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September 4, 2022 By FBN Leave a Comment
Once a person has healed from Long COVID, the focus shifts to optimizing health and preventing recurrence.The CDC estimates 10%-30% of people who were infected by COVID-19 are experiencing a wide range of ongoing health problems for weeks, months or even years post-infection. The condition is known as Long COVID, Post-COVID Syndrome and/or Long Haulers. If not properly addressed, this could result in disability and become a major health care burden in the coming years.
Once a person has healed from Long COVID, the focus shifts to optimizing health and preventing recurrence.
While Long COVID appears to be more prevalent in people with severe COVID-19 illness, anyone who had mild or no symptoms can experience persistent symptoms as well. Clinical evidence points to a person’s prior immune system function, inflammation levels, toxin load and infection load as potential risk factors; however, any otherwise “healthy” person, regardless of vaccine status, can develop Long COVID. This likely occurs because the infection can tip the scale, bringing occult disease into the light and/or lowers a person’s susceptibility to another disease process.
Long COVID symptoms often occur in clusters, overlap with each other and can involve multiple organ systems. Symptoms also may fluctuate or relapse over time. The main symptoms include fatigue, muscle weakness, brain fog, insomnia, headaches, migraines, difficulty breathing, cough, chest pain, heart palpitations, tachycardia, bloating, nausea, diarrhea, stomach pain, anxiety, depression, neuropathy, loss of smell/taste, tinnitus, lightheadedness, joint pain, rashes, changes in menstrual cycles and thyroid disorders.
The pathophysiology is similar to other chronic, complex illnesses such as Chronic Fatigue Syndrome, Mast Cell Activation Syndrome, Mold Illness and Lyme Disease. The cause is often multifactorial and each of these causes should be considered:
Initial work-up involves gathering a thorough patient history, physical exam and testing to rule out other conditions and identify impaired organ systems. Bloodwork often includes CBC, CMP, vitamin D25OH, fibrinogen, d-dimer, hsCRP, AM cortisol, thyroid panel, sex hormones, HbA1c, ferritin, iron studies, auto-immune testing, and co-infection testing. Specialized testing may include stool analysis, tick-borne diseases panel, mycotoxin testing, heavy metal testing, food sensitivity testing, genetic testing, and so forth. Work-up often includes referrals to specialists for evaluation and imaging (chest X-ray, EKG, pulmonary testing, etc.).
It’s important every person receives an individualized treatment plan focused on addressing their specific root cause(s). Integrative medicine shines in its ability to combine the best of naturopathic, conventional, cutting-edge and traditional therapies to help a person feel better faster. It’s also vital to optimize nutrition, detoxification, sleep, exercise and mental/emotional health, so a person experiences a deeper healing response.
Health Optimization is the Best Prevention
Once a person has healed from Long COVID, the focus shifts to optimizing health and preventing recurrence. The goal is to not only return to normal work and social activities, but to thrive in a healthier and more resilient body. Start by writing a list of short- and long-term health goals. Then, work with your health care provider to make a plan going forward. COVID-19 is likely here to stay, so let’s all be even stronger the next time we face it! FBN
By Paul M. Despres, NMD
Dr. Paul M. Despres is a licensed naturopathic physician and newest member of the Aspen Integrative Medical (AIM) Center medical team. Dr. Despres specializes in acute care and complex chronic disease such as Long COVID, Lyme disease, Mold Illness, gastrointestinal disorders and environmental toxicity. For additional information or to schedule an appointment, please visit aspenmedcenter.com or call 928-213-5828.
Filed Under: Columnists Tagged With: Aspen Integrative Medical Center, Dr. Paul M. Despres, Long COVID, Paul M. Despres
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