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Long COVID Moderate → somewhat betterIll 19 months before improving or writing

Long COVID nerve pain and fatigue, somewhat better with probiotics and low-dose naltrexone

Condition
Long COVID
At worst
Moderate (mostly housebound)
Ill before improving or writing
19 months
Last post
May 2025
In their words
  • Condition: Long COVIDI also have long covid. Got covid in october 2023. In context ↗
  • At worst: Moderateive been resting a lot, avoided physical activities. In context ↗
  • Now: Somewhat betterdespite the much better gut health, still heavily histamine intolerant In context ↗
  • Began after: COVIDan asymptomatic colleague pass me covid
Read from 17 of their posts and comments; links to the 15 this page draws on

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Summary

A 43-year-old caught covid in October 2023 and developed headaches, fatigue, foamy urine and nerve pain over the following months, with a suspected Yersinia gut infection, a VZV reactivation and courses of antibiotics along the way. Probiotics greatly improved gut health and aspirin, garlic and low-dose naltrexone eased some symptoms. They remained heavily histamine intolerant with MCAS and their nerve pain was spreading.

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What they tried

Their words about each treatment
  • probiotics · Helped a lotyes i’m doing probiotics, that have helped me immensely In context ↗
  • resting a lot, avoided physical activities · Not saidive been resting a lot, avoided physical activities. In context ↗
  • antibiotics · HelpedI have also taken doxycicline, which has helped me a lot, but i felt it wasnt curing anything In context ↗
  • vit d3 · Not saidI used to take vit d3, omega3, other stuff, but at some point i started to fear they were the problem and stopped everything. In context ↗
  • garlic · HelpedIt did help. Adding a lot of it in food. not sure how, though. In context ↗
  • hot water with salt · Much worseI try that and it makes me feel much much worse. In context ↗
  • cooling down the hand · Helpedcooling down that finger (and the whole hand) in fact makes me feel much better, and even takes away temporarily the urine foam. In context ↗
  • natto · WorseI have been eating natto but i feel it actually makes me feel a bit worse In context ↗
  • aspirin · HelpedBut aspirin helps. I take 100 mg before sleep and haven't had those issues since although it's far from peaceful sleep In context ↗
  • xanax · HelpedPlus one 100mg aspirin with some xanax in the evening that seem to help In context ↗
  • echinachea drops · Not saidRn i am taking 100mg aspirin per day, some echinachea drops, xanax to sleep and 1 multivitamin. In context ↗
  • multivitamin · Not saida few days ago i restarted 1x multivitamin per day In context ↗
  • cut the dairy · Not saidI currently cut the dairy as i was afraid calcium could cause problems. In context ↗
  • quercetin · Helpedit seems that my kidney status has slightly improved although it's too early to tell. In context ↗
  • LDN · HelpedAnd apparently LDN helps to turn the foam off, too. I have to find lower dose tho, because 0.5 is not making me sleep In context ↗

Approaches: Anticoagulants · Supplements

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 wereAfter
2023.10caught covid; fever, weight loss, slept and sweated a lot3.5 days later all of a sudden i got the fever etc. The heavy symptoms lasted one week In context ↗Moderate
2023.11headaches began, quickly worse with wififrom the 4th week after covid i started to suffer from headache that would get quickly worse with wifi In context ↗Mild
2023.11two weeks off work and symptoms clearedsecond half of the month i take time off to recover. after 2 weeks i feel no more symptoms. In context ↗Near normal
2023.12.02GI infection left knee pain and changed stool smellGI infection after eating some food outside ... it leaves knees pain (never had before) In context ↗Mild
2023.12.29felt great for about a month after colonoscopy and probioticsafter the preparation i take probiotics, and for about a month i feel great, sleep great, smell gone all gone, i feel i recovered In context ↗Near normalProbiotics and fermented foods
2024.02new burning, needling pain between left shoulder blade and collar bonea somewhat superficial pain appears out of the blue between left shoulder blade and left collar bone In context ↗Mild
2024.05.15a batch of new symptoms right after an eyelid infectionright after a trivial eyelit infection a bunch of symptoms start, like heavy day sweating, fatigue, malaise, headache In context ↗Mild
2024.06.03ten days of antibiotics cleared the breathing problemsI take 10 days of antibiotics, after which the only improvement is that breathing issues are gone, rest remains. In context ↗MildAntibiotics (unspecified)
2024.07worse again at the end of July with night sweatsforth week things get worse again, including some night sweats In context ↗Mild
2024.09VZV reactivation; wifi sensitivity unbearable, thumb and back pain returnedI become again very sensitive to wifi, to the point of being unbearable. In context ↗Mild
2024.10month of low white cells, kidney pain, foamy urine, fatigue and headachefor approximately the whole month i suffer again from inversion of white blood cells formula, pain/discomfort at kidney level, foamy urine, fatigue, headache In context ↗Mild
2025.01cooling the hand eased the thumb pain and temporarily cleared the urine foami discover that cooling down that finger (and the whole hand) in fact makes me feel much better, and even takes away temporarily the urine foam In context ↗Mild
2025-05-18gut much better on probiotics but still heavily histamine intolerant and on antibioticsdespite the much better gut health, still heavily histamine intolerant In context ↗MildProbiotics and fermented foods

Adverse events

  • “for the thumb pain one doctor recommends me to try hot water with salt (and soak the finger in). I try that and it makes me feel much much worse” In context ↗ Made symptoms worse
  • Nattokinase“I have been eating natto but i feel it actually makes me feel a bit worse” In context ↗ Made symptoms worse
  • Antibiotics (unspecified)“although im now on antibiotics so likely undoing most of those improvements” In context ↗ Gut side effects

Symptoms mentioned

Their words about their symptoms
  • Headaches & migrainei started to suffer from headache that would get quickly worse with wifi In context ↗
  • Post-exertional malaisewhile in mild PEM (when cpk also shoots over limit) In context ↗
  • Flu-like symptomsheavy day sweating, fatigue, malaise, headache In context ↗
  • Pain & fibromyalgiait leaves knees pain (never had before) In context ↗
  • Neuropathy & tinglingNeedling pain, sometimes burning under the nail, sometimes tingling fingertip In context ↗
  • Temperature regulationheavy day sweating ... some night sweats In context ↗
  • Sleep problemsi take 100 mg before sleep ... although it's far from peaceful sleep In context ↗
  • Mast cell (MCAS) & allergiesI have MCAS and even just mozzarella marketed with live probiotics cause me reaction In context ↗
  • Gut problemsnausea in case of effort In context ↗
  • Breathlessnessafter which the only improvement is that breathing issues are gone In context ↗
  • Heart symptoms & palpitationsnerve problems on my arms that spans to the chest and gave me cardiac-like symptoms In context ↗
  • Loss of smell or tasteSlight change of taste the first couple of days only on some food (meat). In context ↗

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