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URLhttps://www.cognitivefxusa.com/blog/natural-treatment-for-covid-long-haulers
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Meta TitleNatural Treatment for COVID Long-Haulers: Know Your Options
Meta DescriptionMany products claim to help with long COVID; how do you know which ones are safe? Learn all about natural treatments for long COVID.
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• Updated on 16 July, 2024 • More than 20 million Americans   have lingering symptoms that can be described as long COVID (or “post-COVID conditions”), but doctors and scientists are still researching why it develops. As a result, these patients often struggle to get a diagnosis and find a suitable treatment for their condition.  Understandably, it’s easy for these patients to get frustrated and consider alternative treatments. There are many products and supplements claiming to help with long COVID, so how do you know which ones are safe and trustworthy?  Sometimes, there is no information available, or it is presented in a difficult-to-understand format.  For example, colloidal silver has been promoted as a health supplement that can boost the immune system and treat COVID-19, but those claims have been found to be   fraudulent . Not only is colloidal silver   not   a legitimate COVID-19 treatment, but it can also interact negatively with certain prescription drugs, cause skin discoloration, and even result in serious organ damage.  Unfortunately, there is no miracle supplement that can cure long COVID. But that doesn’t mean you’ll be stuck taking 10 different medications for your condition. There   are   natural ways to treat long COVID.  At Cognitive FX, we offer a scientifically sound regimen of multidisciplinary therapy that   has already shown success   in treating long COVID. In addition, we’ll explain what you can do naturally at home to improve long COVID symptoms. Here’s a quick overview of what we’ll explain in this post: Symptoms of long COVID Causes of long COVID symptoms Therapy for long COVID Supplements that might help long COVID Ways to boost your recovery at home After just one week of treatment, 90% of our patients already show symptom improvement. Using advanced brain scan techniques, we can also see how our patients' brains respond to treatment. Thus far, we’ve seen strong results with   long COVID patients   who pass our current screening criteria. To discuss your specific   COVID-19 symptoms   and determine whether you’re eligible for treatment at our clinic,   schedule a consultation . What Are the Symptoms of Long COVID? The term “long COVID” describes symptoms that last more than a few weeks after a COVID-19 infection. This condition has been called by many names, including post-acute COVID-19 Syndrome (PACS), chronic COVID-19 syndrome, and long-haul COVID-19.  It’s still not clear how common long COVID is, with estimates varying widely from   9%   to   80%   of post-COVID patients. As this is such a new disease, each research team used its own definition, which can explain (at least partially) these reported differences. To address this issue, in October 2021, the World Health Organization ( WHO ) proposed the name “post-COVID-19 condition” and suggested a   unifying   definition as “the condition that occurs in individuals with a history of probable or confirmed SARS-CoV-2 infection, usually three months from the onset of COVID-19, with symptoms that last for at least two months and cannot be explained by an alternative diagnosis.”  The likelihood of developing long COVID is not related to how ill you were when you first got COVID. This means even if you had a mild or asymptomatic case, you could experience long-term symptoms. In addition, the wide-ranging symptoms make it very difficult for doctors to diagnose. One   study   reported over 200 symptoms that can fluctuate or even appear out of the blue after patients have recovered.  Some symptoms are the same as COVID-19 and include: Fatigue Shortness of breath Loss of sense of taste or smell Difficulty concentrating Muscle ache Headaches Cough Memory loss High temperature Sore throat However, many patients also experience a wide range of other symptoms, including: Joint pain Chest pain or tightness Breathlessness Heart palpitations Dizziness Pins and needles Tinnitus or earache Nausea Diarrhea Abdominal pain  Loss of appetite  Skin rashes Memory problems Concentration problems Brain fog Depression and anxiety Fatigue Extreme tiredness Problems sleeping Changes in the menstrual cycle What Causes Long COVID Symptoms? Even after most countries around the world have largely lifted restrictions and the number of COVID-19 cases is finally going down, there are still many questions about long COVID, including why some patients develop long-term symptoms and what mechanisms are behind these symptoms.  There are several theories to explain these long-lasting symptoms. As researchers investigate more, it’s becoming increasingly clear that it’s not just one factor, but a combination of different factors which affect each long hauler in a different way.  Here are a few of the most prominent causes of long COVID symptoms: Neurovascular Coupling Dysfunction  Scientists studying how COVID impacts the body found a link between the   endothelium   and long COVID.  The endothelium is the thin membrane that lines the inside of blood vessels. In the brain, this is a key component of the   neurovascular unit , which also includes vascular cells, glial cells, and neurons.  In a normal brain, neurons receive oxygen and nutrients from a surrounding network of blood vessels. This is called neurovascular coupling, and it involves a delicate mechanism by which neurons can “order” the resources they need to be delivered at the right time and to the right location.  When COVID-19 damages the endothelium, it disrupts this connection between neurons and blood vessels. As a consequence, affected areas in the brain will not function as well as they should because they can no longer receive the resources they need to operate normally. This is called neurovascular coupling dysfunction and results in many of the physical and cognitive symptoms described above.  Further reading: What is neurovascular coupling? Dysfunction of the Autonomic Nervous System  Many   studies   have also confirmed that the COVID virus causes dysfunction of the autonomic nervous system (ANS). In simple terms, the ANS controls many bodily functions, including heart rate, breathing patterns, and blood pressure. Two parts of the ANS include the sympathetic (SNS) and the parasympathetic nervous system (PNS). The SNS is responsible for our “fight or flight” reactions, and the PNS controls our “rest and digest” processes.  Under normal circumstances, PNS and SNS work together to allow your body to respond to the environment. However, long COVID can disrupt this fine balance, causing many different symptoms including exercise intolerance, headaches, blood pressure changes, urinary incontinence, heart palpitations, problems breathing, and more. Curiously, the   severity   of the original COVID-19 infection doesn’t necessarily correlate with the degree of autonomic dysfunction, and even patients who had a mild case can develop considerable autonomic dysfunction. Autonomic nervous system dysfunction and neurovascular coupling dysfunction are closely related; many patients develop both. Further reading:     Long COVID Can Cause POTS and Dysautonomia Vision & Vestibular Symptoms Many patients who get COVID develop some form of eye (vision) and ear (vestibular) symptoms, and these are among the complaints that end up persisting for a long time.  Vision symptoms may include dry eyes, redness, itching, blurry vision, sensitivity to light, and the feeling that there is a foreign particle in the eye. Vestibular symptoms include dizziness, vertigo, lightheadedness, spatial disorientation, sleep disturbances, and more. Sometimes there’s an overlap between vision and vestibular symptoms. Many of these are common during the acute phase but they’re also a sign of long-term COVID.  For example, If you wake up feeling normal (no headaches or dizziness) but then start to struggle as the day goes on, it’s likely that you’re experiencing vision-related symptoms. Your eyes rest overnight but become more tired during the day, causing symptoms to recur. With vestibular issues, it’s often the opposite. In a healthy brain, the vestibular system knows when you’re asleep because you don’t really move your head. During this period, most of this system is not active, and “non-adaptive fibers” in the utricle and saccule (which are involved in orientation and balance) take over. For long haulers, however, this mechanism is disrupted, making it harder to fall asleep or causing headaches, dizziness, and nausea in the morning when you wake up.  