Orlando Sentinel

Long COVID is real, and it’s affecting millions

- Dr. Mohammed Elamir Dr. Mohammed Elamir is lead physician at Aviv Clinics in The Villages.

Although the coronaviru­s is here to stay and life has resumed to normalcy for most of us, millions of people are still struggling with ongoing symptoms — a condition we call long COVID.

Many question the legitimacy of this condition, but as a physician, I can assure you that long COVID is indeed real. I’ve witnessed its effects on patients with debilitati­ng symptoms and can identify the metabolic changes to the brain through high-resolution imaging that displays the telltale damage caused to delicate brain tissue. At our clinic, long COVID and relief from its symptoms have become the No. 1 reason people are reaching out.

Earlier this summer, the National Institutes of Health identified 12 distinct long COVID symptoms. You’ve likely heard complaints before about brain fog, fatigue, chronic coughing or changes in taste or smell. Common signs of long COVID can also include cardiac issues like heart palpitatio­ns and chest pain, gastrointe­stinal problems, extreme thirst and more.

These difficulti­es arise from COVID19’s path in the body and its correspond­ing immune response. Four common causes of lingering symptoms are:

Direct brain invasion: The COVID-19 virus travels through the nose, into the olfactory nerves, crosses the cribriform plate, and attacks the insula, which is located between the frontal and temporal lobes of the brain and oversees skills like memory and executive function.

Blood vessel injury: Studies show COVID-19 can compromise blood vessels that transport blood and oxygen to the brain. The infection may erode the lining of blood vessels, allowing the virus to seep into the tissues or obstruct blood flow to the brain, potentiall­y causing brain injuries. Dysregulat­ed immune response:

Damage to the inner blood vessel lining can also inhibit cell growth — the exact opposite of how our immune system should be functionin­g. When the body cannot produce a normal immune response it either underreact­s, causing viruses to spread quickly, or overreacts, causing the immune system to attack healthy cells, tissues and organs.

Cellular dysfunctio­n: Ona cellular level, COVID-19 can affect metabolic function in the mitochondr­ia, the power centers of our cells. A study published in August reveals that the virus can disrupt mitochondr­ial structure and hamper energy production leading to cognitive and physical fatigue.

In 2021, the U.S. government launched the RECOVER Initiative, a nationwide research program striving to understand, treat and prevent long COVID. Its clinical trials are exploring potential treatments for long COVID-related symptoms like cognitive dysfunctio­n, autonomic dysfunctio­n, exercise intoleranc­e and fatigue, sleep disturbanc­es and viral persistenc­e.

Two clinical trials are currently in progress through the RECOVER initiative. One tests a pharmacolo­gical interventi­on, and the other focuses on cognitive training. More than 24,000 participan­ts have signed up for clinical studies to date.

Peer-reviewed, published clinical research has revealed that a specific hyperbaric oxygen therapy protocol can repair damaged areas of the brain both structural­ly and functional­ly. The protocol significan­tly improved long COVID symptoms like cognitive dysfunctio­n, fatigue, sleeplessn­ess, pain, psychiatri­c symptoms and even cardiac function.

The specific protocol used in the study incorporat­es fluctuatin­g oxygen levels during each two-hour hyperbaric session. These varying oxygen levels initiate a cascade of physiologi­cal responses that spark the body’s self-healing mechanisms, improving blood flow and repairing brain connectivi­ty.

At our clinic, we use this same protocol to treat clients who come to us with long COVID symptoms. But hyperbaric oxygen is just one part of our unique medical program. Cognitive training (using the same software studied in the RECOVER initiative), physical activity and dietary coaching all work in tandem with our unique hyperbaric protocol to maximize improvemen­t and build a foundation for continued healing.

 ?? ??

Newspapers in English

Newspapers from United States