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Long COVID Moderate → much betterIll 4 months before improving or writing

Long COVID, unable to leave the house, now much better with atenolol and rest

Condition
Long COVID
At worst
Moderate (mostly housebound)
Ill before improving or writing
4 months
Last post
Apr 2025
In their words
  • Condition: Long COVIDI’m a May 22 Omicron long hauler In context ↗
  • At worst: ModerateI went from not being being able to leave the house (walking and any external stimuli would increase my heart rate to 160-170, then dizziness would follow) In context ↗
  • Now: Much bettermy LC is mainly dysautonomia/hyperPOTs ... I could probably manage going to the office a few days, but would definitely suck during flare ups In context ↗
  • Began after: COVIDMy long haul started 2 weeks after my Covid + test and was much worse.
Read from 64 of their posts and comments; links to the 30 this page draws on

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Summary

A May 2022 Covid infection left her with long COVID: dysautonomia, POTS, tachycardia, PEM and anxiety, and at worst she could not leave the house. Low-dose atenolol, low-histamine diet, rest, magnesium and time were credited as she reached about 85-90% recovered in 2023. Two later reinfections did not set her back—the earlier was treated with Paxlovid and metformin—though dysautonomia and flares continued into 2025.

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Asking aboutHill 39666’s story

What they tried

Their words about each treatment
  • Atenolol · Helped a lotGetting on a low dose of beta blockers helped ... it helped right away
  • pacing · HelpedI initially saw an improvement with rest ... I really focused on listening to my body and prioritizing sleep In context ↗
  • low histamine diet · Helpedimproved diet - low histamine In context ↗
  • daily electrolytes (Liquid IV) · Helpeddaily electrolytes (liquid Iv) In context ↗
  • multivitamin · Helpedimproved diet - low histamine, rest, daily electrolytes, multivitamin, magnesium and time In context ↗
  • magnesium · HelpedSome supplements/drugs that I think helped me: magnesium(sleep), metformin (insulin resistance), meldonium In context ↗
  • breathing exercises · Helpedbreathing exercises and time In context ↗
  • time · HelpedI think mostly time? In context ↗
  • Paxlovid · Helpedstarted it next day after testing positive and felt an improvement by next morning In context ↗
  • Metformin · HelpedAsked my doctor to try metformin and it really helped with the symptoms. In context ↗
  • Quercetin · Not saidI’m not sure if any of these helped or it was just luck. In context ↗
  • Vitamin D · Not saidVitamin D - 2000iu In context ↗
  • CPC mouthwash/Nozin · Not saidPCP Mouthwash/Nozin daily In context ↗
  • Ashwagandha · HelpedAshwagandha helped initially as well but I had very vivid, intense dreams while taking it. In context ↗
  • valerian drops · HelpedMagnesium or valerian drops. In context ↗
  • meldonium · Helpedmeldonium (not common here but it is often prescribed to patients after Covid in Europe In context ↗
  • diet · Helpedmostly heartburn, which eventually got better with diet In context ↗
  • stretching · HelpedStretching, acupuncture and massage therapy was beneficial In context ↗
  • electric stimulation · No changeSome things they tried absolutely did not help (electric stimulation, weights). In context ↗
  • melatonin · Not saidif melatonin/magnesium combo still isn’t working In context ↗
  • COVID vaccination as treatment · Worsemy first ER trip 2 months later with tachycardia In context ↗

Approaches: POTS medication · Alternative therapies · Beta-blockers · Diet · Mind-body practices · Other drugs and medicines · Pacing · Supplements

Their path

What they say at each step doesn’t fit the worst point or outcome above on the severity scale, so the steps are listed as they describe them. Dates are when they posted.

WhenWhat happenedAfter
May 2022Covid infection; long COVID began two weeks laterFirst infection - May 2022, caused dysautonomia, SVT, probably costochondritis, anxiety, dizziness, PEM. In context ↗
month 2bad crash after high-intensity activity; too ill to leave the houseI went from not being being able to leave the house (walking and any external stimuli would increase my heart rate to 160-170, then dizziness would follow) In context ↗
month 3-4low-dose atenolol kept heart rate down; slowly resumed walksit improved after 3.5 months. Getting on a low dose of beta blockers helped In context ↗Atenolol (Tenormin)
November 2022family holiday in Europe, pacing and taking breaksI’ve definitely improved a lot but I’m nowhere near my pre-Covid baseline. In context ↗Atenolol (Tenormin)
February 2023about 80% better but deconditionedI’m about 80 % better now but so deconditioned. In context ↗Atenolol (Tenormin)
March 2023relapse after 3 days of skiingjust tried skiing for 3 days and now relapsing with some chest tightness, shortness of breath and fatigue In context ↗
April 2023flare after high-altitude Colorado trip, lasted about a monthAfter we got back, I continued to experience these symptoms for another month and then returned to my pre-trip baseline with rest. In context ↗
June 2023symptoms mostly gone by 13 monthsIt peaked around 6-8 months for me and mostly gone now at 13 months. In context ↗Atenolol (Tenormin)
August 202385-90% recovered; walking up to 10k steps a dayeventually building up to 10k steps/day or more In context ↗Atenolol (Tenormin)
September 2023flare after second Covid infection, 2-3 weekshad a flare up for the first 2-3 weeks with mainly sinus/head/eye pressure and dizziness but so far no permanent set backs from my initial recovery In context ↗
November 2023post-reinfection symptoms gone by month 2, not worsemore head/eye pressure and headaches but they went away around month 2 and I didn’t get worse. In context ↗
October 2024two reinfections did not worsen LC; insomnia improvedThe 2 reinfections I had after my LC didn’t result in worsening of symptoms. Second one probably improved some symptoms (insomnia). In context ↗
April 2025working remotely; LC mainly dysautonomia/hyperPOTS with flaresI could probably manage going to the office a few days, but would definitely suck during flare ups (my LC is mainly dysautonomia/hyperPOTs). In context ↗

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseFor me, PEM was one of my symptoms but it wasn’t the main one. In context ↗
  • Brain fogmore brain fog, head/sinus pressure, tinnitus In context ↗
  • POTS & dysautonomiamy LC is mainly dysautonomia/hyperPOTs In context ↗
  • Sleep problemsSecond one probably improved some symptoms (insomnia). In context ↗
  • Pain & fibromyalgiaI still got chest tightness, upper back pain, burning, dizziness In context ↗
  • Headaches & migrainemore head/eye pressure and headaches but they went away around month 2 In context ↗
  • Gut problemsAfterwards I experienced GI symptoms - mostly heartburn, which eventually got better with diet. In context ↗
  • Breathlessnessmajor shortness of breath and dizziness for about a month In context ↗
  • Heart symptoms & palpitationsI was prescribed half of the smallest dose (12.5mg) of atenolol for my post Covid SVT In context ↗
  • Neuropathy & tinglingnumbness/tingling in my fingers In context ↗
  • Anxiety & low moodLC symptoms were dysautonomia, panic attacks, POTS, PEM. In context ↗
  • Flu-like symptomsFirst infection - high fever, fatigue, heart rate spikes and very sore throat. In context ↗
  • Tinnitusmostly dealing with head/eye pressure and tinnitus In context ↗

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