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Long COVID Moderate → no benefitNeeds ongoing treatment

Constant dysautonomia and fatigue with long COVID, no improvement

Condition
Long COVID
At worst
Moderate (mostly housebound)
Ill for
Not stated
Last post
Jul 2025
In their words
  • Condition: Long COVIDI always have *some* level of POTS symptoms, but only consider it a flare when I have elevated HR In context ↗
  • At worst: Moderatejust scooching up into my back pillows when in bed will put my HR over 100 ... Currently, I am only doing exercises that allow for simultaneous back, neck and head FULL stability. In context ↗
  • Now: No benefitI always have *some* level of POTS symptoms ... I always have *some* kind of fatigue In context ↗
Read from 2 of their posts and comments; links to the 2 this page draws on

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Summary

A person with long COVID and POTS described constant dysautonomia and fatigue, with flares lasting 4 to 48 hours and a heart rate over 100 when sitting up in bed. They tolerated only magnesium as a supplement, called LDN a no go, and were ambivalent about the Visible app after a month. Compression briefs helped somewhat on outings, and they had cut exercise to movements keeping the head and neck stable.

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What they tried

Their words about each treatment
  • magnesium · Not saidThe only supplement I can tolerate is magnesium. In context ↗
  • LDN · Not saidLDN is a no go. In context ↗
  • Visible app · Not saidI'm almost a month into using the Visible app. So far, I'm ambivalent. In context ↗
  • Acceptance · HelpedAcceptance helps the most, so long as it's not confused with giving up. In context ↗
  • compression briefs underwear · HelpedI have some luck mitigating both tachycardia and PEM this when I have to go out by wearing compression briefs underwear. In context ↗
  • exercises that allow for simultaneous back, neck and head FULL stability · Not saidCurrently, I am only doing exercises that allow for simultaneous back, neck and head FULL stability. In context ↗
  • histamine blockers · Not saidthe histamine blockers--they're fine for me to talk about. In context ↗

Their path

They say too little about how ill they were at each step to draw it on the severity scale, so the steps are listed as they describe them. Dates are when they posted.

WhenWhat happenedWhere they were
—onset of illnessI always have *some* level of POTS symptoms In context ↗Not stated
2025-07-22constant dysautonomia and fatigue with POTS and PEM flaresOn top of always having some dysautonomia AND fatigue simultaneously, I can also have simultaneous POTS and PEM flares. In context ↗Moderate

Adverse events

Symptoms mentioned

Their words about their symptoms
  • POTS & dysautonomiaI always have *some* level of POTS symptoms In context ↗
  • Post-exertional malaisedon't consider it a flare until it's PEM In context ↗
  • Heart symptoms & palpitationsmitigating both tachycardia and PEM In context ↗
  • Sleep problemsI *have to* sleep, and when I do, I have surreal dreams and/or bad dreams In context ↗

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