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Long COVID Severe → near normalIll 5.5 years before improving or writingNeeds ongoing treatment

Bedbound with long COVID early on, now close to normal after therapy and brain training

Condition
Long COVID
At worst
Severe (mostly bedbound)
Ill before improving or writing
5.5 years
Last post
Sep 2025
In their words
  • Condition: Long COVIDI got long covid April 2020 as well In context ↗
  • At worst: SevereI was no longer bed bound and could do other kinds of light exercise. In context ↗
  • Now: Near normalmost people would think I’m not disabled at all. My good days I question it myself. I could probably ride a regular bike on and off all morning now. In context ↗
  • Began after: COVIDI got long covid April 2020 as well In context ↗
Read from 20 of their posts and comments; links to the 16 this page draws on

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Summary

Got long COVID in April 2020 and spent the early years bed bound with crippling brain fog and crashes. A dysautonomia physical therapy programme and brain training slowly rebuilt function; later a CGRP drug plus stimulants and progesterone-only birth control greatly improved their quality of life. They reached about 70% of normal before a 2025 reinfection set them back, though by late 2025 crashes were milder.

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What they tried

Their words about each treatment
  • stimulants (Ritalin ER) · Helped a lotRitalin plus CGRPs have been a life changer for me. In context ↗
  • CGRPs · HelpedCGRPs plus stimulants changed my life. In context ↗
  • Metformin · HelpedWhat I think is helping: antihistamine, Pepcid, LDN, Metformin In context ↗
  • LDN · HelpedWhat I think is helping: antihistamine, Pepcid, LDN In context ↗
  • mushrooms from “doctor Nicole’s” / lionsmane, reishi · Helpedthe mushrooms I take from “doctor Nicole’s” also help but it’s more subtle so I’m not sure In context ↗
  • occupational therapy · Helpedoccupational therapy- where I learned about pacing both physical pacing and cognitive pacing In context ↗
  • pacing · HelpedOccupational therapy helped me learn to pace and set up life in a more helpful way. In context ↗
  • dysautonomia international physical therapy program · Helped a lotGetting reconditioned didn’t get rid of all my LC symptoms but it gave me a life again. In context ↗
  • physical therapy · HelpedI paired that program with physical therapy which I did via telehealth In context ↗
  • antihistamine (Benadryl) · HelpedTaking Benadryl was the only thing that helped that sensation for me. In context ↗
  • brain training with a brain puzzle book · HelpedI started brain training with a brain puzzle book (small, tiny bits at a time). In context ↗
  • CBD · HelpedI take drawn CBD with a tiny amount of melatonin every night and I think it helps my overall wellbeing score In context ↗
  • melatonin · Helpeda tiny amount of melatonin every night and I think it helps my overall wellbeing score In context ↗
  • progesterone only BC pills · Helped a lotBeing on the progesterone brought me back to life in many ways In context ↗
  • sensory tools before a crash · Helpedusing sensory tools before I crash (blindfolds, headphones, etc) In context ↗
  • Pepcid · HelpedWhat I think is helping: antihistamine, Pepcid In context ↗
  • multivitamin · HelpedWhat I think is helping: antihistamine, Pepcid, LDN, Metformin, multivitamin In context ↗
  • magnesium · Helpedmultivitamin, magnesium, lionsmane In context ↗
  • lionsmane · Helpedmagnesium, lionsmane, reishi In context ↗
  • reishi · Helpedlionsmane, reishi, melatonin In context ↗
  • cyclobenzaprine at night · Helpedprogesterone only BC pills, cyclobenzaprine at night In context ↗
  • Acupuncture · No changeAcupuncture, 3 different providers (might have helped for a day or so afterwards but no long term changes) In context ↗
  • Curable App - CBT and Brain Training · No changeCurable App - CBT and Brain Training In context ↗
  • Low histamine diet · No changeLow histamine diet In context ↗
  • Anti-inflammatory diet · No changeAnti-inflammatory diet In context ↗
  • Low histamine + anti-inflammatory diet · No changeLow histamine + anti-inflammatory diet In context ↗
  • Greens only diet · No changeGreens only diet In context ↗
  • Hollotropic breathwork · No changeHollotropic breathwork In context ↗
  • Trauma release exercises · No changeTrauma release exercises In context ↗
  • Craniosacral therapy · WorseCraniosacral therapy - made my headaches soooo much worse In context ↗
  • Sensory deprivation · No changeSensory deprivation In context ↗
  • Spiritual Healers · No changeSpiritual Healers In context ↗
  • Functional medicine doctor · No changeFunctional medicine doctor In context ↗
  • Thinking positive · No changeThinking positive In context ↗
  • Pushing through · No changePushing through In context ↗
  • IV drips with vitamins and minerals · No changeIV drips with vitamins and minerals x4 In context ↗
  • Sphenopallatine block · No changeSphenopallatine block x 2 In context ↗
  • Stellate ganglion block · No changeStellate ganglion block x 2 In context ↗
  • Occipital nerve block · No changeOccipital nerve block In context ↗
  • Botox for migraine · No changeBotox for migraine x7 In context ↗
  • Injections of anti-inflammatory drugs · No changeInjections of anti-inflammatory drugs In context ↗
  • Lief- HRV haptics device · No changeLief- HRV haptics device In context ↗
  • Apollo- HRV haptics device · No changeApollo- HRV haptics device In context ↗
  • Vagus Nerve Stimulation · No changeVagus Nerve Stimulation In context ↗
  • floradix · HelpedI’m here to put a plug in for floradix and progesterone only BC pills In context ↗
  • COVID vaccination (mRNA) · HelpedI’ve only had them improve my LC a bit or not change it at all. In context ↗

