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Long COVID Severe → near normalIll 4 years before improving or writingNeeds ongoing treatment

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 COVIDMy Long Covid is primarily the neurological type with movement disorder symptoms, cognitive and memory impairment. In context ↗
  • At worst: SevereI couldn't walk due to my Long Covid causing weakness, ataxia and falling In context ↗
  • Now: Near normalSo long as I have zero, I have essentially normal function. In context ↗
  • Began after: COVIDuntil 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

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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

Also tried

beta blockers (propranolol)· Helped a lotmusic and dance lessons and Duolingo· Helped a lotZyn nicotine pouches· Helped a lotavoiding PM 2.5 air pollution· HelpedKorean red ginseng· Helpedavoiding fried foods and sweets· Helpedpork liver pate or Pho with beef tendon· Helpedelectrolyte drink (Scratch)· HelpedManta sleep mask and no backlit devices in the bedroom· HelpedInositol· Helpedlamotrigine· Worsephysical therapy (calf raises)· Much worseHEPA filter, Xlear nasal spray and nose-only mask at the dentist· Not said
Their words about each treatment
  • ice baths · HelpedI 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 · Helpedfasting 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 lotThen 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 lotI 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 lotIn 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 · HelpedLater 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 · HelpedLater I added L-arginine and Coenzyme Q10 ... They also work well, maybe better even. In context ↗
  • Tremfya (biologic injectable) · Helped a lotso 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 lotI 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 lotThen I started taking low dose over the counter lithium supplements, (which is long known to decrease neuroinflammation), and that helped also. In context ↗
  • lamotrigine · Worsetook 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 · HelpedVitamin D (It was very low like many long haulers) In context ↗
  • Iron · HelpedIron (I had anemia for a while) In context ↗
  • Folic Acid · HelpedFolic Acid (The anemia was probably due to the DMARD pills In context ↗
  • Vitamin B-12 · HelpedVitamin B-12 (I've been deficient for a long time In context ↗
  • daily zone 2 cardio · HelpedAvoiding strenuous exercise (make sure you never push through pain!) and doing daily zone 2 cardio In context ↗
  • avoiding PM 2.5 air pollution · HelpedAvoiding PM 2.5 air pollution levels of over 10 micrograms per cubic meter of air In context ↗
  • physical therapy (calf raises) · Much worseI 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 saidI 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 · HelpedKorean red ginseng helps. In context ↗
  • avoiding fried foods and sweets · HelpedI 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 lotI'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 · HelpedThe 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 · HelpedYes, 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) · HelpedAlso, electrolyte drink has proven somewhat helpful. I use Scratch. In context ↗
  • resting very seriously at home in bed · HelpedI 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 · HelpedPutting 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 · HelpedI'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

Very severeSevereModerateMildNear normalRecovered3.8 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. 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
WhenWhat happenedWhere they wereAfter
2020Long 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 museums In 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 shot In context ↗Near normalGuselkumab (Tremfya)
December 2023stroke-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 since In context ↗Severe
2024-02-10back 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 fogAfter two shots, the brain fog disappeared In context ↗
  • POTS & dysautonomiaThe dysautonomia seems to be leading to heat/humidity intolerance though In context ↗
  • Sleep problemsterrible anxiety, especially at night with insomnia and broken sleep In context ↗
  • Pain & fibromyalgiaI often have bloating and constipation along with joint pain starting two days after exposure events In context ↗
  • Gut problemsI experience digestive problems if I eat fried foods specifically. In context ↗
  • Headaches & migraineAt first it was actually strenuous, and I would get headaches and feel exhausted after a few minutes In context ↗
  • Muscle weaknessWhen I couldn't walk due to my Long Covid causing weakness, ataxia and falling In context ↗
  • Neuropathy & tinglingnumb hands when sleeping at night In context ↗
  • Anxiety & low moodwhen I had terrible anxiety, especially at night with insomnia and broken sleep, and exaggerated startle response In context ↗
  • Heart symptoms & palpitationssymptoms did affect my breathing on three occasions and heart rhythm numerous times In context ↗
  • Temperature regulationlast summer I had low BP and elevated body temp even though it was only 85 degrees and 65% humidity In context ↗
  • Post-exertional malaiseI've only had it once, when I did a little physical therapy and was encouraged to push myself. In context ↗

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