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Long COVID Severe → somewhat betterIll 1 year before improving or writingNeeds ongoing treatment

Bedbound with severe ME/CFS and MCAS after long COVID, now somewhat better with pacing

Condition
Long COVID
At worst
Severe (mostly bedbound)
Ill before improving or writing
1 year
Last post
Oct 2026
In their words
  • Condition: Long COVIDI have had LC since September 2025, w dysautonomia, ME/CFS and probably MCAS. In context ↗
  • At worst: SevereI’ve declined into severe, bed bound over the course of 4 weeks. In context ↗
  • Now: Somewhat betterI have gone from being severe and mostly bedbound (1500 steps), to being housebound/couchbound. In context ↗
  • Began after: COVIDGot mild unconfirmed Covid July 12th this year.
Read from 129 of their posts and comments; links to the 54 this page draws on

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Summary

A 62-year-old physician with 30 years of mild ME/CFS crashed into severe, bedbound ME/CFS, dysautonomia and MCAS after a mild unconfirmed Covid infection in July 2025 and a gym session. She improved to moderate and housebound over the next year, averaging 3,000–3,500 steps, but had flares and crashes. She managed with pacing, Mestinon, H2 blockers and a low-histamine diet; LDN, ketotifen and most other drugs made her worse.

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What they tried

Their words about each treatment
  • Gabapentin · HelpedI have increased to 800 mg a day in divided doses . It helps me with the burning from the small fibre neuropathy. In context ↗
  • Magnesium citrate (CALM) · HelpedI used to take the calm supplement for the magnesium, and a nice side effect was that my stools were soft. In context ↗
  • Klonopin (clonazepam) · HelpedI take 0.125 mg of Klonopin at night to sleep. In context ↗
  • Omeprazole · Not saidI’m on Omeprazole 20 mg for GERD. In context ↗
  • Probiotics · WorseMost probiotics give me bloating, flatulence, and diarrhea. In context ↗
  • Claritin (loratadine) · WorseI get very jittery with even a children’s Claritin. In context ↗
  • Quercetin · Worse3 days of Quercetin and i developed anxiety. In context ↗
  • Vitamin D · Not saidSo far only doing Gabapentin 900 mg/day, Melatonin 4 mg, Omeprazole 20 mg, Vid C,D, Magnesium and Electrolytes. In context ↗
  • Electrolytes and 2 litres of water · HelpedI also get orthotic tension if I don’t drink my electrolytes and 2L water In context ↗
  • Melatonin · Not saidI use 4 mg to sleep at night . In context ↗
  • Pacing with pace points · Helpedbought a visible strap and a Garmin watch, and started pacing In context ↗
  • Visible band, Garmin watch and Oura ring · Not saidI have a Visible, a Garmin watch, and an Oura. In context ↗
  • Yoga Nidra, 4-6 breathing and pranayama · HelpedYoga Nidra brought my heart rate down yesterday. In context ↗
  • Flonase (fluticasone nasal spray) · HelpedIt was quite manageable with a single daily squirt of Flonase. ... the Flonase has stopped working since two days ago. In context ↗
  • NasalCrom (nasal cromolyn) · Helped a lotNasalCrom a Mast cell stabiliser helped a lot In context ↗
  • Low-histamine diet · Helpeda low histamine diet that has helped tremendously In context ↗
  • Xanax (alprazolam) · HelpedI took a 0.25 mg of Xanax two nights ago and got a good nights sleep . In context ↗
  • Dymista (azelastine/fluticasone) · WorseDymista and Neti pot worsened it. In context ↗
  • LDN (naltrexone) · WorseI’ve tried 0.05 mg LDN for 3 days but quit due to side effects. In context ↗
  • Bromelain · WorseI think I have slow COMT genes and can’t handle Bromelain (esp after covid) In context ↗
  • Lexapro (escitalopram) · WorseI tried a really low dose of Lexapro which gave me nausea and histamine release (skin prickling) on the first day itself In context ↗
  • CBD (Wyld) · WorseCBD (wyld brand) makes me feel high for two hours and then I feel groggy and sick for hours In context ↗
  • Buspar (buspirone) · WorseAlso got side effects w 2.5 mg Lexapro and 1.25 mg Buspar. In context ↗
  • Celebrex (celecoxib) · WorseI took the Celebrex for 4 days for a foot injury but had to d/c due to gastritis. In context ↗
  • Ketotifen · WorseThe only change is taking 0.05 mg Ketotifen in the morning for three days now. In context ↗
  • Gradually increasing steps and slow treadmill walks · Not saidI increased my steps to 2500-3000 a day In context ↗
  • Cromolyn sodium (oral) · Not saidI take H1/H2 plus Cromolyn Sodium. In context ↗
  • Mestinon (pyridostigmine) · HelpedI second (and third) the Mestinon, though I can only tolerate a small dose - 18 mg. In context ↗
  • Zepbound (tirzepatide) · WorseI took my first shot of 0.05 mg of Zepbound, and for the first four days, felt a significant improvement In context ↗
  • Famotidine (Pepcid) · Not saidPepcid makes me dysphoric In context ↗
  • Creatine · Not said4 days of 2.5-5 mg of Creatine made me feel like I was hypercaffeinated In context ↗
  • Desloratadine (Clarinex, Aerius) · Not saidJust taking 5 mg of desloratidine and experiencing nasal dryness / stuffiness and slightly altered nasal sensation. In context ↗

