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 COVID
3 years since COVID, 22 months since Moderna. Something is getting better.
In context ↗ - At worst: Moderate
Before 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 better
It’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: COVID
3 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
- Dec 2022
- Jan 2025
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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
What they credit
Also tried
Their words about each treatment
- L-glutamine · Helped
L-glutamine helps me after walks snd chores with pain
In context ↗ - Garmin / Body Battery · Helped a lot
Body Battery turned my whole life around and made it all controllable.
In context ↗ - Welltory app · Helped
It’s been tremendously helpful for me in terms of figuring out what is and is not working for improving cognition.
In context ↗ - hdrop · Helped
My hdrop helps me make sure I am hydrated enough… it helps me to see it as a percentage
In context ↗ - Alexa reminders · Helped
Alexa prompts me with what I need to do throughout the day to maintain a schedule and take breaks.
In context ↗ - CBTi · Helped
Cbti helps with this
In context ↗ - occupational therapy · Helped a lot
Occupational therapy was way more helpful than therapy
In context ↗ - chiropractor · Helped
If I stay within the green zone, see my chiropractor
In context ↗ - ring ear plugs · Helped
Try the ring ones. I feel a lot less stressed.
In context ↗ - NADH · Helped
NADH+COQ10 in one pill clears my brain fog but not if I take them separately in two pills.
In context ↗ - glutathione · Helped
Nadh+coq10, glutathione helps
In context ↗ - Creatine hcl · Helped a lot
Creatine hcl has been amazing for adhd+cfs
In context ↗ - vitamin D prescription · No change
The vitamin d rx didn’t do it for me :(
In context ↗ - magnesium · Helped
Yeah if I up the dose on magnesium I can function but then my tummy rebels.
In context ↗ - potassium supplement · Helped
adding a potassium supplement before bed
In context ↗ - high-dose vitamin C (Emergen-C) · Not said
I 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) · Helped
IRs were my solution
In context ↗ - Strattera · Helped a lot
Strattera this past week has really been a big change.
In context ↗ - Lexapro · Helped
Lexapro is helping with my fatigue
In context ↗ - propranolol · Helped a lot
I’m taking 40mg everyday around 4pm… It’s given me my life back.
In context ↗ - prevorstatin · Worse
I just tried prevorstatin for a couple of weeks. I had a bad reaction.
In context ↗ - antibiotics for ear infection · Helped
After antibiotics I feel awesome for a couple of weeks but it goes away again.
In context ↗ - turmeric · Helped
Agreed on the turmeric!
In context ↗ - muscle relaxants and sleep aids · Worse
I haven’t been able to tolerate muscle relaxants or sleep aids. They all destroy sleep quality.
In context ↗ - graded walks, core and cardio · Helped
I’ve got a consistent weekly routine and am exercising 5 days a week now
In context ↗ - yoga · Helped
Yesterday I did park yoga and got a perfect night’s sleep.
In context ↗ - caffeine elimination · Helped
Caffeine is something I cut out for better energy overall.
In context ↗ - sugar and alcohol elimination · Helped
Sugar and alcohol are all no-gos.
In context ↗ - wheat elimination · Not said
I think I’m cutting out wheat for a while, see if I improve any.
In context ↗ - dairy elimination · Helped
I cut out milk and cheese and feel a little better.
In context ↗ - canola and palm oil elimination · Helped a lot
Cutting out canola and palm oil even in salad dressings and packaged foods really was a big improvement
In context ↗ - ketogenic/low-carb diet · Helped
Carbs seem to prolong my crashes
In context ↗ - collagen · Helped
Daily avocado, collagen, and apples with peels have all made improvements.
In context ↗ - continuous glucose monitor (CGM) · Helped
In combination with my cgm it is helping me break the catch 22
In context ↗ - COVID vaccination as treatment · Worse
I 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) · Worse
My 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
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
| When | What happened | Where they were | After |
|---|---|---|---|
| late 2019 | COVID illness begins3 years since COVID, 22 months since ModernaIn context ↗ | Not stated | |
| April 2021 | Moderna 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 2022 | massively better after dropping caffeine and sugarI’m massively better than I was.In context ↗ | Mild | |
| November 2022 | doing 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 2023 | pacing 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 ↗ | Mild | Symptom-tracking apps and wearables (Visible) |
| mid 2023 | overdid 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 2024 | consistent 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 yetIn context ↗ | Mild | |
| June 2024 | crashed 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 2024 | Garmin fitness stats suddenly tanked, energy holeTwo weeks ago, my Garmin stats suddenly took a nose dive and I can’t figure out whyIn context ↗ | Mild | |
| September 2024 | Strattera 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 daysIn context ↗ | Mild | |
| November 2024 | propranolol; 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 ↗ | Mild | Propranolol (Inderal) |
| March 2025 | felt 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 againIn context ↗ | Mild | Propranolol (Inderal) |
Adverse events
- COVID vaccination as treatment“I 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 ↗ Made symptoms worse
- “I haven’t been able to tolerate muscle relaxants or sleep aids. They all destroy sleep quality.” In context ↗ Side effects
- Pravastatin (Pravachol)“I just tried prevorstatin for a couple of weeks. I had a bad reaction. Increased fatigue and confusion. Higher blood sugar levels.” In context ↗ Made symptoms worse
- Pravastatin (Pravachol)“Had to stop taking it today. Now I have the WORST insomnia.” In context ↗ Insomnia from treatment
- Creatine“It seems to give me vivid dreams” In context ↗ Side effects
- Amphetamine salts (Adderall), Methylphenidate (Ritalin, Concerta), Lisdexamfetamine (Vyvanse, Elvanse)“High dose stimulants keep me awake but if I’m tired it’s a zombie state and I’m not productive, plus they borrow from tomorrow’s energy.” In context ↗ Side effects
- Amphetamine salts (Adderall), Methylphenidate (Ritalin, Concerta), Lisdexamfetamine (Vyvanse, Elvanse)“It takes a couple of months for sleep quality to fall off to the point of losing emotional control… being weepy, anxious, etc.” In context ↗ Mood or psychiatric effects
- Magnesium“Yeah if I up the dose on magnesium I can function but then my tummy rebels.” In context ↗ Gut side effects
- Cannabis (THC, marijuana)“My Garmin says it might help that day, but I pay for it in terms of energy levels for a week.” In context ↗ Made symptoms worse
- Escitalopram (Lexapro)“however appetite increased and calories burned per step dropped so it’s a battle I am going to fight if I stay on it.” In context ↗ Side effects
Symptoms mentioned
Their words about their symptoms
- Post-exertional malaise
I’d say my PEM is really mild.
In context ↗ - Brain fog
NADH+COQ10 in one pill clears my brain fog but not if I take them separately in two pills.
In context ↗ - Sleep problems
Glycine 1mg every hour 4 hours before bed and 6 right before helps my insomnia
In context ↗ - Pain & fibromyalgia
L glutamine has helped me with the multi day muscle soreness
In context ↗ - Anxiety & low mood
Propranolol for anxiety, but taken everyday at 4pm is really helping me.
In context ↗
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