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Jon Douglas

@atranscendedman.bsky.social
2.3K followers 58 following 6.7K posts

Transparent to the transcendent. Building TrialPilot - www.trialpilot.app fnih.org/patient-engagement/patient…

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Jon Douglas @atranscendedman.bsky.social · 4h
Saw a cancer shirt on my walk and thought a Long COVID version would absolutely rock.
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Jon Douglas @atranscendedman.bsky.social · 6h
Penn and CHOP researchers found C. difficile toxins can leave a lasting imprint on the developing gut. In newborn mice, infection reshaped intestinal stem cells and immunity, with effects persisting into adulthood. www.nih.gov/news-events/...
nih.gov
Bacterial infection may alter developing gut
C. difficile bacteria caused lasting changes to cells in the intestines of newborn mice.
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Jon Douglas @atranscendedman.bsky.social · 6h
Mass General Brigham and Duke researchers studied 959 adults with Long COVID. Paxlovid for 15 or 25 days did not improve cognitive, autonomic, or exercise symptoms versus placebo. Longer treatment was generally well tolerated. www.nih.gov/news-events/...
nih.gov
Antiviral drug did not improve Long COVID symptoms
A clinical trial for Long COVID found that treating patients with a common antiviral drug for up to 25 days did not improve symptoms.
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Jon Douglas @atranscendedman.bsky.social · 6h
University College Dublin researchers studied 356 people with PASC and found 6 distinct inflammatory bioprofiles. Three showed higher tissue damage, clotting, axonal injury, or antiviral markers, biology that symptom groupings missed. onlinelibrary.wiley.com/doi/10.1155/...
onlinelibrary.wiley.com
Characterizing Host Inflammatory Bioprofiles in People With Postacute Sequelae SARS‐CoV‐2 Infection (PASC)
Postacute sequelae of COVID-19 or “PASC” is a common but heterogeneous condition associated with significant morbidity. Although its pathogenesis remains poorly understood, proposed underlying mechan...
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Jon Douglas @atranscendedman.bsky.social · 15h
University for Continuing Education Krems researchers reviewed 635 publications on vaccines in pregnancy. Evidence for COVID-19, flu and pertussis was substantial across effectiveness, safety and immunity. RSV evidence remains limited. www.nature.com/articles/s41...
nature.com
Maternal vaccination against COVID-19, influenza, pertussis, and respiratory syncytial virus: a scoping review - npj Vaccines
npj Vaccines - Maternal vaccination against COVID-19, influenza, pertussis, and respiratory syncytial virus: a scoping review
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Jon Douglas @atranscendedman.bsky.social · 15h
Uppsala University studied 2,328 people with asthma or COPD. Of 494 with confirmed COVID, 59% had symptoms lasting over 3 months. Severe acute illness, obesity and chronic pain carried the strongest risks. www.nature.com/articles/s41...
nature.com
Risk factors of post-COVID-19 symptoms, a cross-sectional study in patients with asthma and chronic obstructive lung disease - npj Primary Care Respiratory Medicine
npj Primary Care Respiratory Medicine - Risk factors of post-COVID-19 symptoms, a cross-sectional study in patients with asthma and chronic obstructive lung disease
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Jon Douglas @atranscendedman.bsky.social · 15h
Nanjing BenQ Medical Center, 235 IBD patients. Among 221 infected, 15 had long COVID and scored 43 vs 53 on quality of life. Symptoms lasting at least 4 weeks were linked to an additional 8.5 point drop after adjustment. link.springer.com/article/10.1...
link.springer.com
Health-related quality of life in IBD patients with long COVID under China’s normalized COVID-19 management - BMC Infectious Diseases
Introduction Although the COVID pandemic has gradually subsided, many patients have experienced complicated long-term symptoms, collectively known as “long-COVID”, which is commonly associated with pe...
