NYC’s Leading Integrative Health Care Center
NYC’s Leading Integrative Health Care Center
Medically reviewed by Rashmi Gulati, MD — Last updated: September 26, 2026
MD-led care for COVID long haulers on Fifth Avenue. There is no single cure, so we test for what is driving your symptoms, then build a step-by-step plan for pacing, autonomic symptoms, sleep, gut and energy.
Integrative care since 1974
New patient consultations
Testing, plan & follow-up
No treatment is FDA-approved for long COVID itself, so care targets the symptoms and conditions driving it. That usually means pacing for post-exertional crashes, support for POTS-type dizziness and racing heart, better sleep, gut and inflammation care, and correcting nutrient gaps. Your plan comes from testing, supervised by an MD.
Pacing, POTS support, sleep, IV nutrient and NAD support, gut care
Consultation and testing first, then a sequenced plan
Adults with symptoms lasting 3+ months after a COVID infection
Some patients improve within weeks; recovery usually takes months
Long COVID is defined as symptoms continuing or appearing at least three months after a COVID infection and affecting one or more organ systems. If several of these sound familiar, it is time for a proper evaluation.
Want to understand the overlap? Read about chronic fatigue treatment or brain fog.
Long COVID often overlaps with other conditions. Your plan addresses whichever of these your testing uncovers.
Researchers have proposed several drivers, including immune dysregulation, inflammation and autonomic changes, and studies are ongoing. We treat what your testing shows. Every step is supervised by a physician.
Symptoms can worsen 12 to 48 hours after exertion. Pacing keeps activity inside your limits.
Orthostatic testing, fluids, salt, compression and medication when appropriate.
Screening for insomnia and sleep apnea, then a plan to restore deep sleep.
Sleep, nutrients, blood flow and inflammation addressed together.
Anti-inflammatory nutrition and gut care when digestion and immunity are involved.
Low iron, B12, vitamin D or mitochondrial strain corrected by mouth or IV.
Testing for reactivated viruses such as EBV when your history points there.
Mind-body therapies and support for anxiety and low mood during recovery.
Your treatment follows four clear steps, so you always know what is being treated, why, and what comes next.
A 60–90 minute visit covering your infection, symptoms, activity tolerance and history.
As appropriate: thyroid, iron and ferritin, B12, vitamin D, inflammatory markers and orthostatic vitals.
Your physician treats the most important findings first, in sequence, not ten fixes at once.
Regular follow-ups adjust the plan, because pushing too hard too soon can set recovery back.
Most plans combine two or more of these. Your physician recommends only what your results and symptoms support.
A structured plan to balance rest and activity and avoid crash cycles.
Evaluation of dizziness and racing heart, with lifestyle and medical options.
Correcting iron, B12, magnesium and other low nutrients by IV when faster repletion helps.
Nutrients that support cellular energy, used when symptoms and results point there.
Treating digestive problems and chronic inflammation that quietly drain energy.
Screening for sleep apnea and insomnia, since no energy plan works on broken sleep.
Serving New York patients since 1974.
Every plan is prescribed and monitored by an MD.
Deeper panels and a closer read of your results.
Recovery built at a pace your body can handle, without crash cycles.
No promises of a cure, and no unproven fixes sold as proven.
| Standard post-COVID check-up | Our integrative treatment | Self-managing at home | |
|---|---|---|---|
| Testing | Basic blood count and chest imaging | Thyroid, iron, B12, vitamin D, inflammation, orthostatic vitals | No testing |
| First visit | Usually a short appointment | 60–90 minutes with a physician | None |
| Treatment focus | Ruling out serious disease | Treating each contributing cause | Pushing through or resting |
| Typical treatments | Reassurance, single referrals | Pacing, POTS, sleep, gut and nutrient therapies combined | Supplements, extra rest |
| Follow-up | As needed | Scheduled visits with plan adjustments | None |
Trouble focusing and forgetfulness often come with long COVID. When they do, your plan covers both. If foggy thinking is your main problem, see our brain fog program.
Individual results vary, and recovery is not always linear. Your physician will set realistic goals with you at your first visit.
Timelines depend on symptom severity, how long you have been ill, other health conditions and the treatment approach.
Medical Director
Rashmi Gulati, MD, is a board-certified functional medicine doctor Manhattan and a leading holistic doctor in NYC.
Holistic Pain Management Physician
Holistic pain management physician at Patients Medical, caring for patients with chronic pain and inflammation.
Long COVID is an infection-associated chronic condition that appears after a COVID infection and lasts at least three months. It can affect one or more organ systems and may be continuous, relapsing or progressive.
Fatigue, brain fog, post-exertional crashes, sleep problems, palpitations, dizziness, headaches, pain, gut symptoms and anxiety or low mood are common. Symptoms vary widely between people.
By treating the symptoms and conditions driving it: pacing, autonomic and POTS support, sleep care, gut and inflammation care, and nutrient correction, guided by testing and an MD.
Not currently. No treatment is FDA-approved for long COVID itself, and clinical trials are still underway. Care focuses on managing symptoms and improving function.
PEM is a worsening of symptoms after physical or mental effort, often 12 to 48 hours later. It is managed with pacing, which in one 8-week cohort reduced crash frequency and severity without changing other symptoms.
Not blindly. Pushing through can worsen post-exertional malaise. Supervised rehabilitation may suit patients without PEM, while those with PEM are usually paced first. Your physician tailors this.
It does not cure long COVID. IV nutrients can help when testing shows low levels of iron, B12, magnesium or similar, and for some patients as part of a broader plan. Evidence for general “boost” drips is limited.
As appropriate: thyroid panel, iron and ferritin, B12, vitamin D, inflammatory markers, blood sugar, orthostatic vitals for POTS and sleep screening.
It varies. Many people improve over months, while some have symptoms for years. Early evaluation and pacing can help prevent setbacks.
Our MDs treat long COVID with an integrative, test-guided approach. You can meet Dr. Rashmi Gulati and our team at your first consultation.
Cost depends on testing and treatments chosen, and we confirm fees at your consultation. We do not bill insurance directly but provide superbills for reimbursement, and CareCredit financing is available. Why we don’t take insurance.
You meet an MD for 60–90 minutes to review your COVID history, symptoms and activity tolerance, and decide which tests and treatments make sense.
Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.
To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you
Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128
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