Long Covid
Persistent symptoms following COVID-19 infection, including neurological effects like brain fog and fatigue.
Understanding Long Covid
Long COVID, also known as post-COVID condition, refers to symptoms that persist for weeks or months after the initial COVID-19 infection has resolved. Neurological symptoms are common and include cognitive impairment ('brain fog'), fatigue, headache, and sleep disturbances. Some individuals also experience dysautonomia, affecting the autonomic nervous system. Understanding and treatment of Long COVID continues to evolve as research progresses.
Summarized from public patient education published by the National Institutes of Health, the CDC, and Mayo Clinic. It is general information, not a diagnosis or a treatment recommendation for you.
The numbers
- 3 months or more
- Long COVID is defined by symptoms continuing at least three months after a SARS-CoV-2 infection.
- Source: CDC
- 200+ symptoms
- Reported across organ systems, with fatigue and cognitive difficulty most common.
- Source: NIH RECOVER
- Brain fog
- Problems with attention, word-finding, and processing speed are among the most frequently reported neurological effects.
- Source: NIH RECOVER
- No single test
- Diagnosis is clinical: history, exam, and ruling out other explanations rather than one confirmatory lab.
- Source: CDC
Symptoms people describe
- Cognitive impairment ('brain fog')
- Extreme fatigue
- Headaches
- Sleep disturbances
- Dysautonomia (dysfunction of the autonomic nervous system)
How it is treated
- Symptom-specific management
- Cognitive rehabilitation
- Graded exercise therapy
- Medications for specific symptoms
- Multi-disciplinary rehabilitation
Which of these applies to you depends on your history and exam. We review the options with you rather than starting from a protocol.
What care looks like here
A full neurological evaluation by telehealth, alongside the five NEURO lifestyle domains — nutrition, exercise, unwinding stress, restorative sleep, and cognitive engagement — written into one plan you can read.
Before you book, three things to know
- Where we can see you
- Telehealth only, in the eight states where our clinicians hold licensure: Arizona, California, Florida, Georgia, Illinois, New Jersey, New York, Virginia.
- How payment works
- Out-of-network and cash-pay. We do not participate in Medicare or bill commercial insurance. You receive a superbill to submit yourself, and HSA and FSA cards are accepted.
- What it costs
- Initial neurological consultation $500. Follow-up visit $250. Comprehensive brain-health assessment $1,500. Prices are published, not quoted.
Who you would see
- Ayesha SherzaiMD, MASVascular neurology, behavioral medicine
- Clinical seat: neuroimmunologyMD, fellowship-trained in neuroimmunologyMultiple sclerosis and post-viral syndromes
Clinicians affiliated with Healthopia Institute practice independently. Faculty affiliation means the clinician contributes to the Institute's protocols and education and meets its published standards. It is not a guarantee of outcomes and not an endorsement of individual clinical competence.
If this describes what you are living with, we can start with a conversation.
An initial consultation is a full neurological history and exam by telehealth — $500, cash-pay, in the eight states listed above.