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Long COVID Moderate → relapsedIll 5.5 years before improving or writing

Long COVID worsened for five years, naltrexone helped then a crash, now walks 10 min daily

Condition
Long COVID
At worst
Moderate (mostly housebound)
Ill before improving or writing
5.5 years
Last post
Jun 2026
In their words
  • Condition: Long COVIDCovid symptoms here since 2020/2021 and pretty bad since summer 2022. In context ↗
  • At worst: ModerateI need to work just a couple of hours, but it is killing me and PEM is really a thing. Talking with somebody for an hour gives a huge crash a day later. In context ↗
  • Now: RelapsedI was pretty normal last year, definitley due to ldn (3 mg) ... I crashed very hard after stopping. Never returned to 'pretty normal' since then. In context ↗
  • Began after: COVIDCovid symptoms here since 2020/2021 and pretty bad since summer 2022. In context ↗
Read from 27 of their posts and comments; links to the 22 this page draws on

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Summary

Long COVID began in mid-2021 with inflammation, dizziness and head pressure while he still ran marathons. He declined over five years, stopping running in late 2022 and cutting work to a few hours a week; antibiotics in late 2024 made things much worse. Low-dose naltrexone gave months of better energy in 2025, but depression and suicidal thoughts forced him to stop and he crashed hard afterwards. He now walks 10 minutes a day.

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What they tried

Their words about each treatment
  • breathwork and meditating · Not saidIn the beginning I was so motivated to get better and do all the good and healthy things like breathwork In context ↗
  • eating healthy, growing own vegetables, quitting alcohol · Not saideating healthy as fuck, grow my own veggies in the backyard, quit alcohol completely In context ↗
  • many supplements · WorseSupps: have tried so many (on advice of a functional doc) but the effect is so little. I dont think they did any good for my body and probably made me worse. In context ↗
  • antibiotics (doxy) · Much worseAntiobiotics have completely destroyed me! From mild covid symptoms to very severe. In context ↗
  • Lyme treatment from a functional doctor · Much worseA doctor gave me a lyme diagnosis too. ... My covid symptoms got so much worse, from able to work and 2 hour walks to almost nothing. In context ↗
  • LDN · Helped a lotIt helped me almost instantly with inflammation and after a while it helped with pem. ... But it made my brainfog worse and it fucked with my mood. In context ↗
  • icebaths · HelpedIcebaths helps me as well. The relief in my head is amazing, but only lasts a couple of hours. In context ↗
  • fasting (20-24 hour fast once a week) · HelpedFasting helps me, but its not so easy to continue this, because my body screams for food sometimes. In context ↗
  • red light / near infrared lamp (Nuvibody lite 1500) · No changeIt was nice to catch some light in de darker months, but no improvement in my covid symptoms. In context ↗
  • Zyrtec / antihistamine pills · WorseZyrtec give me extreme fatique and made me worse. In context ↗
  • strict diet · HelpedLDN, strict diet, Ewot therapy, Bemer therapy, there really was a difference and I could do more thing those days In context ↗
  • Bemer therapy · HelpedLDN, strict diet, Ewot therapy, Bemer therapy, there really was a difference In context ↗
  • citalopram · No changeI take it, but only very little effect. In context ↗
  • coq10 · No changeTried coq10, nac and creatine. Not a difference. In context ↗
  • Shilajit · WorseShilajit give some energy, but crash afterwards is harder. In context ↗
  • enzymes · Not saidOnly NAC, and some enzymes. In context ↗
  • strictly cutting refined sugars · No changeDid it strictly for a year, not a big difference. I expected a lot more. In context ↗
  • COVID vaccination as treatment · WorsePfizer: permanent damage: I felt it almost instantly. The biggest regret of my life In context ↗

Approaches: Alternative therapies

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
7/2021First noticeable symptoms (inflammation, dizziness); still training five times a week7/2021 first clearly noticable issues, inflammation and weirs dizziness but stil trained 5 times a week. In context ↗
7/2022First crash after a teens camp holiday as instructor7/2022 first crash after a teencamp holiday (instructor) In context ↗
11/2022Stopped running, switched to walking, worked a fifth of his hoursStopped running here and started walking and worked only 20 procent of my hours. In context ↗
12/2024Went downhill after antibioticsHere I had to take antibiotics and from here it was going downhill. In context ↗
5/2025No more walking; only five hours of work a week5/2025 no more walking and only work 5 hours a week. In context ↗
7/2025LDN improved energy and inflammation; back to the gym7/2025, tried LDN and i was getting better. Hit the gym In context ↗Low-dose naltrexone
9/2025Crashed after hikes in Germanyin 9/2025 did some hikes in Germany, but crashed after In context ↗
late 2025Crashed hard after stopping LDN because of depressionI had to quit with it, because of depressive symptoms from the ldn and I crashed very hard after stopping. In context ↗
2026-06-20Declined further; walks ten minutes, works a couple of hours, sleeps a lotnow only walk 10 minutes, cause I really really want it and sleep a lot. In context ↗

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaisePEM is really a thing. Talking with somebody for an hour gives a huge crash a day later. In context ↗
  • Headaches & migraineHere the same 24/7 headpressure since 2021. In context ↗
  • Anxiety & low moodmood swings, sometimes severe In context ↗
  • POTS & dysautonomiainflammation and weirs dizziness In context ↗
  • Vision problemsSometimes I see very blury cause of the pressure. In context ↗

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