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Long COVID Mild → near normalIll 4 years before improving or writingNeeds ongoing treatment

Long COVID with POTS and brain fog, now about 90% of old self after rest and diet

Condition
Long COVID
At worst
Mild (working or studying, with limits)
Ill before improving or writing
4 years
Last post
Oct 2026
In their words
  • Condition: Long COVIDI got covid (omicron) and developed long covid In context ↗
  • At worst: MildI did no more exercise, just went to bed straight after work every day. In context ↗
  • Now: Near normalIt took 4 years but I got so much better, like 90% of my previous self. In context ↗
  • Began after: COVID3 months later I got covid (omicron) and developed long covid In context ↗
  • Says they never had: Gut problemsI never had gut issues
  • Says they never had: Mast cell (MCAS) & allergiesI don’t have histamine issues
Read from 81 of their posts and comments; links to the 32 this page draws on

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Summary

Fjord 97083 got long COVID in April 2022 after an omicron infection, with POTS, PEM, breathlessness and brain fog, working but needing to lie down after stairs. Novavax shots in January and June 2023 each gave roughly three months of relief; a later one did nothing. They credited rest, diet, sauna, breathing exercises and supplements. Four years on they were about 90% of their old self, working 40-50 hours a week.

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What they tried

Their words about each treatment
  • Moderna booster (post-covid) · No changeI also didn’t see any change in my LC after my post-covid Moderna shot. In context ↗
  • Novavax · HelpedI got Novavax in Jan 2023 and my symptoms got a lot better, started getting worse around the 3 month mark. In context ↗
  • inhalers (steroid inhaler) · HelpedThe steroid inhaler definitely helps but I don’t want to be on it for the rest of my life. In context ↗
  • NAC · HelpedI take Nac every day with no issues. When I went off Nac I had zero energy. In context ↗
  • nicotinimide riboside (Tru Niagen) · HelpedI decided to go back on it and immediately felt more energetic In context ↗
  • anti inflammatory / Mediterranean diet · HelpedI definitely credit Lily Spechler’s advice for a lot of my recovery. More calories, higher protein, meals spread out over the day, higher potassium, and fibre have helped immensely! In context ↗
  • high protein intake · HelpedI read that protein is good for brain blood volume, and when I upped my protein intake I did feel better In context ↗
  • calorie counting and weight loss diet (Cronometer) · HelpedFor the last 3 months or so I’ve been tracking calories on Cronometer and eating a lacto pescatarian diet. ... My resting HR has gone down too! In context ↗
  • skipping breakfast / intermittent fasting · Not saidUsually I’ll skip breakfast and hope I get some intermittent fasting benefits. In context ↗
  • reformer Pilates · WorseI’ve started reformer Pilates to improve my exercise baseline. ... I get pem a day after so I think I’ll have to scale back. In context ↗
  • weights (10 minutes) · Not saidI can do about ten mins of weight and body weights so going to stick to that for a while. In context ↗
  • bike trainer (Zone 1/Zone 2 training) · WorseI did 5 mins on it and crashed the next day :( In context ↗
  • sauna · HelpedSauna, I got into sauna in year 2. Started slow and built up my tolerance but I really think it was helpful In context ↗
  • breathing exercises · HelpedOther treatments: breathing! Free and really helpful for me, just breath deep once an hour In context ↗
  • curcumin / turmeric · Not saidI took nicotinimide riboside, NAC, curcumin, and magnesium k-threonate In context ↗
  • magnesium l-threonate · Not saidnow I really just try get vitamin c and d and take magnesium for sleep In context ↗
  • antihistamine (Reactin) · Not saidI also took an antihistamine a day, but I’m not sure if that’s effective once you are infected. In context ↗
  • Enovid nasal spray · Not saidI also use enovid nasal spray In context ↗
  • CPC mouthwash · Not saidI rested and reduced viral load with Cpc mouthwash and nasal spray. In context ↗
  • iron · Helped a lotThen in year 3 I started taking iron (despite my doc saying not to bother as my levels were normal) I thought why not, it helped my fatigue immensely. In context ↗
  • CoQ10 · HelpedSupplements that made a difference: Nicotinimide riboside, NAC, CoQ10. In context ↗
  • Alpha Lipoic Acid · Not saidmagnesium l-thronate, NAC, CoQ10, Alpha Lipoic Acid In context ↗
  • vitamin D · Not saidmake sure I’ve taken vit c, vit d and eat well for immune health In context ↗
  • cutting out alcohol · Helpedbasically cut out alcohol which helps with better sleep In context ↗
  • early bedtime / sleep hygiene · HelpedI went to bed at 10 every night In context ↗
  • RingConn smart ring · Not saidI just got a RingConn, I used to have a garmin watch but I kept getting a rash on my wrist. In context ↗
  • nootropics · Not saidNow that I’m working full time I’m trying out some nootropics to help sustain focus In context ↗

