Long COVID Treatment 2026: What Randomized Clinical Trials Actually Show
By OneDayMD Editorial Team · Published September 30, 2026 · Updated October 1, 2026 · Evidence last checked October 1, 2026 Quick Answer: does anything work for Long COVID? No specific treatment has been proven to work for Long COVID in general. Randomized trials have found no benefit from extended Paxlovid (959 adults), metformin (396) or short-course hyperbaric oxygen (80). Promising but unconfirmed signals include the SIM01 synbiotic (463 people, Hong Kong) and physical-activity coaching (50). For prevention during acute COVID, Paxlovid (144 people) and metformin show mixed or underpowered results. Care remains individualized and symptom-focused. Medical disclaimer. This article is educational and is not personal medical advice, diagnosis or treatment. Long COVID can overlap with cardiovascular, pulmonary, neurological, endocrine and sleep disorders. Do not st...