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Long COVID Severe → near normalIll 1 year before improving or writingNeeds ongoing treatment

Bedridden with long COVID, now nearly back to normal after a maraviroc/prednisone protocol

Condition
Long COVID
At worst
Severe (mostly bedbound)
Ill before improving or writing
1 year
Last post
Aug 2026
In their words
  • Condition: Long COVID20 month covid long hauler here. In context ↗
  • At worst: SevereMy whole first year I was mostly bedbound. In context ↗
  • Now: Near normalI would say I'm around 95% better (around 90-100 depending on the day). In context ↗
  • Began after: COVIDI originally caught covid there 20 months ago which started this mess
Read from 177 of their posts and comments; links to the 57 this page draws on

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Summary

Alpine 25388 caught covid in April 2020 and had a severe first year with fatigue, brain fog, palpitations, chest pain and formication; their worst relapse in January 2021 left them bedridden for most of that month. Two Pfizer shots in 2021 worsened their symptoms, and the second caused a major relapse that took about three months to recover from. A maraviroc/prednisone/ivermectin protocol started in February 2021 helped a lot, though they later backslid after vaccination. A December 2021 reinfection set their progress back, and by April 2022 they were slowly improving but still had brain fog, palpitations/heart pain and other symptoms.

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What they tried

Their words about each treatment
  • Benadryl (diphenhydramine) · HelpedI've been taking 50 mg nightly for about three years to help sleep and keep inflammation down In context ↗
  • flush niacin (nicotinic acid) · HelpedI've been taking 250 mg flush niacin once daily. I think it does help a little but I'm a very far cry from cured. In context ↗
  • vitamin C · HelpedI've been taking vit c, quercetin, vit d, zinc, and flush niacin (250mg/day) with some success. In context ↗
  • quercetin · Helpedtime, maraviroc, and quercetin probably healed me some overall In context ↗
  • vitamin D and sunlight · Helpedliving somewhere with good weather so I've been able to get more sunlight/fresh air which helped a lot In context ↗
  • ivermectin (IVM) · No changeI've tried IVM a bunch and it hasn't seemed to help me at all. In context ↗
  • dexamethasone · WorseI also tried a couple days of dexamethasone at the beginning of this relapse. Maybe doing short spurts of each was a really bad idea because this is the worst. In context ↗
  • maraviroc (Selzentry) · Helped a lotThe antiviral Maraviroc has been the main factor in my getting back to being functional. In context ↗
  • prednisone · Helped a lotI think the prednisone is the part of the "protocol" that helped me more than anything else In context ↗
  • Pfizer COVID vaccine · Much worseI got Pfizer though and both doses made me much worse. In context ↗
  • statin · WorseI tried it combined with a statin and IVM recently and those together made my symptoms way worse for a couple days In context ↗
  • albuterol sulfate inhaler · No changeMy albuterol sulfate inhaler didn't help at all. In context ↗
  • baby aspirin · Not saidI've been taking a small dose of baby aspirin for a while now to help with micro-clots In context ↗
  • Natto-Serra (nattokinase) · WorseBoth times I tried Natto I felt a bit worse. In context ↗
  • kefir · HelpedI have been, and I've been under the impression it's been helping. In context ↗
  • turmeric (curcumin) · HelpedI think turmeric and ashwagandha (which I initially took to recoup sex drive) helped cut some of that brain fog and calm down my overactive stress/fight-or-flight In context ↗
  • ashwagandha · HelpedAshwagandha helped me the most with my neuro symptoms In context ↗
  • cetirizine · Not saidI also take 10 mg cetirizine In context ↗
  • CBD tincture (sublingual drops) · HelpedCBD tinctures and Doterra serenity capsules have helped my sleep a lot In context ↗
  • Ambien (zolpidem) · HelpedI would smash an Ambien pill and take a tiny little piece of it since I usually didn't need much more than that In context ↗
  • NAC · HelpedAntivirals, NAC, Ashwagandha, and some Superfood supplement high in B vitamins all helped me a lot in getting some mental clarity and energy back. In context ↗
  • lipoflavonoid · Not saidI take lipoflavonoid and I really don't know if it helps or not but it seems louder when I don't take it In context ↗
  • taurine · WorseTaurine made my palpitations more intense/worse for some reason. In context ↗
  • antibiotic drops · HelpedAntibiotic drops helped me and also using thera-tears spray on eyelid wipes In context ↗
  • betadine nasal spray · Not saidI'm not sure it actually protects me but it seems to help? In context ↗
  • time · Helped a lotThanks to maraviroc and time and I guess some other supplements I'm mostly better. In context ↗

