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Treatment & Management

RECOVER at Mid-Year: 2026 Progress and What's Ahead
RECOVER COVID Initiative (NIH-funded)
July 1, 2026

An update on NIH RECOVER-TLC treatment trials, including baricitinib, low-dose naltrexone, semaglutide, and stellate ganglion block.

Long COVID Clinical Guidance
CDC (Centers for Disease Control and Prevention)
March 9, 2026

CDC's guidance for clinicians on symptom-focused, patient-centered Long COVID treatment plans, with a dedicated section on managing PEM.

Effect of Low Dose Naltrexone for Long COVID: A Systematic Review
Oyungerel Byambasuren and colleagues (Bond University), medRxiv preprint
September 9, 2025

No completed RCTs of low-dose naltrexone exist yet, but small observational studies report moderate-to-large improvements in fatigue and brain fog.

Three trials are testing JAK inhibitor drugs for immune dysregulation believed to underlie some Long COVID symptoms, with mixed patient experiences so far.

A Rare Drug Trial for Long Covid Failed, Yielding Lessons on Study Design
Betsy Ladyzhets (The Sick Times, published via STAT News)
July 22, 2025

Reports on the failure of a BC 007 infusion drug trial for Long COVID and what researchers are learning for future trial design.

A free clinical guide for providers covering diagnosis, symptom management, and multidisciplinary care for ME/CFS and Long COVID.

Nirmatrelvir–Ritonavir Versus Placebo–Ritonavir in Individuals With Long COVID in the USA (PAX LC)
Mitsuaki Sawano and colleagues (Yale University), The Lancet Infectious Diseases
April 3, 2025

A placebo-controlled phase 2 trial of a 15-day Paxlovid course in adults with Long COVID found no significant improvement at day 28.

Reports on progress identifying possible mechanisms while noting no treatments are yet approved and fewer than 50 trials are active.

The first randomized, placebo-controlled Paxlovid trial for Long COVID found the drug safe but without statistically significant symptom improvement.

Post-Exertional Symptom Exacerbation
Long COVID Physio
January 28, 2024

Explains PESE/PEM, its triggers, and why graded exercise therapy is not recommended for people with post-exertional symptom worsening.

Pacing
Long COVID Physio
June 9, 2023

A patient-led physiotherapist group's guide to pacing as a strategy for balancing activity and rest to avoid triggering post-exertional symptoms.

Describes Mayo Clinic's COVID-19 Activity Rehabilitation Program and reports on the characteristics of its first 100 patients.