Long COVID with fatigue and brain fog, somewhat better after CPAP and Metoprolol
- Condition
- Long COVID
- At worst
- Mild (working or studying, with limits)
- Ill before improving or writing
- 13 months
- Last post
- Mar 2026
In their words
- Condition: Long COVID
I had severe covid in Feb 2025 and like many here I have been living with a spew of life altering symptoms.
In context ↗ - At worst: Mild
I have days where I can go do every chore in the house, and then I have days where I cant leave my chair.
In context ↗ - Now: Somewhat better
It hasn't gotten rid of my symptoms (high bp, dizziness, headache/pressure, fatigue, brain fog, etc), but it has reduced their effects by probably half.
In context ↗ - Began after: COVID
I had severe covid in Feb 2025
Read from 15 of their posts and comments; links to the 12 this page draws on
Summary
A 32-year-old man developed long COVID after severe COVID in February 2025, with fatigue, dizziness, high heart rate and blood pressure, brain fog, headaches, GI and sleep problems. A beta blocker helped him build walking to about 10,000 steps, with Losartan for his heart rate and blood pressure, though he hit PEM and setbacks. CPAP for newly found sleep apnoea roughly halved his symptoms by November 2025; by March 2026 his heart rate after meals had improved with Metoprolol.
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What they tried
What they credit
Also tried
Their words about each treatment
- Paxlovid · Helped a lot
I took Paxlovid at the time of initial infection, and it 180'd my condition at that time. I still developed LC
In context ↗ - beta blocker (Metoprolol) · Helped
I'm on 100mg of Metoprolol which helps and it’s gotten much better with time.
In context ↗ - Losartan · Helped
25mg Losartan and 100mg Metoprolol. Both have done a great job at keeping my HR and BP in check.
In context ↗ - staying above energy threshold · Helped
I have found that if I go below my threshold, I will feel bad for multiple days afterward.
In context ↗ - walking / step build-up · Helped a lot
since I started walking my symptoms are the most manageable that they have been
In context ↗ - blue-light glasses · Helped
wearing blue-light glasses while gaming does help with my eye fatigue, which helps my mental fatigue.
In context ↗ - Nexium · Not said
My doctor increased my dosage of Nexium to 40mg per day.
In context ↗ - one meal a day fasting · Not said
for the last two weeks, I have been fasting again. I've been eating one meal a deal with success.
In context ↗ - Liquid IV · Helped
I wake up and pour a Liquid IV into a water bottle and drink it. That seems to make a difference in my morning.
In context ↗ - CPAP · Helped a lot
After using a CPAP machine every day for nearly a month, I have to say it's made a big difference in my life.
In context ↗
Approaches: Antivirals · Beta-blockers · Exercise and activity
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 |
|---|---|---|
| Feb 2025 | severe COVID, then long COVIDI had severe covid in Feb 2025 and like many here I have been living with a spew of life altering symptoms.In context ↗ | |
| June 2025 | cycling good days and days stuck in a chairI have days where I can go do every chore in the house, and then I have days where I cant leave my chair.In context ↗ | |
| June 2025 | beta blocker let him start walking, built up to nearly 10k stepsIt has allowed me to start moving again, and taking more walks. I've built up to 2.5k steps a day, to 5K, and then to 7.5k, and now nearly 10k.In context ↗ | Metoprolol (Lopressor, Toprol) |
| June 2025 | hit PEM while building walking, 1-2 weeks of hellI've hit PEM and it was 1-2 weeks of hell and setbacks.In context ↗ | |
| Aug 2025 | crash, felt he lost 4-5 months of progressA few days ago, I felt completely cured. Today, I feel like I lost 4-5 months of progress.In context ↗ | |
| Nov 2025 | CPAP for post-COVID sleep apnoea roughly halved symptomsit has reduced their effects by probably halfIn context ↗ | CPAP and sleep apnoea treatment |
| March 2026 | heart rate after meals much better with time and metoprololI'm on 100mg of Metoprolol which helps and it's gotten much better with time.In context ↗ | Metoprolol (Lopressor, Toprol) |
Adverse events
- Everyday exercise and activity“I've hit PEM and it was 1-2 weeks of hell and setbacks. I basically had to revert everything until it slowly passed.” In context ↗ Made symptoms worse
- Everyday exercise and activity“I tried jumping from 5k to 10k, and my body let me know that was too much.” In context ↗ Made symptoms worse
- Intermittent fasting“Anytime I went without eating, my BP would go up and I felt like I was poisoned or something. And then when I finally did eat, I would get very dizzy and almost a head high.” In context ↗ Side effects
- Intermittent fasting“On the flip side, my acid reflux has gotten much worse.” In context ↗ Gut side effects
Symptoms mentioned
Their words about their symptoms
- Post-exertional malaise
I've hit PEM and it was 1-2 weeks of hell and setbacks.
In context ↗ - Brain fog
high bp, dizziness, headache/pressure, fatigue, brain fog
In context ↗ - POTS & dysautonomia
I have all the symptoms, from chronic fatigue and dizziness to HR/BP and GI issues.
In context ↗ - Sleep problems
my sleep quality has declined
In context ↗ - Headaches & migraine
headache/pressure
In context ↗ - Gut problems
my acid reflux has gotten much worse
In context ↗ - Heart symptoms & palpitations
my HR and BP was jacked up so high after Covid
In context ↗
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