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Sage

@sagetoko

Applied Physics PhD working in industry. Chronically ill maker of things. Fiber arts, cooking, dogs. she/her. Exceedingly fond of heffalumps. 🐘❀️ #LongCovid #MECFS #EDS #POTS

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Latest posts by Sage @sagetoko

12.03.2026 22:27 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I’ve been extremely privileged to have a solid Long Covid doctor since Sept 2021 who’s been up for letting me try relatively low-risk-profile meds based on case reports of improvement in my symptom clusters.

And! Everyone deserves this level of care and support. It shouldn’t be a privilege.

12.03.2026 22:12 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 1

By my count I’ve used 11 of the 29 possible #LongCovid interventions in this list. And they’ve made a big difference!

12.03.2026 22:01 πŸ‘ 19 πŸ” 4 πŸ’¬ 2 πŸ“Œ 1

By my count I’ve used 11 of the 29 possible #LongCovid interventions in this list. And they’ve made a big difference!

12.03.2026 22:00 πŸ‘ 7 πŸ” 4 πŸ’¬ 0 πŸ“Œ 0

Last time I went to my dentist they offhandedly mentioned something about having texted me about the appointment. β€œOh, I didn’t get a text.” They were worried. I told them I vaguely recall at some point in the prior doctor’s tenure telling them they had to take my number out of the texting system.

11.03.2026 19:17 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

We collated the latest data to enable conversations between people with Long COVID and their providers about what interventions to try.

I hope this helps folks make thoughtful decisions about what is right for them & decreases some suffering β€οΈβ€πŸ©Ή

11.03.2026 18:24 πŸ‘ 52 πŸ” 19 πŸ’¬ 1 πŸ“Œ 0

New Seanan book day AND I got an immediate skip the line copy in Libby!!! Even better. 😸😸😸🐘

10.03.2026 05:24 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Aaaaaaahhhh new Seanan book day!!!

10.03.2026 05:20 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Huh, as someone on both LDN and Tirzepatide (I mean, probably… 99% sure I’m in the treatment arm of LOCITT-T) I hadn’t quite made that connection between the two before. Thanks!

09.03.2026 05:01 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

You can tell if someone is a chemist or a leftist by how they pronounce the word unionized.

(I’m a physicist and I mostly get by with context, but occasionally trip up.)

07.03.2026 05:37 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

1) I’d love to see more people in the world learn to say things like: I can see you’re having a hard time right now…I’m having a hard time holding space right now because I’m also struggling. But I hear you and I’m sorry you’re hurting, too. Instead of β€œWOW YOURE TOO MUCH OMG.”

06.03.2026 14:29 πŸ‘ 61 πŸ” 7 πŸ’¬ 5 πŸ“Œ 0

My encroaching migraine thinks that sounds incredible! (I hope you are having that time for more positive reasons.)

05.03.2026 01:16 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Preview
What's a Panama? Ruminations on the past, the things we are taught as children, and war with Iran

Concerning the war in Iran, and probably one of the saddest things I've ever written.

catvalente.substack.com/p/whats-a-pa...

02.03.2026 20:10 πŸ‘ 38 πŸ” 9 πŸ’¬ 1 πŸ“Œ 1

For Long Covid Awareness Month, sending love to everyone who has friends, family and/or partners who have no awareness that it's Long Covid Awareness Month

02.03.2026 20:12 πŸ‘ 139 πŸ” 45 πŸ’¬ 4 πŸ“Œ 1

ah, well, then frogging was the right call.

I once knit an ENTIRE bag/backpack in the round after twisting the stitches at the join - somehow I convinced myself that it would untwist when I cast off.

02.03.2026 04:19 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

… but was the gauge correct with the 4s?

02.03.2026 04:08 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Which is all to say - it’s my theory that it matters a LOT what inflammation state your body is already in, and possibly avoiding mRNA vaccines that get you to make a bunch of spike protein is better. I wouldn’t get a shot in the middle of a big flare, but when things are under control I would.

02.03.2026 04:01 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I have also gotten multiple shots since then - never Pfizer again, Moderna 1-2 times, always Novavax since it’s been an option. I heavily pre- and post-medicate with extra antihistamines (and my baseline dose is already decently high, H1 and H2). I have never had worsening of my symptoms since.

02.03.2026 04:01 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

My Long Covid got a lot worse after my initial vaccine series in 2021. I didn’t really qualify for an ME dx beforehand, and over the following 2-3 mo I devolved to moderate-severe ME, nearly bedbound.

02.03.2026 04:01 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

powdered* chilies

01.03.2026 20:46 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

It also really looks like it’s what most Americans would call β€œchili powder,” by which I mean a mix of ordered dried chilies, cumin, probably oregano, and maybe other spices and herbs - it’s the wrong color for Tajin!

01.03.2026 20:41 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Ideally, this one; everyone else can fuck off somewhere else.

28.02.2026 18:35 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I have a Rollz mobility (also heinously expensive and a privilege to be able to have), which I got mostly for the transport chair aspects. But I find myself using it as a rollator more often than I’d expected to! β€œNeed to be able to sit” is so simple and yet so poorly supported by the world. :/

28.02.2026 18:31 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Thank you 🐘❀️

28.02.2026 03:29 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Oh hey, this post made me realize it’s the last day of February tomorrow. Which is my six-year acute covid onset anniversary (or as close as I can get, since there was a February 29th in 2020).

28.02.2026 03:25 πŸ‘ 4 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

@sevier.io , would you be willing to answer and maybe boost to your followers?

28.02.2026 02:30 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

But I’m still kind of salty about them refusing me in the Long Covid clinic, and wonder how they’re handling things now - so few cases are tested, and you only know in hindsight that you needed that.

26.02.2026 22:21 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

They also wouldn’t take me in the LC clinic because I was a first-waver with no access to testing in Feb/Mar 2020, even though I had a clinical dx from an infectious disease doc. I ended up on the ME/CFS clinic waitlist but never went to the appointment, because Kaiser finally started a LC clinic.

26.02.2026 22:21 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Probably just a typo?

26.02.2026 21:45 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

This screenshot version is still up here?

26.02.2026 21:41 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0