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Long covid: Damage to multiple organs presents in young, low risk patients

BMJ 2020; 371 doi: (Published 17 November 2020) Cite this as: BMJ 2020;371:m4470

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More women ? hormone users Re: Long covid: Damage to multiple organs presents in young, low risk patients

Dear Editor

It is surprising that in a young, low-risk population with ongoing Long Covid symptoms almost 70% of 67 individuals had impairment in one or more organs four months after initial symptoms of 68 SARS-CoV-2 infection. Also 70% of 201 individuals were women and 87% were white. The age range was 33 to 55 years, mean age 44 years. [1]

At least 80% of women now use or have used hormonal contraception. Therefore, the age group 33-44 years would include both recent or long-term past users of combined progestogen/oestrogen or progestogen only contraception. Also from age 44 to 55 years up to 55% of women are given these hormones again as HRT.

Hormone use causes numerous illnesses and many biochemical perturbations including zinc and magnesium deficiencies. Does taking hormones increase the risk of Vitamin D and Vitamin C deficiencies which are known increase the risk of more severe and long lasting Covid-19 complications?

1 Dennis A, Wamil M, Kapur S, Alberts J, Badley AD. Multi-organ impairment in low-risk individuals with long COVID. .
2 Grant ECG. The pill, hormone replacement therapy, vascular and mood over-reactivity, and mineral imbalance. J Nutr Environ Med 1998;8:105-116.

Competing interests: No competing interests

20 November 2020
Ellen C G Grant
Physician and medical gynaecologist
Retired
Kingston-upon-Thames, Surrey, UK