Other Possibilities There are several other theories to explain long COVID symptoms, including: Tiny   blood clots :   Many researchers believe tiny blood clots may be impairing blood flow in different organs, including the   lungs , causing long-term symptoms. This idea gained some credence when a South African team   reported   that such clots can linger for a long time in the blood of long haulers.  Persistent infection:   It’s also possible that remnants of the SARS-CoV-2 virus may stay in your body after the original infection, causing long-lasting symptoms.   Researchers   from the U.S. National Institutes of Health analyzed tissues from 44 people who had COVID and found viral RNA in their brains, muscles, guts, and lungs. They’re now trying to establish how this lingering virus is driving illness in long COVID patients. Exaggerated immune response:   Instead of returning to normal levels after fighting the infection, the immune system in some patients stays on   constant   high alert. This chronic inflammation can cause a series of health problems, including cognitive and physical symptoms.  Nerve damage: New research suggests that damage to the   vagus nerve   (which extends from the brain to the torso) may be responsible for many of the long COVID symptoms, including abnormal heart rate, dizziness, and gastrointestinal problems. Researchers found a range of structural and/or functional alterations in the vagus nerve of long haulers, including nerve thickening, trouble swallowing, and symptoms of impaired breathing. Since the vagus nerve is intimately involved with autonomic nervous system regulation, it’s not surprising that any damage to it could drive symptoms related to ANS dysfunction. Change in habits   post-COVID :   The COVID-19 pandemic has upended much of society in ways we never experienced before. Changes in diet were common during the months of lockdown, with patients resorting to snacking mostly on foods with poor nutritional value, leading to fatigue. Research shows that sleep disturbances also became more prevalent since the start of the pandemic, increasing anxiety and depressive symptoms, as well as irritability, changes in mood, and lack of concentration. This, combined with less exercise, resulted in a lower quality of life — particularly in COVID long haulers.  Treatment at Cognitive FX At Cognitive FX, we instead use a combination of exercise and multidisciplinary therapies to treat COVID long haulers. Our treatment addresses neurovascular coupling dysfunction, autonomic nervous system dysfunction, vestibular imbalance, and vision problems, which — as we explained earlier — are some of the main mechanisms behind long COVID symptoms.  You can learn more about how we developed our treatment program here. The key to our success is treating long COVID for what it is: a brain injury. We’ve adapted our regular brain injury treatment program to address the specific needs of long COVID patients. For example, long COVID patients often experience more severe breathing problems than some of our other brain injury patients, so our therapists spend extra time walking them through helpful breathing exercises. Some COVID patients suffer from cardiovascular complications; when that happens, we adjust their exercise routine accordingly.  Every long COVID patient is different, so we begin treatment with a full assessment of your physical and cognitive capabilities, your symptom profile, and your medical history. Most importantly, we use advanced brain imaging technology called functional Neurocognitive Imagining (fNCI), which is a type of functional MRI capable of tracking blood flow throughout the brain. Using fNCI, our team can identify which areas of your brain were affected and how healthy their communication is with other areas of the brain. We examine 56 brain regions while you execute a series of cognitive tests.  An example fNCI scan results summary from a healthy patient. Using the results from the scan, our treatment team tailors a treatment plan specifically for your needs. During treatment — which we call Enhanced Performance in Cognition, or EPIC for short — you’ll engage in a series of cardio exercises along with other therapies such as cognitive, sensorimotor, neuromuscular, and vision therapies, to name just a few. These therapies help your brain and body recover while improving your symptoms.  You’ll also see a psychologist who can help with symptoms like anxiety and depression. In addition, you will learn mindfulness meditation to help calm the mind and body. If we feel that you may need more support for your mental health, we will make specific recommendations for follow-up near your home.  On the last day of treatment, you’ll undergo a second scan to monitor your improvement. Results for our long COVID patients so far have been positive, with patients reporting significant improvement in symptoms like headaches, dizziness, and brain fog.  After just one week of treatment, 90% of our patients already show symptom improvement. Using advanced brain scan techniques, we can also see how our patients' brains respond to treatment. Thus far, we’ve seen strong results with   long COVID patients   who pass our current screening criteria. To discuss your specific   COVID-19 symptoms   and determine whether you’re eligible for treatment at our clinic,   schedule a consultation . Supplements to Treat Long COVID Symptoms: Can They Help? If you’re struggling to find an effective treatment for the long-term effects of coronavirus infection, you may have been looking for alternative medicines.  It may be tempting to try, but there’s very limited research regarding the use of these interventions to treat long COVID. Also, be aware that there are many dangers involved with self-prescription, such as harmful drug interactions, side effects, and incorrect dosing. Long COVID is a complex condition affecting many organs in the body and causing a variety of symptoms; interactions between products become more likely if you try multiple treatments at the same time.  There is some research starting now in this field, but it’s still in its infancy. Most of the products listed below have not been tested fully. Listing these products here does not mean we endorse them; it is for your information only. Before starting any supplement, consult with your doctor.  One of the few natural products that have been tested in COVID patients includes   prebiotics and probiotics . Long COVID patients often complain of digestive problems, including abdominal discomfort and diarrhea. This may be caused by   disruption   to their gut microbiota, with significant losses of good bacteria such as Lactobacillus and Bifidobacterium. It is likely that using prebiotics and probiotics can regulate the balance of intestinal microbiota and reduce the risk of secondary infection in those patients.  No studies so far evaluated the use of probiotics for the management of long COVID, but according to the International Scientific Association of Probiotics and Prebiotics,   many researchers   are assessing the ability of various probiotic strains to reduce the viral load via different mechanisms of action. In the U.K., there is also an ongoing   clinical trial   to test the efficacy of a product called Live Biotherapeutic MRx-4DP0004, which contains Bifidobacterium; and in the U.S., researchers are testing a product with   Lactobacillus   to see whether it has the ability to decrease infections and improve long term outcomes.  Some   studies   have also shown that certain   vitamin and mineral   supplements   (such as Vitamin C) may be able to help long haulers recover from fatigue. These products may help the body fend off viral infections and boost immunity, which may in turn prevent prolonged post-COVID fatigue and gastrointestinal problems.  There is some limited data suggesting that some supplements may also improve cognitive and mental symptoms, like brain fog and anxiety. Vitamins B and C, iron, and magnesium are all involved in   energy metabolism   and can help fight physical and mental fatigue. The results look promising, but more research is needed to assess the efficacy of using dietary supplements for COVID long haulers.  Melatonin   is another supplement currently being tested for long COVID treatment. There are no studies yet involving long haulers, but in patients suffering from diseases with high levels of   inflammation , the use of melatonin successfully lowered the levels of circulating cytokines and improved symptoms.   