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best foods to regain strength after covid

These are recommended to support your recovery and are prescribed for a period. They boast many immune-supportive nutrients, including vitamin A, iron, zinc, B vitamins, and copper, which is needed for the production of connective tissue and collagen (24, 25). Since many people work indoors or live in parts of the country with limited sun, and getting enough vitamin D from food is not always realistic, taking a daily supplement is often necessary. I've yet to get back to my endurance for running or cycling, but I'll continue listening to my body to do what feels right. Right now, just sticking to whole grains may not be very important, easy to cook rava, or semolina, maybe a good idea. Eating proteins all in one meal will not work as the body may not be able to utilise a large amount at one go; spread it through the day. Eat a well-balanced diet. Get the best food tips and diet By subscribing you agree to the Terms of Use and Privacy Policy. The vitamin D our bodies use can actually be made by our skin with the ultraviolet light from the sun. Plus, getting enough sleep bolsters your bodys repair process. If a patient has those types of symptoms, we have to be very careful about how we prescribe exercise, because you can actually make someone worse, Zanni says. 3. But if you have COVID, eating foods that are rich in vitamins and minerals can help set you on the path to recovery quickly. We have to see what solutions we can uncover to directly address whatever is happening that is causing a lasting symptom, such as fatigue. 9 Ways to Boost Your Bodys Natural Defenses, Foods with Healing Power: The Benefits of Garlic, 6 Mushrooms That Act as Turbo-Shots for Your Immune System, 10 Foods This Nutritionist Eats That Support a Healthy Gut. 2023 Galvanized Media. In this stage, push fluids," Barbe advises. Exhausted? Regaining fitness after COVID infection can be hard. When youre going through chemo, youll likely want foods that are soft on your stomach and easy to eat while still being nutritious. Just as you do with money, spend your valuable energy wisely. Fatigue can includebrain fogand tiredness. "Muscle plays a critical role," says Suzette Pereira, a muscle health researcher with Abbott, a global health care company. If you are losing weight, it isn't good right now, consult a nutritionist. Individual recovery needs vary depending on the patient and their COVID-19 course. In COVID-19 patients, this deterioration even includes the respiratory muscles that control inhalation and exhalation. Recovery post-COVID will take some time, you need to eat, rest a lot and also put all the bad experiences behind you for becoming truly healthy. Our website services, content, and products are for informational purposes only. Pace yourself and dont push yourself to exhaustion. Even in the best of conditions, for those experiencing strong COVID-19 symptoms, it's likely that some muscle loss will occur. Its also critical for immune health (18). Fill it with plenty of fruits. 6 Powerful Foods To Eat To Naturally Fight Fatigue Post Covid MediBuddy 8 Sep 2021 Table of Contents Bananas Almonds and other Nuts Water and Watermelons Spinach and Iron-Rich Foods Complex Carbs Eggs and Lean Meat The effects of Covid-19 vary depending on each person as well as the level of treatment that occurred during the disease. The amount of fatigue may be related to the extent and type of inflammation triggered by the viral infection. Davis also suggests doing breathing exercises. if( navigator.sendBeacon ) { A well-rounded team of health care providers will ensure that your recovery plan is individualized, comprehensive and holistic, incorporating physical and mental health. NDTV is not responsible for the accuracy, completeness, suitability, or validity of any information on this article. Explore the safety and efficacy of Ozempic, a popular GLP-1 receptor agonist medication for weight loss. Rest for at least a week after symptoms subside, gradually return to physical activity and stay mindful of the quality and rate of your breathing. Also Read:7 Healthy Vitamin D Foods You Must Eat To Avoid Vitamin D Deficiency. } Your body weight, light dumbbells and resistance bands all make great at-home resistance gear, Mooney says. Avoid. Unfortunately, without intentional focus on muscle health, muscle strength and function can drastically deteriorate in COVID-19 patients. Whats more, vitamin C is essential for wound healing, making leafy greens a good choice when recuperating after surgery (6). Of course, if you feel more severe symptoms or your symptoms begin feeling worse, you should contact a doctor immediately. The severity of fatigue is often correlated to the severity of illness. Pushing too hard can jeopardize your recovery. Eat, sleep, meditate and hydrate! I