It’s been a rampant time for viral infections lately, and not everyone bounces back that smoothly. While the most notable viral infection in recent years has been COVID, it is not the only infection known to cause long-term health issues.

Approximately 30% of people will experience longer symptoms from viral infections (not just restricted to COVID). Some papers I have found say that long covid symptoms may affect up to 80% of people.

Up to 12 weeks after covid infection is still considered to be post-acute infection symptoms, but longer than this enters the realm of long covid.

This can be an incredibly frustrating and debilitating experience as there is often few answers as to what can be done to help, and like many chronic illnesses is poorly understood. The symptoms can also fluctuate from day to day. It’s not uncommon to feel misunderstood or dismissed.

What are the symptoms of long covid? While not an exclusive list of course, I have listed below some of the more common symptoms I have been seeing in my patients who have experienced a health decline after viral infection. While research is still ongoing, this article reviews some of the symptoms of long covid quite thoroughly.

Common post viral symptoms

• Fatigue
• Brain fog
• Hair loss
• Irregular periods
• Menstrual flow changes (usually as a heavier and/or clottier flow)
• Body aches and pains
• Endometriosis and adenomyosis flares
• Digestive issues
• POTS (postural orthostatic tachycardic syndrome)
• Pain at ovulation
• Increase in cold sores
• Skin changes e.g. acne flare-up, eczema
• Respiratory symptoms, shortness of breath
• Swollen and painful glands

What makes someone more susceptible to a post-viral illness such as long covid?

There is still not enough known about this but your immune function’s ability to clear the virus, genetics, and history of/susceptibility to autoimmune disease will have a role. While long covid can affect anyone, even children, it’s more common in women and those with a history of immune imbalance.

Given what is being learnt about the importance of the mind-body connection, it’s possible that a history of trauma or emotional stress may also have an impact.

How do you know if your health issues are due to post-viral illness? Unfortunately, common tests will not always reveal an answer. Your symptoms may also come and go, which can be incredibly confusing. Blood tests showing the presence of antibodies can give a clue towards this virus still affecting your immune system and inflammation levels to some degree.

It can help to think back on your health and symptom timeline. If you feel that your health went downhill and hasn’t recovered ever since a viral infection there’s a good chance this has an impact.

How do we recover?

Sorry to say, but it depends. It depends on how it’s affecting you, your genetics, and your health history. Consulting with a practitioner will allow you to get an individualized set of recommendations.

While I cannot give individual recommendations regarding herbal medicines or supplements without consulting with someone there are a few general recommendations I can make.

• Work on your breathing technique such as consulting with a Buteyko practitioner.
• Prioritize rest and sleep.
• Work with someone to help process unresolved fears and emotions. Like chronic pain issues, post-viral illness has a strong mind-body involvement and this is an important aspect for recovery for many.
• Keep inflammatory food to a minimum – for most people, this is wheat, and dairy, but for others, it may be a low histamine diet.
• Bring laughter into your life where possible e.g. watch funny videos or comedy shows.
• Spend time in nature.
• Incorporate gentle movement e.g. pilates and stretching.

It can be very confusing navigating the possibilities of treatments. Working with a practitioner can help you to focus on what is best for you.

Hold onto hope and the belief that your body is working to do its best for you.

The post In it for the long haul… recovering from post viral illness appeared first on Alison Mitchell Naturopath.

In the midst of a time of ever looming threat of viral infection, it becomes more important than ever to support our immune system.

A healthy immune system can make the difference between your ability to fight off common cold more easily or becoming sick every 1-2 months, or experiencing long term consequences from more severe viral infections.

Post-viral syndromes are not a new phenomenon, with infections such as Cytomegalovirus (CMV) and Epstein-Barr virus (EBV) and other infections including Ross river fever, Bartonella (Lyme disease) and more recently, Covid-19 being known to potentially cause this.

Post-Viral syndrome can cause symptoms including:

• Chronic severe fatigue
• Anxiety
• Depression
• Brain fog and cognitive impairment
• Gut pain
• Joint aches and pains
• Headaches
• Dizziness
• Lowered exercise tolerance
• Persistent cough
• Shortness of breath

Not everyone will experience long term complications after a viral infection, and it is thought that the likelihood of developing these consequences is influenced by several things – some of which can be modified.

The immune system needs a strong foundation in order to be able to thoroughly fight off infections and reduce long term reactions.

