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Long COVID Moderate → much betterIll 5.5 years before improving or writingNeeds ongoing treatment

Long COVID with POTS, MCAS and heart and joint pain, much better after SCIG

Condition
Long COVID
At worst
Moderate (mostly housebound)
Ill before improving or writing
5.5 years
Last post
Jul 2026
In their words
  • Condition: Long COVIDI’ve had LC for almost 3 years now. All kinds of health issues. In context ↗
  • At worst: ModerateWithout the immunoglobulin I would not have a good quality of life and my daily functioning would be much worse. In context ↗
  • Now: Much betterBut for sure much much better overall. In context ↗
  • Began after: COVIDI have been hit in almost every body system since getting Covid in December 2020.
Read from 61 of their posts and comments; links to the 38 this page draws on

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Summary

Tide 89059 caught Covid in December 2020 and has had long COVID for over five years, with POTS, MCAS, seronegative rheumatoid arthritis, asthma and pericarditis. Colchicine, aspirin, beta blockers and later Humira eased heart and joint pain; SCIG finally helped POTS and MCAS significantly, leaving them much better overall. Two years of nightly Ativan ended in a withdrawal that was hell for three months.

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What they tried

Their words about each treatment
  • Colchicine · HelpedMy pericarditis improved with colchicine, beta blockers and high dose aspirin. In context ↗
  • High dose aspirin · HelpedI ended up staying on colchicine, high dose aspirin, and propranolol, for about two years because when I stopped the pain would return. In context ↗
  • Propranolol (beta blocker) · HelpedFor a good two years it was better managed on beta blockers. In context ↗
  • Ativan · HelpedI was on Ativan .5 for 2 years and had to come off because I reached tolerance In context ↗
  • Weed · Helpedweed was the only thing to help with that In context ↗
  • Antidepressants · No changeI haven’t had any luck with antidepressants In context ↗
  • Dairy, gluten and sugar free diet · HelpedI saw a huge difference going dairy and gluten free. In context ↗
  • Pepcid · HelpedI have gerd but that’s well controlled by diet and Pepcid. In context ↗
  • Acupuncture · HelpedI’ve seen really good improvement with the right practitioner. In context ↗
  • DMARDs / MTX · WorseI tried DMARDS, they didn’t help or made my pain worse. In context ↗
  • JAK inhibitor (Olumiant, Rinvoq) · No changeHave tried jak inhibitor, olumiant, for RA, no help with muscle weakness. In context ↗
  • Rapamycin · No changeI have also tried rapamycin off label and did not benefit. In context ↗
  • Humira · HelpedHumira was the only thing that made that go away. In context ↗
  • Xolair · Worseit made my MCAS drastically worse In context ↗
  • Dupixent · WorseI tried dupixent, did not interact well with my humira weirdly. In context ↗
  • Ivabradine · HelpedBeta blockers helped this. As has the ivabradine. In context ↗
  • Lumbrokinase · WorseI have pots and Lumbrokinase makes my heart race. In context ↗
  • HistaminX probiotic · WorseI also had issues with histaminex. In context ↗
  • Kombucha and kefir · HelpedPersonally I’ve had luck with kombucha, despite it being fermented. In context ↗
  • Albuterol · Much worseIt started off just as general SOB, aggravated by propranolol, but then exploded when I tried albuterol. In context ↗
  • Steroid inhalers · WorseI cannot tolerate steroid inhalers. In context ↗
  • Birth control · Worsea med combo of birth control and albuterol fucked my nervous system In context ↗
  • SCIG · Helped a lotScig helped my pots significantly and actually my MCAS as well! In context ↗
  • CPET · Much worseI have done it and it decreased my baseline and made my pots significantly worse In context ↗

Approaches: Alternative therapies · Anticoagulants · Beta-blockers · Biologics & antibodies · Other drugs and medicines

Their path

Very severeSevereModerateMildNear normalRecoveredonset12 mo2 y3 y4 y5 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
December 2020Covid infection; symptoms began immediatelyI specifically remember severe body aches and heart/lung pain. I was not hospitalized. In context ↗Moderate
early 2021Colchicine, aspirin and propranolol for pericarditisThey helped but not enough. In context ↗Moderate
2021Gallbladder removedMy symptoms immediately and drastically improved once the organ was removed. In context ↗Moderate
mid-2023CPET test lowered baseline and worsened POTSI have done it and it decreased my baseline and made my pots significantly worse In context ↗Moderate
October 2023Came off Ativan after two years; withdrawalAt my worst I was pretty close to suicide. In context ↗Moderate
early 2024Started Humira for seronegative RAHumira helps with the pain but it’s not a magic bullet for me. In context ↗Moderate
July 2024Started XolairFirst shot of xolair took my muscle pain to nothing for 6 days. In context ↗MildOmalizumab / Xolair
late 2024Xolair worsened MCAS and food toleranceit made my MCAS drastically worse. I lost safe foods each time I took a new dose for 6 months. In context ↗ModerateOmalizumab / Xolair
2025Started SCIGScig helped my pots significantly and actually my MCAS as well! In context ↗MildIVIG / subcutaneous Ig
July 2026Much better on immunoglobulin, still daily POTS symptomsWithout the immunoglobulin I would not have a good quality of life and my daily functioning would be much worse. In context ↗Mild

Adverse events

Symptoms mentioned

Their words about their symptoms
  • POTS & dysautonomiaI’m officially diagnosed with pots now and still have heart racing and all the normal pots issues In context ↗
  • Mast cell (MCAS) & allergiesI am dx RA, pots, MCAS. In context ↗
  • Heart symptoms & palpitationsNo more palpitations since starting humira. Just racing. In context ↗
  • Pain & fibromyalgiaI’ve had constant muscle aches In context ↗
  • Headaches & migraineYes it gave me RA, POTS, mcas, migraines. In context ↗
  • BreathlessnessI also had horrible SOB, chest pain, mild oxygen desaturation (92-94). In context ↗
  • Brain fogI was constantly fatigued and in a fucking fog. In context ↗
  • Gut problemsI have gerd but that’s well controlled by diet and Pepcid. In context ↗
  • Temperature regulationI continued to have joint pain, muscle pain, low grade fever, fatigue, etc. In context ↗
  • Loss of smell or tasteLost taste and smell but no issues regaining them. In context ↗
  • Muscle weaknessdid not help my muscle weakness but xolair did In context ↗
  • Post-exertional malaiseI felt like propranolol induced more PEM for me in general In context ↗
  • Anxiety & low moodAt my worst I was pretty close to suicide. In context ↗
  • Sleep problemstook Ativan .5mg every night for two years for sleep issues In context ↗

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