I’m open sourcing my health logs and data in my journey to recover from Long COVID in the hope that it will help others fighting the same fight.

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Interventions - all interventions, drugs, supplements I’m considering or have tried

How to get more Paxlovid - how to get more than a 30-day course of Paxlovid… with a little help from your friends (or family!)

Long COVID Testing - the laboratory panels my doctor has ordered, with CPT codes and insurance prices

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• Age: 38
• Twitter: https://x.com/liamsLCjourney
• Location: Lower East Side of Manhattan, New York City
• Background: Former semi-professional athlete, extremely healthy lifestyle pre-COVID (lifting 3x/week, whole foods diet, no drugs/non-drinker)

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Current Plan (January 2026)

Reduce viral persistence: Pemgarda infusion, likely early January. From analysis of patient cases, 5% recover completely, 25% get better, 40-45% no effect, and 10-15% get worse. I believe I am a good candidate because I was infected with BA.2 and am hypoimmune, both of which are positive markers, anecdotally. I would put my chance of at least some positive effect at ~40%.

Support the mitochondria**:** with some combination of:

• SS-31
  • Tried this for 4 days but had a reaction, blood pressure + heart rate went up and I felt woozy/floaty, learned it may just be a reaction to my mitochondria waking up, so want to go for another round
• Urolithin A
  • If my mitochondria are beyond repair (Complex 3 shows bottleneck at 7% of normal human function), maybe best option is to just clear them out
  • Concerned that I won’t have enough resources to build them back, though
• higher doses of CoQ10
• 1-MNA

Fix the immune system ****with Thymosin-Alpha-1

• However I had a severe immune reaction to a 0.5mg dose last time, it knocked me out for two days then I crashed for 5 days. Would restart at a lower dose if anything. </aside>

Vaccination and infection timeline

• First COVID infection: November 2021 (likely Delta variant)
• Reinfection and Long COVID onset: Early May 2022 (Probably BA.2 or possibly BA.2.12.1 variant - mild, recovered in a week, then symptoms began, likely after lifting weights to failure)
• Previous treatment: Received Regeneron monoclonal antibody in 2020 clinical trial (no active infection at time)
• Vaccines: Moderna (April-May 2021), Moderna booster (Dec 2021), Pfizer booster (Nov 2022)
  • Have not gotten vaccines since then for fear of making my condition worse.

Symptom pattern

I’ve had a unique episodic pattern that is different from typical Long COVID:

• Crashes last 3-7 days typically (except severe episodes: 40 days in Aug 2023, and my current episode which has been constant since May 7, 2025)