I have a friend who is a 66 y.o. male from Canada, retired attorney, but still working part-time for the Canadian government and teaching, usually does yoga 4-6 times a week, eats cleanly, has a history of anxiety/insomnia, occasional gastritis (with h/o PUD), hyperlipidemia, and allergic rhinitis who got the second Pfizer vaccine January 26. In the third week of February he awoke with sudden onset of severe vertigo, extreme fatigue, nausea, anorexia, headache, and intermittent tingling in his face, arms, and backs of his legs (all areas bilaterally). He slept about 18 hours that day and then felt slightly better. He waited about 17 days to call about his symptoms, realizing he might have actually had COVID-19. He was extremely distressed by his symptoms and very anxious. His physical was remarkable for erythema and slight retraction of the right TM, but no focal weakness, no altered sensation. His EKG was unremarkable, CBC, CMP, TSH, Free T4, Free T3, SED, CRP were all completely normal. I didn’t do a COVID-19 test because he wanted to minimize cost. I felt he might have residual vestibulitis, as he didn’t test positive for benign paroxysmal positional vertigo with Dix-Hallpike manuvers. He wanted to be very conservative with financial resources, so I placed him on theanine 150mg three times daily for perseveration/anxiety, TA1 at 750mcg twice daily for 10 days, and then decreased to 750mcg daily. His dizziness rapidly resolved. He is now two months out from his initial symptoms and still has intermittently: mild nausea, dull headache, slight tingling in legs, fatigue (still very pronounced after significant physical activity). He has been able to think clearly and critically and speak eloquently with no word-finding issues, and while his energy holds he is able to do yoga, go for walks, etc. Has anyone else encountered similar symptoms in post-COVID-19 patients? I know there is SO much more I could have done with additional peptides (BPC-157, TB4, CJC-1295-Ipamorelin, etc). Any recommendations at this point? Thanks!
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