Support For Long COVID & Chronic Fatigue

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Long COVID and Chronic Fatigue

Getting COVID-19 can be very physically draining, so it’s no surprise that getting Long COVID can (and usually does) result in chronic fatigue.

But, what does this mean and what can we do about it?

What makes Long COVID “long”

Long COVID is generally defined as COVID-19 whose symptoms last longer than 28 days, but in reality the symptoms not only tend to last for much longer than that, but also, they can be quite distinct.

Here’s a large (3,762 participants) study of Long COVID, which looked at 203 symptoms:

Characterizing long COVID in an international cohort: 7 months of symptoms and their impact

Three symptoms stood at out as most prevalent:

  1. Chronic fatigue (CFS)
  2. Cognitive dysfunction
  3. Post-exertional malaise (PEM)

The latter means “the symptoms get worse following physical or mental exertion”.

CFS, Chronic Fatigue Syndrome, is also called Myalgic Encephalomyelitis (ME).

What can be done about it?

The main “thing that people do about it” is to reduce their workload to what they can do, but this is not viable for everyone. Note that work doesn’t just mean “one’s profession”, but anything that requires physical or mental energy, including:

  • Childcare
  • Housework
  • Errand-running
  • Personal hygiene/maintenance

For many, this means having to get someone else to do the things—either with support of family and friends, or by hiring help. For many who don’t have those safety nets available, this means things simply not getting done.

That seems bleak; isn’t there anything more we can do?

Doctors’ recommendations are chiefly “wait it out and hope for the best”, which is not encouraging. Some people do recover from Long COVID; for others, it so far appears it might be lifelong. We just don’t know yet.

Doctors also recommend to journal, not for the usual mental health benefits, but because that is data collection. Patients who journal about their symptoms and then discuss those symptoms with their doctors, are contributing to the “big picture” of what Long COVID and its associated ME/CFS look like.

You may notice that that’s not so much saying what doctors can do for you, so much as what you can do for doctors (and in the big picture, eventually help them help people, which might include you).

So, is there any support for individuals with Long COVID ME/CFS?

Medically, no. Not that we could find.

However! Socially, there are grassroots support networks, that may be able to offer direct assistance, or at least point individuals to useful local resources.

Grassroots initiatives include Long COVID SOS and the Patient-Led Research Collaborative.

The patient-led organization Body Politic also used to have such a group, until it shut down due to lack of funding, but they do still have a good resource list:

Click here to check out the Body Politic resource list (it has eight more specific resources)

Stay strong!

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  • An Addiction Expert’s Insights On Festive Drinking

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    This is Dr. Christopher Kahler. He’s Professor of Behavioral and Social Sciences, Director of Alcohol and Addiction Studies, Professor of Psychiatry and Human Behavior, all at Brown University.

    What does he want us to know?

    It’s the trickiest time of the year

    Per stats, alcohol sales peak in December, with the heaviest drinking being from mid-December (getting an early start on the Christmas cheer) to New Year’s Eve. As for why, there’s a collection of reasons, as he notes:

    ❝The main challenge is there’s an extra layer of stress, with a lot of obligations and expectations from friends and family. We’re around people who maybe we’re not usually around, and in larger groups. It’s also a time of heightened emotion and, for some people, loneliness.

    On top of that, alcohol use is built into a lot of our winter holiday traditions. It’s often marketed as part of the “good life.” We’re expected to have alcohol when we celebrate.❞

    As for how much alcohol is safe to drink… According to the World Health Organization, the only safe amount of alcohol is zero:

    Can We Drink To Good Health?

    Dr. Kahler acknowledges, however, that many people will wish to imbibe anyway, and indeed, he himself does drink a little, but endeavours to do so mindfully, and as such, he recommends that we…

    HALT!

    Dr. Kahler counsels us against making decisions (including the decision to drink alcohol), on occasions when we are one or more of the following:

    • Hungry
    • Angry
    • Lonely
    • Tired

    He also notes that around this time of year, often our normal schedules and habits are disrupted, which introduces more microdecisions to our daily lives, which in turn means more “decision fatigue”, and the greater chance of making bad decisions.

    We share some practical tips on how to reduce the chances of thusly erring, here:

    How To Reduce Or Quit Alcohol

    Set your intentions now

    He bids us figure out what our goal is, and really think it through, including not just “how many drinks to have” if we’re drinking, but also such things as “what feelings are likely to come up”. Because, if we’ve historically used alcohol as a maladaptive coping mechanism, we’re going to need a different, better, healthier coping mechanism (we talked more about that in our above-linked article about reducing or quitting alcohol, too, with some examples).