Approaches: H2 blockers · Other drugs and medicines · Pacing · Physiotherapy and rehab · Sex hormones · Stimulants · Supplements

Their path

Very severeSevereModerateMildNear normalRecovered12 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. The chart starts 12 months after onset: the story doesn’t say how ill they were before that. 1 step has no time and sits in story order between the steps around it. 2 steps say too little to place on the scale and are only in the table. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
April 2020got long COVIDI got long covid April 2020 as well In context ↗Not stated
early LC (first year and a half)bed bound with severe cognitive problems and crashes bringing new symptomsI was so bad cognitively I couldn’t understand tv or movies that I’d seen before. Or read. In context ↗Severe
—out of bed and able to do light exercise after a dysautonomia PT programmeby month two I stopped the program because it was too easy for me. I was no longer bed bound and could do other kinds of light exercise. In context ↗ModerateGraded rehab and self-made programmes
2024started stimulants after four years of long COVID; life changingThey’ve been life changers for me. In context ↗MildMethylphenidate (Ritalin, Concerta)
2025reached about 70% of normalGot back to 70% normal In context ↗Mild
August 2025reinfection with COVID set them backwas reinfected and bounced right back (after about a month of acute COVID recovery) In context ↗Not stated
September 2025crashes milder and no new symptoms with each crashmy crashes aren’t so bad and they don’t come with new symptoms In context ↗Near normal

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Brain fogI was so bad cognitively I couldn’t understand tv or movies that I’d seen before. Or read. In context ↗
  • Post-exertional malaisemy crashes aren’t so bad and they don’t come with new symptoms In context ↗
  • Headaches & migraineTogether those medications have gotten rid of 90% of my migraines In context ↗
  • Heart symptoms & palpitationsmany other LC symptoms (palpitations, fatigue, brain fog, muscle weakness, heat intolerance, etc) In context ↗
  • POTS & dysautonomiastimulants both treat adhd and dysautonomia (which I believe is part of my long covid situation) In context ↗
  • Anxiety & low moodLow level anxiety and depression I didn’t even realize lifted In context ↗

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