bookmark_borderCOVID-19: reinfection increases risks of death, hospitalization and damage to multiple organs

The study Acute and postacute sequelae associated with SARS-CoV-2 reinfection was published in the Journal Nature.

* The evidence shows that reinfection further increases risks of death, hospitalization and damage to multiple organ systems
* COVID exacerbates underlying conditions including pulmonary, cardiovascular, hematological, diabetes, gastrointestinal, kidney, mental health, musculoskeletal and neurological disorders

First infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is associated with increased risk of acute and postacute death and sequelae in various organ systems. Compared to no reinfection, reinfection contributed additional risks of death, hospitalization, and sequelae including pulmonary, cardiovascular, hematological, diabetes, gastrointestinal, kidney, mental health, musculoskeletal and neurological disorders. The risks were evident regardless of vaccination status. The risks were most pronounced in the acute phase but persisted in the postacute phase at 6 months. Compared to noninfected controls, cumulative risks and burdens of repeat infection increased according to the number of infections. Limitations included a cohort of mostly white males. The evidence shows that reinfection further increases risks of death, hospitalization and sequelae in multiple organ systems in the acute and postacute phase. Reducing overall burden of death and disease due to SARS-CoV-2 will require strategies for reinfection prevention.

MORE ON COVID: COVID-19 / SARS-CoV-2 / Novel Coronavirus

bookmark_borderLong-COVID’s Similarity to HIV

Persistent viruses are not cleared but remain in specific cells of infected individuals. Persistent infections may involve stages of both silent and productive infection without rapidly killing the host. Diseases caused by persistent virus infections include acquired immune deficiency syndrome (AIDS), AIDS-related complexes, chronic hepatitis, subacute sclerosing panencephalitis (chronic measles encephalitis), chronic papovavirus encephalitis (progressive multifocal leukoencephalopathy), spongioform encephalopathies (caused by prions), several herpesvirus-induced diseases, and COVID-19. The mechanisms by which persistent infections are maintained involve both modulation of virus and cellular gene expression and modification of the host immune response.

COVID has been found to persist for months in individuals even if their case was mild. The virus continues to infect multiple organs including the brain. The U.S. National Institutes of Health said they found the pathogen is capable of replicating in human cells beyond the respiratory tract and can infect all organs.

There are many questions about Long-COVID (also known as Long Haulers Syndrome.)

Long-COVID is the condition most people develop after recovering from the SARS-CoV-2 virus. Between 40 and 70% of recovered COVID cases report lingering symptoms, but it is quite likely 99.9% of recovered individuals have silent conditions. COVID-19 makes a multitude of changes to the human genome. Some of the changes result in noticeable symptoms, such as, brain fog, fatigue, soreness, night sweats, diarrhea, and loss of taste. There are also many changes to the genome that may go unnoticed, such as, an increase risk of cancer, rogue antibodies, and blood clotting.

The epigenetic changes that cause Long-COVID are very similar to having HIV.

The Journal Nature reports in the article HIV infection alters the human epigenetic landscape, “Early in 2010, a study on the DNA methylation status of B lymphoma confirmed that HIV infections may induce novel epigenetic changes, including DNA methylation status alteration of specific functional sites.”

“Immune dysregulation during HIV infection can increase anemia risk through red blood cell destruction (hemolysis) or ineffective red blood cell production,” according to BMC Infectious Diseases. This is similar to symptoms in some Long-COVID patients. Long-COVID is known to result in a variety of blood issues.

“HIV enters its genetic information into helper T cells to make copies of itself. When this happens, the helper T cells die. This severely disrupts the immune response. Low levels of helper T cells mean killer T cells and other white blood cells do not receive as much information about pathogens in the body,” as reported in Medical News Today. Long-COVID is also suspected of interfering with T cells and the immune system. Long-COVID causes an upregulation in IDO. Indoleamine 2,3-dioxygenase (IDO) is an immune checkpoint molecule in the sense that it is an immunomodulatory enzyme produced by alternatively activated macrophages and other immunoregulatory cells. IDO is known to suppress T and NK cells, generate Tregs and myeloid-derived suppressor cells, and also supports angiogenesis.

In December 2021, typical seasonal viruses’ severity was up suggesting recovery from COVID results in a compromised immune system. T cells may lose effectiveness against any pathogen. It is estimated half of the U.S. population has had a COVID infection. Hospitals are seeing a sharp rise in Flu, RSV, and other viral infections. It is also likely infants and younger children are contracting the viruses due to their parents compromised immune systems.

