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Long COVID Severe → near normalIll 2 years before improving or writingNeeds ongoing treatment

Worst long COVID with POTS and MCAS, now near normal on a carnivore diet

Condition
Long COVID
At worst
Severe (mostly bedbound)
Ill before improving or writing
2 years
Last post
Aug 2026
In their words
  • Condition: Long COVIDI am in the early LHers group. 2020 March. In context ↗
  • At worst: Severeback to 80-90% from almost dying In context ↗
  • Now: Near normalI seem to be able to achieve almost complete remission and be in a very good place if I stick to a stric carnivore diet and take extra ascorbic acid when fasted. In context ↗
  • Began after: COVIDI myself got sick early in March 2020 ... after which I caught it in September 2020 and that triggered numerous visits to hospitals
Read from 44 of their posts and comments; links to the 27 this page draws on

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Summary

A man in his 30s developed long COVID in September 2020 after a more severe reinfection, having had a February infection; he called himself one of the worst cases, with POTS, neuropathy, MCAS, dryness and gut problems. Steroids and antibiotics gave temporary relief, and he improved to 80-90% by March 2022. By 2026 he reported near-complete remission on a strict carnivore diet with ascorbic acid, plus famotidine and a PPI for gastritis and MCAS.

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What they tried

Their words about each treatment
  • amoxicillin · HelpedEverything improved and was normal. Was it the antibiotics? I dont know. In context ↗
  • magnesium · No changeYep, I did try magnesium. Doesnt work In context ↗
  • quercetin · No changeHave been taking it for a long time with DAO enzymes and it hasnt helped. In context ↗
  • DAO enzymes · No changeAlso DAO enzymes didnt do much for me In context ↗
  • NAC · No changeI have been taking dao and quercetin , NAC for months…didnt really notice improvements. In context ↗
  • ceftriaxone · HelpedI was getting better but now I am starting to see every symptom come back. In context ↗
  • metronidazole · Not saidcetriaxone intramuscularly 2g + metronidazole 3x400 In context ↗
  • doxycycline · Not said1 weeks of doxy which I had to stop because of thrush being so severe In context ↗
  • methylprednisolone · Helped a lotAfter I finally found a doc who was willing to give me methylprednisolone I really improved massively. In context ↗
  • omeprazole · HelpedI was also considering if part of the improvement came from omeprazole In context ↗
  • retard potassium · Helpedpotassium less likely but it does help even now, I tried a couple of times In context ↗
  • ivermectin · Not saidI have also been taking ivermectin for some time. In context ↗
  • rosuvastatin · HelpedWhat has proven to be beneficial for me was low dose statins + famotidine and multivitamins In context ↗
  • famotidine (Quamatel mini) · HelpedIt helps for sure. I forgot to take it for 2-3 days when I was quite busy and symptoms started coming back. In context ↗
  • multivitamin for men (BioTechUSA) · Helpedvitamin for men (biotech), methylcobalamine , methyl folate, iron , c vit, d vit( 6000IU) and occasional probiotics have been the most helpful. In context ↗
  • methyl B12 (methylcobalamine) · HelpedI have been taking methyl b12 and methyl folate (due to mthfr homozygous mutation In context ↗
  • methyl folate · HelpedFolate and b12 I take due to MTHFR homozygous mutation In context ↗
  • iron chewable tablets · Helpediron stores have been depleted In context ↗
  • vitamin C (ascorbic acid) · Helpedtake extra ascorbic acid when fasted In context ↗
  • vitamin D · HelpedDaily glutatione, natto and 6k vit D as well. In context ↗
  • probiotics (VSL3, S.boulardii) · Helpedprobiotics have been the most helpful. In context ↗
  • calcium · Not saidEvery 2nd day iron + vit c, calcium, magnesium, ginko, vit k1 and k2, selenium, zinc. In context ↗
  • omega-3 · Not saidmag, calcium, dao, quercetin, multivit, nac, q10, ginko, omega3 In context ↗
  • zinc · Not saidMethyl b12, methyl folate, vit d 6k daily + zinc Q10 and biotin megadose. In context ↗
  • vitamin K1 and K2 · Not saidk1 and k2, calcium , magnesium , quercetin, dao enzymes but they arent part of my daily routine. In context ↗
  • biotin · Not saidzinc Q10 and biotin megadose In context ↗
  • baby aspirin · Not saidEvery once in a while I will take a baby aspirin. In context ↗
  • xanax (alprazolam) · HelpedOnce I started taking 0.125mg of xanax ( half of the smallest dose) my blood pressure spikes and tachy disappeared. In context ↗
  • diazepam · HelpedTreatments that are used in MS like diazepams miraculously also help. In context ↗
  • pregabalin / lyrica · HelpedStarted lyrica today. 0 adverse effects, feeling quite well. In context ↗
  • mesalazine · HelpedIf I take mesalazibe it wilk drop to 14. In context ↗
  • clarithromycin · WorseI have been feeling horrible while on abx and I was ready to accept I miht be back to square 1. In context ↗
  • carnivore diet · Helped a lotI seem to be able to achieve almost complete remission and be in a very good place if I stick to a stric carnivore diet In context ↗
  • Advil (ibuprofen) · WorseAdvil makes my scalp itch and have nodules In context ↗
  • smoking · Helpedhave also improved by starting smoking post viral a decade ago In context ↗
  • COVID vaccination as treatment · Worsegot my 2nd pfizer shot at the end of April 2021. If anything, it made my symptoms worse. In context ↗

