inclusion criteria: adult patients with status post covid-19 (positive covid-19 pcr or an official pharmacy performed antigen test ≥6 weeks ago) persistent covid related symptoms that were not present pre-covid-19 or were less severe pre-covid. symptomatic: quantified by dyspnea on exertion, loss of energy, fatigue or sleep impairment based upon the score of four questionnaires: copd assessment test (cat) ≥10, and/or modified medical research council dyspnea scale (mmrc) ≥2, and/or cis-fatigue ≥36, and/or post-covid-19 functional status (pcfs) ≥2.

inclusion criteria: adult patients with status post covid-19 (positive covid-19 pcr or an official pharmacy performed antigen test ≥6 weeks ago) persistent covid related symptoms that were not present pre-covid-19 or were less severe pre-covid. symptomatic: quantified by dyspnea on exertion, loss of energy, fatigue or sleep impairment based upon the score of four questionnaires: copd assessment test (cat) ≥10, and/or modified medical research council dyspnea scale (mmrc) ≥2, and/or cis-fatigue ≥36, and/or post-covid-19 functional status (pcfs) ≥2.