Tag Archive for: fatigue

Long COVID and Possible Solutions

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I had a talk with someone who had a question about a skin condition, something that’s been a minor issue but suddenly got much worse. I happened to mention that sometimes when you deal with the flu or COVID, your immune system is weakened and it can impact other conditions; people report their symptoms began to get worse after a bout of COVID, almost to the day after recovering. Cause and effect? No way to know for sure. But long COVID is a reality; long COVID is a smorgasbord of illnesses that have been somehow triggered by COVID.

Coincidentally, an article was published on the development of treatments for long COVID. While there isn’t complete agreement exactly why it happens to some but not all those who’ve had COVID, physicians and scientists are looking at combinations of medications and supplements for possible solutions. While the article focused on using the antiviral Paxlovid, I was interested in the nutrient approach—specifically, the nutrients that focus on helping the mitochondria. Whatever else may be going on in long COVID, fatigue seems to be the worst side effect of the long COVID symptoms. That has to include an impact on the mitochondria regardless of whether it’s neurological or hormonal or even genetic in nature.

While other supplements were discussed, my experience is with N-acetyl cysteine and the amino acid glycine. Research has shown that when taken together, they help with repair and recycling of mitochondria. The typical amounts are about 600 mg of each per day; I’ve taken it regularly for a few years and I’ve noticed a difference in energy levels. Talk with your physician if you have long COVID or just have fatigue. There are also meds being tested for long COVID. The rest you know: eat less, eat better, move more.

What are you prepared to do today?

        Dr. Chet

Reference: Paxlovid, Vitamin Supplements Show Promise With Long COVID – Medscape – July 29, 2024.

The COVID-19 Long-Haulers

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I’ve spent most of my time on COVID-19 talking about how to prevent getting the infection, but I haven’t talked about what happens if you get the infection and recover from it. I hope you have a mild case, and in a week or two, you’re back in business. Your body has built up antibodies, so research shows you should be in good shape at least for a while.

However, some people are experiencing symptoms long after they’ve recovered from the initial infection. They call themselves long-haulers. The path of the disease is unpredictable; people feel better and think they’re on the mend and then get walloped by the symptoms again. The top five symptoms are fatigue, shortness of breath, joint pain, chest pain, and cough. For some people, the after-effects of having COVID-19 are actually worse than the initial infection. Fatigue and shortness of breath seemed to occur in over half the people who’ve had confirmed COVID-19 infections, and they last for several months.

Paula and I, and actually the entire family here at home, probably had the virus. This happened way back in January and early February, before we were really aware the virus existed. Paula had other complicating factors and still has unexplained fatigue. What can we do about it? There’s no research to guide us, but I’ll give it my best effort in Saturday’s Memo.

What are you prepared to do today?

        Dr. Chet

References:
1. https://www.health.harvard.edu/blog/the-tragedy-of-the-post-COVID-long-haulers-2020101521173
2. JAMA. doi:10.1001/jama.2020.12603.

The Simplest Solution for Fatigue

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One of the basic tenets of health and disease that I’ve learned is this: often the simplest solution is the correct one. Think of it this way. Whether we want to be the healthiest we can be or we have something that afflicts us, we think in terms of elaborate solutions. Instead, think of building a foundation to prevent or cure what ails us.

Let’s begin with something that can affect us all at times and that’s fatigue. The possibilities include an underactive thyroid, an adrenal issue, or pre-diabetes. But before we look at the complex, start with the obvious: drink more fluids. It may be a simple case of chronic dehydration. The lack of fluid can change the ionic balance inside cells, which can inhibit the production of energy by just about every cell including the brain and the muscles. Those two organ systems are most associated with fatigue.

Symptoms of dehydration vary. If an elderly parent seems unusually confused or a small child is drowsy and irritable when he or she is usually going full blast, try fluids first.

Before you try the elaborate solution, begin with the simplest. Drink more fluids, whether coffee, tea, plain water, or even eating more vegetables instead of refined carbohydrates. The simplest solution for fatigue may just be a glass away.

What are you prepared to do today?

Dr. Chet