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 COVID
Exactly a year in now and before I was lifting weights every day and doing 12k+ steps.
In context ↗ - At worst: Mild
I was at 8k steps in June and July, got to 10k steps in August and just crashed again.
In context ↗ - Now: Relapsed
I 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
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
Also tried
Their words about each treatment
- LDN · Helped
I just started ~3 weeks ago at 0.5mg. ... brain fog has improved.
In context ↗ - Zoloft · Helped
I 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
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
| When | What happened | Where they were | After |
|---|---|---|---|
| 2024 | long 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 2025 | crashed 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 | |
| 2025-11-02 | brain 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 ↗ | Mild | Low-dose naltrexone |
Adverse events
- Low-dose naltrexone“Side effects for me are louder tinnitus and a bit of dizziness so far.” In context ↗ Side effects
- Low-dose naltrexone“Up until about yesterday I was significantly more fatigued than usual.” In context ↗ Made symptoms worse
- Low-dose naltrexone“I also have quite a bit of pressure in my head and worse tinnitus, but brain fog has improved.” In context ↗ Side effects
- Sertraline (Zoloft)“Side effects were stomach issues and it made me tired.” In context ↗ Gut side effects
- Sertraline (Zoloft)“Side effects were stomach issues and it made me tired.” In context ↗ Side effects
- Low-dose naltrexone“I stopped because it made me even more tired and caused stomach issues.” In context ↗ Made symptoms worse
- Low-dose naltrexone“I stopped because it made me even more tired and caused stomach issues.” In context ↗ Gut side effects
Symptoms mentioned
Their words about their symptoms
- Post-exertional malaise
got to 10k steps in August and just crashed again
In context ↗ - Brain fog
so far I can say it’s helped my brain fog
In context ↗ - Tinnitus
Side effects for me are louder tinnitus and a bit of dizziness so far.
In context ↗ - Headaches & migraine
I also have quite a bit of pressure in my head
In context ↗ - Anxiety & low mood
that definitely helped with anxiety. Stopped all panic attacks while on it.
In context ↗