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Long COVID Moderate → near normalIll 15 months before improving or writingNeeds ongoing treatment

Long COVID with POTS, now nearly back to normal after radical rest and antihistamines

Condition
Long COVID
At worst
Moderate (mostly housebound)
Ill before improving or writing
15 months
Last post
Oct 2024
In their words
  • Condition: Long COVIDLong covid symptoms started two weeks after Pfizer booster without a positive covid test or symptoms previous to that. In context ↗
  • At worst: ModerateI was in terrible shape for months In context ↗
  • Now: Near normalConsistently feeling good, eating totally back to normal. In context ↗
  • Began after: a vaccinationLong covid symptoms started two weeks after Pfizer booster without a positive covid test or symptoms previous to that. In context ↗
Read from 82 of their posts and comments; links to the 38 this page draws on

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Summary

Swan 81634 fell ill in December 2021, two weeks after a third Pfizer dose, with anxiety, nausea, insomnia, tachycardia, POTS symptoms and mast-cell and EMF sensitivity; the first six months were worst. She credits radical rest, a low-histamine diet, antihistamines, DAO enzyme and the LP299V probiotic, reaching 90-100% by about ten months and eating normally by late 2023, though she still sought MCAS control in 2024.

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What they tried

Their words about each treatment
  • DAO enzyme (NaturDAO) · Helped a lotDAO enzyme has been helpful for reducing the severity of the monthly flare ups In context ↗
  • probiotic LP299V (Nature's Bounty Probiotic GX / Jarrow) · Helped a lotIt was the first big jump in improvement for me In context ↗
  • low histamine diet · HelpedLow histamine diet has been helpful. In context ↗
  • zyrtec · HelpedAntihistamines helped bring down anxiety, but the addition of the DAO really seemed to help. In context ↗
  • pepcid ac · Not saidI did zyrtec and pepcid ac. YMMV, though, so some have better luck with Allegra. In context ↗
  • Hydroxizine · HelpedHydroxizine was the only thing that helped me sleep at night when I was at my worst. In context ↗
  • quercetin · Helpedother mast cell stabilizers like vit C, D3/K2, magnesium, quercetin have been helpful for me In context ↗
  • vitamin C · HelpedAcerola initially, better for mast cells. In context ↗
  • vit D3/K2 · Helpedvitamin C, D3/K2 double standard dose (I was very low) In context ↗
  • magnesium · Helpedvit C, D3/K2, magnesium, quercetin have been helpful for me In context ↗
  • hydration, electrolytes and compression stockings · Helpedhydration and electrolytes, and compression stockings, thigh high or waist high, really helped In context ↗
  • Melatonin · WorseMelatonin, for example, gave me tachycardia and panic symptoms. In context ↗
  • gabapentin · No changeI was given gabapentin to sleep, and it didn't work at all. In context ↗
  • Xanax · HelpedOccasionally, if it was just too much, a 1/4 of Xanax. In context ↗
  • intense exercise · Much worsetrying to exhaust myself with intense exercise. I ended up manic and insomniac with neuropathy and buzzing burning extremities In context ↗
  • cold showers · HelpedCold showers and vagus nerve exercises also very helpful In context ↗
  • vagus nerve exercises · HelpedVagus nerve exercises to stimulate the parasympathetic nerve also helps. In context ↗
  • tVNS clip · HelpedtVNS clip has been helpful In context ↗
  • zoloft · Not saidI am currently taking 12.5 zoloft (not sure if helpful at thus point, but not willing to quit it yet) In context ↗
  • blackseed oil · Not saidblackseed oil and cod liver oil mid day In context ↗
  • multivitamin · Not saidincluding a daily multivitamin In context ↗
  • intermittent fasting and longer fasts · HelpedI think being consistent with 16/8 helped me push to 24 and then 36 hours more easily. In context ↗
  • Epsom salt baths · HelpedI also found Epsom salt baths and red-light therapy very soothing and reduced severity of symptoms In context ↗
  • red-light therapy / IR-NIR lamp · HelpedI also thought IR/NIR lamp was helpful In context ↗
  • Goodbelly Immune juice · Not saidI also do Goodbelly Immune juice. In context ↗
  • digestive enzymes · HelpedDAO enzyme, digestive enzymes, probiotic LP299V In context ↗
  • ear candling · HelpedI did some ear candling, it helped a bit In context ↗
  • acupuncture · Helped a lotAcupuncture has been hugely beneficial for me and many others In context ↗
  • EMDR · HelpedEMDR was so helpful for me, I hope you find the same In context ↗
  • Spring Forest Qigong · HelpedQigong to move lymph (Spring Forest Qigong is what I got In context ↗
  • milk thistle · Not saidBoosters: milk thistle (low dose) In context ↗
  • megaIgG2000 immunoglobulins · Not saidmegaIgG2000 immunoglobulins In context ↗
  • Pomegranate extract · Not saidPomegranate extract In context ↗
  • cromolyn sodium · No changeI've been on cromolyn sodium for the last 4 or 5 months now. Negligible improvement. In context ↗
  • pacing · Helpedfirst and foremost pacing (read up on chronic fatigue) In context ↗
  • extreme rest / bed rest · Helped a lotI needed to rest more than I have ever rested in my life to start clawing back my life In context ↗
  • breathing and guided meditations · HelpedBreathing and guided meditations can help, too. In context ↗
  • strict sleep schedule · Helpedenforcement of a strict sleep schedule In context ↗
  • avoiding environmental triggers · Helpedno electronics, exercise, sun, etc, when I was at my worst In context ↗
  • Ibuprofen with paracetamol (taken together) · Not saidI can't take a tylenol or advil without liver pain, so that's still not working well In context ↗

