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Long COVID Severe → near normalIll 5 years before improving or writingNeeds ongoing treatment

Long COVID brain fog and raised heart rate, now close to normal with time and pacing

Condition
Long COVID
At worst
Severe (mostly bedbound)
Ill before improving or writing
5 years
Last post
Sep 2026
In their words
  • Condition: Long COVIDI got long covid/ CFS since 2021. In context ↗
  • At worst: SevereI(28M) was fairly severe at the beginning. I was initially housebound but most of the time not necessarily bed bound. In context ↗
  • Now: Near normalI am not recovered 100%. But, I've recovered enough that I am back to living a normal daily life. In context ↗
  • Began after: a vaccinationThat's what triggered my initial long covid journey.
Read from 346 of their posts and comments; links to the 46 this page draws on

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Summary

A man got mild brain fog and a raised heart rate from the J&J vaccine in 2021; Covid about seven months later made it much worse. He credits time, rest, pacing and cutting sugar/carbs, and says exercise still brings days of PEM and brain fog. At around 1.75 years he estimated he was about 50% recovered and still significantly limited, though he could walk and his heart was improving.

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Asking aboutSequoia 55488’s story

What they tried

Their words about each treatment
  • prednisone / steroids · HelpedI started prednisone yesterday which tackled inflammation and had immediate positive results. In context ↗
  • workouts / gym / light exercise attempts · WorseI attempted 2 workouts within the following week which both ended abruptly with heart attack symptoms/ heart palpitations. In context ↗
  • phenergan · HelpedInitially I took phenergan (a antihistamine that is well known for its sleepy affect). Now I seem to be able to sleep without taking anything. In context ↗
  • SSRI · No changeDidn't notice much significant changes but staying on it for now. In context ↗
  • keto-like diet, cutting sugar, carbs and gluten · Helpedreduce gluten/ sugar intake considerably. Increase fats (keto diet). In context ↗
  • multivitamins · Not saidtaking multivitamins In context ↗
  • fish oil and omega 3 · Not saidtaking fish oil and omega 3 In context ↗
  • biokult gut bacterias / kefir smoothie · Not saidtaking biokult gut bacterias In context ↗
  • lions mane and turkey tail mushrooms · HelpedIt's been 4 weeks now and it seems to help me relax a little but it's hard to say whether it is making a difference or not. In context ↗
  • saunas / steam rooms · WorseI found steam rooms/ Saunas triggered my brainfog. In context ↗
  • chlorphenamine · WorseI took one at night time for 2 weeks. It certainly made me wake up less during the night however it made getting up in the morning 10 times harder. In context ↗
  • shrooms (psilocybin mushrooms) · WorseI tried 5g of shrooms and it made my brainfog and derealisation worse for about a week. In context ↗
  • Paxlovid · HelpedUpon my 3rd reinfection I received paxlovid and I do believe it made a solid difference. In context ↗
  • vitamin C · Not saidTook vitamin C. In context ↗
  • high water intake · HelpedDrank 4L of water a day. In context ↗
  • anti inflammatory painkillers · Not saidAnti inflammatory painkillers In context ↗
  • bisoprolol (beta blockers) · Helped a lotI just recently started taking a low Dose of beta blockers and they really made a notable difference. In context ↗
  • daily laxatives · No changeTried daily laxatives for 3 months, no change. In context ↗
  • high fibre supplements · No changeTried high fibre supplements for 3 months, no change. In context ↗
  • hhc vape (cannabis) · Much worseI tried a hhc vape last week (2.5 years long hauling) and ended up ringing an ambulance at 2am because I had heart attack symptoms. In context ↗
  • ice pack to the back of the neck · HelpedI've experimented with applying and ice pack to the back of my neck after exerting my upper body, and it deffinitely makes a difference. In context ↗
  • LDN (low dose naltrexone) · HelpedI am on my 3rd day of LDN and it baffled me waking up this morning when I moved my arms and legs and they suddenly didn't feel like dead weight. In context ↗
  • 60 hour fast · No changeI did a 60 hour fast 3 months ago and honestly I didn't notice much from it. In context ↗
  • plant sterols and low saturated fat diet · HelpedI cut out all saturated fats, started consuming plant sterol, and tried to go for a 10 min walk each evening. In context ↗
  • 3 day water only fast · No changeI did a 3 day water only fast but didn't notice much from it. In context ↗
  • pacing · Helped a lotTime and pacing are by far the most effective things for me. In context ↗
  • extended rest / bed rest · Helped a lotMy main strides of LC recovery have been during times of excessive rest. In context ↗
  • time · Helped a lotTime has been by far the main factor in my ongoing recovery. In context ↗
  • COVID vaccination as treatment · Not saidI got my first vaccine (J&J) and fainted immediately. I was unable to walk for 30 minutes. In context ↗

