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Emerging research indicates that between 4% and 14% of New Zealanders who have contracted COVID-19 are now grappling with long COVID symptoms, which can persist for weeks or even months beyond the initial illness.

Long COVID, also described as post-COVID syndrome, presents a complex array of symptoms. Understanding these symptoms and how to manage them effectively is crucial for those affected.

The acute phase

The symptomatic journey of COVID-19 begins with what is known as acute COVID. This phase typically includes a fever, sore throat, cough, muscle aches, and a loss of taste or smell. For the purpose of research, these symptoms are grouped into three main clusters: respiratory (cough, sputum, shortness of breath), musculoskeletal (muscle aches, joint pain, fatigue), and enteric systems (abdominal pain, vomiting, diarrhea). Further granularity is provided by a COVID symptom study group which categorises these into six clusters, ranging from milder symptoms without fever to severe symptoms involving respiratory and abdominal issues.

students tired because of energy drinks

While immediate recovery from COVID-19 can occur within 7 to 10 days with complete rest, long COVID casts a longer shadow.


Characterised by a relapsing pattern where symptoms seem to abate only to resurface later, long COVID can be segmented into two main stages: post-acute COVID (where symptoms last beyond 3 weeks but under 12 weeks) and chronic COVID (where symptoms persist beyond 12 weeks).

Globally, studies highlight the extensive impact of long COVID. For instance, research from Italy indicates that 87% of people hospitalised with COVID-19 still exhibited at least one symptom 60 days post-discharge.


Another study found that patients experienced breathlessness and excessive fatigue three months after being discharged. Women and those who had five or more symptoms during the acute phase are notably at higher risk for long COVID.

two main patterns of symptoms

The symptoms of long COVID generally fall into two main patterns: fatigue, headache, and upper respiratory complaints (such as shortness of breath and loss of smell), or a multi-system complaint that includes ongoing fever and gastrointestinal issues.

Notably, deep and lasting fatigue is the most commonly reported symptom. For those recovering from long COVID, adopting a holistic approach can be especially beneficial.


Boosting mitochondrial function by incorporating antioxidant-rich foods like citrus fruits, berries (cranberries, blueberries, blackberries), nuts (walnuts, hazelnuts, Brazil nuts), and certain mushrooms (reishi, shiitake, cordyceps, turkey tail) can aid in recovery. These foods not only support mitochondrial function but also bolster the immune system.

natural support

From a natural medicine perspective, addressing the affected systems can greatly support recovery. For respiratory issues, herbs such as narrow plantain can be beneficial. Bitters, such as berberis, can aid in gastrointestinal recovery, while herbs like green oat and skullcap can support the nervous system. Additionally, the amino acid N-Acetylcysteine (NAC) helps as an antioxidant, anti-inflammatory, and mucolytic, crucial for those with respiratory symptoms.

Don’t forget the importance of vitamins C, D, and zinc in supporting the immune system. It’s crucial to note that plant medicine, while potent, requires a tailored approach.


Consulting with a medical herbalist is highly recommended, especially if you have underlying health conditions, are pregnant, trying to get pregnant, lactating, or taking medications. A medical herbalist is trained to understand herb-drug interactions and can recommend the exact herbs your body needs.

ask for help

Long COVID is best managed with professional support. As an executive coach and medical herbalist, integrating health protocols within coaching sessions helps clients not only lead effectively but also maintain their well-being.

This holistic approach ensures that managers, executives, and professionals remain at their peak performance, even amidst challenging times.

Embracing a tailored, supportive strategy for long COVID recovery is essential for achieving lasting health and wellness.