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Long COVID Moderate → relapsedIll 4 years before improving or writing

Long COVID with facial atrophy and nerve pain, much better with swimming then relapsed

Condition
Long COVID
At worst
Moderate (mostly housebound)
Ill before improving or writing
4 years
Last post
Sep 2026
In their words
  • Condition: Long COVIDim relatively new to this group but not to long covid, diagnosed 3 years ago but have been ill for 4 In context ↗
  • At worst: ModerateI can’t do anything normally anymore without it causing more damage. Eating, sleeping, showering, talking, walking, exercising all have become terrifying In context ↗
  • Now: RelapsedI’m no waaaay near recovered and relapsed this year badly after getting covid again In context ↗
  • Began after: COVIDdidn’t really go completely downhill with Lyme symptoms too till after I had covid / developed severe long covid In context ↗
Read from 15 of their posts and comments; links to the 10 this page draws on

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Summary

A woman in the UK fell ill with long COVID in 2022 and developed severe facial atrophy, nerve pain, drooping and MCAS, which she blamed on COVID and on steroids and antibiotics she was given. She felt much better by late 2025 with swimming, walking, sun, a restricted diet, antihistamines and azithromycin, then lost the gains after a winter downturn, doxycycline and a COVID reinfection. She was still far from recovered.

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Asking aboutValley 92017’s story

What they tried

Their words about each treatment
  • steroid nasal spray · Much worseI used a steroid nasal spray 4 years ago for a short time that triggered alot of atrophy in my face In context ↗
  • metronidazole · Much worseJust don’t take metronidazole if you haven’t before.. it destroyed me and many others. In context ↗
  • doxycycline · Worseuntil this recent downturn after taking doxycycline I found that I had been improving! In context ↗
  • azithromycin · HelpedAzithromycin helped me too at times In context ↗
  • antivirals · WorseThese include antivirals, calcium, vitamin d , b12, Citicoline. All triggered more wasting etc in muscles and nerve damage! In context ↗
  • choline · WorseI tried that abd literally it dissolved my muscles MORE. In context ↗
  • diazepam · Much worseI can say that it 100% messed me up more In context ↗
  • microdosing · HelpedI tried microdosing the last couple of years too which was quite helpful but now triggers my nerves too much. In context ↗
  • zyrtec · HelpedAntihistamines help I take zyrtec. In context ↗
  • sensible sun bathing · Helpedsensible sun bathing and avoiding life stress In context ↗
  • swimming and walking · HelpedI focused on a lot of swimming, walking (no stressful exercise) In context ↗
  • diet free of anything I react to · Helpedfree of anything I react to which is alot! Very little sugar. No gluten. No dairy. No booze. In context ↗
  • intermittent fasting · HelpedI also do intermittent fasting which helps my mood strangely. In context ↗
  • weed · Worseno weed (loved it at the beginning but then just made me worse after a while) In context ↗

Approaches: H1 antihistamines · Antibiotics · Diet · 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.

WhenWhat happened
2022developed long COVID with facial atrophy and nerve damagedidn’t really go completely downhill with Lyme symptoms too till after I had covid / developed severe long covid In context ↗
late 2025felt much better end of last yearI felt sooooo much better the end of last year In context ↗
February 2026winter downturn and medication side effects, back to square oneonly a couple of months ago I thought I was on the mend but no such luck for me! In context ↗
March 2026facial wasting worsened after topical antibiotic and doxycyclineEver since then ny face skin and muscles have been wasting away on a daily basis In context ↗
20 March 2026a little better on low-dose azithromycintaking a low dose of Azithromycin now actually and am feeling a little better the last couple of days In context ↗
June 2026relapsed badly after COVID reinfectionI’m no waaaay near recovered and relapsed this year badly after getting covid again In context ↗
September 2026still having facial drooping, volume loss and MCAS reactionsive had this for 9 months now and it is triggered by so many things, food, medicine, heat, stress etc. In context ↗

Adverse events

  • Steroid nasal sprays (unspecified)“I used a steroid nasal spray 4 years ago for a short time that triggered alot of atrophy in my face” In context ↗ Made symptoms worse
  • Metronidazole (Flagyl)“Just don’t take metronidazole if you haven’t before.. it destroyed me and many others.” In context ↗ Made symptoms worse
  • Metronidazole (Flagyl)“The antibiotic metronidazole pushed my into a drug induced psychosis wheh I was first ill with LC” In context ↗ Mood or psychiatric effects
  • “This recent worsening of my symptoms started after using a topical antibiotic / steroid once on my face for 20 minutes” In context ↗ Made symptoms worse
  • Doxycycline (Vibramycin)“Ever since then ny face skin and muscles have been wasting away on a daily basis and the nerve damage along side it.” In context ↗ Made symptoms worse
  • “These include antivirals, calcium, vitamin d , b12, Citicoline. All triggered more wasting etc in muscles and nerve damage!” In context ↗ Made symptoms worse
  • Vitamin D and sun exposure“These include antivirals, calcium, vitamin d , b12, Citicoline. All triggered more wasting etc in muscles and nerve damage!” In context ↗ Made symptoms worse
  • Vitamin B12“These include antivirals, calcium, vitamin d , b12, Citicoline. All triggered more wasting etc in muscles and nerve damage!” In context ↗ Made symptoms worse
  • Calcium“These include antivirals, calcium, vitamin d , b12, Citicoline. All triggered more wasting etc in muscles and nerve damage!” In context ↗ Made symptoms worse
  • Citicoline (CDP-choline)“These include antivirals, calcium, vitamin d , b12, Citicoline. All triggered more wasting etc in muscles and nerve damage!” In context ↗ Made symptoms worse
  • Choline“I tried that abd literally it dissolved my muscles MORE.” In context ↗ Made symptoms worse
  • Doxycycline (Vibramycin)“Well until this recent downturn after taking doxycycline I found that I had been improving!” In context ↗ Made symptoms worse
  • “I tried microdosing the last couple of years too which was quite helpful but now triggers my nerves too much.” In context ↗ Made symptoms worse
  • Diazepam (Valium)“I was given it for ‘anxiety’ and insomnia after developing LC but all it did was mess up my brain and sleep MORE!” In context ↗ Insomnia from treatment
  • Diazepam (Valium)“when I took it it messed with my thinking that I ended up hallucinating and in a crisis state” In context ↗ Mood or psychiatric effects

Symptoms mentioned

Their words about their symptoms
  • Mast cell (MCAS) & allergiesi developed MCAS reactions after covid In context ↗
  • Muscle weaknessI’m left with lingering muscle weakness and then volume loss in the face In context ↗
  • Neuropathy & tinglingI have been left with lasting facial nerve damage, facial pain and pressure In context ↗
  • Hair lossMCAS, fatigue, hair loss, brain fog, muscle wasting In context ↗
  • Sleep problemsI have such pain in my face that I can’t sleep properly either In context ↗
  • Anxiety & low moodI’ve now developed PTSD from being ill In context ↗

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