While vaccinations can significantly reduce the likelihood of a severe reaction to infections, there are some concerns. Many have concerns of side effects from vaccinations, and while the rates of occurrence are low, it is still a cause of fear for many. It is also a concern but many that one can still get sick with Covid-19 even after vaccinations, but it is believed that they will not get as severely sick and may have 50% less chance of transmitting the virus due to a lowered viral load.

The same principles that influence a health immune system will apply when we consider our likelihood of having an adverse reaction to a vaccination, as well reduced vaccine effectiveness. While the majority of people will experience minimal acute symptoms from a vaccine and no long term symptoms, there are a small group of people who may experience more severe symptoms. It is still not completely understood why some people will react more than others, but there are many things we can do to give ourselves to least likelihood of a negative reaction.

There are many things which influence our immune system, which impact on our ability to fight off infections, have a positive response to vaccinations and to process toxins.

“The microbe is nothing. The terrain is everything” -Claude Bernard 1813-1878

The terrain theory was first proposed by Claude Bernard, and later built upon by Antoine Bechamp (1816-1908). It was rivalled by Louis Pasteur, although some belief that he stated on his death bed “I was wrong. The germ is nothing. The Terrain is everything”.

There are aspects of truth in all of these concepts. Indeed, before Pasteur introduced the germ theory it was believed that disease came from non-living things such as dirt, foul air and ‘vapors’. Harmful micro-organisms can and do cause disease, but the severity of this disease is influenced by the health and genetics of the person – the overall aspect of this being referred to as the terrain.

Key Foundations for a Healthy Immune System

Stress

Chronic stress can affect the gut microbiome which means you can’t detox chemicals as effectively, and also dampens the immune system.

Lymphatic system

Your lymphatic system works alongside the immune system to help protect you from harmful substances such as infections and toxins. A stagment lymphatic system means a more prolonged infection duration and an increased likelihood of side effects from vaccinations.

Our lymph is moved by muscular contractions – if you don’t move, neither will your lymph. Exercise, dry skin brushing and rebounding are ways to increase the lymph drainage. By allowing our lymph to drain effectively

Sleep

Our immune cells follow a daily rhythm, with some types of immune cells peaking in the night and others during the day. Getting sleep before midnight helps developed your naive T cells.

people who sleep less than 6 hours a night have been shown to have 11.5x less of an immune response to a vaccination.

In addition, those who have a nap after a vaccination had a better immune response.

Gut Health

Our microbiome is so important when it comes to improving immunity, as the multitude of beneficial microbes within our digestive system will impact how well we can fend off a virus, the severity of an inflammatory response, and will also influence vaccine response.

Taking pre and probiotics for 2 weeks before a vaccine helps to reduce the potential of adverse reactions, if you don’t have that amount of time then take it for as long as possible.

Check out my latest post about medications and your microbes.

Age

Generally, the older you are the weaker your immune system, but the concept of ‘immune age’ is something that doesn’t always correlate with your actual age. Your age will also determine how well you can fight off a bug, as well as how you respond to vaccinations.

Your immune age is determined by your genetics, as well as inflammation. Other things that affect this include your levels of sleep, exercise, diet and stress. A lower immune age means your innate and adaptive immune system becomes disrupted.

Weight

Research has shown that those people in the obese category are less responsive to vaccinations and have a worse effect from viral infections. This is partly due to the chronic low grade inflammation that obesity can cause which dampens the immune system.

Exposure to chemicals

PFAs are one of the worst offenders here. These are found in sources such as fire retardants, fast food containers, non stick cookware, some beauty products. Higher blood levels of PFAs are associated with a worse effect from viral infections and a poorer response to vaccinations.

Nutrition

Having enough of the good stuff, and not too much of the bad stuff. Simple right? Here’s a few things to consider: get enough nutrients which your immune system needs like zinc, vitamin c, vitamin d, iron, vitamin a, vitamin e, selenium…. these nutrients are required for adequate immunoglobulins which helps your body to clear out viruses and process spike proteins.

Stay away from foods which your immune system doesn’t like, such as refined process food and excess sugar. Try to avoid eating foods which you are intolerant to as these can upset your immune system too.

Hormones

Yep, might not be obvious but your hormones are important when it comes to a healthy immune system. Natural oestrogen and progesterone are involved in your immunity and controlling inflammation.

If you suspect your hormones need some support chat with your health care provider.

