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https://github.com/mwotton/long-covid-protocol


https://github.com/mwotton/long-covid-protocol

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# long covid protocol

This is a protocol developed by Long Covid patient [Dr Angela O'Connor](https://twitter.com/amayoco) that has helped her mitigate some long covid effects, including
- fatigue
- brainfog
- MAST cell activation syndrome.
- POTS
- vertigo

At some point there'll be more justification of each recommendation, but at this point it seemed more important to share things that worked.

A more formal preprint can be found [here](https://www.preprints.org/manuscript/202401.1621)

## Morning
- drink 1-1.5 litres of osmotic salt and berocca fluid
- take maximum dose of antihistamines, any will do
- one 500mg aspirin tablet

## Evening
- nattokinase I take 3 tablets (6000 units) other people go up to 5 tablets with no ill effects

Start with one tablet a day for a week to make sure you tolerate it then up to 2-5 tablets a day. Taking on an empty stomach helps with the nausea nattokinase can cause
- one n acetyl cysteine tablet
- multivitamin
- 1 valacyclovir antiviral tablet
- one 500mg ibuprofen tablet

Resting and pacing according to this [guide](https://www.meaction.net/stoprestpace/)

## Massage

Lymphatic drainage massage full body professional once a week, DIY at home three days a week, using the [Perrin technique](https://youtu.be/ccV24hCOe5A)

## Tracking

tracking everything symptoms, meds, activity levels etc with this [app](https://www.makevisible.com/)

## MAST cell activation syndrome

Mast cell activation syndrome [checklist](https://drive.google.com/file/d/1WWikrwMQzsfXuwGpgrVtFQ6Vwunnd9yx/view?usp=drivesdk)

## POTS

[POTS](https://www.nhs.uk/conditions/postural-tachycardia-syndrome/#:~:text=Postural%20tachycardia%20syndrome%20(PoTS)%20is,as%20postural%20orthostatic%20tachycardia%20syndrome).

Further [information and support](https://patientresearchcovid19.com/)