Approaches: Antivirals · Other drugs and medicines · Supplements

Their path

Very severeSevereModerateMildNear normalRecoveredonset12 mo2 y3 y4 y5 y6 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
April 2020caught covidI would say moderately sick for about 2 1/2 weeks. In context ↗Moderate
January 2021worst relapse, bedbound most of the monthI was totally bedbound for most of January In context ↗Severe
February 2021started Patterson protocol and felt really goodstarted the protocol mid-Feb and felt really good, thought I was maybe being cured In context ↗MildMaraviroc (Selzentry)
March 2021worse after first Pfizer shotGot my first Pfizer shot 3 days ago. To be honest it sort of retriggered my symptoms, I feel worse. In context ↗Moderate
April 2021relapsed big time after second Pfizer shotI relapsed big time after my second shot too. In context ↗Severe
July 2021back to pre-vaccine levelit took me like 3 months to get back to where I was before the shot In context ↗MildMaraviroc (Selzentry)
December 2021walking 10k steps, symptoms mostly gonehave been walking 10k steps on some days without any problems or relapses, symptoms mostly gone In context ↗Mild
December 2021reinfected over the holidays (suspected omicron)got reinfected over the holidays (omicron I think). Set my progress back quite a bit In context ↗Moderate
December 2022reinfected after a friend visitedalthough last month that did result in me getting re-infected In context ↗Moderate
April 2023tinnitus and hearing loss after a stressful eventnewly got some tinnitus that appears to be permanent last month In context ↗Mild
August 2023more functional, able to bike regularlyI'm more functional now, somewhere in the middle. I can bike regularly, the warm weather is helping. In context ↗Mild
May 2024lost free access to maraviroc and deteriorated on a half doseI'm down to a half-dose and my condition has already deteriorated so much In context ↗Moderate
May 2025around 95% better, best shape of their lifeI would say I'm around 95% better (around 90-100 depending on the day). In context ↗Near normalMaraviroc (Selzentry)
August 2026credits maraviroc for recovery, bad days infrequentI largely attribute my recovery to MVC. Stopped me from crashing/relapsing and my bad days are not too frequent. In context ↗Near normalMaraviroc (Selzentry)

Adverse events

  • Niacin (vitamin B3)“I started with 100mg twice daily, but my flushes, while mild, seem to last hours. I still feel a little hot/itchy 4 or so hours after ingesting.” In context ↗ Side effects
  • Corticosteroid pulses“I also tried a couple days of dexamethasone at the beginning of this relapse. Maybe doing short spurts of each was a really bad idea because this is the worst.” In context ↗ Made symptoms worse
  • Ivermectin“I took that regular suggested dose that takes three days (though you don't take it the second day) and it didn't help me at all. Actually I had the worst relapse of my illness right after.” In context ↗ Made symptoms worse
  • Ivermectin“I felt a little tenderfooted while on it. I was maybe even a little hoarse.” In context ↗ Side effects
  • Corticosteroid pulses“Some people have benefitted from a round or two of steroids, but for me the side effects were too bad.” In context ↗ Side effects
  • Corticosteroid pulses“The pred I did 40 mg that time and it was waaay too much for me. I mean the energy was good, but it made it too difficult for me to sleep, so I was exhausted.” In context ↗ Insomnia from treatment
  • Corticosteroid pulses“The prednisone nightmares *were* bad at first--I was taking 10 mg/day.” In context ↗ Mood or psychiatric effects
  • COVID vaccination as treatment“Got my first Pfizer shot 3 days ago. To be honest it sort of retriggered my symptoms, I feel worse. A lot more fatigued and foggy.” In context ↗ Made symptoms worse
  • COVID vaccination as treatment“When I say the vaccine made me relapse, I mean it happened in a big way; they were not mildish flares and I did not improve, period.” In context ↗ Made symptoms worse
  • COVID vaccination as treatment“My brain fog actually came back something fierce, and my chest pains and formication have gotten worse.” In context ↗ Made symptoms worse
  • Statins (unspecified)“I tried it combined with a statin and IVM recently and those together made my symptoms way worse for a couple days and I couldn't figure out why.” In context ↗ Made symptoms worse
  • Statins (unspecified)“The statins presented too many awful side effects for me to continue.” In context ↗ Side effects
  • Nattokinase, Serrapeptase“Both times I tried Natto I felt a bit worse.” In context ↗ Made symptoms worse
  • Taurine“Taurine made my palpitations more intense/worse for some reason. It was bad enough that I stopped taking it” In context ↗ Heart rhythm problems

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI was crashing every week or so from the slightest exertion. In context ↗
  • Brain fogBrain fog just went away gradually In context ↗
  • POTS & dysautonomianow I'm back in the worst relapse I've ever had, tons of dizziness In context ↗
  • Sleep problemsif I can't get 8 hours my symptoms are at least about 5 times worse In context ↗
  • Pain & fibromyalgiaLots of body aches, head swimminess, some chest pain. In context ↗
  • Gut problemshighly nauseous and had trouble thinking all day yesterday In context ↗
  • BreathlessnessChest tightness turned into pain when breathing and shortness of breath. In context ↗
  • Heart symptoms & palpitationsI still experience mild chest pains, heart palps In context ↗
  • Neuropathy & tinglingI have that weird prickling feeling all over my body. In context ↗
  • Anxiety & low moodI can't tell you how dark some of my thoughts were when I was 8-12 months in In context ↗
  • Flu-like symptomsSymptoms were mostly mild fever, cough, mild chest tightness In context ↗
  • Tinnitusloud ringing in my left ear In context ↗
  • Temperature regulationwhen it gets bad, maybe some fever/chills In context ↗
  • Vision problemsoccasional muscle spasms and blurry vision In context ↗

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