Unable to work with long COVID, now somewhat better with pacing and inhalers
- Condition
- Long COVID
- At worst
- Severe (mostly bedbound)
- Ill before improving or writing
- 4.5 years
- Last post
- Oct 2026
In their words
- Condition: Long COVID
I'm a long hauler since april 2020
In context ↗ - At worst: Severe
About 25% of my old self again, very disabled still.
In context ↗ - Now: Somewhat better
After 4,5 years, it's also going in the right direction with me. ... my PEM and POTS have certainly improved!
In context ↗ - Began after: COVID
Infected april 2020.
- Says they never had: Gut problems
I have no stomach related issues
Read from 166 of their posts and comments; links to the 64 this page draws on
- Sep 2022
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Summary
A woman in the Netherlands fell ill with COVID-19 in April 2020 and was left with brain fog, extreme fatigue, tinnitus, visual snow, neuropathic itch and severe asthma, unable to work. Rehabilitation ultimately failed, though pacing helped; antihistamines and infrared light gave only small, short-lived gains. Vaccines and at least three reinfections made her worse. Her asthma was nearly controlled after 1.5 years of inhalers, and by four years she could walk up to 8,000–10,000 steps a day, though other exercise and chores remained difficult and she remained disabled.
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What they tried
What they credit
Also tried
Their words about each treatment
- specialized rehabilitation programme · Helped
I've rehabilitated in an intense programme that specializes in chronic conditions, but I must say that the help in general was 'meh'.
In context ↗ - inhalers (Beclometason and Formoterol, 'Foster') · Helped
the only real progress that I've made is with this inhaler that combines Beclometason and Formoterol
In context ↗ - Pfizer shots and Moderna booster · Much worse
Pfizer shots made me temporarily worse, Moderna booster hospitalized me for a day.
In context ↗ - osteopath · Helped
I git the tip there to go to an osteopaat. It has helped me with some very specific symptoms, like nerve pains, ear and jaw problems and breathing issues.
In context ↗ - microdosing mushrooms (psilocybin) · Helped
I actually did this and it did wonders for my mood, but it worsened my neuropathic symptoms.
In context ↗ - CBD · Worse
Well, I tried it and it had a really weird and intense effect on my face muscles (felt strained and swollen).
In context ↗ - weed (cannabis) · Worse
I also got some odd muscle tensions and spasmes in my face and chest with cbd and weed.
In context ↗ - Tara Brach talks (radical acceptance) · Helped
the best thing I have done for me is listening to the talks of Tara Brach on youtube
In context ↗ - low carb diet · Worse
I have tried low carb, but it kind of started messing with my brainfog in a negative way.
In context ↗ - intermittent fasting · Worse
I had the Same with intermittent fasting. Amazing results for about a week, then my energy dropped again.
In context ↗ - flu shot · No change
It did nothing! So glad.
In context ↗ - gluten free diet · No change
Unfortunately it didn't reduce my symptoms, but I've only tried it strictly for about three weeks
In context ↗ - antihistamines (incl. hydroxyzine) · Helped
I have taken a few kinds of antihistamines, including hydroxyzine and it helps me with energy and neuropathy, but weirdly the effects wear off after a few weeks.
In context ↗ - baby aspirin · Helped
for two weeks this helped with my neuropathy/itch, but the effect wore off
In context ↗ - low histamine diet / histamine diet · Helped
The ONLY thing that seems to reduce my neuropathy is the low histamine diet.
In context ↗ - low sugar diet · Not said
I tried cbd, weed, fasting, histamine diet, low sugar diet, and a lot of supplements.
In context ↗ - Montelukast · Helped
Montelukast helps a little.
In context ↗ - probiotics (Orthiflor/Orthica) · Helped
I tried a few different probiotics, but I think I had minor positive result with orthiflor/orthica
In context ↗ - fish oil with high DHA · Helped
fish oil pills with a high % of DHA. It help a little with neuro symptoms, but it's not performing any miracles.
In context ↗ - vitamin D · Helped
the only supplements that might actually do something (small) for me are vit D and omega-3 tablets with high DHA levels.
In context ↗ - nattokinase · Worse
Nattokinase (promotes bloodflow, but gave me histamine reactions)
In context ↗ - 24-hour fasts (broth and tea) · Worse
I did a 23-24 hour fast twice with contrasting results and have done intermittent fasting.
In context ↗ - fluvoxamine · Helped
This was a game changer for me on cognitive symptoms, bloodflow, and vision.
In context ↗ - DAO supplements (Natur Dao) · Helped
high dose of DAO supplements before meals and antihistamines before sleep.
In context ↗ - zopiclone (zopyclon) / zolpidem · Helped
Zopyclone (not exactly 100% a benzo, but kinda) has been literally life saving.
In context ↗ - Cymbalta (duloxetine) · Helped
Cimbalta was the only thing that helped me.
In context ↗ - ADHD stimulants · Worse
ALL stimulants give me terrible side effects now.
