Trial Report [Abstract] - Individualised aerobic and resistance exercise training improves exercise tolerance in individuals with [LC]: [PERCEIVE], 2025, Howden+

It can progress in the later stages of illness though.
I don’t think Long COVID is one illness. Just an umbrella term for various sequelae of COVID from Lung Damage to OI.

If you’re saying post-viral syndrome without PEM can “progress” to with PEM -> ME/CFS yeah I totally agree. Many people have repeated that anecdotally, including you IIRC.
 
It would be interesting to know how the changes occured over time considering I full stopped overdoing and exercising and did ART for the next 5 years.
 
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