The epigenetic changes caused by both Long-COVID and HIV compromise the immune system.

The study SARS-CoV-2 infection and persistence throughout the human body and brain examines COVID living in people for many months after their initial illness.

“This is remarkably important work,” said Ziyad Al-Aly, director of the clinical epidemiology center at the Veterans Affairs St. Louis Health Care System in Missouri, who has led separate studies into the long-term effects of COVID-19. “For a long time now, we have been scratching our heads and asking why long COVID seems to affect so many organ systems. This paper sheds some light, and may help explain why long COVID can occur even in people who had mild or asymptomatic acute disease.”

WHAT WE KNOW ABOUT Long-COVID
* Epigenetic Modifications (Changes to DNA)
* Change in Cell Fate
* Tryptophan Deficiency
* Dysfunctional Kynurenine Pathway
* Neurological Damage
* Down Regulating NAD+
* Up Regulating IDO
* Rogue Antibodies
* Change in Pancreas Cell Function (Down regulation of Insulin)
* Increased Risk of Cancer
* Blood Clotting — This unusual clotting may cause different complications, including organ damage, heart attack and stroke.

COVID in Your Genes
COVID: The Natural Immunity Myth

More COVID-19 Research

bookmark_borderOmicron: What We Know About the COVID-19 Variant

We’re starting to find out more about Omicron:
1)”Previous infection used to protect against Delta but now with Omicron that doesn’t seem to be the case,” said Anne von Gottberg, microbiologist at South Africa’s National Institute for Communicable Diseases.”
2) risk of breakthrough vaccination is also much higher. Out of 600 fully vaccinated travelers from South Africa, 61 tested positive for COVID. 16 of those were Omicron.
3) a much higher percentage of 20-30 years are being hospitalized
4) an alarming percentage of children under 2 are being hospitalized.
5) the Omicron variant has become dominant in South Africa. Cases of COVID have gone from 200/day, to 400, to 1,000 to 2,000, to 4,000, to 8,000, to over 11,000/day in as many days.
Remember, when you hear of cases being “mild”, that means mild for COVID (eg not hospitalized). All of the cases I’ve studied have been symptomatic individuals that are fully vaccinated.

Omicron Update December 9, 2021
Omicron Update:
* Pfizer says the booster offers protection
* Pfizer says 4th dose may be required
* South Africa says Pfizer offers 1/40th the protection as Delta
* Reinfection is 3 times more likely than with Delta
* South Africa cases are up 255% in a week
* 4x’s more transmissible than Delta
* UK cases could exceed 1 million by the end of this month
* typical seasonal viruses’ severity is up… suggesting recovery from COVID results in a compromised immune system. T cells may lose effectiveness against any pathogen

“In other words, Omicron is spreading in highly immune populations as quickly as the original virus did in populations with no immunity at all. If this holds and is left uncontrolled, a big Omicron wave lies ahead—bigger than we would have expected with Delta. Cases were already surging ahead of winter. The U.S. already had a too-low vaccination rate. And now Omicron threatens to eat away at the immunity we thought we had.”

bookmark_borderCOVID: The Natural Immunity Myth

by Daniel Brouse
August 30, 2021

To date, there is zero (0) evidence that contracting the original strain of COVID gives you any immunity to re-infection — natural immunity. On the other hand, there are a multitude of examples of re-infection.

Natural immunity to the original strain lasts on average from 60 days to 6 months; however, there does not appear to be any natural immunity to the variants.

In India’s recent wave, 1 in 4 Delta cases were re-infections. “Antibodies against Sars-CoV-2 — the virus that causes Covid-19 — were found in about 27% of the 91 participants at a time when the second wave was raging in the country, researchers at the Institute of Genomics and Integrative Biology, National Centre for Disease Control and the Cambridge University, said.” — Hindustan Times

“During the Novavax vaccine trials in South Africa, the study found an overall primary efficacy of 49.4% in 4,400 participants, meaning about half of the patients vaccinated and later infected did not experience symptoms. Genomic analyses revealed that about a third of the 4,400 were previously positive for infection, meaning the South African variant was then and is now capable of reinfection, evading neutralizing antibodies in a similar capacity to the Brazilian variant.”

“The study also showed that prior infection with an earlier version of the virus did not reduce the risk of COVID-19 caused by the South African variant among people who got placebo shots.” — Reuters

Another variant (C.1.2) related to the original South Africa variant (C.1) was discovered in South Africa, China, the Democratic Republic of the Congo, Mauritius, England, New Zealand, Portugal and Switzerland. A study by the National Institute for Communicable Diseases (NICD) and the KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP) in South Africa found the variant could be more transmissible and evade protection provided by vaccines and prior infection.

