Long COVID brain fog, fatigue and crashes; nothing has massively helped
- Condition
- Long COVID
- At worst
- Mild (working or studying, with limits)
- Ill for
- Not stated
- Last post
- Apr 2026
In their words
- Condition: Long COVID
I've written a lengthy Blogpost about my 2 year long COVID journey
In context ↗ - At worst: Mild
When spending say 5 days hiking and wild camping (with some high intensity walking (yes, I can do that but with crashes)
In context ↗ - Now: No benefit
But for now, I couldn't find anything that massively helped.
In context ↗
Read from 22 of their posts and comments; links to the 19 this page draws on
Summary
They became ill with long COVID, with brain fog, fatigue, sleep problems, bloating and crashes after exertion. Low-FODMAP eating cut gas but eased fatigue and brain fog only 10-20%, and a month of famotidine did nothing. Xolair cleared their nasal polyps, but they said nothing had massively helped; they still crashed after coffee. HBOT brought no lasting change: their nasal polyp shrank then returned and nothing else improved.
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What they tried
Also tried
Their words about each treatment
- low FODMAP diet · Helped
However, my other symptoms (fatigue, brainfog) only got a tiny bit better
In context ↗ - common over-the-counter prebiotic · Not said
For now, I've been implementing a common over-the-counter prebiotic.
In context ↗ - probiotics · Helped
I also take probiotics and it has helped me (However I'm no sure if it is the probiotics or me generally eating more fiber and less processed foods and sugars).
In context ↗ - reishi mushroom · Not said
Did these help? I don't know exactly. I'm myself quite sceptical.
In context ↗ - avoiding sugar and processed foods · Helped
avoiding sugar and processed foods certainly helped a bit
In context ↗ - exercise against stress (light) · Not said
exercise against stress (light)
In context ↗ - meditation and mindfulness · Not said
meditation and mindfulness for stress management
In context ↗ - Famotidin · No change
took 40mg famotidin once daily for a 3/4 month but did not better anything
In context ↗ - serapeptase · Helped
Currently trying serapeptase. Seems to help! But only fourth day today.
In context ↗ - black seed oil · Not said
in addition to black seed oil
In context ↗ - magnesium glycerate · Helped
Also think that magnesium glycerate helps me sleep
In context ↗ - Ashwagandha · Worse
I just took 700mg Ashwagandhaas a tablet before bed and got unusually strong adrenaline dumps
In context ↗ - dupixent · No change
I've just injected 300mg on the 18th of March 2025. Today is the 20th and I have not improvements yet
In context ↗ - HBOT · No change
3 months after the treatment: no change. Did 10 sessions, my nasal polyp shrunk after the first 3 or so but nothing else got better and the polyp came back.
In context ↗ - procain infusion · No change
So I just got my first procain infusion yesterday and sadly it did not improve anything
In context ↗ - xolair · Helped
i switched to xolair, which gets rid of my polyps in 2 days
In context ↗
Their path
How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, in the order they describe; they don’t give enough times to place each step. Hover or tap a point. Dates are when they posted. What the levels mean.
Show as a table
| When | What happened | Where they were | After |
|---|---|---|---|
| 2024-04-08 | mentally and physically very rough againCurrently mentally and physically very rough againIn context ↗ | Mild | |
| 2025-08-05 | months dominated by nausea and fatigue after waking, suspected low cortisolThe last few months have been really dominated by this.In context ↗ | Mild | |
| 2026-04-09 | nasal polyps gone after switching to Xolair; still crashes after coffeeI switched from dupixent to XOLAIR and the Problems are gone.In context ↗ | Mild | Omalizumab / Xolair |
Adverse events
- Famotidine (Pepcid)“I'm on day 5 with famotidine and the brainfog has gotten much worse (although it could also be smth else, not necessarily the famotidine)” In context ↗ Made symptoms worse
- Ashwagandha“I just took 700mg Ashwagandhaas a tablet before bed and got unusually strong adrenaline dumps, which I did not experience for a long time again” In context ↗ Side effects
Symptoms mentioned
Their words about their symptoms
- Brain fog
My symptom are brainfog, fatigue, sleeplessness, gassing and bloating.
In context ↗ - Sleep problems
Brainfog, Fatigue, Sleep problems did not improve.
In context ↗ - Gut problems
I do have a lot of bloating/gassing also.
In context ↗ - Post-exertional malaise
(yes, I can do that but with crashes)
In context ↗ - Heart symptoms & palpitations
the mate effect is still more gentle and doesnt lead to such a racing heart and crash
In context ↗