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Jon Douglas @atranscendedman.bsky.social · 15h
University of Glasgow researchers, 9,312 Scottish adults. 🏴󠁧󠁢󠁳󠁣󠁴󠁿 Long COVID was reported by 4.9% with no activity limitation, 9.2% limited a little, and 14.4% limited a lot. The study shows a strong disability gradient, not which came first. link.springer.com/article/10.1...
link.springer.com
Severity of activity limitation and prevalence of long COVID: a nationally representative cross-sectional study of adults in Scotland - Tropical Medicine and Health
Background Long COVID is a persistent contributor to population morbidity, and people with disabilities experience substantial and often avoidable health disadvantage worldwide. Whether long COVID is ...
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Jon Douglas @atranscendedman.bsky.social · 15h
HSE Limerick reports 333 Long COVID patients treated since 2022. 2022: 4 2023: 80 2024: 132 2025: 79 2026 so far: 38 Four years later, people are still showing up with fatigue, brain fog, palpitations, breathing problems and more. www.limerickpost.ie/2026/09/29/3...
limerickpost.ie
333 patients treated at Long Covid clinic in Limerick
A TOTAL of 333 people have been treated at the HSE's Long Covid clinic in Limerick since it opened in 2022.
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Jon Douglas @atranscendedman.bsky.social · 15h
Washington University, >90,000 hospitalized patients. Flu was linked to health problems lasting up to 18 months, including lung, brain and heart effects. Acute infection can end while the biology keeps unfolding. www.washingtonpost.com/wellness/202...
washingtonpost.com
Column | ‘Long flu’ can linger for months. Here’s how to reduce your risk.
Persistent symptoms can harm the lungs and other organs, including the brain.
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Jon Douglas @atranscendedman.bsky.social · 16h
UPenn immunologist E. John Wherry argues immune drugs need their own pharmacology. Responses shift quickly, rebound toward homeostasis, leave immune memory, and vary by immune setpoint. Timing may matter as much as the target. www.nature.com/articles/s41...
nature.com
Drugging the immune system: principles of immunopharmacology - Nature Reviews Immunology
Immune-based therapies have transformed the treatment of cancer and inflammatory and autoimmune diseases, but treatment is often suboptimal and the ability to predictably harness the immune system for...
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Jon Douglas @atranscendedman.bsky.social · 16h
Invivyd, 210 adults. Phase 3 LIBERTY found VYD2311 caused fewer adverse events than Comirnaty. Adding it to the vaccine did not blunt vaccine antibodies and raised neutralizing titers about 2.5x. investors.invivyd.com/news-release...
investors.invivyd.com
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Jon Douglas @atranscendedman.bsky.social · 28/09/2026
Hannover Medical School, 703 people. Brain-binding autoantibodies were slightly elevated after COVID, with NMDAR1 IgM about 2x pre-pandemic levels, but rates did not differ between Long COVID and recovered groups. www.sciencedirect.com/science/arti...
sciencedirect.com
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Jon Douglas @atranscendedman.bsky.social · 28/09/2026
University of Suffolk researchers, 7 adolescents with Long COVID co-designed an online program. They valued breathing support, peer connection and flexible pacing, while stressing that care often targets symptoms instead of root causes. journals.sagepub.com/doi/10.1177/...
journals.sagepub.com
Sage Journals: Discover world-class research
Subscription and open access journals from Sage, the world's leading independent academic publisher.
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Jon Douglas @atranscendedman.bsky.social · 28/09/2026
Royal Society of Medicine editorial. Long COVID is real and linked to sustained increases in healthcare use. The editor argues that underfunding medical science and continuity of care is a costly mistake for patients and health systems. journals.sagepub.com/doi/10.1177/...
journals.sagepub.com
Long covid and other wise investments of time and money - Kamran Abbasi, 2026
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Jon Douglas @atranscendedman.bsky.social · 28/09/2026
A*STAR researchers review how chikungunya can leave joints inflamed long after viremia clears. Viral antigen has been found in synovial macrophages 18 months later, while joint cells can support viral replication and inflammatory damage. www.nature.com/articles/s42...
nature.com
Arthritis models for studying chikungunya virus joint inflammation - Communications Biology
A review highlights how in vitro joint models adapted from arthritis research can be leveraged to study chikungunya virus–driven joint inflammation, immune–stromal interactions, and matrix degradation...