“Among Kentucky residents infected with SARS-CoV-2 in 2020, vaccination status of those reinfected during May–June 2021 was compared with that of residents who were not reinfected. In this case-control study, being unvaccinated was associated with 2.34 times the odds of reinfection compared with being fully vaccinated.” — CDC

“Our case series shows that reinfection with different strains is possible, and some cases may experience more severe infections with the second episode. The findings also suggest that COVID-19 may continue to circulate even after achieving herd immunity through natural infection or vaccination, suggesting the need for longer-term transmission mitigation efforts.” — Journal of Investigative Medicine

Vaccines do not appear to be much more effective against the Delta variant than natural immunity through infection. The increase of breakthrough cases has been increasing in lock-step with the increase spread of the Delta variant. “Fewer than 10% of new coronavirus infections occurred in fully vaccinated people in the weeks before June, but the rate increased this summer. In the first four weeks of August, roughly 30% of infections were in fully vaccinated individuals.” — The Star Tribune

A study by the CDC found vaccine efficacy dropped from roughly 90% to 66% as the Delta variant emerged. “This report updates vaccine effectiveness (VE) estimates including all COVID-19 vaccines available through August 14, 2021, and examines whether VE differs for adults with increasing time since completion of all recommended vaccine doses.” — CDC

Another CDC study that compared natural immunity to vaccination has found — “Among COVID-19–like illness hospitalizations among adults aged ≥18 years whose previous infection or vaccination occurred 90–179 days earlier, the adjusted odds of laboratory-confirmed COVID-19 among unvaccinated adults with previous SARS-CoV-2 infection were 5.49-fold higher than the odds among fully vaccinated recipients of an mRNA COVID-19 vaccine who had no previous documented infection.”

CONCLUSION PART I
There is a need for longer-term transmission mitigation efforts. Because reinfection is likely, vaccines efficacy is not high enough, and new variants are emerging, herd immunity is not achievable. Humans can not learn to live with the virus. Mitigation efforts must be made to stop community spread.

CONCLUSION PART II
COVID causes an immune dysfunction. When a person become infected, the SARS-CoV-2 virus alters your genes in order to infect you. “We identified EP300, MOV10, RELA, and TRIM25 as top candidates, and more than 60 additional proteins involved in the epigenetic response during viral infection that has therapeutic potential.” — Nature

When a person recovers from the virus, they are left with multiple gene alterations to there immune system. It is impossible for natural immunity to be feasible in an individual with an immune system that is compromised by a COVID-19 infection.

COVID survivors are left with a severe NAD+ deficiency, and an upregulation of IDO (which suppresses your T and NK cells.) Short term this makes your immune system dysfunctional. This means your antibodies can’t function properly and have little to no memory. Long term it makes you more likely to have heart, blood, respiratory, and neurological disorders. You are at high risk of developing dementia. In addition, you have reduced P53 genes (tumor suppression genes) putting you at higher risk of cancer. — The Membrane Domain

I strongly advise against contracting COVID.

OMICRON UPDATE
December 4, 2021

A study out of South Africa, “Increased risk of SARS-CoV-2 reinfection associated with emergence of the Omicron variant in South Africa,” found that individuals who recently recovered from the Delta variant were afforded little to no protection from the Omicron variant. “Population-level evidence suggests that the Omicron variant is associated with substantial ability to evade immunity from prior infection. This finding has important implications for public health planning, particularly in countries like South Africa with high rates of immunity from prior infection.”

As stated above, everybody is advised to:
* speak to your doctor
* get vaccinated
* wear an N95 mask
* stay socially distanced

UPDATE June 2022: No Immune Boost From Omicron
“If you were infected during the first wave, then you can’t boost your immune response if you have an Omicron infection,” said Prof Rosemary Boyton, of Imperial College London, a co-author of the study. “When Omicron started flying around the country, people kept saying that’s OK, that will improve people’s immunity,” said Boyton. “What we’re saying is it’s not a good booster of immunity.”

“It’s actually worse than that, because the adaptations that the spike [protein] has now are actually inducing a kind of regulation or shutdown of immune response,” Prof Danny Altmann, another author of the study, adding that while the study looked at responses to the BA.1, similar findings were likely for other subvariants of Omicron.

