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Long COVID Severe → much better

Immobile and in daily pain with long COVID, much better with low-dose naltrexone

Condition
Long COVID
At worst
Severe (mostly bedbound)
Ill before improving or writing
Not stated
Last post
Dec 2024
In their words
  • Condition: Long COVIDAs my PCP explained to me later, LC had left my body producing blood that was stickier than normal In context ↗
  • At worst: SevereA year ago, I was immobile, unhappy, and quite despondent. In context ↗
  • Now: Much betterToday, with LDN and a mobility aid, I'm living something closer to a normal life, happy, and looking forward to each morning. Granted, there are still bad days where the aches and pains overwhelm me, but they are much less frequent than before In context ↗
Read from 5 of their posts and comments; links to the 4 this page draws on

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Summary

A long COVID patient described being immobile and in daily pain a year before late 2024; before LDN, bad days meant reclining the entire day. In mid-2024 a massive bilateral pulmonary embolism put them in intensive care and on lifelong blood thinners. Low-dose naltrexone, titrated over several months from 1.5 mg, greatly reduced pain and fatigue; they could shop again, using a power wheelchair for larger stores. Oral NAD+ at 1000 mg daily did nothing.

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What they tried

What they credit

Also tried

ibuprofen (paracetamol)· HelpedTravel Buggy City 2.0 power wheelchair· Helpedoral NAD+· No changeblood thinners· Not said
Their words about each treatment
  • blood thinners · Not saidI received blood thinning treatment and they watched for other clots that might migrate. In context ↗
  • ibuprofen (paracetamol) · HelpedOn the bad days or when I overdo things, it will still be a bad day, but with NSAIDs on board, it's at least survivable. In context ↗
  • LDN · Helped a lotWhen I got to the correct titration for me, the pain was significantly reduced, and my baseline/constant fatigue wasn't as bad. In context ↗
  • oral NAD+ · No changeThe problem is that at 1000mg a day, I'm noticing no impact at all. In context ↗
  • Travel Buggy City 2.0 power wheelchair · Helpedbeing able to get back into the world with my chair, my spirits have improved exponentially In context ↗

Their path

Very severeSevereModerateMildNear normalRecovered

How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, in the order they describe; they don’t give enough times to place each step. Hover or tap a point. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
about a year before November 2024immobile, sedentary and despondent from daily painA year ago, I was immobile, unhappy, and quite despondent. In context ↗Severe
by July 2024massive bilateral pulmonary embolism, a week in intensive careI ended up in intensive care for a week after that In context ↗Severe
2024-11-20able to shop in smaller stores again, power wheelchair for larger onesI have been able to go grocery shopping in smaller stores again, pushing a cart, without feeling like I have pushed myself too far. In context ↗MildLow-dose naltrexone
2024-12-18still on LDN, which continues to help; added oral NAD+ with no effectWhen I got to the correct titration for me, the pain was significantly reduced, and my baseline/constant fatigue wasn't as bad. In context ↗Mild

Adverse events

  • “I ended up in intensive care for a week after that, as my kidneys recovered from the shock of all the contrast medium they had to use” In context ↗ Liver or kidney problems
  • Low-dose naltrexone“The only strange thing I have noticed with the LDN is that I really don't feel the effects of alcohol or edibles anymore ... Even modest quantities of alcohol (1-2 beers) will leave me quite dizzy and unstable” In context ↗ Side effects

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI'm hoping to lessen the fatigue and PEM In context ↗
  • Pain & fibromyalgiathere are still bad days where the aches and pains overwhelm me In context ↗
  • Sleep problemsMy sleep is difficult enough already. In context ↗
  • BreathlessnessI had trouble breathing at all In context ↗
  • POTS & dysautonomiawould gray out if I stood In context ↗
  • Anxiety & low moodI was immobile, unhappy, and quite despondent In context ↗

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