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It's been a month, two or even three since you passed the coronavirus and yet

you can't with your soul


Climbing the stairs is a challenge and, although you don't say anything, you prefer not to take very long walks because you end up a rag.

What is happening in your body?

It's called persistent covid and it's not your imagination


Although the causes are still being investigated and the WHO has already made an official definition.

Is persistent covid the same as the aftermath of COVID-19?

No, although they are two terms that are being used interchangeably, it is important to clarify the differences.

When we talk about

sequelae, we refer to what is suffered after having suffered from the disease in a serious way

, generally when there has even been an admission to the ICU and one ends up knackered.

For example,

Antonio Resines has declared having 80% muscle atrophy after passing through the ICU


Muscle atrophy is one of the most common sequelae in patients admitted to the ICU, not only due to coronavirus but also due to other diseases.

On many occasions

, patients cannot walk and need to undergo rehabilitation in order to regain some independence in their daily lives

and perform simple daily tasks such as going to the bathroom.

Another common sequel is lung damage due to the "scars" that the virus can leave.

There are patients who may need help breathing for a long time, even after discharge.

What is persistent covid then?

At the end of 2021, the WHO gave an official definition: it is the condition that occurs in people who have passed the coronavirus,

generally 3 months after onset, with symptoms that last at least 2 months and that cannot be explained with an alternative diagnosis


In other words, if you passed omicron on New Year's Eve, for your symptoms to be considered persistent covid at the end of March you should continue to suffer from them and there is no other cause that can explain them.

Do the symptoms need to show up permanently once you test positive, or can they come on "stuck"?

In persistent covid, the symptoms

are like Guadiana: they can appear and disappear.

Again, if you got infected around New Year's Eve, your symptoms may have disappeared in a few weeks, but now you have them again.

If those symptoms persist for two months, it could also be considered persistent covid.

Are there people more predisposed than others to have persistent covid?

It's not known why some people develop persistent covid and others don't, but

four factors

seem to increase the risk: having a high

viral load early in the infection, having autoimmune diseases, having type 2 diabetes

, and finally ,

the reactivation of the Epstein-Barr virus.

Yes, we are talking about the kissing disease virus.

You may have had this disease when you were 18 years old, that the bug remained crouched in your body, and that now, at 40, your friend Epstein-Barr wakes up with a kiss from the coronavirus, as if he were Sleeping Beauty.

What kind of symptoms are the most common with persistent covid?

Studies indicate that

there are more than 70 different symptoms.

Symptoms that affect all parts of the body.

The bug does not leave an organ untouched.

The problem is that

many of the symptoms cannot be detected with conventional

laboratory tests.

Some could be considered subjective and that has meant that patients were sometimes not taken very seriously.

It was thought that many people exaggerated or somatized.

The most common are:

  • Tiredness and weakness


    It is the most frequent symptom.

    Something as simple as climbing a ladder can become climbing the Mulhacén.

    The most likely reason is that after COVID-19 the circulatory system may be damaged and less oxygen flow would reach the muscles.

    In summary:

    there would be a lack of oxygen and if the oxygen does not arrive well, there is less aerobic capacity and more fatigue.

    Why is this happening?

    Studies show that there may be three main causes: damage to nerve fibers that help control circulation, microclots that could clog capillaries, and damage to mitochondria, which are the energy-producing factories within the body.

  • Cognitive damage


    Decreased attention, memory loss, difficulty finding words, what's going on?

    Even people with mild cases of COVID-19 can experience prolonged cognitive decline.

    In addition to the so-

    called "brain fog".

    Sleep disorders, headaches, and taste and smell disturbances are common


    The causes are still being investigated, but two hypotheses are contemplated.

    The first is that it is possible that with infections, cells called "microglia" are activated, little defense soldiers that are in the nervous system.

    It's not good that these little soldiers get too active because they can inflame the area.

    The second cause is that something similar to what happens with fatigue can happen: simply that less oxygen reaches the brain.

  • Damage to the immune system.

    During infection, the virus roams free in our bodies, and the viral genetic material can remain embedded for many months in the tissues of the intestines, lymph nodes, and other parts of the body.

    Yes, the virus or parts of the virus could remain as squats in some reservoirs, generating inflammation in the tissues that are next to it.

    This could

    lead to blackouts, gastrointestinal problems, and other symptoms.

    For example, studies have been done and it has been seen that there are components of the coronavirus that can persist in the small intestine of a patient even... 92 days after the onset of their COVID-19 symptoms!

    This can cause diarrhea, constipation, or abdominal pain.

  • Lung damage.

    Shortness of breath or difficulty breathing is a symptom that is being found even in people who have not been through the ICU and who have apparently normal lungs after performing an X-ray.

    One hypothesis, again, could be microclots in the lung tissues.

In short: the coronavirus is serious business.

Many people get infected, recover and end of the movie.


many others continue to suffer from coronavirus symptoms for many months


We do not know if in some cases it can be for life.

For this reason it is important not to trivialize the disease or contagion.

If you can

prevent this virus "box of surprises" from walking through your body, the better.

Conforms to The Trust Project criteria

Know more

  • Apothecary Garcia

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