In context ↗ - melatonine · Not said
I'm trying the Huberman sleeptrack and melatonine right now, but it's definitely not powerful enough to keep me sleeping during heart problems
In context ↗ - high dose magnesium · Helped
high dose of magnesium. I use different kinds that surmount to 500-600% of the daily recommended intake.
In context ↗ - Lungwort · Helped
improved from **Lungwort**, but it worsened my itch/pain
In context ↗ - nystatin · Helped
For the tongue problems helped nystatin.
In context ↗ - painkillers · Helped
Painkillers help temporarily.
In context ↗ - infrared light (2200W) · Helped
I have a 2200w infrared light at home and I'm under it everyday and have been for the past year.
In context ↗ - Tai Chi, stretches and yoga · Helped
Also tried Tai Chi and stretches/yoga with works slightly better but also drained me.
In context ↗ - building up daily steps with a mini treadmill · Helped a lot
I did notice that after a while I was able to build up my daily steps. I decided to embrace it and bought a mini treadmill.
In context ↗ - matcha (green tea) · Helped
a cup of strong matcha helps for the brainfog and maybe even for mood
In context ↗ - quercetine · Helped
I used both of those things! The matcha and the quercetine. I think it definitely helps at least a little.
In context ↗ - resveratrol (Lucovitaal) · Worse
within two days some symptoms that I had way in the beginning (active infection) returned
In context ↗ - Acceptance and Commitment Therapy (from a book) · Helped
some principles of ACT helped deal with the disease.
In context ↗ - creatine · Helped
I can attest that creatine could definitely help a bit.
In context ↗ - potassium supplement from nettles · Not said
I just got some supplements to try that's potassium derived from nettles.
In context ↗ - mucuna tablets and high dose theanine · Helped
There are more natural, watered-down versions available online that also actually help, like mucuna+high dose theine.
In context ↗ - Nalcrom · Helped
I've just started with Nalcrom, and after a weird start, I think it's getting less severe.
In context ↗ - lymphatic exercise and lymphatic drainage massage · Helped
doing lymphatic exercise and doing lymphatic drainage massage really helps
In context ↗ - hypoallergenic toothpaste, waterpick and oil pulling · Helped
One thing I figured out is that hypoallergenic toothpaste helped me a little.
In context ↗ - pacing · Helped a lot
After pacing intensely my PEM, POTS, and breathing issues have become milder.
In context ↗
Approaches: CBT & mindset · SNRIs · SSRIs · Alternative therapies · Antihistamines & MCAS · Other drugs and medicines · Pacing · Physiotherapy and rehab · 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. Dates are when they posted. What the levels mean.
Show as a table
| When | What happened | Where they were | After |
|---|---|---|---|
| April 2020 | COVID-19 infection with a very bad acute phaseI've had a bad acute phase in April 2020 and in hindsight, I should've been hospitalized (low oxygen levels in blood).In context ↗ | Severe | |
| July 2021 | some symptoms starting to get better after an intense rehabilitation programmeAfter about 16 months and with a looooot of rehabilitation, I can finallt say some symptoms are getting better (and some not btw).In context ↗ | Moderate | Graded rehab and self-made programmes |
| 2022 | omicron and the Moderna booster ended her ability to work out at allafter omicron/booster, I can't work out at all anymore (I could do that at a very slow pace before)In context ↗ | Severe | |
| September 2022 | lowest baseline: unfit to work, struggling with domestic tasksI'm completely unfit to work and have a lot of trouble performing domestic tasks.In context ↗ | Severe | |
| March 2024 | built daily steps up from not being able to walk uprightI went from not able to walk up right to 10.000 steps over the span of four years.In context ↗ | Moderate | Graded rehab and self-made programmes |
| October 2024 | PEM, POTS and fatigue improved while histamine and neuropathic symptoms stayed severeMy histamine issues and possible neuropathic issues are still murder, but my PEM and POTS have certainly improved!In context ↗ | Moderate | Pacing and the energy envelope |
| January 2025 | crashed after holiday social overexertion; spasms and twitches 100x worseI might have overdone it with the holidays (social stuff while trying to maintain my 'fitness').In context ↗ | Moderate | |
| April 2025 | Nalcrom, lymphatic drainage and prescribed antihistamines helping somewhatNot completely resolved, but there are a few things that I think that really help me.In context ↗ | Moderate |
Adverse events
- Graded rehab and self-made programmes“higher heartrate during but mostly AFTER rehabilitation workout and overall malaise feeling” In context ↗ Made symptoms worse
- COVID vaccination as treatment“I also took a hit in my rehabilitation after the pfizer vaccine.” In context ↗ Made symptoms worse
- Psilocybin (magic mushrooms)“I actually did this and it did wonders for my mood, but it worsened my neuropathic symptoms.” In context ↗ Nerve pain
- CBD (cannabidiol)“it had a really weird and intense effect on my face muscles (felt strained and swollen).” In context ↗ Side effects