think thats the next hot topic.. Unless otherwise stated, all content is .css-lwn4i5{display:block;font-family:Neutra,Helvetica,Arial,Sans-serif;font-weight:bold;letter-spacing:-0.01rem;margin-bottom:0;margin-top:0;text-align:center;-webkit-text-decoration:none;text-decoration:none;}@media (any-hover: hover){.css-lwn4i5:hover{color:link-hover;}}@media(max-width: 48rem){.css-lwn4i5{font-size:1.375rem;line-height:1.1;}}@media(min-width: 40.625rem){.css-lwn4i5{font-size:1.375rem;line-height:1.1;}}@media(min-width: 48rem){.css-lwn4i5{font-size:1.375rem;line-height:1.1;}}@media(min-width: 64rem){.css-lwn4i5{font-size:1.375rem;line-height:1.1;}}8 Surprising Benefits of Cycling, 12 Potential Arcturus COVID Symptoms to Know, The Reason Why You Buy Things When You're Drunk, Heres the Real Reason Why You Get Toe Cramps, How Buccal Fat Removal Surgery Actually Works. Fore recommends eating foods high in vitamin C, vitamin D, and zinc. Respecting post-COVID fatigue is part of the path to recovery. Learn how these conditions are treated and what you can do to manage your pain. One of the most common symptoms associated with mild cases of COVID-19 is loss of sense of taste and smell. Aerobic training, such as sessions on a treadmill or exercise bike, is part of a comprehensive approach to building breathing capacity, overall fitness and endurance. Post-Covid Diet: Try avocado, some cheese, nuts and seeds or olives for snacks. The following suggestions can help increase the number of calories you consume: Add butter or oils to foods. "Eat throughout the day, and choose nourishing foods to ensure you get enough energy. day. She has also written for Chowhound, HealthiNation.com, Huffington Post and more. Vitamin D. Found in milk, salmon, and tuna, vitamin D may also help seniors as they recover. Good examples of fluids would be shakes, water, juice, milk or tea. Share it in the comments below. Its important to keep in mind that a new health problem or symptom may be caused by something other than COVID-19. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. However, if you have chronic medical problems, especially kidney and liver disease, you should check with your doctor prior to starting any supplement. We may earn commission from links on this page, but we only recommend products we back. ", RELATED:COVID Symptoms That Patients Say are "The Worst". If you urinate every three to four hours and have a good amount of urine, you are probably doing a good job of staying hydrated. Mooney recommended people get up and move every 45 minutes or so (i.e., walking, performing acts of daily living like bathing and . However, patients can greatly influence the degree of muscle loss and, in mild cases, may be able to maintain muscle health, says Mooney, a member of the team that created the Hospital for Special Surgery's COVID-19 nutritional and physical rehabilitation guidelines. Plus, once I started feeling mostly back to normal, aside from a lingering cough, was it safe back to some sort of exercise routine? Prioritize. I fortunately also have access to healthcare and can reach my care team quickly, so I knew to contact my doctor right away if I started feeling poorly. Read the original article on Eat This, Not That! Try This Nutritionist Approved Methi Saunf Drink, 5 Vegetarian Foods That Have More Protein Than An Egg, 6 Foods That May Help Combat Insulin Resistance, Exclusive Preview Into Air India's New Menu. Whole eggs contain vitamins A and B12, as well as zinc, iron, and selenium, all of which play vital immune roles (1). Post-Covid Diet: Try avocado, some cheese, nuts and seeds or olives for snacks. Department of Rehabilitation and Performance, Department of Food and Nutrition Services, Your Guide to COVID-19 Nutritional Rehabilitation: Restore and Replenish, Learn more about zinc from the National Institutes of Health. Prebiotics are found mostly in fruits, vegetables, beans and whole grains. Your body can only absorb 500 mg of calcium at one time, so enjoy a calcium-rich diet at different meals and snacks throughout the day. } else { When they're testing positive for COVID-19, many patients report wanting to sleep frequently and find that any exertion or tasks make them profoundly tired, explains William Lago, M.D., a family medicine physician at Cleveland Clinic. Getting enough fiber and staying hydrated are important for keeping things regular. skimmed milk powder added to whole milk and milky drinks butter cream jam honey ground almonds nut butters (such as peanut butter) vegetable oils such as olive oil Other high-energy snacks include: cheese and crackers custard or rice pudding nuts and seeds thick and creamy yogurt or high-protein yogurt cereal bars or flapjacks Proteins. xhr.open('POST', 'https://www.google-analytics.com/collect', true); As we get older, our thirst sensation is not as acute, and we tend to drink less. "You