No Immunity Boost From Infection — view the PDF

COVID in Your Genes

MORE ON COVID: COVID-19 / SARS-CoV-2 / Novel Coronavirus

bookmark_borderCOVID Immunity: What We Know

1) Natural Immunity
If you get a moderate to severe case of COVID-19, most people maintain viable antibodies for 90 days and memory T-cells for 5 months. This will likely give you natural immunity to the same strain of COVID for up to 5 months. The resistance to the UK variant is thought to be diminished. The resistance to the South African variant is thought to be none. There is some concern that COVID may erase all or part of your T cells’ memory for other pathogens.

2) Vaccines
You should anticipate that vaccines will give you a very similar immune response as the natural immunity acquired from contracting COVID. It doesn’t matter which vaccine you receive. You should get whatever vaccine you can get and as soon as possible. You should anticipate needing to get vaccinated every 90 days once vaccines are developed for all the different variants.

The message is — we have to stop the community spread and exponential rise in variants WORLDWIDE. Individual countries can not obtain herd immunity.

More Information on COVID-19

bookmark_borderCOVID-19: Immunity, Antibodies, Memory T Cells and B Cells

by Daniel Brouse
email: help@membrane.com

Omicron Update January 4, 2022

The effects of antibodies produced by the immune system’s “memory B cells” against the Omicron variant of the coronavirus are weakened. After the body learns to recognize SARS-CoV-2, B cells generate fresh antibodies against the virus if there are not enough antibodies circulating in the blood.

“Omicron seemed to evade a very large share of the memory B cells,” said Matthieu Mahevas and Pascal Chappert of Universite de Paris.

The research was published in Immune escape of SARS-CoV-2 Omicron variant from mRNA vaccination-elicited RBD-specific memory B cells. “Memory B cells (MBCs) represent a second layer of immune protection against SARS-CoV-2. Whether MBCs elicited by mRNA vaccines can recognize the Omicron variant is of major concern. We used bio-layer interferometry to assess the affinity against the receptor-binding-domain (RBD) of Omicron spike of 313 naturally expressed monoclonal IgG that were previously tested for affinity and neutralization against VOC prior to Omicron. We report here that Omicron evades recognition from a larger fraction of these antibodies than any of the previous VOCs. Additionally, whereas 30% of these antibodies retained high affinity against Omicron-RBD, our analysis suggest that Omicron specifically evades antibodies displaying potent neutralizing activity against the D614G and Beta variant viruses. Further studies are warranted to understand the consequences of a lower memory B cell potency on the overall protection associated with current vaccines.”

Updated August 4, 2021

COVID-19 Delta Variant and Vaccines
The efficacy of mRna vaccines is about 79% against contracting the Delta variant. Non-mRna vaccines are between 40-60% effective against Delta. Vaccines lose efficacy at about 3%/month after six months of being fully vaccinated. Vaccines appear to help contain the Delta variant to the nasal passage — you are less likely to develop the epigenetic changes to your genes (long-COVID).

We know the epigenetic changes caused by COVID partially dismantle your immune system including dysfunction of NAD+ optimization and suppression of T and NK cells.

There is no natural immunity from previous infection. Everybody needs to get vaccinated.

COVID Vaccine Breakthrough Cases
Q: Why are there so many breakthrough cases of COVID in the vaccinated?

A: There are several reasons why there are breakthrough cases with any vaccine; however, COVID is different. Many of the vaccinated people getting COVID already had COVID prior to being vaccinated. This is the second time they have contracted the virus. Once you have had COVID, your immune system is compromised. You should consider yourself immune compromised. The vaccine will not fully compensate for that fact.

THE ORIGINAL COVID STRAIN
A study published in The Lancet entitled Dynamics of SARS-CoV-2 neutralising antibody responses and duration of immunity: a longitudinal study found the immunity from a COVID reinfection varies widely from individual to individual from days to decades.

“We identified five distinctive patterns of neutralising antibody dynamics as follows:
* negative, individuals who did not, at our intervals of sampling, develop neutralising antibodies at the 30% inhibition level [12%];
* rapid waning, individuals who had varying levels of neutralising antibodies from around 20 days after symptom onset, but seroreverted in less than 180 days [27%];
* slow waning, individuals who remained neutralising antibody-positive at 180 days post-symptom onset [29%];
* persistent, although with varying peak neutralising antibody levels, these individuals had minimal neutralising antibody decay [32%];
* and delayed response, a small group that showed an unexpected increase of neutralising antibodies during late convalescence (at 90 or 180 days after symptom onset [2%]).

