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Long COVID Severe → somewhat betterIll 2.5 years before improving or writingNeeds ongoing treatment

Bedbound with long COVID, now about 50% better with pacing and rest

Condition
Long COVID
At worst
Severe (mostly bedbound)
Ill before improving or writing
2.5 years
Last post
Aug 2024
In their words
  • Condition: Long COVIDI've been disabled by ME/CFS type long covid for 2 years and 4 months now. In context ↗
  • At worst: SevereEarlier into my LH I was bedridden or housebound . In context ↗
  • Now: Somewhat betterSame , I'm 2 years and 6 months. Also, about 50% better and still have debilitating days of fatigue and mental exhaustion. In context ↗
Read from 59 of their posts and comments; links to the 29 this page draws on

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Summary

He caught COVID in January 2022 as a competitive bodybuilder and process operator, and became bedbound with PEM, brain fog, muscle weakness and dysautonomia. He credits time, pacing, rest and a clean diet; supplements and testosterone made no difference. He improved to 1,000-4,000 steps a day but still could not work, about 50% better at two and a half years. A reinfection at one year did not worsen him.

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What they tried

Their words about each treatment
  • propranolol · Not saidI take 50mg a day , 42m. In context ↗
  • anabolic steroids · WorseI know from experience and most of the time you feel worse on them. In context ↗
  • testosterone replacement (TRT) · No changeI've adjusted my dosage to see if it would help and I've noticed no difference in long haul symptoms. In context ↗
  • clomid · Not saidFrom my experience with clomid , I would never use it by itself as a HRT protocol. In context ↗
  • vitamin C · No changeI was already taking vitamin C , d3 , zinc and b12. In context ↗
  • b12 shots · No changejust typical vitamins and b12 shots. Nothing made a big difference. In context ↗
  • clean diet / nutrient-dense whole foods · HelpedRest , pacing and keeping my diet clean has helped me the most. In context ↗
  • low histamine diet · No changeI followed the low histamine diet for about 10 months . At that point, I started reintroducing foods. In context ↗
  • graded exercise therapy / light training · WorseI even tried to just do push-ups and standing squats in the beginning and it made the fatigue so bad I couldn't get out of bed. In context ↗
  • pacing · HelpedPacing is the main thing that has helped me. In context ↗
  • time · HelpedTime and pacing has been the only thing that has helped. In context ↗
  • cold showers / keeping cool · HelpedThe only thing that seems to help me is keeping my body cool , like taking cold showers and staying in the A/C. In context ↗
  • niacin (nicotinic acid) · WorseI had a horrible experience at only a 50mg dose. I'll never touch that stuff again! In context ↗
  • zyrtec · HelpedI tried it in the beginning but had better luck with zyrtec. In context ↗
  • Zpack (azithromycin) · Not saidAzithromycin, no issues In context ↗
  • prednisone · Not saidMy primary care Dr prescribed me a Zpack and prednisone for this round of covid. In context ↗
  • keto · No changelike keto or intermediate fasting but I've never had any luck with them. In context ↗

Approaches: Pacing

Their path

Very severeSevereModerateMildNear normalRecovered6 mo12 mo18 mo2 y2.5 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. The chart starts 2 months after onset: the story doesn’t say how ill they were before that. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
February-March 2022bedridden/housebound early in long haulEarlier into my LH I was bedridden or housebound . In context ↗Severe
April 2022about 1,000 steps a day, PEM from errandsI'm only able to get about 1000 steps a day and PEM can be set off by trip to the grocery store , dr visits , anything stressful. In context ↗Severe
November 2022up to about 2,000 steps a dayAfter 10 months I'm up to an average of 2,000 steps per day. In context ↗ModeratePacing and the energy envelope
December 2022short daily walks, caring for his fatherI've also started taking 10 min walks 5 days a week. In context ↗ModeratePacing and the energy envelope
February 2023COVID reinfection, symptoms slightly improvedthe second one so far hasn't made me worse. In fact, I've had some improvement in my symptoms. In context ↗Moderate
August 2023driving, shopping, 1,000-4,000 steps, still not workingBut I've gained a lot back, I can drive now with no issues , walk 1000 to 4000 steps a day depending on how I feel. In context ↗ModeratePacing and the energy envelope
July 2024about 50% better, still debilitating daysI'm 2 years and 6 months. Also, about 50% better and still have debilitating days of fatigue and mental exhaustion. In context ↗Moderate

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaisePEM can be set off by trip to the grocery store , dr visits , anything stressful. In context ↗
  • Brain fogI still have brainfog, just not as bad. In context ↗
  • Muscle weaknessThe weakness in my legs is still present . In context ↗
  • Heart symptoms & palpitationsMy heart rate seems to be back to normal since March. In context ↗
  • POTS & dysautonomiaMy current LH condition includes fatigue, brainfog , PEM , muscle weakness, and dysautonomia as my main symptoms. In context ↗
  • Temperature regulationStill dealing with heat intolerance, but it had eased up slightly. In context ↗
  • Headaches & migraineI always have some pressure in my head, but it's tolerable as long as I'm not overdoing it. In context ↗
  • Vision problemsI'm 7 months post covid infection and have had my eye issues since the beginning and it has gotten a little better. In context ↗
  • Light & noise sensitivityeasily over stimulated being my main symptoms In context ↗
  • Pain & fibromyalgiaFatigue , brainfog , PEM , stiff muscles, adrenaline surges , muscle weakness In context ↗

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