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Long COVID Much betterNeeds ongoing treatment

Long COVID with migraines, brain fog and pain, much better after HRT

Condition
Long COVID
At worst
Not stated
Ill before improving or writing
Not stated
Last post
Apr 2026
In their words
  • Condition: Long COVIDI've gone on hrt for long covid and perimenopause (and hEDS management) and it has been very successful for me. In context ↗
  • Now: Much betterFor me and 3 other heds people with long covod symptoms, it ended up being our gallbladder. I'm acompletely different person since I got mine out in December. In context ↗
  • Began after: COVIDI've gone on hrt for long covid and perimenopause
Read from 17 of their posts and comments; links to the 10 this page draws on

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Summary

Orchid 87385, in their mid-40s, has long COVID plus hEDS and 35 years of MCAS and POTS symptoms, with migraines, brain fog and pain. They credit HRT (estradiol patch and 400 mg progesterone daily) with a big improvement, and Wellbutrin with low-dose naltrexone for energy and pain. Aloe helped their joints, and an ayahuasca ceremony brought months of remission. They are a completely different person since gallbladder removal in December.

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What they tried

Their words about each treatment
  • hrt (estradiol patch and progesterone pills) · Helped a lotI've gone on hrt for long covid and perimenopause (and hEDS management) and it has been very successful for me. In context ↗
  • birth control pills · WorseI've never been able to tolerate progesterone only bc pills. Last time I tried my knees wanted to explode within days. In context ↗
  • ayahuasca · Helped a lotfound it put my mcas, pots, and brain fog/depression into remission for several months afterwards In context ↗
  • mushrooms · HelpedI have done fine and found some relief on small doses In context ↗
  • nicotine patches · HelpedThe brain fog clearing affect tends to stay for me after I wear them for 2-4 weeks In context ↗
  • wellbutrin · HelpedI've gotten a lot of relief from a combo of wellbutrin and low dose naltrexone In context ↗
  • low dose naltrexone · Helpedthey helped a lot with my energy levels, acid reflux hypermobility, pain, etc. In context ↗
  • vitamin d · Not saidI'm also on hrt for perimenopause, vitamin d, methylfolate, and nac. In context ↗
  • Cusack protocol (aloe supplements) · HelpedAloe has been proven in studies to assist fibroblasts during collagen construction and has helped my joints immensely. In context ↗
  • antibiotics · WorseI struggle with hives a d swelling with all antibiotics In context ↗
  • steroids · Not saidimmediately followed by steroids to bring me back to baseline In context ↗
  • gallbladder removal · Helped a lotI'm acompletely different person since I got mine out in December. In context ↗
  • Progestin-only birth control (mini pill, implant or shot) · Not saidI've never been able to tolerate progesterone only bc pills. Last time I tried my knees wanted to explode within days. Couldn't walk without k taping and putting knee wraps on. In context ↗
  • Ciprofloxacin (Cipro) · Not saidI took it in 2001 and blew three discs in my spine In context ↗

Approaches: Other antidepressants · Other drugs and medicines · Sex hormones · Surgery & structural

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 happenedAfter
—Long COVID on top of 35 years of MCAS and POTS symptoms with hEDSI have hEDS, and symptoms of mcas and pots for 35 years. In context ↗
pre covidAyahuasca ceremony; MCAS, POTS, brain fog and depression remitted for several monthsI did a ceremony pre covid and found it put my mcas, pots, and brain fog/depression into remission for several months afterwards. In context ↗
—Strong mushroom dose left her depleted for about a weekone much stronger dose I tried at someone else's advice also fucked me up and left me depleted for about a week In context ↗
—HRT (estradiol patch plus progesterone pills) after birth control pills failedI've gone on hrt for long covid and perimenopause (and hEDS management) and it has been very successful for me. In context ↗
—Wellbutrin plus low-dose naltrexone helped energy, pain and refluxI've gotten a lot of relief from a combo of wellbutrin and low dose naltrexone In context ↗Low-dose naltrexone
DecemberGallbladder removed; feels a completely different personI'm acompletely different person since I got mine out in December. In context ↗Gallbladder removal

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Brain fogEstrogen helped a ton with brain fog, energy, and tightening connective tissue In context ↗
  • POTS & dysautonomiasymptoms of mcas and pots for 35 years In context ↗
  • Mast cell (MCAS) & allergiesI struggle with hives a d swelling with all antibiotics In context ↗
  • Pain & fibromyalgiaboth wellbutrin and low dose naltrexone have been fabulous at relieving pain and tightening my joints In context ↗
  • Headaches & migrainethings got way better (migraines went away) when I got on hrt In context ↗
  • Gut problemsthey helped a lot with my energy levels, acid reflux hypermobility, pain, etc. In context ↗
  • Anxiety & low moodput my mcas, pots, and brain fog/depression into remission for several months afterwards In context ↗

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