Persistence of neutralising antibodies was associated with disease severity and sustained level of pro-inflammatory cytokines, chemokines, and growth factors. By contrast, T-cell responses were similar among the different neutralising antibody dynamics groups. On the basis of the different decay dynamics, we established a prediction algorithm that revealed a wide range of neutralising antibody longevity, varying from around 40 days to many decades.

The question may also apply to vaccines: will the COVID immunity offered by vaccinations last for 40 days to many decades? What is the durability of vaccines and will it be uniform or vary widely from person to person?

Previously released on January 24, 2021:
1) Natural Immunity
If you get a moderate to severe case of COVID-19, most people maintain viable antibodies for 90 days and memory T-cells for 5 months. This will likely give you natural immunity to the same strain of COVID for up to 5 months. The resistance to the UK variant is thought to be diminished. The resistance to the South African variant is thought to be none. There is some concern that COVID may erase all or part of your T cells’ memory for other pathogens.

2) Vaccines
You should anticipate that vaccines will give you a very similar immune response as the natural immunity acquired from contracting COVID. It doesn’t matter which vaccine you receive. You should get whatever vaccine you can get and as soon as possible. You should anticipate needing to get vaccinated every 90 days once vaccines are developed for all the different variants.

The message is — we have to stop the community spread and the exponential rise in variants WORLDWIDE. Individual countries can not obtain herd immunity.

More Information on COVID-19



What We Use to Know about Immunity
Q: What do we know about immunity to COVID-19, the immune system, antibodies, memory T cells, and autoimmune disfunctions?
A: Not much. Today is September 2, 2020. The virus is still new. We probably won’t be able to know the longterm affects of COVID-19 until the longterm; however, there is a growing body of research that is starting to uncover some of the mysteries.

Q: Do we know if recovered COVID-19 patients have immunity to reinfection.
A: No. We do not know the durability of the antibodies, nor the length of memory of the T cells. Originally, researchers thought you could only catch COVID-19 once, and you would gain immunity. Scientists started off thinking you would have a minimum of 1 year immunity and quite possibly 2-3 years. Now, 6 months later, that theory is history.

There are several cases globally where reinfection was confirmed by identifying that the second infection was by a different mutation of COVID than the original infection. “So far, there are three patients known to have been infected with SARS-CoV-2 twice, and in at least one case the second time around was asymptomatic.”(1) Reinfection is rare, researchers said, but people should still be cautious. “If you’ve had it, you can’t necessarily be considered invulnerable to the infection,” Mark Pandori, one of the authors and director of the Nevada State Public Health Laboratory said.(2)

An extensive case study was conducted on the reinfection case from Nevada”
“These findings suggest that the patient was infected by SARS-CoV-2 on two separate occasions by a genetically distinct virus. Thus, previous exposure to SARS-CoV-2 might not guarantee total immunity in all cases. All individuals, whether previously diagnosed with COVID-19 or not, should take identical precautions to avoid infection with SARS-CoV-2. The implications of reinfections could be relevant for vaccine development and application.”(3) Half of the those that became reinfected had more serious symptoms with the reinfection.

Since this paper was first published, a study done by the Imperial College of London found a 26% decline in antibodies over a three month period. The study all but eliminates the possibility of herd immunity. The study also indicates any post-COVID immunity is short lived and chances of being reinfected are large.(4)

Q: Why do so many recovered patients appear to be getting reinfected?
A: Most recovered individuals are not getting reinfected, rather their immune system mistakes inactive strands of COVID RNA as active virus. The autoimmune system reacts with an autoimmune disconnect resulting in cycles of recurring symptoms.(5) In the short term, it is thought the recurring symptoms will not cause irreparable damage. The long haul for long haulers is less certain with the duration of your body attacking your own organs in question.

Q: How long do COVID antibodies last?
A: Again, we do not know. Originally, it was thought the antibodies would last for a long period and the memory T cells might give you lifelong immunity. That is no longer the science. “There is currently no evidence that people who have recovered from COVID-19 are protected from a second infection.”(6) A study published in the New England Journal of Medicine, found that antibody levels against the novel coronavirus decreased by about half every 73 days and, if that rate were sustained, would be depleted within about a year. The findings are similar to those of several previous reports showing rapidly decreasing antibody levels after infection, including one published Jun 18 in Nature, which showed that levels of antibodies against COVID-19 began to decrease within 2 or 3 months of infection.(7)

