Long Covid Podcast 181 - Dr David Putrino - The Multifaceted Approach to Long Covid Recovery
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Jul 9, 2025 Dr. David Putrino, a Professor at Mount Sinai and expert in rehabilitation and long COVID, discusses a personalized approach to recovery. He highlights that symptoms like fatigue can stem from varied causes, necessitating tailored treatments. Techniques from elite athlete training may benefit long COVID patients. He stresses early symptom stabilization through pacing and breathwork, while illuminating the role of persistent pathogens and hormonal factors like testosterone in treatment. David advocates for multidisciplinary care to effectively address this complex condition.
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Athlete Methods Inform Long Covid Care
- Techniques used for elite athletes target mitochondrial efficiency and reducing oxidative stress.
- Putrino suggests these approaches may help long COVID as cellular energy pathways overlap.
Treat Fatigue By Its Cause
- Do differentiate fatigue causes before treating; sleep problems and PEM need different approaches.
- Test for sleep architecture issues and consider targeted sleep therapies when slow-wave sleep is missing.
Use Breathwork To Calm Dysautonomia
- Try parasympathetic breathing to calm an overactive sympathetic state and reduce 'tired but wired' feelings.
- Use breathwork cautiously and tailor intensity to symptom stability.