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Long COVID Mild → no benefit

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 COVIDI've written a lengthy Blogpost about my 2 year long COVID journey In context ↗
  • At worst: MildWhen 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 benefitBut 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

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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

Their words about each treatment
  • low FODMAP diet · HelpedHowever, my other symptoms (fatigue, brainfog) only got a tiny bit better In context ↗
  • common over-the-counter prebiotic · Not saidFor now, I've been implementing a common over-the-counter prebiotic. In context ↗
  • probiotics · HelpedI 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 saidDid these help? I don't know exactly. I'm myself quite sceptical. In context ↗
  • avoiding sugar and processed foods · Helpedavoiding sugar and processed foods certainly helped a bit In context ↗
  • exercise against stress (light) · Not saidexercise against stress (light) In context ↗
  • meditation and mindfulness · Not saidmeditation and mindfulness for stress management In context ↗
  • Famotidin · No changetook 40mg famotidin once daily for a 3/4 month but did not better anything In context ↗
  • serapeptase · HelpedCurrently trying serapeptase. Seems to help! But only fourth day today. In context ↗
  • black seed oil · Not saidin addition to black seed oil In context ↗
  • magnesium glycerate · HelpedAlso think that magnesium glycerate helps me sleep In context ↗
  • Ashwagandha · WorseI just took 700mg Ashwagandhaas a tablet before bed and got unusually strong adrenaline dumps In context ↗
  • dupixent · No changeI've just injected 300mg on the 18th of March 2025. Today is the 20th and I have not improvements yet In context ↗
  • HBOT · No change3 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 changeSo I just got my first procain infusion yesterday and sadly it did not improve anything In context ↗
  • xolair · Helpedi switched to xolair, which gets rid of my polyps in 2 days In context ↗

Their path

Very severeSevereModerateMildNear normalRecovered

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
WhenWhat happenedWhere they wereAfter
2024-04-08mentally and physically very rough againCurrently mentally and physically very rough again In context ↗Mild
2025-08-05months dominated by nausea and fatigue after waking, suspected low cortisolThe last few months have been really dominated by this. In context ↗Mild
2026-04-09nasal polyps gone after switching to Xolair; still crashes after coffeeI switched from dupixent to XOLAIR and the Problems are gone. In context ↗MildOmalizumab / 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 fogMy symptom are brainfog, fatigue, sleeplessness, gassing and bloating. In context ↗
  • Sleep problemsBrainfog, Fatigue, Sleep problems did not improve. In context ↗
  • Gut problemsI 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 & palpitationsthe mate effect is still more gentle and doesnt lead to such a racing heart and crash In context ↗

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