    He also suggests that we memorize our social responses—exactly what we’re going to say if offered a drink, for example:

    ❝It’s important to know what you’re going to say about your alcohol use. If someone asks if they can get you a drink, good responses could be: “A glass of water would be great” or “Do you have any non-alcoholic cider?” You don’t have to explain yourself. Just ask for what you want, because saying no to someone can be difficult.❞

    See also:

    December’s Traps To Plan Around

    Mix it up and slow it down

    No, that doesn’t mean mix yourself a sloe gin cocktail. But rather, it’s about alternating alcoholic and non-alcoholic drinks, to give your body half a chance to process the alcohol, and also to rehydrate a little along the way.

    We talk about this and other damage-limitation methods, here:

    How To Reduce The Harm Of Festive Drinking (Without Abstaining)

    Take care!

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  • Getting Flexible, Starting As An Adult: How Long Does It Really Take?

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Aleks Brzezinska didn’t start stretching until she was 21, and here’s what she found:

    We’ll not stretch the truth

    A lot of stretching programs will claim “do the splits in 30 days” or similar, and while this may occasionally be true, usually it’ll take longer.

    Brzezinska started stretching seriously when she was 21, and made significant flexibility gains between the ages of 21 and 23 with consistent practice. Since then, she’s just maintained her flexibility.

    There are facts that affect progress significantly, such as:

    • Anatomy: body structure, age, and joint flexibility do influence flexibility; starting younger and/or having hypermobile joints does make it easier.
    • Consistency: regular practice (2–3 times a week) is crucial, but avoid overdoing it, especially when sore.
    • Lifestyle: weightlifting, running, and similar activities can tighten muscles, making flexibility harder to achieve.
    • Hydration: staying hydrated is important for muscle flexibility.

    She also recommends incorporating a variety of different stretching types, rather than just one method, for example passive stretching, active stretching, Proprioceptive Neuromuscular Facilitation (PNF) stretching, and mobility work.

    For more on each of these, enjoy:

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    Want to learn more?

    You might also like:

    Jasmine McDonald’s Ballet Stretching Routine

    Take care!

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  • How To Escape From A Despairing Mood

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    When we are in a despairing mood, that’s when it can feel hardest to actually implement anything we know about getting out of one. That’s why sometimes, the simplest solutions are the best:

    Imagination Is Key

    Despairing moods occur when it’s hard to envision a better life. Imagination is the power to envision alternatives, such as new jobs, relationships, or lifestyle, but sadness can cloud our ability to imagine solutions like changing careers, moving house, or starting fresh. With enough imagination, most problems can be worked around—and new opportunities can always be found.

    Importantly: we are not bound by our past or present circumstances; we have the freedom and flexibility to choose new paths. That doesn’t mean it’ll always be a walk in the park, but “this too shall pass”.

    You may be thinking: “sometimes the hardship does pass, but can last many years”, and that is true. All the more reason to check if there’s a freer lane you can slip into to speed ahead. Even if there isn’t, the mere act of imagining such lanes is already respite from the hardships—and having envisioned such will make it much easier for you to recognise when opportunities for change do come along.

    To foster imagination, we are advised to expose ourselves to different narratives, preparing ourselves for alternative ways of living. Thus, we can reframe life’s challenges as intellectual puzzles, urging us to rebuild creatively and find new solutions!

    For more on all this, enjoy:

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    Want to learn more?

    You might also like to read:

    Behavioral Activation Against Depression & Anxiety

    Take care!

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  • How To Kill Laziness

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    Laziness Is A Scooby-Doo Villain.

    Which means: to tackle it requires doing a Scooby-Doo unmasking.

    You know, when the mystery-solving gang has the “ghost” or “monster” tied to a chair, and they pull the mask off, to reveal that there was no ghost etc, and in fact it was a real estate scammer or somesuch.