Approaches: Alternative therapies · Diet · Mind-body practices · 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 happenedAfter
2022-04got COVID, developed long COVID3 months later I got covid (omicron) and developed long covid In context ↗
2022POTS, could not walk a block without heart rate spiking, had to lie down after stairsI’d walk a block and it would jump to 160, I’d have to lie down after taking the stairs In context ↗
2023-05-01first Novavax shot; able to do short bursts of high-intensity exerciseI was consistently doing higher intensity exercises for 5-10 mins every day without feeling terrible the next day In context ↗COVID vaccination as treatment
2023-06-26crashed about three months after the Novavax shot, bed straight after workThen about 3 months later my symptoms got worse and I did no more exercise, just went to bed straight after work every day. In context ↗
2023-06-26second Novavax shot; 20,000 steps in a weekend on a trip2 weeks after being vaccinated, I started feeling better again. One day on my trip I did 20,000 steps! In context ↗COVID vaccination as treatment
2023-10-25long walks again, no brain fog, ready to try exerciseI’ve been able to go on long walks again and feel ready to try incorporating exercise. No brain fog anymore In context ↗COVID vaccination as treatment
2023-11-23updated Novavax had little effect; PEM and fatigue returnedI’m disappointed to say it hasn’t had such a strong effect, and I’ve been experiencing PEM and fatigue. In context ↗
2024-01-06reported 80% recovered after diet changesI’m at 80% recovered In context ↗
2024-10-21crashed after three days of walking a lotI spent 3 days in a day walking a lot and I’ve crashed In context ↗
2025-03-23PEM subsided but still cannot exerciseIn the last 5/6 months my PEM has subsided, I think I can now say I don’t have it anymore In context ↗
2025-12-18back at work, walking up to 6k steps a day, PEM and POTS goneI work, I walk up to 6k steps a day and have fewer and fewer brain fog days. My PEM and pots are completely gone. In context ↗
2026-02-22walking an hour a day and working 40-50 hours a weekI walk an hour a day, I work 40-50 hours a week In context ↗
2026-10-03about 90% of previous self after four yearsIt took 4 years but I got so much better, like 90% of my previous self. In context ↗

Adverse events

  • COVID vaccination as treatment“I’m disappointed to say it hasn’t had such a strong effect, and I’ve been experiencing PEM and fatigue.” In context ↗ Made symptoms worse
  • Pilates“So far I’ve done it once a week for the last 3 weeks but I get pem a day after so I think I’ll have to scale back.” In context ↗ Made symptoms worse
  • Hyperthermia and sauna“Sometimes I get mild pem after but I think it’s helping ... I do sauna but have also crashed from it in the past.” Made symptoms worse

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseMy PEM and pots are completely gone. In context ↗
  • POTS & dysautonomiaI’ve never been officially diagnosed with POTS but for a year after my covid infection, I would stand up and my heart would jump to 130 In context ↗
  • Brain fogI still have lung issues, fatigue, occasional brain fog In context ↗
  • BreathlessnessI also get shortness of breath and lung inflammation In context ↗
  • Heart symptoms & palpitationsthe last two days my heart rate is hovering around 100, 130 when walking In context ↗
  • Neuropathy & tinglingstill have some tingling/numbing sensation in my limbs sometimes In context ↗
  • Headaches & migraine2 years in I got terrible headaches for a period of time In context ↗
  • Temperature regulationShortness of breath, air hunger, night sweats, body temperature dysregulation In context ↗
  • Anxiety & low moodI feel down tonight, just wanted to vent a little. In context ↗

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