Long COVID with POTS, palpitations and nausea, now much better with pacing and time
- Condition
- Long COVID
- At worst
- Moderate (mostly housebound)
- Ill before improving or writing
- 2 months
- Last post
- Oct 2025
In their words
- At worst: Moderate
I could not drive the first two months ... I was off for 5 months with all of this also!
- Now: Much better
2 years in, much better but I think you just adjust and get used to more than get better.
In context ↗ - Began after: COVID
I had Covid beginning of September was a very mild case. Lasted about 5-6 days.
In context ↗
Read from 27 of their posts and comments; links to the 16 this page draws on
Summary
A 41-year-old man developed long COVID after a mild September 2023 infection, with palpitations, POTS, chest and back pain, nausea and anxiety; he was off work five months. He credited a low-histamine diet, bromelain and nattokinase, later Prozac, plus pacing and time; he was about 80% normal at three months. He returned to part-time work and at two years called himself much better, though he said people adjust rather than get better.
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What they tried
What they credit
Also tried
Their words about each treatment
- low histamine diet · Helped a lot
I have been eating super clean, salads 🥗 mostly veggies, and fruit. It has helped me immensely.
In context ↗ - DLPA · Not said
I added The DLPA 3 days ago and bromelian, natto came yesterday.
In context ↗ - bromelian · Helped
I think what I noticed the most improvement from was adding bromelian 500mgs and nattokinase(2000 FUs twice a day) to my supplements.
In context ↗ - walking · Helped
I find moving makes me feel better.
In context ↗ - salt water · Helped
I drink a lot of salt water to combat the POTS.
In context ↗ - propranolol · Helped
If my heart rate is sitting at 90-100 bpm resting I take 10mg propranolol beta blocker and I’m good for at least 4 hours.
In context ↗ - Lexapro · Worse
I actually started with Lexapro, it actually made me worse.
In context ↗ - LDN · Worse
I am at about day 10 at 1.5mg and have noticed increased palpitations.
In context ↗ - Prozac · Helped
But I have since started Prozac and I agree it has changed me for the better, big time. My fatigue is almost gone for the last week.
In context ↗ - magnesium oxide · Not said
I’m already taking Magnesium oxide 400 mg/day.
In context ↗ - antihistamines · Not said
I take natto, prescribed magnesium oxide, antihistamines day and night and beta blockers.
In context ↗ - Prilosec · No change
Gerd- take Prilosec two times a day doesn’t seem to help much
In context ↗ - pacing · Helped
I am at 7 months and finally getting my energy back from pacing, and serious lifestyle changes…
In context ↗ - time · Helped
I can tell you I healed and I didn’t do any of this. It’s literally just time.
In context ↗
Approaches: SSRIs · Anticoagulants · Diet · Pacing · Supplements
Their path
What they say at each step doesn’t fit the worst point or outcome above on the severity scale, so the steps are listed as they describe them. Dates are when they posted.
| When | What happened | After |
|---|---|---|
| beginning of September 2023 | mild COVID infection lasting 5-6 days, followed by long COVIDI had Covid beginning of September was a very mild case. Lasted about 5-6 days.In context ↗ | |
| October 1st to mid October 2023 | two ER visits with shaking and chest pain, almost every symptom, off workI was in the ER 2 different occasions , shaking with what I thought was a heart attack.In context ↗ | |
| 2023-11-09 | clean, mostly vegetable and fruit diet brought two good days in a rowIt has helped me immensely. Have had a two good days in a row.In context ↗ | Low-histamine diet |
| 2023-12-14 | about 80% of normal, walking 2.5 miles and steps near 11-12,000 a day; most improvement after bromelain and nattokinaseI am now happy to say i am at about 80% normal.In context ↗ | Nattokinase |
| 2024-02-05 | after switching from Lexapro to Prozac, fatigue almost gone and fine during the dayBut I have since started Prozac and I agree it has changed me for the better, big time. My fatigue is almost gone for the last week.In context ↗ | |
| 2024-03-15 | back at work for three weeks on six-hour daysI have been back for three weeks. I am doing 6 hour days 4 days a week currently.In context ↗ | |
| 2024-04-10 | energy coming back with pacing and lifestyle changes; lingering GERD, night palpitations and morning/evening POTSI am at 7 months and finally getting my energy back from pacing, and serious lifestyle changes…In context ↗ | Pacing and the energy envelope |
| 2025-04-13 | said he had healed, crediting time rather than supplementsI can tell you I healed and I didn’t do any of this. It’s literally just time.In context ↗ | Time and spontaneous remission |
| 2025-10-22 | two years in, much better but adjusted to remaining symptoms rather than fully better2 years in, much better but I think you just adjust and get used to more than get better.In context ↗ |
Adverse events
- Low-dose naltrexone“I’m having a bunch of palpitations also PVCs I’m wondering if it is the LDN. I am at about day 10 at 1.5mg and have noticed increased palpitations.” In context ↗ Heart rhythm problems
- Escitalopram (Lexapro)“I actually started with Lexapro, it actually made me worse.” In context ↗ Made symptoms worse
- Low-dose naltrexone“I tried it for 2 days and it made me more dizzy, so I stopped it.” In context ↗ Made symptoms worse
Symptoms mentioned
Their words about their symptoms
- Heart symptoms & palpitations
Heart palpitations. Mostly at night
In context ↗ - Anxiety & low mood
I agree the fight or flight is also my worse symptom, mine is starting to calm down now also.
In context ↗ - Sleep problems
it’s almost like I start to doze off notice my heart skip a beat PVC and it wakes me up so bizarre and scary
In context ↗ - Neuropathy & tingling
Yup I have the constant buzzing electricity, it can be pretty extreme at times.
In context ↗ - Headaches & migraine
I also noticed I had headaches when at the computer for 20 mins or longer if focusing.
In context ↗ - Temperature regulation
night sweats on the left leg only which is odd
In context ↗
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