2020 | Long Covid began with degenerative neurological symptomsMy illness began when I was 36. It has been four years.In context ↗ | Not stated | |
| — | could not walk; ataxia, falling and collapsingWhen I couldn't walk due to my Long Covid causing weakness, ataxia and falling, we had to use wheelchairs when we would visit museumsIn context ↗ | Severe | |
| — | movement disorder stopped progressing and function returnedLuckily, my movement disorder stopped progressing and healed and I regained function after I started masking strictly with N95 or better masks.In context ↗ | Moderate | |
| — | neurological symptoms 90% better after biologic injectionsand my neurological symptoms got 90% better after the second shotIn context ↗ | Near normal | Guselkumab (Tremfya) |
| December 2023 | stroke-like symptoms after an exposure at the doctor's office; mostly stuck in bedI had an exposure a couple weeks ago, my symptoms flared up and I'm mostly stuck in bed sinceIn context ↗ | Severe | |
| 2024-02-10 | back to baseline; near-normal function while avoiding exposureSo long as I'm never exposed or reinfected, I am effectively recovered, able to function in daily life, work, socialize and enjoy recreation.In context ↗ | Near normal |
Adverse events
- Lamotrigine (Lamictal)“took a mood stabilizer that was recommended and that I'd never tried before (lamotrigine) for several months. The memory loss began (very sporadically at first) a few months after beginning that medication.” In context ↗ Side effects
- Physical therapy / physiotherapy“I did a little physical therapy and was encouraged to push myself. For two weeks afterward I had muscle soreness and pain that I'd never experienced before along with feeling generally unwell and exhausted.” In context ↗ Made symptoms worse
- “I slacked off for a while and ended up getting chronic dry mouth after having to have fillings replaced and adjusted and did a small oral surgery” In context ↗ Other
- “The anemia was probably due to the DMARD pills for my post-Covid rheumatoid arthritis, as it's a known side effect the rheumatologist didn't bother to tell me about” In context ↗ Blood count problems
Symptoms mentioned
Their words about their symptoms
- Brain fog
After two shots, the brain fog disappeared
In context ↗ - POTS & dysautonomia
The dysautonomia seems to be leading to heat/humidity intolerance though
In context ↗ - Sleep problems
terrible anxiety, especially at night with insomnia and broken sleep
In context ↗ - Pain & fibromyalgia
I often have bloating and constipation along with joint pain starting two days after exposure events
In context ↗ - Gut problems
I experience digestive problems if I eat fried foods specifically.
In context ↗ - Headaches & migraine
At first it was actually strenuous, and I would get headaches and feel exhausted after a few minutes
In context ↗ - Muscle weakness
When I couldn't walk due to my Long Covid causing weakness, ataxia and falling
In context ↗ - Neuropathy & tingling
numb hands when sleeping at night
In context ↗ - Anxiety & low mood
when I had terrible anxiety, especially at night with insomnia and broken sleep, and exaggerated startle response
In context ↗ - Heart symptoms & palpitations
symptoms did affect my breathing on three occasions and heart rhythm numerous times
In context ↗ - Temperature regulation
last summer I had low BP and elevated body temp even though it was only 85 degrees and 65% humidity
In context ↗ - Post-exertional malaise
I've only had it once, when I did a little physical therapy and was encouraged to push myself.
In context ↗
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