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The sequelae of COVID-19 could be affected more than we believe and report

Long COVID’s Hidden Toll: Macaque Study Suggests Widespread Underestimation of Long-Term Effects

PORTLAND, OR – July 24, 2025 – A groundbreaking study published today in PLOS Pathogens reveals that the long-term consequences of SARS-CoV-2 infection may be significantly underestimated, even following seemingly mild cases. Researchers at the University of Health and Sciences of Oregon, using a macaque model, have uncovered persistent physiological changes months after initial infection, raising concerns that millions may be unknowingly living with Long COVID.

Beyond the Symptoms: A Deeper Look at Long COVID

For over four years, the world has grappled with the aftermath of the COVID-19 pandemic. While acute infection has become less of an immediate threat thanks to vaccines and treatments, the shadow of Long COVID – the constellation of persistent symptoms following initial infection – continues to loom large. What’s often been missing is a clear understanding of *how* widespread these long-term effects truly are. This new research, focusing on rhesus macaques, provides a startling glimpse into the hidden damage the virus can inflict.

The study, led by Charles Roberts, involved observing adult male macaques – some lean, some obese, and some with pre-existing insulin resistance – for six months after SARS-CoV-2 infection. Researchers deliberately chose macaques to mirror the human population’s varying metabolic health. Previous studies had established that obesity and metabolic disease exacerbate acute COVID-19, and that the virus itself can *create* metabolic issues in previously healthy individuals. However, the long-term picture remained blurry.

Surprising Findings: It’s Not Just About Severity

What the team discovered was unsettling. Almost all the animals exhibited consistently altered health parameters long after the initial infection had resolved. Crucially, the patterns weren’t what researchers expected. While obesity was linked to persistent lung damage and long-term weight loss, leaner animals were more prone to developing metabolic alterations. This suggests that Long COVID doesn’t follow a predictable path based solely on initial disease severity or pre-existing conditions.

“I think one of the most amazing results of our study was the magnitude of the long-term adverse effects observed after what was apparently an initial evolution of the very mild disease,” Roberts stated in a press release. “This suggests that prolonged COVID can, in fact, be a consequence of a mild infection.”

Inflammation and Heart Health: The Long-Term Risks

The study pinpointed specific health markers that remained abnormal up to six months post-infection, including indicators of inflammation and increased risk of heart disease. This is particularly concerning because these effects may not manifest immediately, potentially delaying diagnosis and treatment. The research team believes this delayed onset could explain why Long COVID is so often underestimated.

Evergreen Context: Long COVID is estimated to affect millions globally, with symptoms ranging from fatigue and brain fog to shortness of breath and organ damage. The condition is notoriously difficult to diagnose, as symptoms are varied and often overlap with other illnesses. Current research suggests that Long COVID may involve persistent viral reservoirs, immune dysregulation, and microclots in the bloodstream. Understanding the underlying mechanisms is crucial for developing effective treatments.

What Does This Mean for Humans?

The macaque model provides a valuable tool for studying Long COVID, as macaques exhibit similar physiological responses to SARS-CoV-2 as humans. While further research is needed to confirm these findings in human populations, the implications are clear: Long COVID may be far more prevalent and insidious than previously thought. It’s a wake-up call to prioritize long-term monitoring of individuals who have been infected with the virus, even those who experienced mild initial symptoms.

The findings underscore the importance of proactive health management and early intervention. If you’ve experienced COVID-19, even a mild case, and are experiencing persistent symptoms, don’t dismiss them. Talk to your doctor, advocate for thorough testing, and explore available resources for Long COVID support. The future of pandemic recovery depends on recognizing and addressing the hidden toll of this complex condition. Stay informed, stay vigilant, and prioritize your long-term health. For more in-depth coverage of health breakthroughs and emerging research, continue exploring archyde.com.

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