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Jon Douglas @atranscendedman.bsky.social · 28/09/2026
Washington University in St. Louis researchers found that blocking CXCR3 in tauopathy mice cut brain T-cell infiltration ~50% and reduced brain atrophy ~40%, without lowering tau. Immune cell trafficking itself helped drive neurodegeneration. www.cell.com/neuron/fullt...
cell.com
Peripheral CXCR3 blockade mitigates T cell infiltration and neurodegeneration in a mouse model of tauopathy
Emmerson et al. demonstrate that the CXCR3-CXCL10 chemokine signaling pathway is important for brain-infiltrating T cells in tau-mediated neurodegeneration. Blocking CXCR3 reduces T cell entry and pro...
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Jon Douglas @atranscendedman.bsky.social · 28/09/2026
Researchers found K-9 reversed paralysis and vision loss in a mouse model of MS while preserving myelin and axons. It blocked NLRP3 inflammasome signaling, pointing to innate immune inflammation as a treatable disease mechanism. www.science.org/doi/10.1126/...
science.org
The nucleoside analog kamuvudine-9 shows protective and therapeutic efficacy in a mouse model of multiple sclerosis
Nucleoside analogs show protective and therapeutic effects in a mouse model of multiple sclerosis (MS) and association with reduced MS risk in humans.
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Jon Douglas @atranscendedman.bsky.social · 28/09/2026
Hong Kong Baptist University researchers review how natural killer cells shape brain disease, from clearing virus infected cells and autoreactive immune cells to driving inflammation. The key may be targeting the right NK cell subset. onlinelibrary.wiley.com/doi/10.1002/...
onlinelibrary.wiley.com
Harnessing Natural Killer Cells: From Neuroimmunology to Novel Therapies for Central Nervous System Diseases
This review delineates the multifaceted roles of natural killer (NK) cells in the central nervous system, spanning direct cytolysis, immunoregulation, and crosstalk with the brain microenvironment. W...
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Jon Douglas @atranscendedman.bsky.social · 28/09/2026
Three Long COVID trials, three different approaches. Useful roundup, but it feels more informed by trial headlines than the rapidly expanding biology. voices.nejm.org/doi/full/10....
voices.nejm.org
Three Very Different Ways to Treat Long Covid
Two that are promising, and one that is difficult to talk about
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Jon Douglas @atranscendedman.bsky.social · 26/09/2026
Hacettepe University researchers review evidence that persistent SARS-CoV-2 antigens and tissue reservoirs may sustain endothelial, immune and clotting dysfunction in some Long COVID. Evidence is much stronger after infection than vaccination. www.mdpi.com/2227-9059/14...
mdpi.com
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Jon Douglas @atranscendedman.bsky.social · 26/09/2026
My favorite headlines this year “Reporter remains committed to pet theory despite science having receipts” “Vaccines against viruses prevent dementia” “Scientists with conviction raise millions to cure the thing” “People get pieces of their lives back. Keep fighting”
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Jon Douglas @atranscendedman.bsky.social · 26/09/2026
University of Tokyo researchers review evidence that SARS-CoV-2 can infect pancreatic duct and islet cells, disrupting insulin and glucose control. Feline models developed hyperglycemia, offering clues to post-COVID metabolic disease. www.mdpi.com/2076-2607/14...
mdpi.com
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Jon Douglas @atranscendedman.bsky.social · 26/09/2026
My primary care doctor of five years retires in February. He was the doctor who looked past the noise and simply helped me try the treatments emerging in the literature. Feeling a little sentimental about it. What do you get a doctor who helped give you some of your life back?
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Jon Douglas @atranscendedman.bsky.social · 26/09/2026
Tallaght University Hospital studied 50 people with Long COVID. 64% had low CO2 at rest or standing and 32% met POTS criteria. Breathing rehab improved orthostatic symptoms even though CO2 did not normalize. www.mdpi.com/2077-0383/15...
mdpi.com
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Jon Douglas @atranscendedman.bsky.social · 26/09/2026
University of Rijeka review finds neurological Long COVID is best explained by interacting biology including viral persistence, immune dysregulation, blood brain barrier dysfunction, dysautonomia and metabolic disruption. www.mdpi.com/2077-0383/15...
