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Long COVID Severe → near normalIll 4 years before improving or writing

Mostly in bed with long COVID, now almost back to normal after acceptance and fasting

Condition
Long COVID
At worst
Severe (mostly bedbound)
Ill before improving or writing
4 years
Last post
Jul 2025
In their words
  • Condition: Long COVIDI had LC for 4 years, bedridden, PEM, I’m 12 days into a hike as I write this. In context ↗
  • At worst: SevereI was bedridden for over 3 years after getting Covid in early 2020. In context ↗
  • Now: Near normalI’ve been on the trail for two weeks now and I feel almost fully healed. ... although I experienced considerable deconditioning from being in bed for so long, my fitness and strength is slowly coming back In context ↗
  • Began after: COVIDgetting Covid in early 2020
Read from 11 of their posts and comments; links to the 8 this page draws on

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Summary

Island 68500 got COVID in early 2020 and, after a third infection, went from mild to borderline severe: mostly in bed for three years with PEM, adrenergic POTS, MCAS reactions and anxiety spirals. Around four years in they began improving, crediting acceptance and calm over fear, plus intermittent fasting, keto and longer fasts; reinfections knocked them back a week or two each. By mid-2025 they felt almost fully healed, hiking 15 miles with a backpack.

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What they tried

Also tried

Their words about each treatment
  • low salicylate diet · Helped a lotuntil I switched to a low salicylate diet and all my problems went away within 48 hours In context ↗
  • intermittent fasting · HelpedI went from intermittent fasting, then to keto, then to occasional 48 hour fasts, and with each switch my condition has improved In context ↗
  • keto · Helpedthen to keto, then to occasional 48 hour fasts, and with each switch my condition has improved In context ↗
  • occasional 48 hour fasts / longer fasts · Helped a lotSince I was able to get into proper autophagy with short fasts, my CFS has improved dramatically In context ↗
  • meditation · Worsemeditation doesn’t seem to help, if anything (according to my smart watch) it makes me more stressed In context ↗
  • Garmin watch · HelpedI have a Garmin watch which monitors my stress level and if that get’s high I stop and go and lie down. In context ↗
  • pacing · HelpedAs long as I pay attention to my watch I can stay in my envelope and that has been (no pun intended) a game changer for me. In context ↗
  • acceptance / letting go of fear · Helped a lotfor the most part I’ve just learned to accept how I’m feeling, and that has been the critical factor in my recovery In context ↗
  • supplements · HelpedI am sure that other things have helped, I cut out alcohol and sugar, I took supplements In context ↗
  • Aspirin · Not saidOk, will that’s where this started for me, with bad reactions to aspirin! In context ↗

Approaches: Brain retraining · Diet · Pacing

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. 1 step has no time and sits in story order between the steps around it. 1 step says too little to place on the scale and is only in the table. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they were
early 2020COVID infection, initially mild long COVID/CFShaving had LC since early 2020 In context ↗Mild
after third COVID infectionthird infection trashed them; went from mild to borderline severe, mostly in bed three yearswent from mild to borderline severe. Was mostly in bed for 3 years. In context ↗Severe
four years inbegan getting better after letting go of fear of how they feltI just gradually got better to the point where I could go for walks, and then longer walks. In context ↗Moderate
—reinfections knocked them back for a week or two each timeSince infection number 4 each new infection has knocked new back for a week or two then I’ve recovered. In context ↗Not stated
2025-03diet changes; able to do short hikes and only one PEM episode in a yearI’ve been able to do a couple of short hikes ... I have only experienced PEM once in the past year In context ↗Mild
2025-06hiked nearly 200 miles over two weeks and felt almost fully healedI feel almost fully healed In context ↗Near normal

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseIf I exerted myself at all exactly 12 hours later I would crash In context ↗
  • POTS & dysautonomiasudden adrenaline rushes that would make my heart go wild, which I now recognise as adrenergic POTS In context ↗
  • Mast cell (MCAS) & allergiesthen get rashes, and feel generally like dying, which I now recognise as MCAS In context ↗
  • Heart symptoms & palpitationssudden adrenaline rushes that would make my heart go wild In context ↗
  • Anxiety & low moodevery time I would go into this spiral of fear and anxiety In context ↗
  • Sleep problemsThe best way I can describe it is being too tired to sleep In context ↗

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