Post Exertional Malaise

Posted by bettyjackson @bettyjackson, 6 days ago

I have always been the family "Energizer Bunny". But this was my last family gathering I can host.
5yrs of fighting long covid, since Spring 2020. Always determined I could be regular self by grit. Christmas Day I couldn't even get dressed. I didn't care if PrimeRib got cooked or not.(Which I can't smell or taste anyway) I've jumped into almost every suggested idea on this site..... supplements, etc., Skeptical relatives still don't understand. I was @ Mayo LongCovid clinic 4yrs ago, my Primary Doc is sympathetic, but Standard_Of-Care simply doesn't work for this weirdo viral invasion. Only coping strategies offered.
The whole world, millions of people , affected, but still no cures???!!!

Interested in more discussions like this? Go to the Post-COVID Recovery & COVID-19 Support Group.

Profile picture for kyrazpollet @kyrazpollet

(Cont) half hour walk in the hall. I don’t drive which makes it hard to go to supermarket. Or Docs, etc.
And I’m 91 yrs. Old. I was a real robust 90 yr. Old. Walked 40 min. In AM. Worked lifting wts for 1 and a half hrs. And stretching on floor 20 min. Or more.
I am so discouraged by this weakness. It isn’t me

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@kyrazpollet
I relate to everything you've said and I'm a female who is 83 years old. I've been managing my symptoms with supplements, (mostly Amino Acids) for 5 years now. The PEM does not get better over time. For more information, please visit the free YouTube Channels of: Broken Battery and the Bateman Horne Center and the site of Gez Medinger (he's one of us).
Please don't over-do your walking...as you will discover, the doctors are not aware of our impossible task of 'exercise' and the damage it can bring.
Oh, gosh...there is so much I can say. If you can see my reply to Vostie below, you'll learn more. I'm currently experiencing a bit of a PEM crash and am fatigued with brain fog to boot.
One of the best things I do for myself is twice-daily YogaNidra sessions with Ally Boothroyd on YouTube (also free). When you visit and read some of the comments, you will see that there are A LOT of people with L.C. who are getting relief.
My best to you.
Pam

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Hello, Betty Jackson and Everyone else,
I know exactly how you feel - Post Exertional Malaise is THE WORST and what a rediculous 'name' for such a debilitating conditon!
As I've said...I'm 83 years of age and 5 years post covid. I experienced my first bout of PEM approximately 6 weeks after contracting Covid in Oct. of 2020. I'm managing my symptoms holistically. I take A LOT of supplements - mostly Amino Acids to help repair my damanged mitochondria. I also participate in (free) twice-daily YogaNidra sessions with Ally Boothroyd on YouTube. You will be amazed how these help provide energy as is managed by our nervous system.
Oh, there is so much I can share and I want to but I am experiencing a bit of a PEM crash at the moment.
However, I encourage you to visit these free YouTube Channels for A LOT of helpful information. Broken Battery. Bateman Horne Center. Gez Medinger (he is one of us). The Y.T. channels of Healing Gems and Raelan Agle are very helpful and informative.
My best to you,
Pam

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Profile picture for vostie @vostie

I have had very good luck with Low Dose Naltrexone. I take it in the morning and about 2-3 hours later, I get a burst of energy. I take 4.5 mg each morning after taking weeks to slowly titrate up from .5 mg. It initially gave me quite vivid dreams and after two weeks, gave me insomnia if I took it too late in the day ...so now I take it in the morning. I have had Long COVID since 2020 and I finally have the energy and breath to walk 2/3 of a mile every day...and it has taken most of my arthritis pain away. It does not stop the Long COVID fatigue completely as I crash about 1 pm but I can still get up most days at 430 pm and make dinner!

I hear some people are taking it in two small doses so they can plan on an energy spurt twice a day but have not tried that.

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@vostie so happy to hear LDN works for you too. I’ve been on it 10 years. It’s a godsend for my arthritis, neuropathy, fibromyalgia pain. Rarely need other pain meds. Helps me with mood too.

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Profile picture for Suz @db72

Hello, I’m in my 40th year with ME/CFS - (got it when I was 36). Many researchers believe Long Covid may be the same thing, but if not, it’s nearly identical.

PEM is one of the hallmark symptoms of Me/CFS as well. Navigating holidays over the decades of raising a family was extremely challenging - especially when our children were growing up. Some years better than others as the disease waxed and waned.

I’m in my mid 70’s now and when our 50 year old son and his wife come to visit for holidays they understand that I will spend most of the time in bed. They know that I may or may not be able to do much in the kitchen and are ready to take over and help.
This year I bought already prepared foods that they could put together. I get groceries delivered.