Researchers   are further exploring its use to treat COVID-19 by focusing on melatonin’s ability to reduce blood vessel permeability, reduce anxiety, and improve sleeping patterns.  Honeybee products , including honey, beeswax, and propolis, are commonly used for their medicinal properties, including for symptoms of viral respiratory tract infections. There are no studies with COVID long haulers, but one   study   showed that propolis (a mix of resin and beeswax) reduced the risk of shock, respiratory failure, and kidney injury in hospitalized patients with COVID. The authors attributed the results to propolis’ antiviral and anti-inflammatory properties, suggesting that it may also help treat long COVID.  Evidence also suggests that   curcumin   has the   potential   to help with long COVID due to its ability to block viral replication and control inflammatory cytokines. Further research is needed, including finding a way to increase its bioavailability (which reflects the body’s ability to absorb and use the helpful components).   When it comes to addressing symptoms like   brain fog   and other cognitive issues, natural flavonoids   luteolin and quercetin   may be an option. Both have broad antiviral properties, inhibit neuroinflammation, and reduce cognitive decline. Like all the other supplements, further research is needed.  Despite the fact that, in theory, these natural products   may   be able to help long haulers, the reality is that further research is needed to confirm safety and efficacy. And even if they do help, these supplements are never going to be a cure for long COVID. It takes a more comprehensive treatment approach to recovery than supplements alone can offer. Instead,   request a consultation   with the Cognitive FX team to see how we can help you. You need an experienced healthcare provider specialized in brain injuries who can identify the cause of your long-hauler symptoms and develop an appropriate, comprehensive treatment plan.  What You Can Do at Home Beyond therapy and supplements, there are a few key steps you can take at home to promote recovery from long COVID.  Follow a Balanced Diet If you’re experiencing the effects of long COVID, what you eat will have a major impact on how you feel. Choosing to follow a healthy and balanced diet is a good way to promote your recovery at home.  Some foods, such as oily fish rich in omega-3, nuts, and seeds, can be helpful to reduce the inflammatory response characteristic of this viral disease. Also, fruit and vegetables are high in antioxidants and can counteract oxidative stress caused by inflammation. In contrast, you should avoid foods like highly processed foods, high in fat or high in sugar, as these may have a pro-inflammatory effect. Further reading: Nutrition for a recovering brain Rest Frequently during the Day Patients often find that attempts to push through fatigue and migraines make them feel worse and exacerbate the intensity of their symptoms. While you’re recovering, rest as much as you need, and allow yourself more time to complete your normal routine.  Pace yourself during the day. Carefully plan what you need to do but don’t overexert yourself. Take breaks when needed. Break complex or time-consuming tasks into smaller chunks and alternate between easy and difficult activities. Pick the time of the day when you’re more alert to complete the most important or difficult tasks.  Practice breathing exercises to control your breathing patterns and relax both body and mind. Follow a Good Sleep Pattern Recent   studies   show that up to half of long haulers complain of sleep disorders. This is not surprising as sleep patterns can be disrupted after a viral infection. If you have trouble falling asleep or wake up frequently during the night, it’s important that you address this issue. There is a close relationship between poor sleep and poor mental health. A poor night’s sleep can make feelings of depression, anxiety, and stress feel worse. Go to bed early and follow the same pattern every day.  Avoid screens close to bedtime and use blue-light filters when you do use them. Restrict caffeine to the morning only (although it’s better if you can do without it while you recover). Avoid alcohol at night as well. Make sure your bedroom has a relaxing atmosphere that can help you sleep. You might need to declutter or add a source of white noise. If you need it, take a short nap during the day, but no longer than 30 minutes. Longer naps can actually be counterproductive. Engage in Regular Exercise   Physical activity plays a   vital role   during recovery from long COVID. Choose something that you can achieve without causing a massive flare-up of your long-haul symptoms. There’s a fine balance between doing too much and not doing enough. We highly recommend intervals: Short bursts of cardio (around 30 seconds to one minute) followed by one to two minutes of controlled breathing. To know when it’s safe to continue exercising versus when you should stop, follow this simple rule: If you’ve noticed three symptoms starting or getting worse during exercise, then it’s time to stop. Similarly, if a single symptom is getting worse quickly, going from what you would rate as a 1 (mild) to a 4 (severe), it’s a sign that you need a break.  If you’re just feeling a slight headache or experiencing mild dizziness, it’s okay to continue. Exercise helps the brain heal and will keep other symptoms under control in the future. Reduce Stress in Your Life Dealing with long COVID can be very stressful. As you’re able, plan some “you” time during the day. Go for a walk, sign up for a yoga class, or simply sit in a quiet place reading a good book. Learn your symptom triggers and avoid or limit situations that may push you past your limits. For example, if driving in heavy traffic is too much for you, look for an alternative route or travel at a different time.  You may find it helpful to stick to a consistent daily routine. And don’t be afraid to ask loved ones for help when you need it. Remember that some days will be better than others. Recovery isn’t linear, but you   can   keep improving with time. FAQ: Does the COVID-19 Vaccine Help with Long COVID? While the COVID-19 vaccine is effective at reducing hospitalization and death, a new study showed that it only reduces the chance of developing long COVID   by 15% . Some scientists are   investigating   whether the booster shot can help current COVID-19 long haulers recover, but the results are mixed. While some patients report feeling better — possibly because of a renewed antibody response — not all notice an effect, and no rigorous studies have confirmed a benefit for long haulers. After just one week of treatment, 90% of our patients already show symptom improvement. Using advanced brain scan techniques, we can also see how our patients' brains respond to treatment. Thus far, we’ve seen strong results with   long COVID patients   who pass our current screening criteria. To discuss your specific   COVID-19 symptoms   and determine whether you’re eligible for treatment at our clinic,   schedule a consultation . About the author Dr. Alina Fong, Ph.D. Alina Fong, Ph.D. is a clinical neuropsychologist and the Clinical Director and Co-Founder of Cognitive FX. She earned her Ph.D. in Clinical Neuropsychology with an emphasis in Neuroimaging from Brigham Young University, where she received the American Psychological Association Division 40 Graduate Student Research Award for her neuroimaging research. Dr. Fong has over 17 years of clinical experience treating traumatic brain injury, beginning with her work at the VA Salt Lake City Healthcare System and Utah Valley Regional Medical Center, where she directed the neurotrauma rehabilitation and sports concussion clinics. She developed the EPIC Treatment protocol and has personally overseen treatment for nearly 8,000 brain injury patients, including professional athletes from the NFL, NHL, and Olympics. She serves as Vice President of the Brain Injury Alliance of Utah, sits on the board of the United States Brain Injury Alliance, and advises PINK Concussions. Dr. Fong has authored peer-reviewed research on functional MRI and concussion treatment and has presented at over 60 medical conferences, including the Federal Interagency Conference on TBI and the American Medical Society for Sports Medicine.