Approaches: POTS medication · Antivirals · Diet · Other drugs and medicines · Pacing · Radical rest

Their path

Very severeSevereModerateMildNear normalRecoveredonset12 mo2 y3 y4 y5 y

How ill they were on the ME/CFS severity scale, estimated from what they describe at each point, with time counted from when the illness began. Hover or tap a point. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they wereAfter
2021J&J vaccine brought on mild long-covid symptomsI got mild long covid from the J&J one-jab back in 2021. In context ↗Mild
February 2022first Covid infection; housebound, could barely cross a roomFor my first 12 months, walking from the couch to the toilet was a struggle. My heart rate would jump to 160bpm. In context ↗Severe
August 2022second Covid infection; severe flare-up and new PEMMy second time getting it I deffinitely had a severe flare up of my symptoms (50% worse again) In context ↗Severe
November 2022walking 20-30 minutes again and palpitations stoppedAfter 9 months I can now walk for 20-30 mins again with only mild dizziness and I no longer get heart palpitations. In context ↗ModerateTime and spontaneous remission
June 2024notable uplift just after the two-year markI'm now on month 28 and Id say I'm about 65% recovered. In context ↗MildTime and spontaneous remission
July 2024low-dose bisoprolol cleared chest pain overnightThey surprisingly eradicated all my chest discomfort and pain overnight. In context ↗MildBisoprolol (Concor)
December 2024LDN; daily work hours up about 25%In the last month my daily work hours are up about 25% without me even noticing. In context ↗MildLow-dose naltrexone
July 2026back to a normal daily life, working and walking freely, but still no exerciseI've recovered enough that I am back to living a normal daily life. In context ↗Near normalTime and spontaneous remission
September 2026most symptoms eased, but exertion still triggers a week of PEMMost of my symptoms have eased a lot. In context ↗Near normal

Adverse events

  • Corticosteroid pulses“Last night I had 3 episodes of heart palpitations. First time ever having them. ... apparent it is a sever side effect of these steroids and it suggests seeking immediate medical help” In context ↗ Heart rhythm problems
  • Antidepressants (unspecified)“I tried one anti depressant 2 years ago and could not for the life of me stay awake. My 3rd day on it I slept 20 hours in a row.” In context ↗ Side effects
  • Chlorphenamine (Piriton, Chlor-Trimeton)“it made getting up in the morning 10 times harder. Due to the added fatigue/ lethargy I found my brainfog to be far worse and harder to shake off during the day.” In context ↗ Side effects
  • COVID vaccination as treatment“I got my first vaccine (J&J) and fainted immediately. I was unable to walk for 30 minutes.” In context ↗ Low blood pressure or fainting
  • Everyday exercise and activity“I blindly and naively followed this suggestion and twice I almost gave myself a heart attack trying to lift weights. This instantly worsened my symptoms both times.” In context ↗ Made symptoms worse
  • Bisoprolol (Concor)“Unfortunately I think they have caused some additional fatigue but I'm going to keep with them and see how things unfold over the next couple months.” In context ↗ Side effects
  • “I got up to go to the bathroom in the middle of the night and suddenly my heart exploded in my chest. ... After 30 mins I rang an ambulance and went to the hospital.” In context ↗ ER visit
  • Extended water fasting (3+ days)“I did a 60 hour fast 3 months ago and honestly I didn't notice much from it. Slightly more brainfog after 40ish hours was all...” In context ↗ Made symptoms worse

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI get nasty 5-6 days of PEM upon pushing my threshold whatsoever. In context ↗
  • Brain fogBrainfog/ brain fatigue is still present but a lot milder than it once was. In context ↗
  • POTS & dysautonomiaI was officially diagnosed with Post Covid Syndrome and PoTS. In context ↗
  • Sleep problemsI pretty much have no insomnia anymore! In context ↗
  • Heart symptoms & palpitationsBrainfog, heart palpitations, chronic fatigue In context ↗
  • Gut problemsI went from pooping daily to pooping 1-2 times per week. In context ↗
  • Headaches & migraineI had very intense pressure in the front of my skull for 1.5 yrs. In context ↗
  • Anxiety & low moodStill had some depression and anxiety that lingered longer. In context ↗
  • Vision problemsIn general since covid I have to like consciously make my eyes focus on things. In context ↗
  • Muscle weaknessthey suddenly didn't feel like dead weight In context ↗
  • Neuropathy & tinglingthe brainfog, confusion, numbness, depersonalisation, and derealisation all set in heavy. In context ↗
  • BreathlessnessIf I try to do more I get dizzy, short of breath, elevated heart rate In context ↗

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