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Salvatore Mattera Profile picture
@SalvMattera
Dec 27 • 5 tweets • 2 min read • Read on X
While the CDC does not explicitly predict that everyone will eventually get long COVID, it freely acknowledges everything that's necessary for that to happen. Some quotes from its website:
Immunity to COVID (both vaccine and infection-derived) wanes rapidly, so people can be infected over and over again. Image
And when you are reinfected, there's a chance you may develop long COVID, no matter how many times you've been infected before. Image
The CDC says vaccinated people and people with mild infections are less likely to develop long COVID, but admits that anyone can develop long COVID no matter who they are. Image
The CDC doesn't make any predictions, but if these things are true - people will keep getting reinfected, every reinfection carries the risk of long covid - then it's obvious that on a long enough timeline, many people (perhaps most or even all people) will develop long COVID

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More from @SalvMattera

Salvatore Mattera Profile picture
Dec 28
Some may be like this, but others are people like me. People who embraced the "vaxx and relax" strategy and have been left disabled (perhaps permanently) because of it. In the summer of 2021, after I had my two vaccine shots, I threw away my mask and started going to bars again Image
I went to restaurants again. I traveled across the country. I went to indoor weddings. I'm slightly ashamed to admit this but I actually argued with one of my coworkers about masks back then. "Look at this NYT article," I said. "Breakthrough infections are rare!" How wrong I was.
I texted my friends: "you want to get dinner in pioneer square? These restaurants need our help. We're young and healthy. We have nothing to worry about."
Read 15 tweets
Salvatore Mattera Profile picture
Dec 27
I think the reason metformin reduces your risk of long COVID is that improves your gut micro biome. Besides probiotics, what other drugs do that?
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Read 9 tweets
Salvatore Mattera Profile picture
Dec 25
With COVID spiking again, I wanted to write about my experience this year dealing with a very mild form of long COVID. I hope this can be a cautionary tale for people who are still convinced that healthy "low risk" people have nothing to worry about from a COVID infection.
As I've written before, I was a healthy 33 year old with no obvious pre-existing conditions. No one would consider me to be "high risk" as I detailed here:
After I caught COVID for the third time at the beginning of January 2023, I just sort of never recovered. At first it was like I was sick for almost 3 months straight. I continued to work at a high level, but on the weekends, all I could do was lay on the couch.
Read 27 tweets
Salvatore Mattera Profile picture
Dec 24
Here's what I'm going to try starting next month to treat my remaining long covid symptoms:
I have a year's supply of SIM01 getting shipped to me from Hong Kong based on a double blind study by the Chinese University
I'm going to try nicotine patches based on many people with long COVID recommending them.
Read 9 tweets
Salvatore Mattera Profile picture
Dec 21
After an 11 month wait, I finally had a consultation with Zara Patel, an expert in long COVID smell loss. None of this should be taken as medical advice. But here's what she told me:
She scoped me and found that the part of my nasal passage leading to my olfactory bulb was swollen almost completely shut
She prescribed 2000 mg of fish oil per day, twice a day nasal rinse with budesonide, and 6 months of smell retraining, holding the scent bottles far enough away from my face that it was very difficult to tell what they were
Read 15 tweets
Salvatore Mattera Profile picture
Dec 18
About a month ago I caught COVID for the 4th time. It was on a family trip despite regular N95 usage. None of my other family members caught it which is another reason why I believe people with long COVID are more likely to get reinfected or maybe the virus just reactivates
FWIW, I used Paxlovid and Metformin for 5 days on day 2 of symptoms. Added zinc to my supplement stack. Definitely the sickest I've been from an acute COVID infection for the first week.
Long COVID symptoms intensified significantly, but I now feel like I'm roughly back to my ~80% baseline. Except my joint and nerve pain is worse than before, though has been trending better. I haven't resumed working out yet, but so far no signs of PEM
Read 5 tweets

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