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\<img height="1" width="1" style="display:none" src="https://www.facebook.com/tr?id=1056215754466548\&amp;ev=PageView\&amp;noscript=1"\> ![Light-Mode-Sun-Icon-SVG](https://www.cognitivefxusa.com/hubfs/Sun.svg) ![Dark-Mode-Moon-Icon-SVG](https://www.cognitivefxusa.com/hubfs/moon.svg) ###### 280 W River Park Drive Suite 110 Provo, UT [\+1 385 446-4161](tel:+13854464161) [hello@cognitivefxusa.com](mailto:hello@cognitivefxusa.com) [![Main\_Logo\_500px 1](https://www.cognitivefxusa.com/hubfs/Main_Logo_500px%201.svg)](https://www.cognitivefxusa.com/) [**Get Started**](https://cta-redirect.hubspot.com/cta/redirect/2921058/881eced2-ed9a-4b23-a8ba-b17b0921e4b3) - [Brain Injury Treatments](https://www.cognitivefxusa.com/treatment) ![down arrow](https://www.cognitivefxusa.com/hubfs/down-arrow-1.svg) ### Your Treatment [Post-Concussion Syndrome Treatment Our intensive EPIC program helps patients recover from symptoms that haven't responded to traditional care.](https://www.cognitivefxusa.com/treatment) [POTS Treatment POTS treatment clinic using neurological retraining, vestibular recalibration & CO₂ therapy. 5-day intensive program in Utah.](https://www.cognitivefxusa.com/pots-treatment) [Viral Brain Injury Treatment Long Covid-19, Post-Treatment Lyme, Encephalitis. We utilize cutting-edge treatments to help you regain function.](https://www.cognitivefxusa.com/viral-brain-injury) [What does CFX do for PCS? Learn more about post-concussion.](https://www.cognitivefxusa.com/) [Book Consult Schedule a 30-minute call with one of our doctors to see if CFX precision treatment approach is right for you.](https://cognitivefxusa.typeform.com/consult-intake) [Pricing Pricing for each of our treatment packages and other important financial information.](https://www.cognitivefxusa.com/pricing) - [TMS Treatments](https://www.cognitivefxusa.com/precision-mental-health-fmri-guided-transcranial-magnetic-stim) ![down arrow](https://www.cognitivefxusa.com/hubfs/down-arrow-1.svg) ### Depression Treatment [Depression Treatment fMRI Guided TMS Depression treatment with precision brain imaging meets advanced TMS protocols for depression that hasn't responded to medication.](https://www.cognitivefxusa.com/precision-mental-health-fmri-guided-transcranial-magnetic-stim) [One-Day Depression TMS Treatment Protocol Accelerated depression treatment TMS protocol that compresses weeks of treatment into one day intensive session.](https://www.cognitivefxusa.com/one-d-tms-one-day-tms-accelerated-depression-treatment-protocol) [TMS Good Fit Quiz See if you would be a good fit for treatment. Based on reported data from peer reviewed studies.](https://cognitivefxusa.typeform.com/depression) [Schedule Consultation Schedule a 30-minute telehealth visit with our team to discuss potential TMS treatment.](https://www.cognitivefxusa.com/tms-consultation-signup) [Depression Treatment Blogs Learn more about TMS treatment for depression. And how effective it can be for patients with treatment-resistant depression.](https://www.cognitivefxusa.com/blog/topic/transcranial-magnetic-stimulation-tms) - [Treatment Results](https://www.cognitivefxusa.com/our-patients) ![down arrow](https://www.cognitivefxusa.com/hubfs/down-arrow-1.svg) ### Patient Results [Publications Learn more about post-concussion.](https://www.cognitivefxusa.com/our-research) [Patient Results We see patients from all over the world with different types of brain injuries. Learn more about who our patients are.](https://www.cognitivefxusa.com/treatment-outcomes) [Patient Stories Our patients say it best! Watch our past patients' stories.](https://www.cognitivefxusa.com/patient-stories) [Other Brain Injuries We have found our approach to concussion treatment also works for other types of brain injuries. Check out our non-concussion patients' improvements with EPIC Treatment.](https://www.cognitivefxusa.com/other-types-of-injuries) [How We Measure Success Learn more about how we measure the success of EPIC Treatment through our fNCI scan and symptom measurements.](https://www.cognitivefxusa.com/treatment-outcomes) [Treatment Summary Whitepaper Learn more about the outcomes and studies done on targeted fMRI guided treatment for brain injuries.](https://www.cognitivefxusa.com/hubfs/Treatment%20and%20Research%20Summary/Treatment%20%26%20Research%20Summary%20\(web\).pdf?hsLang=en-us) - [Blog](https://www.cognitivefxusa.com/blog) ![down arrow](https://www.cognitivefxusa.com/hubfs/down-arrow-1.svg) ### The Cognitive FX Head Injury Blog [Post Concussion Treament Learn more about post-concussion syndrome.](https://www.cognitivefxusa.com/blog/topic/post-concussion-treatment) [Transcranial Magnetic Stimulation Learn more about TMS for depression, anxiety, and concussion.](https://www.cognitivefxusa.com/blog/topic/transcranial-magnetic-stimulation-tms) [Long Covid - Viral Infection Treatment Learn more about how we treat viral infections that impact the brain. COVID-19, Lyme, etc.](https://www.cognitivefxusa.com/blog/topic/covid) [Other Brain Injuries Treated Read about other types of brain injury we treat. Stroke, TIA, Tinnitus, etc.](https://www.cognitivefxusa.com/blog/topic/traumatic-brain-injury) [Patient Outcomes and Stories Learn more about the specific symptoms and issues our patients have faced.](https://www.cognitivefxusa.com/blog/topic/patient-stories) [Browse more topics here! Browse through all of the brain injury topics and posts from the Cognitive FX Blog home.](https://www.cognitivefxusa.com/blog) [**Get Started**](https://cta-redirect.hubspot.com/cta/redirect/2921058/881eced2-ed9a-4b23-a8ba-b17b0921e4b3) [Back to Blog](https://www.cognitivefxusa.com/blog) #### Content - [What Are the Symptoms of Long COVID?](https://www.cognitivefxusa.com/blog/natural-treatment-for-covid-long-haulers#what-are-the-symptoms-of-long-covid) - [What Causes Long COVID Symptoms?](https://www.cognitivefxusa.com/blog/natural-treatment-for-covid-long-haulers#what-causes-long-covid-symptoms) - [Treatment at Cognitive FX](https://www.cognitivefxusa.com/blog/natural-treatment-for-covid-long-haulers#treatment-at-cognitive-fx) - [Supplements to Treat Long COVID Symptoms: Can They Help?](https://www.cognitivefxusa.com/blog/natural-treatment-for-covid-long-haulers#supplements-to-treat-long-covid-symptoms-can-they-help) - [What You Can Do at Home](https://www.cognitivefxusa.com/blog/natural-treatment-for-covid-long-haulers#what-you-can-do-at-home) - [FAQ: Does the COVID-19 Vaccine Help with Long COVID?](https://www.cognitivefxusa.com/blog/natural-treatment-for-covid-long-haulers#faq-does-the-covid-19-vaccine-help-with-long-covid) #### Proven Results Improvement in 77% of Participants Published peer-reviewed research shows that Cognitive FX treatment leads to meaningful symptom reduction in post-concussion symptoms for 77% of study participants. 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Natural Treatment for COVID Long-Haulers: Know Your Options # Natural Treatment for COVID Long-Haulers: Know Your Options ![Image of Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/hubfs/Alina_150px.webp) Dr. Alina Fong, Ph.D. • Updated on 16 July, 2024 • Medically Reviewed by [Dr. Mark Allen](https://www.cognitivefxusa.com/dr-mark-allen-phd) ![Natural Treatment for COVID Long-Haulers: Know Your Options](https://www.cognitivefxusa.com/hubfs/image2.png) - [What Are the Symptoms of Long COVID?](https://www.cognitivefxusa.com/blog/natural-treatment-for-covid-long-haulers#what-are-the-symptoms-of-long-covid) - [What Causes Long COVID Symptoms?](https://www.cognitivefxusa.com/blog/natural-treatment-for-covid-long-haulers#what-causes-long-covid-symptoms) - [Treatment at Cognitive FX](https://www.cognitivefxusa.com/blog/natural-treatment-for-covid-long-haulers#treatment-at-cognitive-fx) - [Supplements to Treat Long COVID Symptoms: Can They Help?](https://www.cognitivefxusa.com/blog/natural-treatment-for-covid-long-haulers#supplements-to-treat-long-covid-symptoms-can-they-help) - [What You Can Do at Home](https://www.cognitivefxusa.com/blog/natural-treatment-for-covid-long-haulers#what-you-can-do-at-home) - [FAQ: Does the COVID-19 Vaccine Help with Long COVID?](https://www.cognitivefxusa.com/blog/natural-treatment-for-covid-long-haulers#faq-does-the-covid-19-vaccine-help-with-long-covid) [More than 20 million Americans](https://www.gao.gov/products/gao-22-105666) have lingering symptoms that can be described as long COVID (or “post-COVID conditions”), but doctors and scientists are still researching why it develops. As a result, these patients often struggle to get a diagnosis and find a suitable treatment for their condition. Understandably, it’s easy for these patients to get frustrated and consider alternative treatments. There are many products and supplements