mdpi.com
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Jon Douglas @atranscendedman.bsky.social · 26/09/2026
University of Virginia researchers screened 140 antibody samples and found 4 anti-Spike antibodies that acted like ACE2 enzymes. These catalytic antibodies may disrupt key signaling pathways and could contribute to long COVID. www.mdpi.com/2076-0817/15...
mdpi.com
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Jon Douglas @atranscendedman.bsky.social · 26/09/2026
R.E.D. Laboratories studied 30 people with neurological Long COVID. HHV-7 was PCR positive in 77%, versus 29% in a historical pre-COVID lab cohort. The signal suggests herpesvirus reactivation may contribute, but does not prove cause. www.mdpi.com/1999-4915/18...
mdpi.com
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Jon Douglas @atranscendedman.bsky.social · 26/09/2026
UCLouvain researchers review how EBV can persist for life, reprogram B cells, and trigger autoimmunity through molecular mimicry and immune dysregulation. In Long COVID, EBV reactivation is plausible but evidence remains early. www.mdpi.com/1999-4915/18...
mdpi.com
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Jon Douglas @atranscendedman.bsky.social · 25/09/2026
University of Otago researchers reviewed DNA methylation studies across ME/CFS, Long COVID and fibromyalgia. One 10-patient comparison found 118 shared altered regions in ME/CFS and Long COVID, suggesting overlapping gene regulation. www.cell.com/trends/genet...
cell.com
DNA methylation: unifying framework for complex chronic conditions
Complex chronic conditions represent a growing health burden that is poorly understood and inadequately managed within current health systems. This review focuses on the potential of epigenetic DNA me...
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Jon Douglas @atranscendedman.bsky.social · 25/09/2026
Baylor College of Medicine, 20 placentas. SARS-CoV-2 disrupted placental iron export, causing iron buildup and ferroptosis signaling. Spike protein remained detectable at term after earlier infection, alongside lasting iron changes. www.cell.com/cell-reports...
cell.com
Placental trophoblasts exhibit iron dysregulation and ferroptosis signaling associated with SARS-CoV-2 restriction
McColl et al. demonstrate that SARS-CoV-2 impairs placental iron efflux, leading to persistent iron accumulation and impaired maternal-fetal iron transfer, and activates ferroptosis signaling, which m...
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Jon Douglas @atranscendedman.bsky.social · 25/09/2026
Researchers reviewed 146 studies and found gut disruption can persist for 6 months after COVID. In Long COVID, loss of beneficial bacteria tracked with ongoing symptoms, while microbiome recovery tracked with improvement. www.resmedjournal.com/article/S095...
resmedjournal.com
The Gut-Lung Axis in Respiratory Diseases: Mechanisms, Microbiome Dysbiosis, and Therapeutic Implications. A Comprehensive Review
The gut and lung, though anatomically distinct, are connected through a dynamic, bidirectional communication network known as the gut-lung axis, whereby intestinal microbiota, immune cells, and microb...
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Jon Douglas @atranscendedman.bsky.social · 25/09/2026
Universidad del Desarrollo researchers studied 654 people in Chile. 40.7% of those with prior COVID had symptoms lasting at least 3 months, and 40.1% reported reduced daily activities. Three distinct symptom patterns emerged. www.medwave.cl/investigacio...
medwave.cl
Prevalencia de síntomas post-COVID, agrupamiento sintomático e impacto funcional: Estudio transversal de base poblacional en dos ciudades chilenas, 2024
Estudios originales - Publicado el 23 de septiembre de 2026 | http://doi.org/10.5867/medwave.2026.08.3234
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Jon Douglas @atranscendedman.bsky.social · 25/09/2026
Masaryk University studied 109 people. Long COVID was linked to more brain free water and lower neurite density in attention, salience and limbic circuits, pointing to subtle immune and vascular changes rather than overt neurodegeneration. academic.oup.com/braincomms/a...
