Long COVID brain fog and vertigo for three years, only a little better after HBOT and LDN
- Condition
- Long COVID
- At worst
- Mild (working or studying, with limits)
- Ill for
- 3 years
- Last post
- Jun 2026
In their words
- Condition: Long COVID
I’ve been battling LC since Feb 2023.
In context ↗ - At worst: Mild
I now eat a Mediterranean diet and it has helped a little bit, but I’m still operating at like 50% of my former self.
In context ↗ - Now: No benefit
it’s been 3 years, still struggling
In context ↗ - Began after: COVID
about 2 months after my second infection, so late Jan 2023, I had the worst migraine of my life
Read from 20 of their posts and comments; links to the 13 this page draws on
Summary
Man in his late 30s developed long COVID after his second infection in late 2022; in February 2023 vertigo began, followed by constant brain fog, dizziness and lightheadedness. A 25-day Paxlovid trial brought a week or two of clarity before he returned to baseline, and a third infection in November 2023 set him back further. HBOT, diet change, LDN, methylene blue and clomiphene left him only a little better after three years, with bilateral vestibular hypofunction diagnosed.
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What they tried
Also tried
Their words about each treatment
- vitamin d · No change
my dr who prescribed vitamin b12 and vitamin d
In context ↗ - Magnesium · No change
I saw a neurologist who prescribed magnesium
In context ↗ - cutting out caffeine and alcohol · Not said
I cut out caffeine and alcohol entirely
In context ↗ - cpap · Helped
they found I have sleep apnea, so I have a cpap now ... it has helped with quality of sleep
- physical therapist specializing in long Covid · Not said
I see a physical therapist now, specializing in long Covid
In context ↗ - Paxlovid (nirmatrelvir/ritonavir) trial · Helped
For a week or two I felt about 75% better ... I returned back to the baseline that’s been the last 1+ year
In context ↗ - Loratadine · No change
I’ve tried loratadine and famodotine (H1 & H2 antihistamines, but didn’t see any improvement)
In context ↗ - NAC · No change
along with taking NAC and a few other vitamins & supplements ... but nothing has really moved the needle
In context ↗ - Glutathione · No change
Right now I’m taking B12, D3, NAC, magnesium, fish oil, Glutathione, Loratadine ... but nothing has really moved the needle
- Zinc · Not said
Zinc (50mg, but this may not be good (?) to take as it could deplete copper, so I stopped taking it?
In context ↗ - l-tyrosine · No change
l-tyrosine, Ubiquinol, omega 3, magnesium ... but nothing has really moved the needle
In context ↗ - Mediterranean diet · Helped
I now eat a Mediterranean diet and it has helped a little bit
In context ↗ - intermittent fasting (16:8) · No change
I’ve been on an anti inflammatory diet and I’ve been intermittent fasting ... but nothing has really moved the needle
In context ↗ - baby aspirin · Helped
Last week I started taking baby aspirin every day, and I’m not sure if it’s a coincidence or not, but my brain fog has slightly improved.
In context ↗ - nystatin · Not said
I also had candida overgrowth (dysbiosis /leaky gut) and took nystatin for a few weeks.
In context ↗ - HBOT · Helped
I’ve done 10 sessions of HBOT (hyperbaric oxygen therapy) so far, and it does help, but it also slowly dissipates over time
In context ↗ - prebiotic supplements · Not said
Now I’m taking some prebiotic supplements to start repopulating my gut with healthy bacteria.
In context ↗ - LDN (low-dose naltrexone) · Helped
On LDN and methylene blue. I’m only a little better.
In context ↗ - DHEA · Not said
I was on DHEA prior
In context ↗ - clomiphene · Helped
Clomiphene (after discovering low testosterone levels ~360; I was on DHEA prior) ... clomiphene helped bring it up to about 500
- vestibular physical therapy · Helped
I did it for a few months, and it helped a little, but hasn’t moved the needle a ton.
In context ↗ - antibiotics · No change
I was put on antibiotics, but it didn’t clear anything up.
In context ↗ - Botox in cheeks · Helped
I had TMJ and got Botox in my cheeks to help with it. And it has helped
In context ↗ - vitamin C · Not said
Vitamins B, C, D, and magnesium
In context ↗
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 |
|---|---|---|---|
| Feb 2023 | woke with vertigo, then constant brain fog and lightheadednessIn February 2023, I woke up from sleep with a vertigo episode—and I haven't felt the same since.In context ↗ | Mild | |
| Feb-May 2023 | living in a haze, felt like a zombieFrom Feb 2023 to May 2023 I felt like a zombie.In context ↗ | Mild | |
| May-June 2023 | good days mixed in with the badI wasn’t exactly recovering, but I had good days now, mixed in with the bad.In context ↗ | Mild | |
| July 2023 | daughter born; sleep deprivation and stress worsened symptomsMy daughter was born in early July (our first), and sleep deprivation and stress compounded on my symptomsIn context ↗ | Mild | |
| Nov 2023 | third COVID infection, then a 5k and yard work led to a crashI felt like I hit a wall. My body shut down and I slept for the rest of the day.In context ↗ | Mild | |
| March 2024 | a week or two of clarity after the Paxlovid trialFor a week or two I felt about 75% better.In context ↗ | Mild | Paxlovid / nirmatrelvir |
| April 2024 | trial benefit faded, back to his usual baselineI returned back to the baseline that’s been the last 1+ year.In context ↗ | Mild | |
| May 2024 | Mediterranean diet; walking 7,000 steps a dayI now eat a Mediterranean diet and it has helped a little bit, but I’m still operating at like 50% of my former self.In context ↗ | Mild | |
| July 2024 | brain fog slightly improved after starting baby aspirinLast week I started taking baby aspirin every day, and I’m not sure if it’s a coincidence or not, but my brain fog has slightly improved.In context ↗ | Mild | |
| Sept 2024 | 10 HBOT sessions helped a little, effect faded over timeI’ve done 10 sessions of HBOT (hyperbaric oxygen therapy) so far, and it does help, but it also slowly dissipates over time (for me anyway).In context ↗ | Mild | Hyperbaric oxygen (HBOT) |
| July 2025 | on LDN and methylene blue, only a little betterI’m only a little better. Every day is still a struggle.In context ↗ | Mild | Low-dose naltrexone |
| June 2026 | chronic sinusitis found; antibiotics did not help; sinus surgery plannedI was put on antibiotics, but it didn’t clear anything up. I’m finally resorting to surgery (in 2 weeks).In context ↗ | Mild |
Adverse events
- Paxlovid / nirmatrelvir“The first 15 days I had a metallic taste in my mouth- the last 10 I didn’t.” In context ↗ Side effects
Symptoms mentioned
Their words about their symptoms
- Brain fog
my #1 symptom by far is brain fog
In context ↗ - POTS & dysautonomia
I feel lightheaded and dizzy
In context ↗ - Headaches & migraine
I had the worst migraine of my life
In context ↗ - Post-exertional malaise
I have had bad cases of PEM, but thankfully the worst (I hope) is behind me.
In context ↗ - Muscle weakness
The following weeks I was weak & fatigued.
In context ↗ - Neuropathy & tingling
I lose feeling very quickly in my arms and legs, specifically my fingers
In context ↗ - Vision problems
eye tracking issues (trouble focusing my eyes)
In context ↗ - Anxiety & low mood
I’m sure I’ve developed anxiety along the way as well.
In context ↗ - Gut problems
I’ve always had a verrrry slow metabolism (sometimes only one bowel movement every few days)
In context ↗ - Sleep problems
I have a cpap now, and it has helped with quality of sleep
In context ↗