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Long COVID Moderate → much betterIll 3 years before improving or writing

Long COVID with brain fog, pain and fatigue, much better on low-dose naltrexone

Condition
Long COVID
At worst
Moderate (mostly housebound)
Ill before improving or writing
3 years
Last post
Sep 2024
In their words
  • Condition: Long COVIDafter 3 years of suffering with LC In context ↗
  • At worst: Moderatei can sit in front of my computer and do my job without needing to nap every 45 minutes In context ↗
  • Now: Much betteri cant say im 100% back to normal, but im functional ... i still get PEM sometimes but its not as bad as it used to be In context ↗
  • Began after: COVIDafter 3 years of suffering with LC In context ↗
Read from 3 of their posts and comments; links to the 3 this page draws on

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Summary

A Reddit user with long COVID for about three years cycled between partial recovery and relapse, trying many supplements and medications. In early 2024 low-dose naltrexone, started at 0.5 mg and increased by 0.5 mg every three months to 4.5 mg, gave 70% improvement within five days; by March they could work at the computer without napping every 45 minutes. By September they were functional; pain, brain fog and fatigue had subsided, though some PEM remained.

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What they tried

Their words about each treatment
  • LDN (low dose naltrexone) · Helped a loti cant say im 100% back to normal, but im functional, the pain, brain fog, and fatigue subsided, i still get PEM sometimes but its not as bad as it used to be In context ↗

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.

WhenWhat happenedAfter
2021long COVID beganafter 3 years of suffering with LC In context ↗
—relapsed after a few months of semi-recoveryi would semi-recover for few months then i would relapse again In context ↗
March 202470% better and able to work at the computer without constant napswithin 5 days im 70% better In context ↗Low-dose naltrexone
2024-09-04functional; pain, brain fog and fatigue subsided, some PEM remainsim functional, the pain, brain fog, and fatigue subsided, i still get PEM sometimes but its not as bad as it used to be In context ↗Low-dose naltrexone

Adverse events

  • Low-dose naltrexone“you'll get a flare up of symptoms when you first start using LDN but they should subside within a week or 2” In context ↗ Made symptoms worse

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaisei still get PEM sometimes but its not as bad as it used to be In context ↗
  • Brain fogthe pain, brain fog, and fatigue subsided In context ↗
  • Sleep problemswithout needing to nap every 45 minutes In context ↗

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