- Keto and low-carb diets“I have tried low carb, but it kind of started messing with my brainfog in a negative way.” In context ↗ Made symptoms worse
- Intermittent fasting“Amazing results for about a week, then my energy dropped again.” In context ↗ Made symptoms worse
- Flu vaccine“Weirdly, de pressure on my chest came back after the flue shot.” In context ↗ Made symptoms worse
- CBD (cannabidiol)“I stopped taking it because it probably worsened my anxiety.” In context ↗ Mood or psychiatric effects
- Intermittent fasting“Fasting actually does the opposite for me. The little energy that I had drained.” In context ↗ Made symptoms worse
- Intermittent fasting“I got worse after 5 days. Tried it twice.” In context ↗ Made symptoms worse
- Stimulants (unspecified)“ALL stimulants give me terrible side effects now.” In context ↗ Side effects
- COVID vaccination as treatment“after that I took the moderna booster and I got sicker” In context ↗ Made symptoms worse
- COVID vaccination as treatment“Pfizer shots made me temporarily worse” In context ↗ Made symptoms worse
- COVID vaccination as treatment“Moderna booster hospitalized me for a day.” In context ↗ Hospitalisation
- Probiotics and fermented foods“In hindsight, they could've made my histamine troubles worse.” In context ↗ Made symptoms worse
- Stimulants (unspecified)“I got all sorts of muscle problems and my jaw tremor worsened.” In context ↗ Side effects
- Psilocybin (magic mushrooms)“It slightly improved my brainfog, but mushrooms is apparently high in histamines, so it possibly flared up other symptoms.” In context ↗ Made symptoms worse
- Intermittent fasting“I tried one 24 hour fast and it made me more tired/foggy” In context ↗ Made symptoms worse
- Fluvoxamine (Luvox)“the side effects were becoming lethal (like... Literally), so I had to stop” In context ↗ Side effects
- Duloxetine (Cymbalta)“Unfortunately, cimbalta gave me also life threatening side effects, so I had to stop.” In context ↗ Side effects
- Psilocybin (magic mushrooms)“I noticed some benefits as well, but it worsened my histamine/neuropathy reactions as well unfortunately.” In context ↗ Made symptoms worse
- Fluvoxamine (Luvox), Duloxetine (Cymbalta)“I developed serotonergic syndrome within two weeks and I developed extreme life-threatening symptoms.” In context ↗ Side effects
- Nattokinase“Nattokinase (promotes bloodflow, but gave me histamine reactions)” In context ↗ Side effects
- Hydroxyzine (Atarax, Vistaril)“Doesn't it flare up histamine reactions? That happened with me.” In context ↗ Side effects
- CBD (cannabidiol), Cannabis (THC, marijuana)“I also got some odd muscle tensions and spasmes in my face and chest with cbd and weed.” In context ↗ Side effects
- Cannabis (THC, marijuana)“It greatly elevates weird muscle tension/Spaans in me.” In context ↗ Side effects
- Graded rehab and self-made programmes“It's making me too sick to keep up the training schedule.” In context ↗ Made symptoms worse
- Qigong, tai chi and isometric yoga“Also tried Tai Chi and stretches/yoga with works slightly better but also drained me.” In context ↗ Made symptoms worse
- Stimulants (unspecified)“they started to give me really weird side effects, like tremors, shakes and weird muscle palpitations” In context ↗ Side effects
- Red and near-infrared light therapy“it can trigger something like heatstroke or pots and pem when the daily temp rises” In context ↗ Made symptoms worse
- Resveratrol“within two days some symptoms that I had way in the beginning (active infection) returned.” In context ↗ Made symptoms worse
- Intermittent fasting“At the 20 hour mark or so, my limbs began tingeling violently.” In context ↗ Nerve pain
- Resveratrol“I have Mcas, and I think I had an allergic reaction to it, complete with tongue swelling and breathing issues.” In context ↗ Allergic reaction / anaphylaxis
Symptoms mentioned
Their words about their symptoms
- Post-exertional malaise
I also have PEM then.
In context ↗ - Brain fog
my main symptoms are: brainfog
In context ↗ - POTS & dysautonomia
my PEM and POTS have certainly improved!
In context ↗ - Mast cell (MCAS) & allergies
I have developed Mcas
In context ↗ - Sleep problems
The itching keeps me out of my sleep literally the whole night.
In context ↗ - Pain & fibromyalgia
Limbs: pins and needles, dull and sharp pains
In context ↗ - Light & noise sensitivity
I can't go out into the streets easily anymore, I hate the sound of traffic and children playing outside now. It's literally painful.
In context ↗ - Breathlessness
my PEM, POTS, and breathing issues have become milder
In context ↗ - Heart symptoms & palpitations
my main symptoms are: brainfog, extreme fatigue, loud tinnitus, snow vision/eye vision problems, forgetfulness, heart problems
In context ↗ - Neuropathy & tingling
neuropathic symptoms, a jaw tremor
In context ↗ - Anxiety & low mood
Yesterday, I had suicidal thoughts.
In context ↗ - Flu-like symptoms
the chills are back, throat problems that had taken more than three years to recede are back
In context ↗ - Temperature regulation
made my tremors and my body temperature problems worse
In context ↗ - Vision problems
snow vision/eye vision problems
In context ↗
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