claiming to help with long COVID, so how do you know which ones are safe and trustworthy? Sometimes, there is no information available, or it is presented in a difficult-to-understand format. For example, colloidal silver has been promoted as a health supplement that can boost the immune system and treat COVID-19, but those claims have been found to be [fraudulent](https://www.justice.gov/opa/pr/court-orders-halt-sale-silver-product-fraudulently-touted-covid-19-cure). Not only is colloidal silver *not* a legitimate COVID-19 treatment, but it can also interact negatively with certain prescription drugs, cause skin discoloration, and even result in serious organ damage. Unfortunately, there is no miracle supplement that can cure long COVID. But that doesn’t mean you’ll be stuck taking 10 different medications for your condition. There *are* natural ways to treat long COVID. At Cognitive FX, we offer a scientifically sound regimen of multidisciplinary therapy that [has already shown success](https://www.cognitivefxusa.com/blog/long-covid-sharp-family-story/) in treating long COVID. In addition, we’ll explain what you can do naturally at home to improve long COVID symptoms. **Here’s a quick overview of what we’ll explain in this post:** - [Symptoms of long COVID](https://www.cognitivefxusa.com/blog/natural-treatment-for-covid-long-haulers#symptoms) - [Causes of long COVID symptoms](https://www.cognitivefxusa.com/blog/natural-treatment-for-covid-long-haulers#causes) - [Therapy for long COVID](https://www.cognitivefxusa.com/blog/natural-treatment-for-covid-long-haulers#therapy) - [Supplements that might help long COVID](https://www.cognitivefxusa.com/blog/natural-treatment-for-covid-long-haulers#supplements) - [Ways to boost your recovery at home](https://www.cognitivefxusa.com/blog/natural-treatment-for-covid-long-haulers#home) *After just one week of treatment, 90% of our patients already show symptom improvement. Using advanced brain scan techniques, we can also see how our patients' brains respond to treatment. Thus far, we’ve seen strong results with* *long COVID patients* *who pass our current screening criteria. To discuss your specific* *COVID-19 symptoms* *and determine whether you’re eligible for treatment at our clinic,* [*schedule a consultation*](https://www.cognitivefxusa.com/post-covid-19-syndrome)*.* ## What Are the Symptoms of Long COVID? ![image8-4](https://www.cognitivefxusa.com/hs-fs/hubfs/image8-4.jpg?width=552&height=246&name=image8-4.jpg) The term “long COVID” describes symptoms that last more than a few weeks after a COVID-19 infection. This condition has been called by many names, including post-acute COVID-19 Syndrome (PACS), chronic COVID-19 syndrome, and long-haul COVID-19. It’s still not clear how common long COVID is, with estimates varying widely from [9%](https://link.springer.com/article/10.1007/s15010-021-01580-2) to [80%](https://pubmed.ncbi.nlm.nih.gov/34373540/) of post-COVID patients. As this is such a new disease, each research team used its own definition, which can explain (at least partially) these reported differences. To address this issue, in October 2021, the World Health Organization ([WHO](https://pubmed.ncbi.nlm.nih.gov/34951953/)) proposed the name “post-COVID-19 condition” and suggested a [unifying](https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-care/post-covid-conditions.html) definition as “the condition that occurs in individuals with a history of probable or confirmed SARS-CoV-2 infection, usually three months from the onset of COVID-19, with symptoms that last for at least two months and cannot be explained by an alternative diagnosis.” The likelihood of developing long COVID is not related to how ill you were when you first got COVID. This means even if you had a mild or asymptomatic case, you could experience long-term symptoms. In addition, the wide-ranging symptoms make it very difficult for doctors to diagnose. One [study](https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370\(21\)00299-6/fulltext) reported over 200 symptoms that can fluctuate or even appear out of the blue after patients have recovered. Some symptoms are the same as COVID-19 and include: - Fatigue - Shortness of breath - Loss of sense of taste or smell - Difficulty concentrating - Muscle ache - Headaches - Cough - Memory loss - High temperature - Sore throat However, many patients also experience a wide range of other symptoms, including: - Joint pain - Chest pain or tightness - Breathlessness - Heart palpitations - Dizziness - Pins and needles - Tinnitus or earache - Nausea - Diarrhea - Abdominal pain - Loss of appetite - Skin rashes - Memory problems - Concentration problems - Brain fog - Depression and anxiety - Fatigue - Extreme tiredness - Problems sleeping - Changes in the menstrual cycle ## What Causes Long COVID Symptoms? ![There are many ideas about causes long COVID.](https://www.cognitivefxusa.com/hs-fs/hubfs/image1-2.jpg?width=1000&name=image1-2.jpg) Even after most countries around the world have largely lifted restrictions and the number of COVID-19 cases is finally going down, there are still many questions about long COVID, including why some patients develop long-term symptoms and what mechanisms are behind these symptoms. There are several theories to explain these long-lasting symptoms. As researchers investigate more, it’s becoming increasingly clear that it’s not just one factor, but a combination of different factors which affect each long hauler in a different way. Here are a few of the most prominent causes of long COVID symptoms: ### Neurovascular Coupling Dysfunction Scientists studying how COVID impacts the body found a link between the [endothelium](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7577845/) and long COVID. The endothelium is the thin membrane that lines the inside of blood vessels. In the brain, this is a key component of the [neurovascular unit](https://www.frontiersin.org/articles/10.3389/fnins.2020.00334/full), which also includes vascular cells, glial cells, and neurons. In a normal brain, neurons receive oxygen and nutrients from a surrounding network of blood vessels. This is called neurovascular coupling, and it involves a delicate mechanism by which neurons can “order” the resources they need to be delivered at the right time and to the right location. When COVID-19 damages the endothelium, it disrupts this connection between neurons and blood vessels. As a consequence, affected areas in the brain will not function as well as they should because they can no longer receive the resources they need to operate normally. This is called neurovascular coupling dysfunction and results in many of the physical and cognitive symptoms described above. ***Further reading:*** [*What is neurovascular coupling?*](https://www.cognitivefxusa.com/neurovascular-coupling?hsLang=en-us) ### Dysfunction of the Autonomic Nervous System Many [studies](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8050227/) have also confirmed that the COVID virus causes dysfunction of the autonomic nervous system (ANS). In simple terms, the ANS controls many bodily functions, including heart rate, breathing patterns, and blood pressure. Two parts of the ANS include the sympathetic (SNS) and the parasympathetic nervous system (PNS). The SNS is responsible for our “fight or flight” reactions, and the PNS controls our “rest and digest” processes. Under normal circumstances, PNS and SNS work together to allow your body to respond to the environment. However, long COVID can disrupt this fine balance, causing many different symptoms including exercise intolerance, headaches, blood pressure changes, urinary incontinence, heart palpitations, problems breathing, and more. Curiously, the [severity](https://www.medrxiv.org/content/10.1101/2022.04.25.22274300v1) of the original COVID-19 infection doesn’t necessarily correlate with the degree of autonomic dysfunction, and even patients who had a mild case can develop considerable autonomic dysfunction. Autonomic nervous system dysfunction and neurovascular coupling dysfunction are closely related; many patients develop both. ***Further reading:***[*Long COVID Can Cause POTS and Dysautonomia*](https://www.cognitivefxusa.com/blog/long-covid-pots-and-dysautonomia#long-covid) ### Vision & Vestibular Symptoms ![Vision and vestibular therapy are part of a good, comprehensive natural treatment for COVID long haulers.](https://www.cognitivefxusa.com/hs-fs/hubfs/image7.jpg?width=1999&name=image7.jpg) Many patients who get COVID develop some form of eye (vision) and ear (vestibular) symptoms, and these are among the complaints that end