want to do your best to help protect yourself from future infections before your body has had a chance to recover from this one." Eat a healthy, balanced diet. The reformulated vaccine defends against new omicron strains, including XBB omicron variants. RELATED:The Best Omicron Treatments if You Get COVID. Exercise has the greatest effect on rebuilding endurance and strength and also helps build immune function. She also emphasizes the importance of getting the COVID-19 vaccine to reduce your chances of getting sick or developing a severe case if you become infected. Here are 10 healing foods that can help your body recover. This mineral may also help speed recovery and promote wound healing, making shellfish great for recuperating from surgery (29, 30, 31). Berries are brimming with nutrients and plant compounds that can help support your bodys recovery. Slowly work back into your exercise routine. As the pandemic wore on, it became clear that persistent lung problems can complicate long-term recovery plans. For those with severe infections, working with a physical or respiratory therapist may help. Salmon: 113 mg per 100 grams. All Rights Reserved. What it is about COVID-19 specifically that causes a substantial amount of fatigue for a large proportion of people isnt completely understood; its likely a combination of several factors, says Dr. McClelland. It used all its strength and ammunition available to push back, so though the infection is gone but the damages have to be repaired. All rights reserved. 2023 Healthline Media LLC. "Fluids and fiber can help move things along. Should You Soak Mangoes Before Eating Them? COVID-19 may also cause vomiting and diarrhea, so it's crucial to stay hydrated. After this type of stress response, your body needs to go into rest-and-recovery mode, which causes fatigue. Also Read:6 Excellent Sources Of Vegetarian Protein For Your Daily Diet. "Start low and go slow," Denay said. Patients can lose up to 30% of muscle mass in the first 10 days of intensive care unit admission, research shows. Theres no substitute for that right now, she says. Her research focuses on muscle health and muscle loss due to aging and nutritional therapies for muscle decline due to hospitalization and chronic diseases. Just 6 medium oysters (59 grams) provides over 300% of the Daily Value (DV) for zinc (32). As you get better, start introducing healthier choices once more. It really comes down to the pillars of good health that support a strong immune system and good overall health, Dr. Dasgupta says. You can also consume other dry fruits, avocados and other foods that are rich in vitamin E to speed up your recovery process. As always, cardiac, endocrine, oncology or other pulmonary conditions can cause a multitude of overlapping symptoms. For instance, experiencing psychological stress before a COVID-19 infection was associated with a 45% greater risk of developing long COVID symptoms, according to a recent study by researchers at Harvard T.H. Abreu-Sosa is a physical medicine and rehabilitation specialist at Rush University Medical Center in Chicago, Illinois. Plus, don't miss The #1 Best Juice to Drink Every Day, Says Science. However, it may be impossible for some employees to resume normal work duties as usual. Whether youre obviously deconditioned after a lengthy hospitalization or coping with more subtle effects of a seemingly 'mild' case, it can be challenging. Add some olive oil to a fruit salad, add peanuts to your dahi, add some tadka to your rice. Adding protein to every meal is critical to rebuilding the body. Part of long COVID rehab is receiving support and belief. Weve come a long way since the very beginning of the COVID-19 pandemic, from the .css-1me6ynq{-webkit-text-decoration:underline;text-decoration:underline;text-decoration-thickness:0.0625rem;text-decoration-color:#125C68;text-underline-offset:0.25rem;color:#125C68;-webkit-transition:all 0.3s ease-in-out;transition:all 0.3s ease-in-out;}.css-1me6ynq:hover{color:#595959;text-decoration-color:#595959;}lifesaving vaccines and antiviral therapies that now help keep people safer and healthier, to being able to live life a little more normally now. XBB.1.5 on Track to Become the Top COVID-19 Subvariant in the U.S. How to Take Care of Someone With COVID-19 and Not Get Sick Too. The secret to recovery: the 3 Ps.. Increasingly, medical centers are offering post-COVID programs for those with lingering issues. It is found in many fruits and vegetables. How to start exercising safely after a mild or moderate coronavirus infection. Walking, performing acts of daily living like bathing and dressing as well as structured exercises such as cycling and squats are beneficial. Fatigue has been one of the five most common COVID-19 symptoms since the beginning of the pandemic, even as other symptoms like fever andloss of taste and smellhave