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Long COVID Severe → no benefitIll for 21 monthsNeeds ongoing treatment

Long COVID with POTS, MCAS and ME/CFS, barely functioning; no benefit

Condition
Long COVID
At worst
Severe (mostly bedbound)
Ill for
21 months
Last post
Oct 2026
In their words
  • Condition: Long COVIDMy LC has evolved from POTS to MCAS to persisting and worsening ME/CFS issues with small fiber nueropathy symptoms developing last year In context ↗
  • At worst: SevereI am on an intensive protocol to barely function and LC symptoms continue to develop and worsen 1.75 years since my last infection. Even with my protocol, I still cant get MCAS/POTS/Neuro CNS/ME flares under control In context ↗
  • Now: No benefitLC symptoms continue to develop and worsen 1.75 years since my last infection In context ↗
  • Began after: COVIDthe last time I got covid, after having had the vaccine was horrific and catastrophic In context ↗
Read from 6 of their posts and comments; links to the 6 this page draws on

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Summary

Kite 28644 developed long COVID after a COVID infection about 1.75 years before their latest posts, after bad reactions to earlier boosters. Their illness evolved from POTS to MCAS to worsening ME/CFS with small fibre neuropathy; an intensive protocol lets them barely function. Microdosed semaglutide for blood sugar worsened fatigue and caused gastroparesis, while aspirin helped strikingly.

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What they tried

Their words about each treatment
  • aspirin · Helped a lot81 mg aspirin (energy boost and mental clarity has been unreal, but my bruising is awful) In context ↗
  • NAD injections · Helped a lotNAD injections (500mg vial every 3-3.5 weeks) - Incredibly helpful In context ↗
  • semaglutide microdose · Worseworsens fatigue, depression, lowers dopamine, so I take as little as I can In context ↗
  • MOTS-C · Not saidMOTS-C 10mg vial every other month In context ↗
  • fish oil · Not said720 EPA fish oil In context ↗
  • Vitamin D · Not said5,000 Vitamin D In context ↗
  • gingko biloba · Not said500mg gingko biloba (have been on for years) In context ↗
  • Vyvanse · WorseADHD rx is less effective and also not well tolerated because of my post-Covid pots/Tachy/PEM In context ↗
  • Trintellix · Not saidTrintellix lower dose In context ↗
  • HRT · Not saidHRT (been on since early 30s- estradiol patch and bio progesterone) In context ↗
  • methyl Vitamin B · Not saidmethyl Vitamin B In context ↗
  • cyclic nicotine patches · Not saidCyclic nicotine patches (.5 of a 7mg patch per day) as needed (7-15 days per month) In context ↗
  • liposomal glutathione · Helped720mg Liposomal Glutathione - great, but pretty costly In context ↗
  • levothyroxine · Not said35 mcg levothyroxine In context ↗
  • Zyrtec/Claritin · Not saidZyrtec/Claritin in pm as needed In context ↗
  • propranolol · Not saidPropranolol as needed In context ↗
  • NAC · HelpedNAC - helpful but costly considering the stack In context ↗
  • L-Glutathione vials · HelpedL-Glutathione vials - incredible In context ↗
  • masseter botox · HelpedIt does improve when I have masseter botox oddly In context ↗
  • COVID vaccination as treatment · Not saidIve had very bad reactions to Covid vaccines and boosters done after my initial having Covid In context ↗

Their path

Very severeSevereModerateMildNear normalRecoveredonset6 mo12 mo18 mo

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 were
2025 (about 1.75 years before October 2026)COVID infection after prior vaccination, followed by long COVIDthe last time I got covid, after having had the vaccine was horrific and catastrophic In context ↗Moderate
last winter (2025-26)illness evolved from POTS to MCAS to worsening ME/CFS with small fibre neuropathyMy LC has evolved from POTS to MCAS to persisting and worsening ME/CFS issues with small fiber nueropathy symptoms developing last year In context ↗Moderate
2026-10-13still barely functioning on an intensive protocol, symptoms continuing to worsenLC symptoms continue to develop and worsen 1.75 years since my last infection In context ↗Severe

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaisenot well tolerated because of my post-Covid pots/Tachy/PEM In context ↗
  • POTS & dysautonomiabecause of my post-Covid pots/Tachy/PEM In context ↗
  • Mast cell (MCAS) & allergiesI was dx'd with MCAS last winter In context ↗
  • Neuropathy & tinglingI realized I do have small fiber nueropathy, developed last Winter. I experience infraorbital fomen trigeminal nueralgia pain. In context ↗

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