    Social psychologist Dr. Devon Price wrote about this (not with that metaphor though) in a book we haven’t reviewed yet, but will one of these days:

    Laziness Does Not Exist – by Dr. Devon Price (book)

    In the meantime, and perhaps more accessibly, he gave a very abridged summary for Medium:

    Medium | Laziness Does Not Exist… But unseen barriers do (11mins read)

    Speaking of barriers, Medium added a paywall to that (the author did not, in fact, arrange the paywall as Medium claim), so in case you don’t have an account, he kindly made the article free on its own website, here:

    Devon Price | Laziness Does Not Exist… But unseen barriers do (same article; no paywall)

    He details problems that people get into (ranging from missed deadlines to homelessness), that are easily chalked up to laziness, but in fact, these people are not lazily choosing to suffer, and are usually instead suffering from all manner of unchosen things, ranging from…

    • imposter syndrome / performance anxiety,
    • perfectionism (which can overlap a lot with the above),
    • social anxiety and/or depression (these also can overlap for some people),
    • executive dysfunction in the brain, and/or
    • just plain weathering “the slings and arrows of outrageous fortune [and] the heartache and the thousand natural shocks that flesh is heir to”, to borrow from Shakespeare, in ways that aren’t always obviously connected—these things can be great or small, it could be a terminal diagnosis of some terrible disease, or it could be a car breakdown, but the ripples spread.

    And nor are you, dear reader, choosing to suffer (even if sometimes it appears otherwise)

    Unless you’re actually a masochist, at least, in which case, you do you. But for most of us, what can look like laziness or “doing it to oneself” is usually a case of just having one or more of the above-mentioned conditions in place.

    Which means…

    That grace we just remembered above to give to other people?

    Yep, we should give that to ourselves too.

    Not as a free pass, but in the same way we (hopefully) would with someone else, and ask: is there some problem I haven’t considered, and is there something that would make this easier?

    Here are some tools to get you started:

    Take care!

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  • Oven-Roasted Ratatouille

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    This is a supremely low-effort, high-yield dish. It’s a nutritional tour-de-force, and very pleasing to the tastebuds too. We use flageolet beans in this recipe; they are small immature kidney beans. If they’re not available, using kidney beans or really any other legume is fine.

    You will need

    • 2 large zucchini, sliced
    • 2 red peppers, sliced
    • 1 large eggplant, sliced and cut into semicircles
    • 1 red onion, thinly sliced
    • 2 cans chopped tomatoes
    • 2 cans flageolet beans, drained and rinsed (or 2 cups same, cooked, drained, and rinsed)
    • ½ bulb garlic, crushed
    • 2 tbsp extra virgin olive oil
    • 1 tbsp balsamic vinegar
    • 1 tbsp black pepper, coarse ground
    • 1 tbsp nutritional yeast
    • 1 tbsp red chili pepper flakes (omit or adjust per your heat preferences)
    • ½ tsp MSG or 1 tsp low-sodium salt
    • Mixed herbs, per your preference. It’s hard to go wrong with this one, but we suggest leaning towards either basil and oregano or rosemary and thyme. We also suggest having some finely chopped to go into the dish, and some held back to go on the dish as a garnish.

    Method

    (we suggest you read everything at least once before doing anything)

    1) Preheat the oven to 350℉ / 180℃.

    2) Mix all the ingredients (except the tomatoes and herbs) in a big mixing bowl, ensuring even distribution.

    2) Add the tomatoes. The reason we didn’t add these before is because it would interfere with the oil being distributed evenly across the vegetables.

    3) Transfer to a deep-walled oven tray or an ovenproof dish, and roast for 30 minutes.

    4) Stir, add the chopped herbs, stir again, and return to the oven for another 30 minutes.

    5) Serve (hot or cold), adding any herb garnish you wish to use.

    Enjoy!

    Want to learn more?

    For those interested in some of the science of what we have going on today:

    Take care!

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  • Missing Microbes – by Dr. Martin Blaser

    10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.

    You probably know that antibiotic resistance is a problem, but you might not realize just what a many-headed beast antibiotic overuse is.

    From growing antibiotic superbugs, to killing the friendly bacteria that normally keep pathogens down to harmless numbers (resulting in death of the host, as the pathogens multiply unopposed), to multiple levels of dangers in antibiotic overuse in the farming of animals, this book is scary enough that you might want to save it for Halloween.

    But, Dr. Blaser does not argue against antibiotic use when it’s necessary; many people are alive because of antibiotics—he himself recovered from typhoid because of such.

    The style of the book is narrative, but information-dense. It does not succumb to undue sensationalization, but it’s also far from being a dry textbook.

    Bottom line: if you’d like to understand the real problems caused by antibiotics, and how we can combat that beyond merely “try not to take them unnecessarily”, this book is very worthy reading.

    Click here to check out Missing Microbes, and learn more about yours!

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