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Long COVID RelapsedIll 3 years before improving or writing

Long COVID left him housebound and unable to work; LDN helped brain fog, then he worsened

Condition
Long COVID
At worst
Not stated
Ill before improving or writing
3 years
Last post
Oct 2026
In their words
  • Condition: Long COVIDI got my long covid diagnosed around 3 years ago after my initial infection in late 2022. In context ↗
  • Now: RelapsedI had a really good remission last year, and overdid it into a relapse. In context ↗
  • Began after: COVIDafter my initial infection in late 2022
Read from 66 of their posts and comments; links to the 25 this page draws on

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Summary

A Canadian man in his thirties fell ill with long COVID after an infection in late 2022 and kept working until his condition worsened and he could no longer work. Low-dose naltrexone cleared his brain fog, a beta-blocker helped his POTS, and testosterone from January 2026 improved his energy, muscle and mood but not PEM, likely leaving him infertile. He remained largely housebound or bedridden, and a 2025 trip left him largely bedbound.

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What they tried

Their words about each treatment
  • cane · HelpedI started to use a cane a year ago, and it helps considerably In context ↗
  • Hypershell X-Ultra exoskeleton · Helpedit did allow me to go from bedridden to walking nearly 1.5 km In context ↗
  • pacing · Helpednothing works better than straight up just rest and pacing In context ↗
  • 21 mg nicotine patch · HelpedI’ve been trying a 21 mg patch for a week and it’s a massive difference. In context ↗
  • TRT (testosterone gel, later injections) · HelpedAfter application this morning, I felt a significant rise of energy and my fatigue lifting. In context ↗
  • Pantoprole · HelpedIt’s definitely noticeable if I don’t take it lol, I get acid reflux. In context ↗
  • low-dose Naltrexone · HelpedMy clinic first identified the brain fog, treated that symptom, and that was among the first things to clear up definitively. That was through low-dose Naltrexone. In context ↗
  • beta-blocker · Helpedthey identified that I had POTS, and after a brief period of trying older methods, went with a beta-blocker and that helped significantly In context ↗
  • CBT and DBT therapy · HelpedDBT I can say for myself works ... But for pain? It helps. In context ↗
  • forearm crutches · HelpedThese worked REALLY well, and I was excited. In context ↗
  • weight loss drugs · No changeI’m on weight loss drugs, I’m relaxed, I’m calm(so cortisol is low) and I eat one meal a day, a small one. ... And it just won’t go away. In context ↗
  • painkillers · HelpedI find painkillers effective ... pain meds made it bearable
  • weed gummies · Helped1 is to do weed gummies; these are legal where I live, and safe. They don’t make the pain necessarily go away. In context ↗
  • radical rest · HelpedBut radical rest is amazing to help this heal. In context ↗

Approaches: Beta-blockers · Pacing · Radical rest · Sex hormones

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
late 2022COVID infection; long COVID began, kept working through itSo I got my long covid diagnosed around 3 years ago after my initial infection in late 2022. In context ↗Mild
2023disability claim denied, went back to work, got significantly worse and stopped workingAnd whaddya know, I got significantly worse, and now I can’t work at all. In context ↗Moderate
2025remission; able to walk and do outdoor events againI had one last year; I immediately attempted an 8km charity march in full WW1 kit, rifle and pack. In context ↗Mild
2025crashed after the march, an 8-hour airsoft event and a flight to his partnerAfter I got back….yeah, I’ve been pretty much on bedrest since. In context ↗Severe
October 2025crashed after 4,000 steps on a SaturdayI did 4000+ steps on Saturday. I’ve been bedridden since. In context ↗Severe
October 2025exoskeleton let him walk nearly 1.5 km from bedridden, then hit PEMfor me, it did allow me to go from bedridden to walking nearly 1.5 km In context ↗Severe
December 2025nicotine patch trial gave a massive differenceI’ve been trying a 21 mg patch for a week and it’s a massive difference. In context ↗SevereNicotine patches
January 2026hypogonadism diagnosed; testosterone gel started, energy rose the same dayAfter application this morning, I felt a significant rise of energy and my fatigue lifting. In context ↗SevereTestosterone
April 2026low gel dose shut down his own testosterone and he became more fatigued and in painI feel significantly more pain, my bones hurt, and I’m even more fatigued than when I started. In context ↗Severe
June 2026on testosterone injections; brain fog gone, muscle and mood better, new daily headachemy muscles are coming in for free(thanks trt) and that’s allowed me the strength to at least get up and move around In context ↗ModerateTestosterone
August 2026crashed after a walking trip to see his partner; bedbound sinceI got back 2 weeks ago, and been bedbound since. In context ↗Severe
October 2026mostly bedbound, in pain and getting more bitter by the day, though cognition improvedI spend my entire life in bed, as the news bombards me. In context ↗Severe

Adverse events

  • “it did allow me to go from bedridden to walking nearly 1.5 km. However, that still definitely did hit my PEM state; I’m resting today.” In context ↗ Made symptoms worse
  • “I overdid it immediately 😂. I like it, it helps significantly, but it can also trap you as it’s easy to push past limits” In context ↗ Made symptoms worse
  • “that just me tire faster as I go at that pace. ... I hit that pem wall faster.” In context ↗ Made symptoms worse
  • Cane / walking stick“Using a cane puts a lot of stress on the hand on the one side and affects how you walk.” In context ↗ Side effects
  • Testosterone“the sheer-nuclear grade pain is making me do unbearably grumpy” In context ↗ Made symptoms worse
  • Testosterone“I feel significantly more pain, my bones hurt, and I’m even more fatigued than when I started.” In context ↗ Made symptoms worse
  • Testosterone“it shut down my natural production and was too little to help further.” In context ↗ Side effects
  • Testosterone“Probably infertile(bad TRT! Go to your room)” In context ↗ Side effects
  • Testosterone“All for the cost of a mild/moderate headache.” In context ↗ Side effects

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI did 4000+ steps on Saturday. I’ve been bedridden since. In context ↗
  • Brain fogLDN cleared up my cognition really well; I suffer a lot less from that now. In context ↗
  • POTS & dysautonomiaI still get dizzy if I bend or stand too much, but my bpm has dropped out of a very dangerous range. In context ↗
  • Sleep problemsI’m up for around 4-6 hours, then sleep, wake up, continue. In context ↗
  • Pain & fibromyalgiaI feel significantly more pain, my bones hurt, and I’m even more fatigued than when I started. In context ↗
  • Muscle weaknessMuscle weakness(fixed by TRT issued) In context ↗
  • Headaches & migraineNew Daily Persistent Headache In context ↗
  • Gut problemsI puke a lot, not by choice. In context ↗

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