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Long COVID Mild → relapsedIll 1 year before improving or writing

A year into long COVID, step push caused crash; brain fog eased, then symptoms returned

Condition
Long COVID
At worst
Mild (working or studying, with limits)
Ill before improving or writing
1 year
Last post
Nov 2025
In their words
  • Condition: Long COVIDExactly a year in now and before I was lifting weights every day and doing 12k+ steps. In context ↗
  • At worst: MildI was at 8k steps in June and July, got to 10k steps in August and just crashed again. In context ↗
  • Now: RelapsedI was doing better mentally so I stopped it and did great for about 2 months, then I crashed again. Same problems are back unfortunately. In context ↗
Read from 4 of their posts and comments; links to the 4 this page draws on

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Summary

Cove 58915 was about a year into long COVID when a push to 10,000 daily steps in August 2025 ended in a crash, down from weightlifting and 12,000+ steps before the illness. Low-dose naltrexone eased brain fog but brought louder tinnitus, head pressure and more fatigue; low-dose Zoloft had earlier helped anxiety and stopped panic attacks at the cost of stomach upset and tiredness, with symptoms returning after stopping.

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What they tried

Their words about each treatment
  • LDN · HelpedI just started ~3 weeks ago at 0.5mg. ... brain fog has improved. In context ↗
  • Zoloft · HelpedI tried a low dose of Zoloft for about 6 months, and that definitely helped with anxiety. Stopped all panic attacks while on it. In context ↗

Their path

Very severeSevereModerateMildNear normalRecovered12 mo14 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 12 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
2024long COVID began, about a year before August 2025Exactly a year in now and before I was lifting weights every day and doing 12k+ steps. In context ↗Not stated
August 2025crashed again after building up to 10,000 steps a day; planned to drop to 3,000 or lessI was at 8k steps in June and July, got to 10k steps in August and just crashed again. ... Will try to go back to 3k steps or less for a while and then build up again. In context ↗Mild
2025-11-02brain fog improved on low-dose naltrexone, with more fatigue, head pressure and louder tinnitusUp until about yesterday I was significantly more fatigued than usual. I also have quite a bit of pressure in my head and worse tinnitus, but brain fog has improved. In context ↗MildLow-dose naltrexone

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaisegot to 10k steps in August and just crashed again In context ↗
  • Brain fogso far I can say it’s helped my brain fog In context ↗
  • TinnitusSide effects for me are louder tinnitus and a bit of dizziness so far. In context ↗
  • Headaches & migraineI also have quite a bit of pressure in my head In context ↗
  • Anxiety & low moodthat definitely helped with anxiety. Stopped all panic attacks while on it. In context ↗

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