Approaches: H2 blockers · Proton pump inhibitors · Anticoagulants · Diet · Other drugs and medicines · Statins · Supplements

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
September 2020long COVID begins after a second, much more severe COVID infectionA shitload of symptoms and a lot more sever infection this time that triggered everything from A to Z In context ↗Severe
2021-08-11symptoms returned after ceftriaxone and doxycyclineI was getting better but now I am starting to see every symptom come back. In context ↗Severe
2021-12-08large improvement on methylprednisoloneI improved greatly almost completely while on methylprednisolone, retard potassium and omeprazole 40mg In context ↗ModerateCorticosteroid pulses
2021-12-10full relapse after catching a common coldHorrible sore throat, headache, full blown relapse. In context ↗Severe
2021-12-10one of his best days after the coldI was feeling so great like I havent in 2 years. In context ↗Mild
2022-03-09slow but steady improvement, heart settledI am improving , back to 80-90% from almost dying. In context ↗Mild
2023-01-07burning skin and urticaria only briefly controlled by prednisoneLow dose prednisone instantly got rid of it but that only worked for a time. In context ↗Moderate
2026-04-28near-complete remission on a strict carnivore dietI seem to be able to achieve almost complete remission and be in a very good place if I stick to a stric carnivore diet and take extra ascorbic acid when fasted. In context ↗Near normal
2026-08-24gastritis and MCAS symptoms resolved with low-dose PPI and famotidineFixing chronic gastritis and associated mcas symptoms solved it. In context ↗Near normal

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Brain fogAfter that I would be hit by severe brain fog and blood pooling in upper arms and feet. In context ↗
  • POTS & dysautonomiaThe usual POTS, susp. EM,low grade fever, vascular issues In context ↗
  • Mast cell (MCAS) & allergiestypical MCAS but waiting to exclude mastocytosis In context ↗
  • Sleep problemsIts maybe slightly better now with me being able to sleep like 4-5 hours max. In context ↗
  • Pain & fibromyalgiadull aches around ligaments/joints In context ↗
  • Headaches & migraineheadache , tachy and feeling like a mess In context ↗
  • Gut problemsI have had chronic gastritis show up in the past on gastric biopsies In context ↗
  • Heart symptoms & palpitationsHad crazy tachy , blood pressure spikes for at least 6 months. In context ↗
  • Muscle weaknessMuscles dont really work and ton of fasciculations happen. In context ↗
  • Neuropathy & tinglingneuropathy (calves twitching for months now), red burning feet and toes and upper arms mostly In context ↗
  • Anxiety & low moodAround the time I had some random panic attacks as well. In context ↗
  • Temperature regulationBut the worst symptom was very serious hypothermia. In context ↗
  • Hair lossI have lost some of my hair (body as well) In context ↗

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