Long COVID with fatigue and brain fog, some improvement after ivermectin and NAC
- Condition
- Long COVID
- At worst
- Mild (working or studying, with limits)
- Ill before improving or writing
- 18 months
- Last post
- Aug 2026
In their words
- Condition: Long COVID
My first infection on Oct 29 2020 was very very bad. My long Covid started right after that.
In context ↗ - At worst: Mild
I’m actually able to go on vacation and function at 75% when it was usually 50%
In context ↗ - Now: Somewhat better
Not fully , but I don’t expect to ever be the same.
In context ↗ - Began after: COVID
My first infection on Oct 29 2020 was very very bad. My long Covid started right after that.
In context ↗ - Says they never had: Breathlessness
I’ve never had breathing issues
Read from 37 of their posts and comments; links to the 22 this page draws on
Summary
Birch 54380 fell ill after a COVID infection on 29 October 2020 and reported fatigue, brain fog, heart problems and arm tingling. She credited ivermectin in 2022 for a large improvement, from 50% to 75% of normal function, and later NAC, red light therapy and a diet without seed oils or added sugar, with alcohol cut down. She said she was not fully recovered, and that things had been getting worse again by late 2025; exercise still triggered days of inflammation, and stress, alcohol or eating wrong brought flare-ups.
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What they tried
What they credit
Also tried
Their words about each treatment
- ivermectin · Helped a lot
It has helped me tremendously.
In context ↗ - time · Helped
The only that help it for me is time and Ivermectin
In context ↗ - anti-inflammatory diet (no seed oils, added sugar) · Helped
For me it was diet. Cutting out seed oils, sugar, mainly.
In context ↗ - red light and near infrared light · Helped a lot
Localized red light and near infrared light on my head 4x a week and NAC have been the only things to really help me.
In context ↗ - NAC · Helped a lot
NAC was one of the only things to help me and I started it 2 years and 3 months ago!
In context ↗ - cannabis · Worse
Makes me heart beat too fast now for me also.
In context ↗ - prednisone · No change
If I get a flare up I try a very low dose of prednisone, but that has stopped working.
In context ↗ - fish oil · Not said
I take NAC and fish oil and certeizine.
In context ↗ - lions mane coffee · Helped
I like lions mane coffee for added energy
In context ↗ - moringa · Not said
I take a lot of natural things like moringa for energy and inflammation.
In context ↗ - pro biotic · Not said
A good pro biotic.
In context ↗ - creatine · Not said
I do take Zyrtec and fish oil , creatine.
In context ↗ - Ashwaghanda · Helped
Ashwaghanda and red light therapy help with sleep too.
In context ↗ - IF · Helped
IF and also no seed oils and added sugars helps me a lot.
In context ↗ - l theanine · Not said
I feel like I got serotonin dumps from too much l theanine. ... I dump out 1/4 of my 100 mg capsule and that’s good for me
In context ↗
Approaches: Alternative therapies · Diet · Other drugs and medicines · Supplements
Their path
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 first step with a time is 20 months after onset: the story doesn’t say how ill they were before that. The dashed part: the story doesn’t say when. 3 steps say too little to place on the scale and are only in the table. Dates are when they posted. What the levels mean.
Show as a table
| When | What happened | Where they were | After |
|---|---|---|---|
| 2020-10-29 | First COVID infection; long Covid began immediatelyMy first infection on Oct 29 2020 was very very bad. My long Covid started right after that.In context ↗ | Not stated | |
| — | Lowest baseline: about half of her usual functionI’m actually able to go on vacation and function at 75% when it was usually 50%In context ↗ | Mild | |
| 2022 | Three flare-ups, with a few hours of psychosis after eachI slipped into psychosis for a few hours after I had Covid and after each flareup. I had three flareups.In context ↗ | Not stated | |
| 2022-07 | ivermectin; energy back, able to go on vacationI finally tried ivermectin. It has helped me tremendously ... I’m actually able to go on vacation and function at 75% when it was usually 50%In context ↗ | Mild | Ivermectin |
| 2022-08-24 | continued improvement on ivermectin, heart much betterI’m 60% better. Heart 90% better.In context ↗ | Mild | Ivermectin |
| 2024-10 | flare-up after partying on vacationMy last flare up was in October 2024 after partying on vaca.In context ↗ | Not stated | |
| 2025-01-04 | red light therapy and NAC kept flare-ups awayI use red light therapy and NAC to keep flare ups away.In context ↗ | Mild | |
| 2025-10-04 | felt things getting worse; exercise caused days of inflammationsomehow things are just getting worse for me ... if I exercise at all now and push myself it makes the inflammation bad for two or three daysIn context ↗ | Mild | |
| 2026-04-11 | a year of strict diet; doing good finallyNo added sugar, seed oils, cut way down on alcohol. Doing good over here finally. Been a year very strict with itIn context ↗ | Mild | |
| 2026-08-05 | still has visual and word-finding symptoms and post-exertional inflammation; NAC helpsNAC helps but my serotonin dumps sometimes still with too much excitement or too much activity.In context ↗ | Mild |
Adverse events
- Ivermectin“I had a bad eye problem when I was taking it and it makes any eye problems worse before it makes it better.” In context ↗ Made symptoms worse
- NAC (N-acetylcysteine)“When I first started a year and half ago it was very strong for me. I couldn’t drink alcohol. I was falling asleep all the time.” In context ↗ Side effects
- NAC (N-acetylcysteine)“I think it can make me constipated if I take it too much” In context ↗ Gut side effects
- L-theanine“I feel like I got serotonin dumps from too much l theanine.” In context ↗ Side effects
Symptoms mentioned
Their words about their symptoms
- Post-exertional malaise
if I exercise at all now and push myself it makes the inflammation bad for two or three days
In context ↗ - Brain fog
But the minute I add them back in, the fatigue and brain fog comes back.
In context ↗ - Heart symptoms & palpitations
They were frequent with pain until I took ivermectin. Now no pain and less frequent.
In context ↗ - Neuropathy & tingling
My right arm tingled for months. All better now after ivermectin
In context ↗ - Vision problems
I also have blepharitis which messes with my vision like floaters etc
In context ↗ - Sleep problems
I got back to sleeping better after using NAC to take down inflammation.
In context ↗ - Anxiety & low mood
I slipped into psychosis for a few hours after I had Covid and after each flareup.
In context ↗
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