But all this took education over the years. Never be afraid to be bold and tell your family and friends what it’s like to live with a disabling disease that appears “ invisible “ to others. Find good articles to share with them. It’s frustrating because it’s impossible for others to comprehend, but it’s imperative that we protect our health .

It’s extremely important to PACE all of our activities- especially during holidays. Don’t be embarrassed by it. It’s what we have to do to survive and to still find some enjoyment in life in spite of our limitations.

Wishing you peace and comfort this holiday season. Here’s a link to an excellent organization I’ve belonged to since the 80’s that researches and advocates for ME/CFS and Long Covid. I’ve shared their helpful info with many people.
“What are ME/CFS and Long Covid”
https://solvecfs.org/

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@db72 thanks for such a nice reply.

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Profile picture for kyrazpollet @kyrazpollet

@db72 thanks for such a nice reply.

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@kyrazpollet you’re welcome.☺️

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Profile picture for diverdown1 @diverdown1

It is extremely frustrating. I can completely relate. The PEM that goes along with this damn virus is the worst. Another piece is the people that do not believe or understand it. I can have a good day, where I can function and then there are days where I am only able to lie on the couch. I was always very active and in the best shape of my life when I got hit with Long COVID. Going on 3 years and 5 months now. I take medication that helps me function, but even then, there are days when I am just unable to do much. Have you heard of the web publication the "Sick Times"? Also there is a website that I follow. I will put the links in this comment. Hang in there. You are not alone and even hearing that I feel alone sometimes, but I do get so much from this site from people like you.
https://thesicktimes.org/
https://recovercovid.org/

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@diverdown1
I am 83 years of age and 5 years with L.C. and relate to everything you've said. Thank you for the links.
Take a look at the free YouTube sites of Broken Battery and also the Bateman Horne Center. It feels good to see others talking about our condition with some compassion and understanding.
I'm managing my symptoms holistically and take A LOT of supplements - mostly Amino Acids which help repair the mitochondria which in turn provides my body with energy. In addition, I practice YogaNidra twice daily with Ally Boothroyd on her free YouTube Channel. After my morning session, I usually feel up to taking a shower. I have a hand-held device, so at the end of my short shower, I turn the temperature to COLD and spray my neck, my arms and my legs (briefly) which stimulates my vagus nerve. By the time I step into my underware, I feel just about normal and enjoy 2 (sometimes 3) hours of energy and can leave my home and do an errand or two.
Mind you, though, this is not every single day. The cold affects my body negatively. I believe I have MCAS (Mast Cell Activation Syndrom) and I take Luteolin+Rutin to help mitigate the affects.
For more help, visit the free YouTube channel of Gez Medinger - he is 6 years L.C. and offers a wealth of information.
My best to you,
Pam

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Profile picture for kyrazpollet @kyrazpollet

@diverdown1 my kids don’t believe me when I tell them this is a life time thing. My arms and shoulders are so sore, I have to leave everything on kitchen counter. I do one task for 5 min. And I have to plop on couch. I can’t lift any thing more than a mug.im taking mucus pills to stop the mucus. Doc said try to work up to a

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@kyrazpollet
Sounds like my experience with Chronic Fatigue Syndrome and with LC. Listen to your body and check your hormone levels. Add more Vitamin C? I feel your pain and frustration.

I've been taking Imipramine (generic for Tofranil) - 50mg at night - ever since I had CFS. I tried stopping it when someone said it might be making my LC worse - bad idea. I won't stop it again. Theoretically, the Imipramine helps me with deeper, more restful sleep. Hoping you have a better 2026.

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Profile picture for mspaminreno @mspaminreno

@diverdown1
I am 83 years of age and 5 years with L.C. and relate to everything you've said. Thank you for the links.
Take a look at the free YouTube sites of Broken Battery and also the Bateman Horne Center. It feels good to see others talking about our condition with some compassion and understanding.
I'm managing my symptoms holistically and take A LOT of supplements - mostly Amino Acids which help repair the mitochondria which in turn provides my body with energy. In addition, I practice YogaNidra twice daily with Ally Boothroyd on her free YouTube Channel. After my morning session, I usually feel up to taking a shower. I have a hand-held device, so at the end of my short shower, I turn the temperature to COLD and spray my neck, my arms and my legs (briefly) which stimulates my vagus nerve. By the time I step into my underware, I feel just about normal and enjoy 2 (sometimes 3) hours of energy and can leave my home and do an errand or two.
Mind you, though, this is not every single day. The cold affects my body negatively. I believe I have MCAS (Mast Cell Activation Syndrom) and I take Luteolin+Rutin to help mitigate the affects.
For more help, visit the free YouTube channel of Gez Medinger - he is 6 years L.C. and offers a wealth of information.
My best to you,
Pam