become less prominent with the rise of the delta andomicronvariants. single Protein. Avoid eating whole grains while you recover. "Protein is needed to build, repair and maintain muscle, but also to support the production of antibodies and immune system cells," Pereira says. Milk and dahi are good sources of quality proteins; do consume at least 600 ml a day. In fact, lack of sleep may harm immune function and delay recovery (36, 37). Talk to your healthcare provider if youre concerned about nutrient deficiencies (23). Muscle proteins replenishment will be better with this strategy. The illness causes a remarkable amount of inflammation that, as it is resolving, is likely to leave people feeling fatigued, says McClelland. Whats more, arginine is rapidly depleted during times of stress, injury, and illness, making adequate intake of this amino acid all the more important (23). It is important that you eat enough calories in addition to well-balanced meals. To do that, start with these exercises: Ankle pumps: Lie on your back with your legs fully extended. Even eating one portion of yogurt a day with active cultures (it will say so on the label) or making a shake with kefir is very helpful. Cruciferous veggies contain glucosinolates, which are compounds that your body converts into isothiocyanates. I do have some patients with ongoing lung problems, just because having COVID has caused some damage in their lungs, Zanni says. Does Banana Make You Gain Weight Or Lose It? Post-Covid Diet: Protein-rich foods can help recover from the loss of muscle. Mooney is a physical therapist in acute care orthopedics at Hospital for Special Surgery in New York City. So, like eating, it is a good idea to drink on somewhat of a schedule. Good protein sources (meat, fish, eggs, cheese, beans, and lentils) at each meal help you recover your strength and rebuild muscle," Barbe says. U.S. News will share embargoed results with senior living organizations in the next couple of weeks. Sindh decides against closing educational institutions amid Omicron spike, Indian court acquits Roman Catholic bishop accused of raping nun, From focusing on your diet to regular intake of vitamins, here is how you can go back to your stronger self in no time. 1. Plus, these veggies pack an array of nutrients that your body craves during recovery, such as vitamin C and B vitamins (28). Eat a healthy diet, engage in exercise, and get good sleep. Stay safe! A general rule is to start at about 50% of your normal intensity and duration and gradually increase by 10-15% per week from there," Robinson explains. For the upper body, incorporate row and shoulder-press variations. Get the best food tips and diet advice Healthline Media does not provide medical advice, diagnosis, or treatment. Proteins. "This will help you in strengthening your respiratory muscles.". A vegetable soup made with the ingredients listed above. What to Know About COVID-19 Tests' Shelf-Life, Your Privacy Choices: Opt Out of Sale/Targeted Ads. Cheese with fruits, dry fruits with nuts, dahi with fruits. During recovery, Davis recommends stationary walking in the room or area you are isolating in for about 30 to 45 minutes daily. Metal reaches Rs219,500 per tola as investors opt for safe-haven asset, Currency stabilises as foreign reserves improve, Experiences slight uptick of 0.03%, reaching Rs283.84 against US dollar, People had witnessed delays in passport processing due to a surge in passport applications, PTI rejects attempts to sabotage election talks with govt, Fawad Chaudhry says party will continue to negotiate with the ruling coalition as per Supreme Court orders on Tuesday, Leaked audio: Ex-CJP Nisar's son purportedly discusses 'cut' in PTI ticket deal, Maryam says her father Nawaz was silent but conspirators who worked against him are being exposed on a daily basis, Pindis first freelance IT Park poised for launch, Top official says project will provide youth with employment opportunities, Another batch of evacuees reach Islamabad from Sudan, Nawaz tells PM to announce relief package, Threats, attacks against Pakistani journos up by 60%, Punjab insists free flour scheme was transparent, Pictures of patients made mandatory for Sehat Card, , , , , , , Debunking the myths around corporal punishment. Here are 5 things to keep in mind before you start . If you are hospitalized for COVID and/or experience severe symptoms, Robinson notes that even after you feel better, you need to speak to your doctor to be cleared for physical activity. Rest for . Misal Pav Named One Of The Best Vegan Dishes In The World: Taste Atlas. From fighting cancer to managing stress, these fungi are, A balanced gut is essential for optimal digestion, absorption of nutrients, and elimination. Do some light walking to start to rebuild endurance.". Isothiocyanates have been shown to promote immune health by suppressing