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Long COVID Moderate → much betterIll 3 years before improving or writingNeeds ongoing treatment

Long COVID with a vaccine crash at its worst, now much better after pacing and propranolol

Condition
Long COVID
At worst
Moderate (mostly housebound)
Ill before improving or writing
3 years
Last post
Jul 2025
In their words
  • Condition: Long COVID3 years since COVID, 22 months since Moderna. Something is getting better. In context ↗
  • At worst: ModerateBefore propranolol I would spend the entire day struggling to stand up and go over there, come back and fall over like I had just done a 50 mile bike ride In context ↗
  • Now: Much betterIt’s been a couple of months and I feel semi human and like my body actually gets rest when I go to bed. In context ↗
  • Began after: COVID3 years since COVID, 22 months since Moderna In context ↗
Read from 133 of their posts and comments; links to the 44 this page draws on

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Summary

They fell ill with COVID at the end of 2019; a Moderna shot in April 2021 cost 12 points of VO2 max and was the worst of it. Pacing with a Garmin watch, L-glutamine, NADH with CoQ10, cutting caffeine and sugar, Strattera, and propranolol 40 mg each afternoon brought slow gains; propranolol gave them their life back. By March 2024 they exercised five days a week but had not returned to work; later they overdid it and were knocked back for six months, and by March 2025 they felt massively better but had slacked on good habits.

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What they tried

Their words about each treatment
  • L-glutamine · HelpedL-glutamine helps me after walks snd chores with pain In context ↗
  • Garmin / Body Battery · Helped a lotBody Battery turned my whole life around and made it all controllable. In context ↗
  • Welltory app · HelpedIt’s been tremendously helpful for me in terms of figuring out what is and is not working for improving cognition. In context ↗
  • hdrop · HelpedMy hdrop helps me make sure I am hydrated enough… it helps me to see it as a percentage In context ↗
  • Alexa reminders · HelpedAlexa prompts me with what I need to do throughout the day to maintain a schedule and take breaks. In context ↗
  • CBTi · HelpedCbti helps with this In context ↗
  • occupational therapy · Helped a lotOccupational therapy was way more helpful than therapy In context ↗
  • chiropractor · HelpedIf I stay within the green zone, see my chiropractor In context ↗
  • ring ear plugs · HelpedTry the ring ones. I feel a lot less stressed. In context ↗
  • NADH · HelpedNADH+COQ10 in one pill clears my brain fog but not if I take them separately in two pills. In context ↗
  • glutathione · HelpedNadh+coq10, glutathione helps In context ↗
  • Creatine hcl · Helped a lotCreatine hcl has been amazing for adhd+cfs In context ↗
  • vitamin D prescription · No changeThe vitamin d rx didn’t do it for me :( In context ↗
  • magnesium · HelpedYeah if I up the dose on magnesium I can function but then my tummy rebels. In context ↗
  • potassium supplement · Helpedadding a potassium supplement before bed In context ↗
  • high-dose vitamin C (Emergen-C) · Not saidI do high dose vitamin C (emergenc packets) at dinner to flush stimulants out faster and improve overnight recovery. In context ↗
  • stimulants (Adderall, Concerta, Vyvanse, methylphenidate) · HelpedIRs were my solution In context ↗
  • Strattera · Helped a lotStrattera this past week has really been a big change. In context ↗
  • Lexapro · HelpedLexapro is helping with my fatigue In context ↗
  • propranolol · Helped a lotI’m taking 40mg everyday around 4pm… It’s given me my life back. In context ↗
  • prevorstatin · WorseI just tried prevorstatin for a couple of weeks. I had a bad reaction. In context ↗
  • antibiotics for ear infection · HelpedAfter antibiotics I feel awesome for a couple of weeks but it goes away again. In context ↗
  • turmeric · HelpedAgreed on the turmeric! In context ↗
  • muscle relaxants and sleep aids · WorseI haven’t been able to tolerate muscle relaxants or sleep aids. They all destroy sleep quality. In context ↗
  • graded walks, core and cardio · HelpedI’ve got a consistent weekly routine and am exercising 5 days a week now In context ↗
  • yoga · HelpedYesterday I did park yoga and got a perfect night’s sleep. In context ↗
  • caffeine elimination · HelpedCaffeine is something I cut out for better energy overall. In context ↗
  • sugar and alcohol elimination · HelpedSugar and alcohol are all no-gos. In context ↗
  • wheat elimination · Not saidI think I’m cutting out wheat for a while, see if I improve any. In context ↗
  • dairy elimination · HelpedI cut out milk and cheese and feel a little better. In context ↗
  • canola and palm oil elimination · Helped a lotCutting out canola and palm oil even in salad dressings and packaged foods really was a big improvement In context ↗
  • ketogenic/low-carb diet · HelpedCarbs seem to prolong my crashes In context ↗
  • collagen · HelpedDaily avocado, collagen, and apples with peels have all made improvements. In context ↗
  • continuous glucose monitor (CGM) · HelpedIn combination with my cgm it is helping me break the catch 22 In context ↗
  • COVID vaccination as treatment · WorseI had Moderna last April. I lost 12 points of cardiovascular fitness and have only regained 2. It was the final nail in my coffin. In context ↗
  • Cannabis (THC, marijuana) · WorseMy Garmin says it might help that day, but I pay for it in terms of energy levels for a week. In context ↗

