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Long COVID Moderate → no benefitIll for 4.5 years

Long COVID, housebound and unable to work, no improvement from a new medication

Condition
Long COVID
At worst
Moderate (mostly housebound)
Ill for
4.5 years
Last post
Aug 2026
In their words
  • At worst: Moderateoverall staying the same (moderately severe - can’t work and housebound) In context ↗
  • Now: No benefitSo overall staying the same (moderately severe - can’t work and housebound) In context ↗
Read from 3 of their posts and comments; links to the 3 this page draws on

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Summary

Petrel 16879 has had long COVID for about 4.5 years, with POTS, MCAS and long-standing gut problems. Gradual improvements in the first two years, which they credited to symptom treatment, did not hold; they fluctuated and deteriorated and remain moderately severe, unable to work and housebound. They had just begun a 0.25 mg first dose of a medication (half the doctor's recommended starting dose) with no change so far, and guanfacine 1 mg at night helped their adrenaline surges.

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What they tried

Their words about each treatment
  • guanfancine · HelpedI have found guanfancine has helped. Currently on 1mg at bedtime. Considering trialing increasing but have to be wary of morning BP as I tend to be low in the morning. In context ↗
  • Mounjaro (tirzepatide) · No changeI trialled my first dose at half what the doc said, meaning I had 0.25mg (6 clicks). It’s about 36hrs in and I’ve not noticed any difference In context ↗

Their path

They say too little about how ill they were at each step to draw it on the severity scale, so the steps are listed as they describe them. Dates are when they posted.

WhenWhat happenedWhere they were
2023-2024 (first two years)gradual improvements over the first two yearsI made some gradual improvements over the first two years which is likely due to treatment of symptoms In context ↗Not stated
2026-08-29fluctuating, deteriorated again; overall unchanged, houseboundSo overall staying the same (moderately severe - can’t work and housebound) In context ↗Moderate

Symptoms mentioned

Their words about their symptoms
  • Gut problemsI have also had terrible gut issues since my first Covid infection In context ↗
  • Temperature regulationYes I think mine are part of an acute sympathetic NS surge or “adrenaline surge”. In context ↗

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