up persisting for a long time. Vision symptoms may include dry eyes, redness, itching, blurry vision, sensitivity to light, and the feeling that there is a foreign particle in the eye. Vestibular symptoms include dizziness, vertigo, lightheadedness, spatial disorientation, sleep disturbances, and more. Sometimes there’s an overlap between vision and vestibular symptoms. Many of these are common during the acute phase but they’re also a sign of long-term COVID. For example, If you wake up feeling normal (no headaches or dizziness) but then start to struggle as the day goes on, it’s likely that you’re experiencing vision-related symptoms. Your eyes rest overnight but become more tired during the day, causing symptoms to recur. With vestibular issues, it’s often the opposite. In a healthy brain, the vestibular system knows when you’re asleep because you don’t really move your head. During this period, most of this system is not active, and “non-adaptive fibers” in the utricle and saccule (which are involved in orientation and balance) take over. For long haulers, however, this mechanism is disrupted, making it harder to fall asleep or causing headaches, dizziness, and nausea in the morning when you wake up. ### Other Possibilities There are several other theories to explain long COVID symptoms, including: - **Tiny** **blood clots****:** Many researchers believe tiny blood clots may be impairing blood flow in different organs, including the [lungs](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8324416/pdf/main.pdf), causing long-term symptoms. This idea gained some credence when a South African team [reported](https://cardiab.biomedcentral.com/articles/10.1186/s12933-021-01359-7) that such clots can linger for a long time in the blood of long haulers. - **Persistent infection:** It’s also possible that remnants of the SARS-CoV-2 virus may stay in your body after the original infection, causing long-lasting symptoms. [Researchers](https://assets.researchsquare.com/files/rs-1139035/v1_covered.pdf?c=1640020576) from the U.S. National Institutes of Health analyzed tissues from 44 people who had COVID and found viral RNA in their brains, muscles, guts, and lungs. They’re now trying to establish how this lingering virus is driving illness in long COVID patients. - **Exaggerated immune response:** Instead of returning to normal levels after fighting the infection, the immune system in some patients stays on [constant](https://www.nature.com/articles/s41590-021-01113-x.pdf) high alert. This chronic inflammation can cause a series of health problems, including cognitive and physical symptoms. - **Nerve damage:** New research suggests that damage to the [vagus nerve](https://www.eurekalert.org/news-releases/943102) (which extends from the brain to the torso) may be responsible for many of the long COVID symptoms, including abnormal heart rate, dizziness, and gastrointestinal problems. Researchers found a range of structural and/or functional alterations in the vagus nerve of long haulers, including nerve thickening, trouble swallowing, and symptoms of impaired breathing. Since the vagus nerve is intimately involved with autonomic nervous system regulation, it’s not surprising that any damage to it could drive symptoms related to ANS dysfunction. - **Change in habits** **post-COVID****:** The COVID-19 pandemic has upended much of society in ways we never experienced before. Changes in diet were common during the months of lockdown, with patients resorting to snacking mostly on foods with poor nutritional value, leading to fatigue. Research shows that sleep disturbances also became more prevalent since the start of the pandemic, increasing anxiety and depressive symptoms, as well as irritability, changes in mood, and lack of concentration. This, combined with less exercise, resulted in a lower quality of life — particularly in COVID long haulers. ## Treatment at Cognitive FX ![Treatment at CognitiveFX is multifaceted.](https://www.cognitivefxusa.com/hs-fs/hubfs/image3-1.jpg?width=1999&name=image3-1.jpg) At Cognitive FX, we instead use a combination of exercise and multidisciplinary therapies to treat COVID long haulers. Our treatment addresses neurovascular coupling dysfunction, autonomic nervous system dysfunction, vestibular imbalance, and vision problems, which — as we explained earlier — are some of the main mechanisms behind long COVID symptoms. [You can learn more about how we developed our treatment program here.](https://www.cognitivefxusa.com/blog/covid-long-haulers-treatment/) The key to our success is treating long COVID for what it is: a brain injury. We’ve adapted our regular brain injury treatment program to address the specific needs of long COVID patients. For example, long COVID patients often experience more severe breathing problems than some of our other brain injury patients, so our therapists spend extra time walking them through helpful breathing exercises. Some COVID patients suffer from cardiovascular complications; when that happens, we adjust their exercise routine accordingly. Every long COVID patient is different, so we begin treatment with a full assessment of your physical and cognitive capabilities, your symptom profile, and your medical history. Most importantly, we use advanced brain imaging technology called functional Neurocognitive Imagining (fNCI), which is a type of functional MRI capable of tracking blood flow throughout the brain. Using fNCI, our team can identify which areas of your brain were affected and how healthy their communication is with other areas of the brain. We examine 56 brain regions while you execute a series of cognitive tests. *![Traumatic Brain Injury Recovery Can You Recover from a TBI 5](https://www.cognitivefxusa.com/hs-fs/hubfs/Traumatic%20Brain%20Injury%20Recovery%20Can%20You%20Recover%20from%20a%20TBI%205.jpg?width=552&height=364&name=Traumatic%20Brain%20Injury%20Recovery%20Can%20You%20Recover%20from%20a%20TBI%205.jpg)**An example fNCI scan results summary from a healthy patient.* Using the results from the scan, our treatment team tailors a treatment plan specifically for your needs. During treatment — which we call Enhanced Performance in Cognition, or EPIC for short — you’ll engage in a series of cardio exercises along with other therapies such as cognitive, sensorimotor, neuromuscular, and vision therapies, to name just a few. These therapies help your brain and body recover while improving your symptoms. ![Recovery should be wholistic. ](https://www.cognitivefxusa.com/hs-fs/hubfs/image5%20\(2\)-1.jpg?width=1999&name=image5%20\(2\)-1.jpg) You’ll also see a psychologist who can help with symptoms like anxiety and depression. In addition, you will learn mindfulness meditation to help calm the mind and body. If we feel that you may need more support for your mental health, we will make specific recommendations for follow-up near your home. On the last day of treatment, you’ll undergo a second scan to monitor your improvement. Results for our long COVID patients so far have been positive, with patients reporting significant improvement in symptoms like headaches, dizziness, and brain fog. *After just one week of treatment, 90% of our patients already show symptom improvement. Using advanced brain scan techniques, we can also see how our patients' brains respond to treatment. Thus far, we’ve seen strong results with* *long COVID patients* *who pass our current screening criteria. To discuss your specific* *COVID-19 symptoms* *and determine whether you’re eligible for treatment at our clinic,* [*schedule a consultation*](https://www.cognitivefxusa.com/post-covid-19-syndrome)*.