Approaches: SSRIs · Alternative therapies · Beta-blockers · Diet · Other drugs and medicines · Pacing · Stimulants · Supplements

Their path

Very severeSevereModerateMildNear normalRecovered2 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 16 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
late 2019COVID illness begins3 years since COVID, 22 months since Moderna In context ↗Not stated
April 2021Moderna shot; lost 12 points of VO2 max, like falling off a cliffIt was like falling off a cliff… I’m still struggling. In context ↗Moderate
May 2022massively better after dropping caffeine and sugarI’m massively better than I was. In context ↗Mild
November 2022doing a lot better, PEM mild, back to short workoutsI’m doing a lot better now… so here is what I learned... I’d say my PEM is really mild. In context ↗Mild
June 2023pacing with Body Battery; started running a littleOnce I learned to use Garmin Body Battery for pacing it got a lot easier. I’m even running a little now. In context ↗MildSymptom-tracking apps and wearables (Visible)
mid 2023overdid it and was knocked back for about 6 monthsI just felt better for a couple of months and overdid it and knocked myself back on my butt for 6 months. In context ↗Moderate
March 2024consistent routine, exercising 5 days a week, still off workI’ve got a consistent weekly routine and am exercising 5 days a week now… but I had to give up things ... and I’m still not back to work yet In context ↗Mild
June 2024crashed after a Memorial Day weekend of too much activityOn my butt today (following Monday) like I have the flu because PEM accrues over a rolling period and it was all too much even with cutting back on exercise. In context ↗Moderate
August 2024Garmin fitness stats suddenly tanked, energy holeTwo weeks ago, my Garmin stats suddenly took a nose dive and I can’t figure out why In context ↗Mild
September 2024Strattera allowed two months of errands in two daysStrattera this past week has really been a big change. I did two months worth of errands in two days In context ↗Mild
November 2024propranolol; felt semi human and sleep became restorativeIt’s been a couple of months and I feel semi human and like my body actually gets rest when I go to bed. In context ↗MildPropranolol (Inderal)
March 2025felt massively better and slacked on routinesI had a weird psychological effect of feeling massively better caused me to slack on all my good habits so I need to tighten that back up again In context ↗MildPropranolol (Inderal)

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI’d say my PEM is really mild. In context ↗
  • Brain fogNADH+COQ10 in one pill clears my brain fog but not if I take them separately in two pills. In context ↗
  • Sleep problemsGlycine 1mg every hour 4 hours before bed and 6 right before helps my insomnia In context ↗
  • Pain & fibromyalgiaL glutamine has helped me with the multi day muscle soreness In context ↗
  • Anxiety & low moodPropranolol for anxiety, but taken everyday at 4pm is really helping me. In context ↗

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