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What is the treatment for Covid-19 fatigue and brain fog?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello Doctor,

I am a 42 year old male. I have been suffering from presumably long-covid for the last two and half years. I suffer mostly from fatigue and brain fog which has a profound impact on my quality of life. It renders me pretty inactive most of the time, which I try to compensate with exercise like yoga, walking, swimming and running. After exercise I feel extremely exhausted. Besides the common long-covid symptoms I have been getting various health conditions in the past few years like UTI's, suspected kidney stones and throat infections. About four months ago I have developed chronic bronchitis, neck pain and had an episode of vertigo.

Kindly have a look at my recent CT-scan as a second opinion. This is what the radiologist concluded: 1. There are no visible abnormalities in the cast and lungs bilaterally 2. Multiple simple liver cysts 3. Thoracic spondylosis The liver cysts were a point of worry, but after some blood test and the fact that my mother has the same condition, we've concluded that they are most probably harmless. The bone spurs make me wonder if they are the cause of my neck pain (and cracking sounds) and if this condition is perhaps worsened by my inactivity. Apart from that I would like to know if there is anything else that perhaps has been overlooked? Kindly help.

Thank you.

Hi, Thank you for sharing your CT scan report. I agree that the scan didn't show any problems with your lungs, which is good news. The liver cysts are most likely not harmful, as we discussed before. The thoracic spondylosis with bone spurs could be the reason for your neck pain, especially if you're not moving around much. I recommend doing some exercises and maybe getting advice from a specialist to help manage this. Also, I suggest you get an HIV test for your overall health check. Take care,

Patient's Query

Thanks Doctor, good to hear you agree with the findings. Did you look for other possible problems too? Anything that might raise concern? I indeed have have generally not been moving much for the past few years due to the long covid fatigue. I will work on that and perhaps visit a specialist for additional advice and exercises. Concerning the HIV test, I’ve done this about 1.5 years ago. I haven’t had much action since due to my condition, so I don’t really consider this a possibility. I’ve done a health checkup at the hospital a few months ago and apart from the bronchitis, the bloodwork came back perfect. Thank you!
Thank you for contacting me. Regarding HIV testing, it is unnecessary to repeat the test. There is no other finding in your images apart from these. Regarding your concerns about COVID fatigue, I would recommend considering the use of L-carnitine supplements, available over the counter. Over a period of 2 to 3 months, you may observe remarkable results. I have suggested this to numerous patients with positive outcomes. Best regards,

Medically reviewed byiCliniq medical review team

Published At May 5, 2025
Reviewed AtMay 5, 2025

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