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Long COVID Moderate → relapsedIll 4 years before improving or writing

Long COVID: breathlessness, brain fog, pelvic pain, off work; time helped then relapsed

Condition
Long COVID
At worst
Moderate (mostly housebound)
Ill before improving or writing
4 years
Last post
Sep 2025
In their words
  • Condition: Long COVIDI’ve had long covid for 10 months now. In context ↗
  • At worst: ModerateAlso had to stop working. Watching life go by from my window. In context ↗
  • Now: RelapsedIt gave me the best 8 months of life that I’ve had since catching covid in 2021. ... Recently all my symptoms came back, brain fog, dizziness and pain. In context ↗
  • Began after: COVIDI tested positive on the 18th September 2021. In context ↗
  • Says they never had: Post-exertional malaiseNo, i don’t feel as though I have PEM at all.
Read from 123 of their posts and comments; links to the 38 this page draws on

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Summary

Pelican 60539 was 36 when Delta COVID in September 2021 led to long COVID with breathlessness, tachycardia, brain fog and severe pelvic pain; she was off work and at her worst watched life go by from her window. Breathing, heart rate and gut symptoms eased over months, which she credited to time, and later low-dose naltrexone helped her mood a little. Later brain fog returned, dizziness appeared, and pelvic pain persisted.

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Asking aboutPelican 60539’s story

What they tried

Their words about each treatment
  • FLCCC protocol · No changeI did it as best as I could at about 3 weeks after infection but I guess it didn’t help In context ↗
  • antibiotics · No changeAntibiotics did nothing obviously. In context ↗
  • D-Mannose powder · No changeI have been taking D - Mannose powder but it hasn't helped at all. In context ↗
  • pelvic floor physiotherapy · HelpedI was doing internal releases with the physio and it was really helping up until 3 weeks ago. All the pain has come back. In context ↗
  • amitriptyline (Endep) · WorseI have been on it for 5 weeks now and it could just be a coincidence but everything has got worse since I started it. In context ↗
  • CBD oil · HelpedI’ve tried Cbd even with thc. It helps my chronic pelvic pain that I’ve developed since covid but not much more unfortunately. In context ↗
  • cold shower · WorseI actually tried the cold shower tonight for 40 secs. I definitely need to practice because I couldn’t breathe In context ↗
  • NMN Plus · Not saidI was previously taking NMN Plus, which is the nicotinamide mononucleotide. In context ↗
  • Niacin (flushing) · WorseI had read most people recommending Niacin the flushing one, so I went out a bought some. I don’t really get that much flushing it just makes me feel sick in the stomach. In context ↗
  • intermittent fasting · HelpedI have however noticed if I don’t snack and give myself a good 4 hours between meals it helps. In context ↗
  • low histamine diet · Not saidI have tried and failed so many times with a low histamine diet. In context ↗
  • Elmiron (Pentosan) · Not saidMy doctor has put me on Elmiron (Pentosan) In context ↗
  • hydroxychloroquine · No changeI took it for a few months. It didn’t do anything for me unfortunately. I stopped taking it. In context ↗
  • Montelukast · No changeI took this for about 5 months. ... Ultimately I came off it as I didn’t see any benefits In context ↗
  • Botox to masseters · Helpedcould no longer take it anymore and got Botox to my masseters. It helped. In context ↗
  • B12 · Not saidAlso on B12 but no other B vitamin. In context ↗
  • Famotidine · WorseI believe it might be giving me more brain fog, constant urination and some fatigue In context ↗
  • otc antihistamine · No changeHave also tried Montelukast, Claritin, HistEase (supplement) Sodium Cromolyn. Never felt any benefits from these In context ↗
  • HistEase · No changetwo supplements one called HistEase and one called Orthoplex HCL ... I did not notice any improvements in that short time. In context ↗
  • Brain Tap app · Not saidI’ve been listening to it for the last week. ... Honestly not sure it’s doing anything at all In context ↗
  • low dose naltrexone (LDN) · HelpedI have moved up to 5mg of LDN and I think it is helping my brain fog a little. In context ↗
  • breathing practice · Not saidI never had a cough at all, and I have been practicing my breathing. In context ↗
  • pelvic floor Botox · WorseI’m 9 days post pelvic floor Botox and my pain has increased In context ↗
  • Citalopram · Helped a lotIt worked brilliantly for me once I reached 20mg. It gave me the best 8 months of life that I’ve had since catching covid in 2021. In context ↗
  • Cetirizine (Zyrtec) · WorseAfter 3 weeks I had to come off everything because my brain fog got so bad. In context ↗
  • COVID vaccination as treatment · WorseI felt worsening of symptoms for about 48 hours and now I’m back to baseline. In context ↗

Approaches: SSRIs

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
2021-09-18COVID-19 (Delta) infection, unvaccinatedI tested positive on the 18th September 2021. In context ↗Mild
2021-10-07hospital with chest pain and panic attacks; bilateral viral pneumonia; off workIm tired just walking to the toilet. In context ↗Moderate
2022-03-07breathing, fatigue and brain fog eased; about 70% backI do believe at about the 4.5 month mark, I saw an improvement in symptoms. In context ↗Mild
2022-07-28long haul symptoms returned at 11 monthsI felt like I was getting better around the 7 month mark but now at 11 months my symptoms are returning. In context ↗Mild
2023-05-23mood and energy a little better on LDNI think it’s helping me a little with my mood as I can hold a conversation now without crying In context ↗MildLow-dose naltrexone
2023-09-21breathing much better and manageable at two years; pain and brain fog remainIm just a few weeks past 2 years and it’s got so much better. Not perfect, still have my days. Manageable now. In context ↗Mild
2024-10citalopram 20 mg gave the best eight months since infectionIt worked brilliantly for me once I reached 20mg. It gave me the best 8 months of life that I’ve had since catching covid in 2021. In context ↗Mild
2025-09-05symptoms returned after eight good months on citalopramRecently all my symptoms came back, brain fog, dizziness and pain. I’m devastated In context ↗Mild

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Brain fogI can’t think clearly, my memory is not the same. In context ↗
  • BreathlessnessIt’s been over 3 years and just the other day I had 2 days of sob. In context ↗
  • Heart symptoms & palpitationsI am still dealing with some tachycardia In context ↗
  • Pain & fibromyalgiaThe worst, and most painful, symptom is this weird pelvic pain In context ↗
  • POTS & dysautonomiaI think I have what a lot of people on here have which is dystautonomia. In context ↗
  • Neuropathy & tinglingI have burning hands. In context ↗
  • Muscle weaknessMy arms feel like they are cement. In context ↗
  • Gut problemsMy gut issues have improved. In context ↗
  • Anxiety & low moodI fell into a massive depression for about 2 months. In context ↗
  • Loss of smell or tasteI got my taste back after 7 weeks. In context ↗
  • Headaches & migraineHad all the common symptoms, fever, fatigue, headache. In context ↗
  • Flu-like symptomsI get like it was just a bad flu. In context ↗

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