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Long COVID Mild → near normalIll 18 months before improving or writing

Long COVID brain fog, headaches and dizziness, now nearly back to normal with time and rest

Condition
Long COVID
At worst
Mild (working or studying, with limits)
Ill before improving or writing
18 months
Last post
Mar 2023
In their words
  • Condition: Long COVIDNeuro LH 3 months later In context ↗
  • At worst: MildI’ve been fortunate in the sense that I work from home but my performance has definitely plummeted. In context ↗
  • Now: Near normalFor context, most days I feel fully recovered. I’ll notice some brain fog if I overwork myself and spend too much time on screens. In context ↗
  • Began after: COVIDThe original time was primarily headache and head pressure followed by panic episodes three months later that started my long haul.
Read from 33 of their posts and comments; links to the 19 this page draws on

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Summary

Nightjar 20168 developed long COVID after a November 2020 infection, with panic attacks, brain fog, headaches, light sensitivity and dizziness in early 2021. They worked from home with reduced performance and improved over about 1.5 years, crediting time, electrolytes, less screen time and rest; amitriptyline, propranolol and fluvoxamine did not help. By March 2023 they felt recovered, with occasional brain fog after overwork, and had not relapsed after reinfections.

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What they tried

Their words about each treatment
  • dispersible magnesium/potassium/sodium electrolyte supplements · HelpedOnly thing I’ve been able to swear by so far is elevating electrolytes (magnesium, potassium, calcium, sodium). In context ↗
  • B multivitamin · Not saidI don’t know what’s been effective and what hasn’t made a difference but something here has been helping me. In context ↗
  • fish liver/omega-3 · Not saidFish liver/omega-3/vitamin B etc and vitamin D and recently started supplementing my vitamin C. In context ↗
  • vitamin D · Not saidI now only take Vit B/D, L-Theanine and mag/potassium and eye drops. In context ↗
  • vitamin C · Not saidrecently started supplementing my vitamin C In context ↗
  • propranolol / beta blockers · No changeI tried a few including propranolol and fluvoxamine and nothing seemed to make any difference even after 2 months of use. In context ↗
  • amitriptyline · No changeI knew from day 1 it was not doing anything for me. In context ↗
  • H1 blockers · HelpedI actually started taking H1 blockers around the same time as the amitriptyline and my symptoms got a lot better a week or so later so I’m not sure which to attribute that improvement to. In context ↗
  • going for walks / spending time outside · Helpedgoing for walks, spending time outside in general In context ↗
  • reducing phone screen time / sunglasses for light · HelpedReducing phone screen time was great too In context ↗
  • daily stretches (lymphatic drainage) · HelpedTrying out daily stretches (ones that focus lymphatic drainage) and time in the sun at the moment and that’s been great for stress relief if nothing else. In context ↗
  • time in the sun · Helpedtime in the sun at the moment and that’s been great for stress relief In context ↗
  • NAC · Not saidI’ve added NAC to my daily supplements but haven’t been able to tell if it’s helped or not In context ↗
  • sauna · WorseI tried to use a sauna, it sent my heart rate through the roof, felt dizzy, pounding headache, losing balance and dehydrated in a matter of minutes. In context ↗
  • aspirin · WorseI took aspirin and felt light headed and dizzy. Never had that kind of reaction before COVID. In context ↗
  • Co-Enzyme Q10 · HelpedStarted taking Co-Enzyme Q10 and palpitations are much rarer (maybe time helped this but it’s hard to distinguish). In context ↗
  • beer / alcohol · Helpedthe 2-3 days that followed I had zero brain fog and felt like my old self. ... Haven’t experienced that since then though
  • pre/probiotics · HelpedFasting, eating cleaner, avoiding gluten, probiotics regime all helped me clear up for the most part. In context ↗
  • nattokinase · HelpedI also added nattokinase and I haven’t had any headaches since I started taking that. It’s hard to say if it definitely contributed to me feeling better In context ↗
  • fluvoxamine · No changebeen on it for 4 weeks now and unfortunately not a noticeable change In context ↗
  • single shot of coffee · HelpedI got some relief from having a single coffee shot early in the morning diluted with hot water In context ↗
  • ibuprofen · HelpedIf it’s really bad a quick fix was ibuprofen. In context ↗
  • CBD · HelpedCBD helped with insomnia early on. In context ↗
  • L-Theanine · HelpedI started taking it for brain fog initially but didn’t find any change there. ... the L-Theanine helped prevent caffeine jitters or anxiousness for me In context ↗
  • antivirals for shingles · HelpedYes I got shingles a month after covid. Went on antivirals and cleared up over the next week or two In context ↗
  • rest · Helpedkeeping track of what you eat, plenty of rest, all helped me In context ↗
  • time · HelpedSymptoms seemed to get better with time ... things gradually getting less debilitating after about the year mark
  • COVID vaccination as treatment · Not saidI had one anxious day with more muscle spasms followed by great day 0 symptoms. In context ↗

Approaches: H1 antihistamines · POTS medication · Diet · Pacing · Supplements

Their path

Very severeSevereModerateMildNear normalRecoveredonset6 mo12 mo18 mo2 y

How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, with time counted from when the illness began. Hover or tap a point. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
Feb/March 2021Long COVID symptoms beganLC symptoms started kicking in Feb/March 2021 with panic/anxiety, nausea, blurry vision, brain fog etc etc and went on to decline from there for the rest of the year. In context ↗Mild
spring 2021Worst neuro symptoms and derealisationAt my worst I definitely knew how the guy in the article was feeling and had extreme derealisation/dissociation where I felt like a spectator in my own body just looking at myself decline. In context ↗Mild
June 2021Symptoms improved but alternating brain fog, headache and anxietyEventually things got better after 1.5 months. However, I now deal with seemingly alternating symptoms. In context ↗MildTime and spontaneous remission
November 2021Reached a stable state, still not pre-COVIDManaged to reach a stable state Nov 2021 and have been living at that state since then. In context ↗MildTime and spontaneous remission
June 2022Peak recovery, 80-95%, residual brain fog and visual fogI’d say I’m at the peak of my recovery now. In context ↗Near normalTime and spontaneous remission
March 2023Considered recovered, occasional brain fog after overworkmost days I feel fully recovered. I’ll notice some brain fog if I overwork myself and spend too much time on screens. In context ↗Near normal

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Brain fogI’ll notice some brain fog if I overwork myself and spend too much time on screens. In context ↗
  • Headaches & migraineheadache towards the end of a mentally exhausting day (way less common now) In context ↗
  • Light & noise sensitivityI had severe light sensitivity and dizziness. In context ↗
  • Heart symptoms & palpitationsheart palpitations and muscle spasms In context ↗
  • Anxiety & low moodrandom, uncharacteristic panic attacks In context ↗
  • Sleep problemssleep anxiety/insomnia In context ↗
  • Vision problemsvisual fog (most days) In context ↗
  • Temperature regulationmy heat tolerance is a lot worse than it used to be In context ↗
  • Gut problemsnausea/brain fog kicks off when eating certain foods In context ↗

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