Functional Medical Approach and Management for Long COVID

    May 2023
    Sanghoon Lee, Sang Man Kim
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    Studysummary This review discusses the varied symptoms and prevalence of long COVID in 20% to 60% of acute COVID-19 patients, emphasizing the lack of clear diagnostic criteria and treatment options, and proposes a functional medicine approach as a potential management strategy.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    Long COVID, or post-acute sequelae of SARS-CoV-2 infection, is a condition with symptoms persisting more than 4 weeks after diagnosis, including fatigue, headache, anosmia, ageusia, chronic cough, shortness of breath, impaired concentration and memory, sleep disturbances, depression, anxiety, and hair loss. It affects 20% to 60% of acute COVID-19 patients. Despite its high incidence, there is no clear definition or objective diagnostic criteria for long COVID, and diagnosis and treatment options are limited due to insufficient evidence. However, a functional medicine approach, considering aspects such as adrenal fatigue, gut health, inflammation resolution, histamine imbalance, and vitamin D deficiency, can be beneficial. This approach uses blood tests, urinary organic acid profile, food intolerance tests, and lifestyle modification, along with oral or intravenous nutrition therapies.
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