Approaches: Benzodiazepines · Diet · Mind-body practices · Other drugs and medicines

Their path

Very severeSevereModerateMildNear normalRecoveredonset6 mo12 mo

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
July 12, 2025mild month-long unconfirmed Covid illness, largely ignoredI had a mild month long viral illness that I mostly ignored. In context ↗Mild
August 23, 2025crashed after a gym resistance session, ended up in the ER, housebound and couchbound4 days later I ended up in the ER in a crash w severe weakness and muscle aches, burning SNF, gERD, and nasal congestion. In context ↗Severe
October 17, 2025declined to bedbound, severe weakness, 13 lb weight lossRight now my worst symptoms are severe muscle weakness that has me bedbound In context ↗Severe
January 9, 2026no longer bedbound, able to walk 1500-2000 steps a dayI’ve gone from bedbound to being able to walk 1500-2000 steps. In context ↗Moderate
January 10, 2026MCAS flare after a week of reading thrillers, 4-6 hours sleep and spicy snackshere I am with a week of MCAS symptoms- skin pain, coat hanger pain, panic attacks and a sore throat In context ↗Moderate
March 4, 2026dip, recliner bound after staying up late and snackingCurrently recliner bound, in a dip In context ↗Severe
May 29, 2026improved from mostly bedbound to moderate, houseboundI have improved from previously severe mostly bedbound, to currently moderate, housebound but still spending a lot of my day in the recliner. In context ↗ModerateMestinon / pyridostigmine
September 11, 2026housebound, stuck at about 3,000 steps, short treadmill walksI seem to be stuck at 3000 steps ... prepare simple meals for myself, and even do slow 15 minute walks on the treadmill. In context ↗Moderate

Adverse events

Symptoms mentioned

Their words about their symptoms
  • Post-exertional malaiseMy Long Covid involves PEM, fatigue, skin prickles,mild congestion, loss of appetite and anxiety. In context ↗
  • POTS & dysautonomiaOver the last year, I have developed ME/CFS, Dysautonomia and MCAS. In context ↗
  • Mast cell (MCAS) & allergiesIt took me 8 months to realize my long Covid was really a neuro-MCAS. In context ↗
  • Sleep problemsMy most debilitating symptoms right now are extreme anxiety and insomnia. In context ↗
  • Pain & fibromyalgiamy major symptoms being peri scapular pain and insomnia In context ↗
  • Gut problemsIn addition I have rapid weight loss, poor appetite, weakness, GERD, IBS In context ↗
  • BreathlessnessThe nasal stuffiness feeds air hunger and panic when I try to eat or sleep. In context ↗
  • Muscle weaknesssevere muscle weakness that has me bedbound In context ↗
  • Neuropathy & tinglingSmall fibre neuropathy on arms and face In context ↗
  • Anxiety & low mooddebilitating anxiety (that I was managing w 900 mg Gabapentin) In context ↗
  • Flu-like symptomspanic attacks and a sore throat In context ↗

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