academic.oup.com
Latent brain–cognition dimension indicative of neuroinflammatory basis of Long COVID
Filip et al. describe long COVID as a complex entity involving cognitive impairment linked with altered cerebral microstructure. The prominence of neuroinf
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Jon Douglas @atranscendedman.bsky.social · 25/09/2026
IVIG update! Follow up scheduled and authorization started for the Fall. I have posted enough case studies and talked to enough researchers and patients to know many improve. My fight is my fight. Now apparently the next part is fighting insurance. ❤️ Wish me luck! 🤞
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Jon Douglas @atranscendedman.bsky.social · 25/09/2026
Karolinska Institutet studied 23 people with Long COVID and 19 controls. Visual symptoms and motion sensitivity were far higher. Retinal thickness was normal, but its usual structural relationships were disrupted. www.nature.com/articles/s41...
nature.com
Visual functions and neuroretinal status in relation to cognitive functions and fatigue in post-COVID-19: an exploratory study - Scientific Reports
Scientific Reports - Visual functions and neuroretinal status in relation to cognitive functions and fatigue in post-COVID-19: an exploratory study
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Jon Douglas @atranscendedman.bsky.social · 25/09/2026
Yale School of Medicine researchers reviewed 80 studies. GLP-1 drugs may ease chronic pain by reshaping gut microbes and suppressing neuroinflammation, though direct human proof of this pathway is still limited. www.mdpi.com/2072-6643/18...
mdpi.com
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Jon Douglas @atranscendedman.bsky.social · 25/09/2026
Medical University of Vienna, 95 people. SARS-CoV-2 proteins persisted 4 to 6 months after infection. High N-protein tracked with vascular inflammation, while experiments showed N-protein directly activated endothelial inflammation through TLR4. portlandpress.com/clinsci/arti...
portlandpress.com
Remnant virus proteins sustain vascular inflammation post coronavirus infection in mice and humans.
SARS-CoV-2 coronavirus infections are associated with long term vascular dysfunction, yet the drivers remain unclear. We hypothesized that remnant Betacoronavirus antigens remain in circulation and or...
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Jon Douglas @atranscendedman.bsky.social · 25/09/2026
Autonomous University of the State of Mexico studied 307 nursing students with Long COVID. 40.4% reported pain. GI symptoms were linked to 3.48x higher odds of pain and fatigue to 2.58x higher odds. www.mdpi.com/2039-4403/16...
mdpi.com
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Jon Douglas @atranscendedman.bsky.social · 25/09/2026
Baylor College of Medicine, 1 patient. Long COVID dysautonomia was associated with bilateral Adie’s tonic pupils, with testing showing parasympathetic nerve denervation in both eyes. A rare glimpse of autonomic dysfunction reaching the pupils. karger.com/cop/article/...
karger.com
Iatrogenic Bilateral Sequential Ocular Sympathetic (Horner Syndrome) Turned Bilateral Parasympathetic Pupil Involvement Associated with Long Coronavirus-Related Dysautonomia: A Case Report
Abstract. Introduction: This report presents an unusual case of sequential, pharmacologically confirmed iatrogenic bilateral Horner syndrome followed by bilateral Adie’s tonic pupil, highlighting the ...
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Jon Douglas @atranscendedman.bsky.social · 25/09/2026
St. Paul’s Hospital researchers studied 30 people and found pulmonary Long COVID was marked by abnormal CD4/CD8 T cells plus increased autoantibodies to DNA and collagen, pointing to persistent T cell dysregulation and autoimmunity. publications.ersnet.org/content/erj/...
publications.ersnet.org
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Jon Douglas @atranscendedman.bsky.social · 25/09/2026
UT Austin and Greater Austin Allergy studied 16 people with Long COVID. Immunoglobulin replacement did not significantly improve overall symptoms, but insomnia, muscle pain, joint pain, GI discomfort, and general unwellness improved. www.jacionline.org/article/S009...
jacionline.org
Immunoglobulin Replacement Does Not Correlate With Overall Improvement in Post-Acute Sequelae of COVID-19 Symptoms
Immunoglobulin (Ig) replacement therapy is a current treatment for patients with certain immune deficiencies. Multiple pathophysiologic mechanisms have indicated the potential benefit of Ig replacemen...
