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Long COVID Moderate → much betterIll 2 years before improving or writingNeeds ongoing treatment

Off work with long COVID breathlessness and brain fog, much better over time

Condition
Long COVID
At worst
Moderate (mostly housebound)
Ill before improving or writing
2 years
Last post
Mar 2026
In their words
  • At worst: Moderatehad been at home without work since 2022 until the beginning of the year, so that's progress In context ↗
  • Now: Much betterNow, 3 1/2 years later from beginning I have to work again, but symptoms are better, not getting worse with exercise. But I am at maybe 60% health to before Covid. In context ↗
  • Began after: COVIDFebruary 2022 COVID with subsequent LC (symptoms never subsided)
Read from 114 of their posts and comments; links to the 40 this page draws on

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Summary

A man in Germany who fell ill with COVID in February 2022, aged 23, developed persistent breathlessness and brain fog, chest pain that later eased, and DPDR-like symptoms that were worst for about a year. He was off work, at his worst around 8-16 months in. GABA, cannabis, lithium orotate, an anti-inflammatory diet and fasting eased symptoms, but he credited most of his slow improvement to time. By early 2025 he hoped to get back to work but was still far from recovered.

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What they tried

Their words about each treatment
  • GABA · HelpedGABA has helped the most so far In context ↗
  • yoga/meditation/relaxation · Helpedmy parasympathetic nervous system is working better (relaxation, stretching, yoga, GABA, THC) In context ↗
  • anti-inflammatory diet · HelpedI find anti-inflammatory diets and 16/8 fasting very helpful. In context ↗
  • nattokinase · Helpednattokinase makes my eyes look normal In context ↗
  • quercetin · No changeI've also tried other things like natto, lithium, quercetin etc. but that didn't bring any long-term improvement. In context ↗
  • creatine · HelpedI also find creatine and NAC helpful, cheap and effective. In context ↗
  • THC / cannabis · HelpedHelps me the most of all things, also against anxiety and other neurological problems. In context ↗
  • CBD · No changeOnly CBD is not really helpful for me, unfortunately. In context ↗
  • alcohol (beer) · HelpedI drank beer in the first year of LC (had helped with shortness of breath and brain fog In context ↗
  • lithium orotate · Helped5mg of lithium orotate a day has helped me the most In context ↗
  • passion flower tea · HelpedI would rate GABA (or passion flower as a light variant) and THC as the most important for me personally. In context ↗
  • vitamin D · Not saidI take Vitamin D as Supplement from Oktober to April. In context ↗
  • vitamin C · HelpedVitamin C seems to help me best (1.5-2.5g per day). In context ↗
  • B12 · Not saidvitamin C, D, B12, nattokinase, quercetin, omega 3, black cumin oil, creatine In context ↗
  • H1 antihistamines (incl. cetirizine) · Helpedinitially also antihistamines In context ↗
  • H2 antihistamines · Not saidAntihistamines H1 & H2 In context ↗
  • pantoprazole · WorseI have tried pantoprazole on the advice of my lung doctor. It didn't bring more than strange stomach pains. In context ↗
  • reflexive breathing therapy · HelpedI've had 12 hours of reflexive breathing therapy over the last few months. That has helped somewhat In context ↗
  • energy drinks · HelpedAfter a 300-500ml can of Monster or other energy drinks I feel like in the RB commercials. In context ↗
  • nicotine (e-cigarette) · HelpedA lot of nicotine via my e cigarette does give me a cognitive boost somehow. In context ↗
  • taurine · HelpedI currently use taurine, caffeine and L Carnitine as supplements In context ↗
  • L-arginine · Helpedvitamin C, caffeine, taurine, L carnitine, L arginine and creatine help the most In context ↗
  • green tea · Helpedgreen tea as a "booster" (caffeine, EGCG) In context ↗
  • B1 · HelpedCurrently taurine, L-carnitine, caffeine and B1 are helping well In context ↗
  • inhaler (budesonide) · No changeIt feels different and does not react to budesonide or other inhalers. In context ↗
  • stretching exercises and posture · HelpedStretching exercises and a straight posture, especially in the neck and back, also help to get blood to the brain better. In context ↗
  • time · Helped a lotMost of it was certainly time. In context ↗
  • COVID vaccination as treatment · Not saiddespite 2 Moderna vaccinations (normal "side effects" for 1-3 days each time, nothing more) In context ↗

Approaches: H1 antihistamines · Amino acids and carnitine · Diet · Mind-body practices · Other drugs and medicines · Supplements

Their path

Very severeSevereModerateMildNear normalRecoveredonset12 mo2 y3 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
February 2022COVID infection; brain fog from day 1, breathlessness day 6, chest and heart pain day 10Woke up with brainfog on the first day of the infection and the symptom is still present today. In context ↗Moderate
8-16 months in (2023)symptom peak: head pressure, DPDR, extreme fatigue, constant breathlessnessThe 1 year mark was about my peak of symptoms. So between 8 and 16 months post-COVID was definitely the worst time. In context ↗Moderate
December 2023able to hike 12+ miles again, with constant breathlessnessBut I can now hike 12+ miles like before, it's just the shortness of breath all the time that gets me down. In context ↗MildTime and spontaneous remission
February 2024symptoms much more manageable; planning a few hours of work from homePersonally, I will be reaching year 2 this month and am able to manage my symptoms much better. In context ↗MildTime and spontaneous remission
October 2024sick again from the beginning of OctoberI've also been permanently sick again since the beginning of October. In context ↗Mild
July 2025breathlessness slowly better; back at work but only about 60% of pre-COVID healthNow, 3 1/2 years later from beginning I have to work again, but symptoms are better, not getting worse with exercise. But I am at maybe 60% health to before Covid. In context ↗MildTime and spontaneous remission

Adverse events

Symptoms mentioned

Their words about their symptoms
  • BreathlessnessI have shortness of breath almost permanently, but it's enough to get by. In context ↗
  • Brain fogI've had Brainfog since 02/2022 In context ↗
  • Post-exertional malaiseFever, headache and sore throat are what I get most with PEM, but I don't really have fatigue any more. In context ↗
  • Sleep problemsI find it difficult to fall asleep because of general insomnia In context ↗
  • POTS & dysautonomiaDizziness came on very quickly, is still noticeable today In context ↗
  • Heart symptoms & palpitationsChest pressure and heart pain were added on day 10 and lasted for about 1 1/2 years, now only a higher resting heart rate and less exercise tolerance. In context ↗
  • Headaches & migrainePressure and burning and absorbent cotton feeling in the head In context ↗
  • Pain & fibromyalgiathe pain from COVID / LC feels more like overtraining In context ↗
  • Muscle weaknessmuscle exhaustion In context ↗
  • Flu-like symptomsI also feel like I have a slight but permanent cold. In context ↗
  • Temperature regulationHands and feet became ice-cold In context ↗
  • Anxiety & low moodbut anxiety/panic/confusion is currently almost gone In context ↗
  • Tinnitus1 a little, 2 yes, extremely in the first six months or three quarters In context ↗

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