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Long COVID Severe → much betterIll 15 months before improving or writingNeeds ongoing treatment

Near bedbound with long COVID for over a year, now much better after low-dose tirzepatide

Condition
Long COVID
At worst
Severe (mostly bedbound)
Ill before improving or writing
15 months
Last post
Sep 2026
In their words
  • Condition: Long COVIDI got horrifying LC after an infection in May 2024. In context ↗
  • At worst: SevereI’ve gone from near bed bound to being able to do most chores, go to work part time from home In context ↗
  • Now: Much betterI don't have my previous life back but I HAVE a life. ... 50-60% improvement is really worth it. In context ↗
  • Began after: COVIDWhen I got LC in Nov 2020, time helped. Took about 7months to recover. In context ↗
Read from 36 of their posts and comments; links to the 14 this page draws on

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Summary

First had long COVID in November 2020 and recovered in about seven months; a reinfection in October 2021 followed the same course. A May 2024 infection left them near bed-bound for over a year until low-dose tirzepatide in late summer 2025 gave immediate relief. They now work part time from home and report about 50-60% improvement, and are in a flare. Two years of LDN did little and badly worsened insomnia.

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What they tried

Their words about each treatment
  • Tirzepatide · Helped a lotIt is the only thing that worked for me. I would say brought me to 50% improvement. In context ↗
  • LDN · WorseTook LDN for two years. It mildly helped with joint pains and majorly worsened my already awful LC-induced insomnia. It did nothing for about 95% of my LC symptoms. In context ↗
  • ketamine · Worseit did nothing for my LC. In fact, it made me feel even more emotionally unstable. In context ↗
  • propranolol · HelpedI was on concor for ages and it did nothing. Then I looked up research and switched to propranolol. Its helped a lot more. In context ↗
  • H1 antihistamines (Zyrtec) · No changeIt's stuff like LDN/H1/H2 anti histamines where I don't see any tangible differences - I still take them but may ease them out eventually. In context ↗
  • Zolpidem · WorseTook Zolpidem for a while but that is a nightmare drug (literally, lol). In context ↗
  • melatonin · Helpednow I just take a 3mg melatonin and a 1-2 mg tizanidine. It works. No side effects. In context ↗
  • tizanidine · HelpedQuite happy with Tizanidine. In context ↗
  • walks and pilates · Not saidNow I'm starting with walks and pilates - it strengthen and tones muscles and helps with flexibility without triggering the PEM. In context ↗
  • Ramadan fasting · Helpedit's the time of the year when my health is at its best and Long Covid at its weakest ... it really has helped me with LC

Approaches: GLP-1 drugs · Diet

Their path

Very severeSevereModerateMildNear normalRecoveredonset12 mo2 y3 y4 y5 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
2020-11long COVID after COVID infectionWhen I got LC in Nov 2020, time helped. Took about 7months to recover. In context ↗Mild
2021recovered after about seven monthsTook about 7months to recover. In context ↗Recovered
2021-10COVID reinfection brought long COVID backGot Covid again in Oct 2021 and took another 7 months. In context ↗Mild
2022recovered again after about seven monthsRecovered
2024-05severe long COVID after a May 2024 infectionThen I got horrifying LC after an infection in May 2024. In context ↗Severe
2025-11big improvement on tirzepatide, about 70-80% of their life backMy PEM has improved to the point that I've gone from near bed bound to being able to do most chores, go to work part time from home, do lighter workouts, go for walks In context ↗MildTirzepatide (Mounjaro, Zepbound)
2026-08about 50-60% improvement, in a bad flarebrought me to 50% improvement. I went from completely debilitated to being able to work from home and doing VERY light socializing once every 2 weeks or so. (Although going through a bad flare right now) In context ↗Mild

Adverse events

  • Low-dose naltrexone“Only recently realized that it has significantly worsened my sleep, which was already bad so I was blaming it all on long covid. I stopped it a few weeks ago and I still have sleep issues but they’re nowhere as severe.” In context ↗ Insomnia from treatment
  • Low-dose naltrexone“I had side effects, including jaw throbbing migraines for days. But because I was told this was the only medication for LC, I stuck with it.” In context ↗ Side effects
  • Ketamine“Honestly, it did nothing for my LC. In fact, it made me feel even more emotionally unstable. ... it just messed me up for those three months.” In context ↗ Mood or psychiatric effects
  • “I've been taking lots of sleep meds and HATED the side effects of each of them.” In context ↗ Side effects
  • Zolpidem (Ambien)“Took Zolpidem for a while but that is a nightmare drug (literally, lol).” In context ↗ Mood or psychiatric effects

Symptoms mentioned

Their words about their symptoms

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