inflammation, activating immune defenses, and inducing death in infected cells (27). Shellfish like oysters, mussels, and clams are loaded with nutrients especially zinc that may promote recovery. Fatigue that lasts beyond the acute infection period is even murkier. The best things to do are low-impact: Think walking, yoga, easy cycling or swimming. If you had a milder infection, targeting the muscles that support your lungs is a great place to start and these exercises can be done at home. Many are frustrated because they feel some people or even medical professionals dont believe that their symptoms are real, but they are, Dr. Lago says. Dr. Gupta agrees that fatigue is a sign that the body is healing itself. Your body just went through something, so you could have fatigue as a result of its efforts to fight it off, says Shira Doron, M.D., infectious disease physician and hospital epidemiologist at Tufts Medical Center in Boston. Exercise is probably the last thing on your mind during COVID. If you find that your energy or ability to concentrate dips at certain times, strategize accordingly, suggests theUnited Kingdoms National Health Service. redistributed or derived from. In addition, Abreu-Sosa notes that in the treatment of COVID-19, doctors sometimes use steroids with patients, as well as paralytic agents and nerve blocks in those requiring ventilators, all of which can speed muscle breakdown and weakness. Getting 1,000mg to 1,200mg of calcium each day is important for bone health. Did Lockdowns and Masking Lead to Immunity Debt? Want to Burn Belly Fat? Major health areas that are frequently affected and must be addressed include: When the musculoskeletal system takes a hit from COVID-19, it reverberates throughout the body. Leafy greens are high in vitamin C, manganese, magnesium, folate, and provitamin A, all of which are essential for immune function and overall health (1, 2, 3). Here Are 7 Healthy Carbs You Should Eat. Recent research indicates that these supplements dont increase bleeding risk, but some surgeons advise against fish oil anyway (12). Theyre also rich in polyphenol antioxidants that have powerful anti-inflammatory and immune-supportive properties (3, 4). Disclaimer: The opinions expressed within this article are the personal opinions of the author. For the upper body, incorporate row and shoulder-press variations. Medicinal mushrooms are making their namesake for carrying a heavy dose of healing compounds. She explains that lack of movement significantly exacerbates muscle loss, while movement can feel impossible with the energy-draining disease. Tips on How to Get Your Energy Back. She is a member of the Indian Dietetic Association and Indian Association of Parenteral and Enteral Nutrition. Vitamin D is not just a vitamin, but it functions as a hormone and is closely involved with the immune system. Once your weight has returned to your pre-illness weight, or a stable and reasonable weight if you were overweight, make sure to eat enough calories. The new omicron subvariant XBB.1.16 appears to be causing red, itchy eyes, especially in infants and young children, according to early reports. Map out your activities for the day and the week. Fatigue, shortness of breath and dizziness are all cause to stop exercising. Rest is essential when recovering from an illness, injury, or surgery. She has created and lead teams of professionals to deliver clinical solutions for patients across all medical specialties including critical care. Foods rich in Vitamin C are citrus fruits, spinach, papaya, kiwi, tomato, mango and strawberries are a few good sources. Eat 25 to 40 grams (3.5 to 6 oz) of protein for each meal and 10 to 20 grams (1.5 to 3 oz) for each snack. Here are 9 tips to boost your body's natural defenses. With inflation & lawlessness accelerating a new exodus of Pakistani talent, can you fix a sick economy? "It accounts for roughly 40% of our body weight and is a metabolic organ that works other organs and tissues in the body. You need good hydration, drink water but also use fluids to nourish you, so milk, juices chaas, smoothies would be a good idea. This is one reason why getting outside at least three times a week for 30 minutes (with exposure on your hands, arms, legs and face) is helpful and recommended. Nutritionist Busts Myths. "Don't lay around, but pace your activities. This material may not be published, broadcast, rewritten, There are also lifestyle habits you can implement that may help. This reduces stress on your body, allowing the food you eat to go towards rebuilding your strength. The information, facts or opinions appearing in the article do not reflect the views of NDTV and NDTV does not assume any responsibility or liability for the same. Zanni is a cardiovascular and pulmonary clinical specialist at Johns Hopkins Rehabilitation at Timonium in Maryland. February 9, 