* ## Supplements to Treat Long COVID Symptoms: Can They Help? ![There are a variety of supplements available but not all are recommended. ](https://www.cognitivefxusa.com/hs-fs/hubfs/image6-1.jpg?width=1000&name=image6-1.jpg) If you’re struggling to find an effective treatment for the long-term effects of coronavirus infection, you may have been looking for alternative medicines. It may be tempting to try, but there’s very limited research regarding the use of these interventions to treat long COVID. Also, be aware that there are many dangers involved with self-prescription, such as harmful drug interactions, side effects, and incorrect dosing. Long COVID is a complex condition affecting many organs in the body and causing a variety of symptoms; interactions between products become more likely if you try multiple treatments at the same time. There is some research starting now in this field, but it’s still in its infancy. Most of the products listed below have not been tested fully. Listing these products here does not mean we endorse them; it is for your information only. Before starting any supplement, consult with your doctor. One of the few natural products that have been tested in COVID patients includes **prebiotics and probiotics**. Long COVID patients often complain of digestive problems, including abdominal discomfort and diarrhea. This may be caused by [disruption](https://pubmed.ncbi.nlm.nih.gov/32096367/) to their gut microbiota, with significant losses of good bacteria such as Lactobacillus and Bifidobacterium. It is likely that using prebiotics and probiotics can regulate the balance of intestinal microbiota and reduce the risk of secondary infection in those patients. No studies so far evaluated the use of probiotics for the management of long COVID, but according to the International Scientific Association of Probiotics and Prebiotics, [many researchers](https://isappscience.org/how-some-probiotic-and-prebiotic-scientists-are-working-to-address-covid-19/) are assessing the ability of various probiotic strains to reduce the viral load via different mechanisms of action. In the U.K., there is also an ongoing [clinical trial](https://clinicaltrials.gov/ct2/show/NCT04363372) to test the efficacy of a product called Live Biotherapeutic MRx-4DP0004, which contains Bifidobacterium; and in the U.S., researchers are testing a product with [Lactobacillus](https://pubmed.ncbi.nlm.nih.gov/32495940/) to see whether it has the ability to decrease infections and improve long term outcomes. Some [studies](https://www.europeanreview.org/wp/wp-content/uploads/67-73.pdf) have also shown that certain **vitamin and mineral** **supplements** (such as Vitamin C) may be able to help long haulers recover from fatigue. These products may help the body fend off viral infections and boost immunity, which may in turn prevent prolonged post-COVID fatigue and gastrointestinal problems. There is some limited data suggesting that some supplements may also improve cognitive and mental symptoms, like brain fog and anxiety. Vitamins B and C, iron, and magnesium are all involved in [energy metabolism](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019700/) and can help fight physical and mental fatigue. The results look promising, but more research is needed to assess the efficacy of using dietary supplements for COVID long haulers. **Melatonin** is another supplement currently being tested for long COVID treatment. There are no studies yet involving long haulers, but in patients suffering from diseases with high levels of [inflammation](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102583/), the use of melatonin successfully lowered the levels of circulating cytokines and improved symptoms. [Researchers](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8369961/) are further exploring its use to treat COVID-19 by focusing on melatonin’s ability to reduce blood vessel permeability, reduce anxiety, and improve sleeping patterns. **Honeybee products**, including honey, beeswax, and propolis, are commonly used for their medicinal properties, including for symptoms of viral respiratory tract infections. There are no studies with COVID long haulers, but one [study](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8483994/) showed that propolis (a mix of resin and beeswax) reduced the risk of shock, respiratory failure, and kidney injury in hospitalized patients with COVID. The authors attributed the results to propolis’ antiviral and anti-inflammatory properties, suggesting that it may also help treat long COVID. Evidence also suggests that **curcumin** has the [potential](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276879/pdf/PTR-9999-na.pdf) to help with long COVID due to its ability to block viral replication and control inflammatory cytokines. Further research is needed, including finding a way to increase its bioavailability (which reflects the body’s ability to absorb and use the helpful components). When it comes to addressing symptoms like [brain fog](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8250989/) and other cognitive issues, natural flavonoids **luteolin and quercetin** may be an option. Both have broad antiviral properties, inhibit neuroinflammation, and reduce cognitive decline. Like all the other supplements, further research is needed. Despite the fact that, in theory, these natural products *may* be able to help long haulers, the reality is that further research is needed to confirm safety and efficacy. And even if they do help, these supplements are never going to be a cure for long COVID. It takes a more comprehensive treatment approach to recovery than supplements alone can offer. Instead, [request a consultation](https://www.cognitivefxusa.com/post-covid-19-syndrome) with the Cognitive FX team to see how we can help you. You need an experienced healthcare provider specialized in brain injuries who can identify the cause of your long-hauler symptoms and develop an appropriate, comprehensive treatment plan. ## What You Can Do at Home ![Family support helps. ](https://www.cognitivefxusa.com/hs-fs/hubfs/image4-1.jpg?width=1000&name=image4-1.jpg) Beyond therapy and supplements, there are a few key steps you can take at home to promote recovery from long COVID. ### Follow a Balanced Diet If you’re experiencing the effects of long COVID, what you eat will have a major impact on how you feel. Choosing to follow a healthy and balanced diet is a good way to promote your recovery at home. Some foods, such as oily fish rich in omega-3, nuts, and seeds, can be helpful to reduce the inflammatory response characteristic of this viral disease. Also, fruit and vegetables are high in antioxidants and can counteract oxidative stress caused by inflammation. In contrast, you should avoid foods like highly processed foods, high in fat or high in sugar, as these may have a pro-inflammatory effect. ***Further reading:*** [*Nutrition for a recovering brain*](https://www.cognitivefxusa.com/blog/nutrition-for-post-concussion-syndrome) ### Rest Frequently during the Day Patients often find that attempts to push through fatigue and migraines make them feel worse and exacerbate the intensity of their symptoms. While you’re recovering, rest as much as you need, and allow yourself more time to complete your normal routine. - Pace yourself during the day. Carefully plan what you need to do but don’t overexert yourself. Take breaks when needed. - Break complex or time-consuming tasks into smaller chunks and alternate between easy and difficult activities. - Pick the time of the day when you’re more alert to complete the most important or difficult tasks. - Practice breathing exercises to control your breathing patterns and relax both body and mind. ### Follow a Good Sleep Pattern Recent [studies](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8236920/) show that up to half of long haulers complain of sleep disorders. This is not surprising as sleep patterns can be disrupted after a viral infection. If you have trouble falling asleep or wake up frequently during the night, it’s important that you address this issue. There is a close relationship between poor sleep and poor mental health. A poor night’s sleep can make feelings of depression, anxiety, and stress feel worse. - Go to bed early and follow the same pattern every day. - Avoid screens close to bedtime and use blue-light filters when you do use them. - Restrict caffeine to the morning only (although it’s better if you can do without it while you recover). Avoid alcohol at night as well. - Make sure your bedroom has a relaxing atmosphere that can help you sleep. You might need to declutter or add a source of white noise. - If you need it, take a short nap during the day, but no longer than 30 minutes. Longer naps can actually be counterproductive. ### Engage in Regular Exercise Physical activity plays a [vital role](https://www.mdpi.com/1660-4601/19/9/5093) during recovery from long COVID. Choose something that you can achieve without causing a massive flare-up of your long-haul symptoms. There’s a fine balance between doing too much and not doing enough. We highly recommend intervals: Short bursts of cardio (around 30 seconds to one minute) followed by one to two minutes of controlled breathing. To know when it’s safe to continue exercising versus when you should stop, follow this simple rule: - If you’ve noticed three symptoms starting or getting worse during exercise, then it’s time to stop. - Similarly, if a single symptom is getting worse quickly, going from what you would rate as a 1 (mild) to a 4 (severe), it’s a sign that you need a break. - If