Approaches: H1 antihistamines · POTS medication · Alternative therapies · Antihistamines & MCAS · Diet · Mind-body practices · Pacing · Radical rest · Supplements · Trauma & somatic work

Their path

Very severeSevereModerateMildNear normalRecovered12 mo2 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 chart starts 3 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
December 2021long COVID began two weeks after third Pfizer doseLong covid symptoms started two weeks after Pfizer booster without a positive covid test or symptoms previous to that. In context ↗Not stated
first six months, 2022worst period: anxiety, insomnia, tachycardia, POTS, EMF and heat sensitivityFirst 6 months were the worst, then it all improved slowly from there. In context ↗Moderate
mid 2022slow improvement while resting and lowering histamineBetter as I was addressing the histamine issues. lots or resting, initially. In context ↗MildPacing and the energy envelope
July 2022suddenly functional again at 85-95%I was in terrible shape for months, and then about two months ago I was very suddenly functional again, average of 85-95%. In context ↗Near normal
2022-09-27first day with no long COVID symptomsJust had first day of no symptoms of long covid at all. In context ↗Near normalProbiotics and fermented foods
2022-11-05period-linked mast cell flareI found hydroxizine can at least let me sleep when I'm flared up (like I am currently). In context ↗Mild
2023-10-15consistently good, eating normally againConsistently feeling good, eating totally back to normal. In context ↗Near normal
2024-10-28still working on MCAS control; cromolyn gave negligible improvementI've been on cromolyn sodium for the last 4 or 5 months now. In context ↗Near normal

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaisetrying to exhaust myself with intense exercise. I ended up manic and insomniac with neuropathy and buzzing burning extremities and yet another round of tachycardia. In context ↗
  • POTS & dysautonomiaI had POTS symptoms and very bad tachycardia for a couple months. In context ↗
  • Mast cell (MCAS) & allergiesI was having triggers to environmental stimuli, like sun, heat, exertion, EMF, etc, more so than foods. In context ↗
  • Sleep problemsWhen my insomnia (which I'd never had before) was at its worst - felt like my brain would NOT shut off to sleep In context ↗
  • Headaches & migraineWhat I can still feel mildly on occasion is head/chest pressure In context ↗
  • Light & noise sensitivityI've had times where I reacted to sunlight, or I reacted to the car's computer with sinus pressure headaches only while in the presence of the trigger. In context ↗
  • Heart symptoms & palpitationsI no longer feel it pounding out of my chest, the weird buzzing sensation, tachycardia issues, or problems with exercise. In context ↗
  • Neuropathy & tinglingIt helped me with everything, from right side numbness to insomnia and gall bladder fat absorption issues. In context ↗
  • Anxiety & low moodI felt like it attacked my vagus nerve. I couldn't calm down, I was having panic attacks, I couldn't sleep. In context ↗
  • TinnitusTinnitus flares In context ↗
  • Temperature regulationI couldn't sweat AT ALL for a couple / few months In context ↗

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