Ten tips for supporting a healthy immune system

1. Spend time in nature
2. Don’t smoke
3. Eat a wide range of plant foods that are high in fibre
4. ‘Eat a rainbow’ – a broad range of colours in your fruit and vegetables is a good way to know you’re getting a variety of nutrients
5. Get plenty of sleep
6. Try to manage stress by taking time off from listening to stressful news, incorporating stress management techniques into your day and creating healthy boundaries. If that doesn’t help, chat with a herbalist or naturopath about herbs that can help your stress response.
7. Exercise regularly and try to maintain a healthy weight
8. Include prebiotic and probiotic foods in your diet such as fermented foods
9. Support your lymphatic system with practices such as dry skin brushing, exercise and drinking plenty of water
10. Avoid processed and very sugary foods

References

Abraham, K., Mielke, H., Fromme, H. et al. Internal exposure to perfluoroalkyl substances (PFASs) and biological markers in 101 healthy 1-year-old children: associations between levels of perfluorooctanoic acid (PFOA) and vaccine response. Arch Toxicol 94, 2131–2147 (2020). https://doi.org/10.1007/s00204-020-02715-4

Aric A. Prather, PhD, Martica Hall, PhD, Jacqueline M. Fury, BS, Diana C. Ross, MSN, RN, Matthew F. Muldoon, MD, MPH, Sheldon Cohen, PhD, Anna L. Marsland, PhD, RN. (2012). Sleep and Antibody Response to Hepatitis B Vaccination. Sleep. 35(8) 1063–1069. https://doi.org/10.5665/sleep.1990

Besedovsky, L., Lange, T., & Born, J. (2012). Sleep and immune function. Pflugers Archiv : European journal of physiology, 463(1), 121–137. https://doi.org/10.1007/s00424-011-1044-0

Calder, P. C., Carr, A. C., Gombart, A. F., & Eggersdorfer, M. (2020). Optimal Nutritional Status for a Well-Functioning Immune System Is an Important Factor to Protect against Viral Infections. Nutrients, 12(4), 1181. https://doi.org/10.3390/nu12041181

Classen, J. B., & Classen, D. C. (1999). Public should be told that vaccines may have long term adverse effects. BMJ (Clinical research ed.), 318(7177), 193. https://doi.org/10.1136/bmj.318.7177.193

Galmés, S., Serra, F., & Palou, A. (2020). Current State of Evidence: Influence of Nutritional and Nutrigenetic Factors on Immunity in the COVID-19 Pandemic Framework. Nutrients, 12(9), 2738. https://doi.org/10.3390/nu12092738

Hagan, T., Cortese, M., Rouphael, N., Boudreau, C., Linde, C., … Pulendran, B. (2019). Antibiotics-Driven Gut Microbiome Perturbation Alters Immunity to Vaccines in Humans. Cell, 178(6), 1313–1328.e13. https://doi.org/10.1016/j.cell.2019.08.010

Hashemi, S., Thijssen, M., Hosseini, S. Y., Tabarraei, A., Pourkarim, M. R., & Sarvari, J. (2021). Human gene polymorphisms and their possible impact on the clinical outcome of SARS-CoV-2 infection. Archives of virology, 166(8), 2089–2108. https://doi.org/10.1007/s00705-021-05070-6

Herrero, L. (2021, July 8). Yes, you can still get COVID after being vaccinated, but you’re unlikely to get as sick. The Conversation. https://theconversation.com/yes-you-can-still-get-covid-after-being-vaccinated-but-youre-unlikely-to-get-as-sick-163870.

Im, J. H., Je, Y. S., Baek, J., Chung, M. H., Kwon, H. Y., & Lee, J. S. (2020). Nutritional status of patients with COVID-19. International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 100, 390–393. https://doi.org/10.1016/j.ijid.2020.08.018

Shinde, T., Hansbro, P. M., Sohal, S. S., Dingle, P., Eri, R., & Stanley, R. (2020). Microbiota Modulating Nutritional Approaches to Countering the Effects of Viral Respiratory Infections Including SARS-CoV-2 through Promoting Metabolic and Immune Fitness with Probiotics and Plant Bioactives. Microorganisms, 8(6), 921. https://doi.org/10.3390/microorganisms8060921

Torjesen I. Covid-19: Norway investigates 23 deaths in frail elderly patients after vaccination BMJ 2021; 372 (149) https://doi.org/10.1136/bmj.n149

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