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@mspaminreno
Yoga Nidra is amazing!! I, too, have practiced it with a local instructor. I don't do it as often now but previously, it got me from A to B. I highly recommend Yoga Nidra and Gez Medinger's book, Handbook to Long Covid, too. I read his book from cover to cover and reference it often,
Best of everything, Lucy

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Profile picture for mspaminreno @mspaminreno

Hello, Vostie and Everyone Else -
I, too have had LC for 5 years. I'm 83 years of age and caught Covid in Oct. of 2020.
Six weeks after Covid, I experienced my first bout of PEM and of course it has been a roller-coaster ride with it ever since.
However, I do want to share that I learned many things about the damange to our bodies and some of my solutions are: Amino Acids to help repair my mitochondria. Luteolin + Rutin to help mitigate the Mast Cell Activation. And, the practice of twice-daily Yoga Nidra sessions with (free) Ally Boothroyd on YouTube. You won't believe how Y.N. will help restore energy.
For a lot of information, I encourge you to visit the YouTube channels of "Broken Battery" and also the Bateman Horne Center AND, last but not least, Gez Medinger who is 'one of us'. (All sites are free)
My best to Everyone,
Pam

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The COVID Gut Connection
In my opinion, every effect of long COVID can be traced to issues with the Gut”. Being a scientist, I totally understand breathing, and oxygen transfer. It’s amazing that most of this gas is transported bound to hemoglobin and that the CO2 transports dissolved and converts back to CO2 in the lungs. It’s also amazing that the heart acts as pump and just beats along and when it stops working correctly, we have CHF.

The Gut, however is an amazing and mysterious “system” which we don’t appreciate or understand. You eat a piece of pizza, or for me, blueberries and rolled oats, and two days later, the “gut processing machine” turns it into “Mister Hankey, the Christmas Poo”! If you are unfamiliar with Mister Hankey, I suggest watching the 1997 South Park episode.

But the gut is much more than that and COVID alters these functions in important and destructive ways. COVID creates a long lasting inflammatory and autoimmune dysregulation, effecting our entire body and these effects have a profound impact on the gut. The gut is responsible for most of our immunity and COVID impacts these. The gut is responsible for producing most of our neurotransmitters (Dopamine, Serotonin, GABA, Epinephrine) and COVID impacts these. It even interferes with the mucosal gut barrier, causing (in my opinion) leaky gut, which results in bacteria crossing the gut wall, inflammation, autoimmune issues, histamine release and infections.

The solution: Which has worked for me, since I made the change in March 2021 after living with most of the reported long COVID symptoms, (having contracted it in March 2020): A Gluten free, NO red meat, deli meat, Dairy (with the exception of Greek Yougart), Pizza, donuts, Drive through foods, or ultra processed snack, life. Initially, I had a bad reaction to histamine releasing foods like tomatoes and yogurt, (caused itching and skin eruptions like hives) but that has dissipated, so I now eat these foods. In addition, I take 1500 mg of L proline (the active AA in collagen) and one ounce of “Go Raw Pumpkin seeds” a day. At 71 and having “Old Teeth”, I grind the seeds to a powder in a coffee grinder and add them to my pasta, which is (Veggipasta Rotini from AGT foods. It’s totally gluten free and made from Yellow Pea Flower. For beans, I eat only Organic Pinto beans from 365 Whole Foods Market. Most people will not be willing to do this! My answer; try it for a month and if you see it’s working, you will begin to regain your pre-COVID life. Good luck.

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Profile picture for mspaminreno @mspaminreno

@diverdown1
I am 83 years of age and 5 years with L.C. and relate to everything you've said. Thank you for the links.
Take a look at the free YouTube sites of Broken Battery and also the Bateman Horne Center. It feels good to see others talking about our condition with some compassion and understanding.
I'm managing my symptoms holistically and take A LOT of supplements - mostly Amino Acids which help repair the mitochondria which in turn provides my body with energy. In addition, I practice YogaNidra twice daily with Ally Boothroyd on her free YouTube Channel. After my morning session, I usually feel up to taking a shower. I have a hand-held device, so at the end of my short shower, I turn the temperature to COLD and spray my neck, my arms and my legs (briefly) which stimulates my vagus nerve. By the time I step into my underware, I feel just about normal and enjoy 2 (sometimes 3) hours of energy and can leave my home and do an errand or two.
Mind you, though, this is not every single day. The cold affects my body negatively. I believe I have MCAS (Mast Cell Activation Syndrom) and I take Luteolin+Rutin to help mitigate the affects.
For more help, visit the free YouTube channel of Gez Medinger - he is 6 years L.C. and offers a wealth of information.
My best to you,
Pam

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@mspaminreno Thank you so much!!

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