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Jon Douglas @atranscendedman.bsky.social · 25/09/2026
University of Gothenburg, 1.39 million adults. A fourth vaccine dose was linked to 31% lower risk of a Long COVID diagnosis over 6 months than three doses. Protection was 38% in higher risk adults. www.thelancet.com/journals/ecl...
thelancet.com
Booster dose of COVID-19 vaccine and its effectiveness against post COVID-19 condition in individuals with pre-existing immunity: a sequential propensity score-matched cohort study
Receiving a fourth dose of COVID-19 vaccine was associated with a lower risk of being diagnosed with post COVID-19 condition compared with three doses, although the absolute risk reduction was small. ...
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Jon Douglas @atranscendedman.bsky.social · 24/09/2026
170 Long COVID projects funded by NIH in 2025. Brain. Immune system. Blood vessels. Viral persistence. Biomarkers. Fatigue. Treatments. There is no single answer yet. But there are a whole lot of people looking for one. report.nih.gov/funding/cate...
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Jon Douglas @atranscendedman.bsky.social · 24/09/2026
Most of life happens between appointments. Research should reach those moments, too. We built TrialPilot to connect researchers and people living with invisible illness and learn from everyday life, together. Here’s our first demo
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Jon Douglas @atranscendedman.bsky.social · 24/09/2026
UTHealth Houston, 15.3 million insured Texans. Long COVID claims followed COVID ED waves by 2 to 3 weeks. Rates were highest in adults over 70 and Medicare patients, with rural Texas also carrying a higher documented burden. www.ijidonline.com/article/S120...
ijidonline.com
Temporal, demographic, and geographic patterns of long COVID incidence in relation to SARS-CoV-2 variant emergence: Insights from the Texas all-payer claims database (TX-APCD)
Long COVID, characterized by the persistence of symptoms beyond the acute phase of SARS-CoV-2 infection, affects an estimated 10-30% of individuals with COVID-19, representing around 400 million peopl...
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Jon Douglas @atranscendedman.bsky.social · 23/09/2026
Erasmus Medical Center, 103 participants. After 3 years of Long COVID, three blood markers of NETosis were not elevated versus recovered controls, arguing against persistent systemic NETosis as a universal feature of long-term disease. www.frontiersin.org/journals/cel...
frontiersin.org
Frontiers | A brief report: absence of elevated circulating NETosis markers in long-term long COVID
BackgroundNeutrophil extracellular trap (NET) formation (NETosis) has been proposed as a contributor to the pathophysiology of Long COVID (LC). However, it r...
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Jon Douglas @atranscendedman.bsky.social · 23/09/2026
Johns Hopkins University, 11 hamsters. SARS-CoV-2 caused lasting cardiac autonomic remodeling. Early blocking of innate immune signaling or mitochondrial oxidative stress prevented the postacute dysfunction. www.heartrhythmopen.com/article/S266...
heartrhythmopen.com
Dynamic changes in cardiac autonomic function persist in the postacute phase after SARS-CoV-2 infection in a hamster model of COVID-19
Autonomic nervous system (ANS) dysfunction is a central feature of long coronavirus disease syndrome, yet little is known about how it develops during and after severe acute respiratory syndrome coron...
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Jon Douglas @atranscendedman.bsky.social · 23/09/2026
Long COVID is the disease everyone would like to move on from, except millions of bodies never got the memo. The hopeful part is that the science is finally listening. And listening is usually where understanding begins. jamanetwork.com/journals/jam...
jamanetwork.com
Long COVID: The Problem Society Wants to Forget
Long COVID, including the difficulty in defining it and caring for patients experiencing it, is discussed by JAMA Senior Editor Derek C. Angus, MD, MPH, and E. Wesley Ely, MD, MPH, professor of medici...
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Jon Douglas @atranscendedman.bsky.social · 23/09/2026
University of Virginia, >3 million patients plus mouse MS models. K-9 reversed vision loss and paralysis in mice by blocking the inflammasome, protecting myelin and axons. Human claims data also linked related drugs to fewer MS diagnoses and relapses. www.nih.gov/news-events/...
nih.gov
Modified HIV drug reverses vision loss and paralysis in multiple sclerosis model
Modified HIV drug reverses vision loss and paralysis in multiple sclerosis model.
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