2022. For people recovering from a mild case of COVID, Fore recommends listening to your body. If you have symptoms or test positive for COVID, you should talk to your doctor about your specific needs. Other than these post-Covid diet tips, you need all the nutrients that are necessary for your health. When recovering from illness or surgery, you should fuel your body with foods that are high in nutrients and compounds that promote healing. It can last weeks, months, or even years, says Dr. Dasgupta. They may find that they have to rest after attempting to do things they can normally do just fine before getting Covid, and some patients have had fatigue severe enough that they have to stop working or curtail many things that they used to enjoy, says Dr. Lago. Hearst Magazine Media, Inc. All Rights Reserved. Even sitting at a computer may not be physically taxing, but it can be cognitively taxing, which can (cause) just as much fatigue sometimes.. Fore says that people who have a sore throat can boost hydration with tea and other warm liquids, which have the added benefit of soothing a sore throat. In fact, inadequate carb intake may impair wound healing and delay recovery (34). "Sleep, move to couch, repeat COVID limits activity. To strengthen the lower body, try exercises such as squats, glute bridges and side steps. Eggs are not only an excellent source of highly absorbable protein, providing 6 grams per large egg (50 grams), but also nutrients that support immune health and wound healing (8). Monitor your weight. Vitamin C is a strong antioxidant that is specific to lung health. Leafy green vegetables like kale, spinach, arugula, mustard greens, and Swiss chard are packed with nutrients that decrease inflammation, enhance immune function, and improve wound healing, making them the perfect choice to promote recovery. Dont be concerned if youre not back to your old self overnight. Many foods, including fruits, vegetables, healthy fats, and protein sources, have been shown to reduce inflammation, improve immune function, promote healing, and provide the fuel necessary for you to get on the mend. Getting back into exercise after having COVID is hard, and has to be taken slowly. Use butter or margarine generously on potatoes, bread, toast, hot cereal, rice, noodles and vegetables and in soups. Learn more about the surprising factors that can make you more vulnerable to sun damage, including tips on how to protect yourself from harmful UV rays. Here are 10. Last medically reviewed on August 12, 2020. But its just like their available energy is very limited and if they exceed that it takes a long time to recover.. xhr.setRequestHeader('Content-Type', 'text/plain;charset=UTF-8'); Coughing is common with COVID-19. Rich sources of carbs are cereal grains, pulses, fruits, vegetables, roots and tubers. "Sweet and salty may be better tolerated than bitter and sour foods. That equals 105135 grams for a 150-pound (68-kg) person (7). Once I felt back to normal, pesky cough aside, I was able to start some gentle stretching, short walks, and some yoga without inversions. Hydration is also important for every aspect of healing and recovery, especially proper wound care. In addition, the same vitamins should be consciously included in daily meals to enhance recovery. Find fiber in fruits, vegetables, beans, oatmeal, quinoa, lentils, split peas, nuts, and seeds.". You need good hydration, drink water but also use fluids to nourish you, Eating proteins all in one meal will not work. So is having the energy and ability to do your job. Being a water-soluble vitamin, you need to consume adequate amounts daily. While recovering from mild pneumonia, be sure to: Get plenty of sleep. Almonds- Almonds are rich in vitamin E. Vitamin E works as an antioxidant. Restoring muscle mass and strength, physical endurance, breathing capacity, mental clarity, emotional well-being and daily energy levels are important for former hospital patients and COVID long-haulers alike. Whats more, studies show that its omega-3 fats may promote wound healing, enhance immune response, and reduce inflammation when taken in supplement form (10). Omega-3s are found mostly in fatty fish like salmon, tuna, sardines, herring, sea bass and mackerel. The Lucira COVID-19 & Flu Home Test is the first device authorized by the FDA to identify both COVID-19 and flu viruses from a single nasal swab. Vitamin C helps keep your immune system healthy. Instead, focus on slow, light movements, like walking. The Best Omicron Treatments if You Get COVID, Sure Signs You've Already Had COVID, Says Virus Expert, COVID Symptoms That Patients Say are "The Worst". Eating these foods helps to keep a healthy digestive tract as part of a healthy immune system. After the initial bout with COVID-19, returning to work can be surprisingly difficult.

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