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Long COVID Severe → somewhat betterIll 3.5 years before improving or writing

Long COVID fluctuating at 20-65% of normal, somewhat better with Corlanor and MCAS control

Condition
Long COVID
At worst
Severe (mostly bedbound)
Ill before improving or writing
3.5 years
Last post
Apr 2026
In their words
  • Condition: Long COVIDAfter having Covid and cancer in 2020, then developing long Covid In context ↗
  • At worst: SevereReally fluctuated between 20-65% in the first two years. In context ↗
  • Now: Somewhat betterA lot has gotten better over the past three and a half years ... But I’m left with debilitating fatigue, PEM, muscle weakness, cognitive issues, and insomnia. In context ↗
  • Began after: COVIDAfter having Covid and cancer in 2020, then developing long Covid In context ↗
Read from 18 of their posts and comments; links to the 13 this page draws on

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Summary

Long-COVID patient ill since April 2020, whose function fluctuated between 20% and 65% of normal and was set back by pneumonia in January 2023. By late 2023 they were back to about 50% recovered: MCAS controlled and Corlanor helping dysautonomia, but still with debilitating fatigue, PEM, muscle weakness, cognitive issues and insomnia. They focused on nervous-system and autonomic rehabilitation, saw glacial gains, and began a Bezisterim trial in 2026.

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Asking aboutDusk 18432’s story

What they tried

Their words about each treatment
  • Novavax · HelpedInitial two days were rough - slept through them. But then last week I had two of the best days in a long time. Dysautonomia and POTS symptoms were pretty much gone. In context ↗
  • Hydroxyzine · HelpedHydroxyzine helps a bit In context ↗
  • eating low histamine · Helpedas does eating low histamine In context ↗
  • recumbent bike · HelpedI do better on a recumbent bike than I do walking. Build so slowly. In context ↗
  • Yoga nidra (guided body scan meditation) · HelpedYoga nidra (guided body scan meditation) has been incredibly helpful for me. In context ↗
  • Corlanor · HelpedCorlanor helps a lot with the dysautonomia and cardiac stuff In context ↗
  • nervous system support and autonomic rehabilitation · Helpedputting all of my focus on nervous system support and autonomic rehabilitation and starting to see some glacial improvement, or at least stabilization In context ↗
  • Bezisterim · Not saidI just started the trial today and am feeling pretty weird in ways I don’t typically feel. In context ↗

Approaches: POTS medication · Mind-body practices

Their path

Very severeSevereModerateMildNear normalRecovered12 mo2 y3 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. The chart starts 12 months after onset: the story doesn’t say how ill they were before that. 1 step says too little to place on the scale and is only in the table. Dates are when they posted. What the levels mean.

Show as a table
WhenWhat happenedWhere they were
April 2020long COVID after Covid and cancerI am a first waver, sick since April 2020 In context ↗Not stated
2020-2022 (first two years)function fluctuated between 20% and 65% recoveredReally fluctuated between 20-65% in the first two years. In context ↗Severe
January 2023set back by pneumoniaI was set back by pneumonia in January and it’s been a slog back up to 50% In context ↗Moderate
November 2023climbed back to about 50% recoveredit’s been a slog back up to 50% In context ↗Moderate
December 2023plateaued around 50%, glacial improvement with nervous system workI’m still struggling to get beyond 50% recovered. In context ↗Moderate

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseI’m left with debilitating fatigue, PEM, muscle weakness, cognitive issues, and insomnia. In context ↗
  • POTS & dysautonomiaCorlanor helps a lot with the dysautonomia and cardiac stuff In context ↗
  • Mast cell (MCAS) & allergiesMCAS is pretty well controlled now In context ↗
  • Sleep problemssomeone who otherwise suffers from terrible insomnia In context ↗
  • Gut problemsHas anyone experienced new onset diarrhea after the Novavax booster. In context ↗

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