you’re just feeling a slight headache or experiencing mild dizziness, it’s okay to continue. Exercise helps the brain heal and will keep other symptoms under control in the future. ### Reduce Stress in Your Life Dealing with long COVID can be very stressful. As you’re able, plan some “you” time during the day. Go for a walk, sign up for a yoga class, or simply sit in a quiet place reading a good book. Learn your symptom triggers and avoid or limit situations that may push you past your limits. For example, if driving in heavy traffic is too much for you, look for an alternative route or travel at a different time. You may find it helpful to stick to a consistent daily routine. And don’t be afraid to ask loved ones for help when you need it. Remember that some days will be better than others. Recovery isn’t linear, but you *can* keep improving with time. ## FAQ: Does the COVID-19 Vaccine Help with Long COVID? While the COVID-19 vaccine is effective at reducing hospitalization and death, a new study showed that it only reduces the chance of developing long COVID [by 15%](https://www.nature.com/articles/d41586-022-01453-0). Some scientists are [investigating](https://www.everydayhealth.com/coronavirus/can-covid-19-vaccines-protect-you-from-long-covid/) whether the booster shot can help current COVID-19 long haulers recover, but the results are mixed. While some patients report feeling better — possibly because of a renewed antibody response — not all notice an effect, and no rigorous studies have confirmed a benefit for long haulers. *After just one week of treatment, 90% of our patients already show symptom improvement. Using advanced brain scan techniques, we can also see how our patients' brains respond to treatment. Thus far, we’ve seen strong results with* *long COVID patients* *who pass our current screening criteria. To discuss your specific* *COVID-19 symptoms* *and determine whether you’re eligible for treatment at our clinic,* [*schedule a consultation*](https://www.cognitivefxusa.com/post-covid-19-syndrome)*.* *** ![Image of Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/hs-fs/hubfs/Alina_150px.webp?height=150&name=Alina_150px.webp) ### About the author [Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/blog/author/dr-alina-fong-phd) Alina Fong, Ph.D. is a clinical neuropsychologist and the Clinical Director and Co-Founder of Cognitive FX. She earned her Ph.D. in Clinical Neuropsychology with an emphasis in Neuroimaging from Brigham Young University, where she received the American Psychological Association Division 40 Graduate Student Research Award for her neuroimaging research. Dr. Fong has over 17 years of clinical experience treating traumatic brain injury, beginning with her work at the VA Salt Lake City Healthcare System and Utah Valley Regional Medical Center, where she directed the neurotrauma rehabilitation and sports concussion clinics. She developed the EPIC Treatment protocol and has personally overseen treatment for nearly 8,000 brain injury patients, including professional athletes from the NFL, NHL, and Olympics. She serves as Vice President of the Brain Injury Alliance of Utah, sits on the board of the United States Brain Injury Alliance, and advises PINK Concussions. Dr. Fong has authored peer-reviewed research on functional MRI and concussion treatment and has presented at over 60 medical conferences, including the Federal Interagency Conference on TBI and the American Medical Society for Sports Medicine. ## Related Posts Previous ![Yes, COVID Can Cause Long Term Problems. Here's What to Do.](https://www.cognitivefxusa.com/hs-fs/hubfs/covid-can-cause-long-term-problems.png?height=175&name=covid-can-cause-long-term-problems.png) ### Yes, COVID Can Cause Long-Term Problems. Here's What to Do. ![Image of Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/hs-fs/hubfs/Alina_150px.webp?height=70&name=Alina_150px.webp) [Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/blog/author/dr-alina-fong-phd) Long COVID is real. Data shared by the Centers for Disease Control and Prevention (CDC) from the[Household Pulse Survey](https://www.cdc.gov/nchs/covid19/pulse/long-covid.htm)(July/August 2022) show that more than 40% of adults in the United States have... [Read the full article](https://www.cognitivefxusa.com/blog/covid-can-cause-long-term-problems) ![Eight long-haul symptoms of COVID-19](https://www.cognitivefxusa.com/hs-fs/hubfs/eight-long-haul-symptoms-covid-19.png?height=175&name=eight-long-haul-symptoms-covid-19.png) ### Eight long-haul symptoms of COVID-19 \| Cognitive FX ![Image of Charlotte LoBuono](https://www.cognitivefxusa.com/hs-fs/hubfs/Charlotte-LoBuono-headshot.png?height=70&name=Charlotte-LoBuono-headshot.png) [Charlotte LoBuono](https://www.cognitivefxusa.com/blog/author/dr-alina-fong-phd) Most people who get infected with the coronavirus recover within a few weeks. However, some continue to experience symptoms weeks or even months after they are infected. They have what are known as [...](https://www.cdc.gov/coronavirus/2019-ncov/long-term-effects/index.html) [Read the full article](https://www.cognitivefxusa.com/blog/eight-long-haul-symptoms-covid-19) ![Long COVID in Children is Real and It Can Be Treated](https://www.cognitivefxusa.com/hs-fs/hubfs/long-covid-in-children-long-term-effects.png?height=175&name=long-covid-in-children-long-term-effects.png) ### Long COVID in Children is Real and It Can Be Treated ![Image of Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/hs-fs/hubfs/Alina_150px.webp?height=70&name=Alina_150px.webp) [Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/blog/author/dr-alina-fong-phd) When the pandemic started, we were told that children wouldn’t be seriously affected by the virus. And while most children only experience a mild version of the disease, evidence shows that some... [Read the full article](https://www.cognitivefxusa.com/blog/long-covid-in-children-long-term-effects) ![Physical Therapy for Long COVID: Does It Help?](https://www.cognitivefxusa.com/hs-fs/hubfs/Physical%20therapy%20covid%20\(2\).png?height=175&name=Physical%20therapy%20covid%20\(2\).png) ### Physical Therapy for Long COVID: Does It Help? ![Image of Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/hs-fs/hubfs/Alina_150px.webp?height=70&name=Alina_150px.webp) [Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/blog/author/dr-alina-fong-phd) Long COVID symptoms such as fatigue, muscle weakness, joint pain, poor endurance, and respiratory problems can have a significant impact on your daily routine. Some long COVID patients’ symptoms are... [Read the full article](https://www.cognitivefxusa.com/blog/physical-therapy-for-long-covid) ![How We Found a Viable Treatment for COVID-19 Long-Haulers](https://www.cognitivefxusa.com/hs-fs/hubfs/How%20We%20Found%20a%20Viable%20Treatment%20for%20COVID-19%20Long-Haulers.png?height=175&name=How%20We%20Found%20a%20Viable%20Treatment%20for%20COVID-19%20Long-Haulers.png) ### How We Found a Viable Treatment for COVID-19 Long-Haulers \| Cognitive FX ![Image of Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/hs-fs/hubfs/Alina_150px.webp?height=70&name=Alina_150px.webp) [Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/blog/author/dr-alina-fong-phd) Even after you've recovered from the acute symptoms of COVID-19, you might find yourself struggling with short-term memory loss, concentration issues, and other cognitive symptoms. If it's been weeks... [Read the full article](https://www.cognitivefxusa.com/blog/covid-long-haulers-treatment) ![What to Do When Long COVID Causes Erectile Dysfunction](https://www.cognitivefxusa.com/hs-fs/hubfs/covid-erectile-dysfunction.png?height=175&name=covid-erectile-dysfunction.png) ### What to Do When Long COVID Causes Erectile Dysfunction \| Cognitive FX ![Image of Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/hs-fs/hubfs/Alina_150px.webp?height=70&name=Alina_150px.webp) [Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/blog/author/dr-alina-fong-phd) Many patients have heard of the most common long-term effects of COVID-19: symptoms such as breathing issues, brain fog, and constant fatigue. But there is mounting evidence that COVID-19 may also... [Read the full article](https://www.cognitivefxusa.com/blog/covid-erectile-dysfunction) Next #### Proven Results Improvement in 77% of Participants Published peer-reviewed research shows that Cognitive FX treatment leads to meaningful symptom reduction in post-concussion symptoms for 77% of study participants. Cognitive FX is the only PCS clinic with third-party validated treatment outcomes. 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