Q: What immunity do T Cells give?
A: We don’t know. There are two types of T Cells. Memory T cells live for six months or less in healthy humans (Westera et al., 2013), whereas naive T cells can live for up to nine years (Vrisekoop et al., 2008). Memory T cells are the ones that remember your previous infections and how to fight them. Memory T cells reproduce passing on their memory. There is growing concern that the memory T cells may be forgetting. It is possible that COVID erases the memory of your T cells making you susceptible to get infected by any other disease or illness you have previous had or have been vaccinated for (as measles can do.) Measles seem to wipe out immune cells that ‘remember’ encounters with specific bacteria and viruses.(8)

RECOMMENDATION:
Until more is known, recovered COVID patients should take great care and avoid exposure to all bacteria and viruses, including COVID, that may cause illness.

1. Patients Reinfected with Coronavirus in Hong Kong, Europe (The Scientist)
2. 1st U.S. COVID-19 Reinfection Reported in Nevada Patient (WebMD / NBC)
3. Genomic evidence for reinfection with SARS-CoV-2: a case study (The Lancet)
4. Declining prevalence of antibody positivity to SARS-CoV-2: a community study of 365,000 adults Imperial College London
5. COVID-19 Long Haulers: autoimmune response due to inactive particles of the virus (Daniel Brouse)
6. “Immunity passports” in the context of COVID-19 (WHO)
7. COVID-19 antibodies decay quickly after mild illness (Center for Infectious Disease Research and Policy)
8. Measles erases immune ‘memory’ for other diseases (Nature)

COVID-19 Index

bookmark_borderCOVID-19 and Negative Feedback Loops

COVID=19

As more time passes and more information is gathered on the novel coronavirus, SARS-CoV-2, there is growing evidence that any infection from COVID-19 may cause chronic damage to your body.

Negative Feedback Loops
The more often your body suffers damage, than the more severe each additional exposure will become. After you recover from COVID, there is likely some damage to one or more of your organs. Even asymptomatic individuals may suffer chronic illness. Immunity from COVID antibodies appears to be short lived. A person gets COVID, spreads COVID, and gets it again. Each time you get COVID-19, you are more compromised. The negative feedback loop repeats until failure.

Originally, researchers thought you could only catch COVID-19 once, and you would gain immunity. Scientists started off thinking you would have a minimum of 1 year immunity and quite possibly 2-3 years. Now, 6 months later, that theory is history.

There are several cases globally where reinfection was confirmed by identifying that the second infection was by a different mutation of COVID than the original infection. “So far, there are three patients known to have been infected with SARS-CoV-2 twice, and in at least one case the second time around was asymptomatic.”(1) Reinfection is rare, researchers said, but people should still be cautious. “If you’ve had it, you can’t necessarily be considered invulnerable to the infection,” Mark Pandori, one of the authors and director of the Nevada State Public Health Laboratory said.(2)

UPDATE: COVID-19: Chronic Conditions
October 15, 2021

COVID causes negative feedback loops. COVID appears to cause the most damage to the weakest or most vulnerable parts of the body. If you were predisposed to a condition prior to COVID, you will likely develop the condition after COVID. An example would be people with type II diabetes. If you have diabetes prior to COVID, then you are at high risk of dying from COVID. If you are prediabetic, COVID will likely make you diabetic. If you are not inclined to develop diabetes, COVID will likely increase the probability of developing diabetes. The same holds true with NAD+, IDO, P53 tumor suppression genes, and all the other conditions listed above. The more times you contract COVID, the more cumulative damage you will suffer.

UPDATE: Reinfection Greater Risks & Exacerbates Underlying Conditions
November 11, 2022

The study Acute and postacute sequelae associated with SARS-CoV-2 reinfection was published in the Journal Nature.

* The evidence shows that reinfection further increases risks of death, hospitalization and damage to multiple organ systems
* COVID exacerbates underlying conditions including pulmonary, cardiovascular, hematological, diabetes, gastrointestinal, kidney, mental health, musculoskeletal and neurological disorders

First infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is associated with increased risk of acute and postacute death and sequelae in various organ systems. Compared to no reinfection, reinfection contributed additional risks of death, hospitalization, and sequelae including pulmonary, cardiovascular, hematological, diabetes, gastrointestinal, kidney, mental health, musculoskeletal and neurological disorders. The risks were evident regardless of vaccination status. The risks were most pronounced in the acute phase but persisted in the postacute phase at 6 months. Compared to noninfected controls, cumulative risks and burdens of repeat infection increased according to the number of infections. Limitations included a cohort of mostly white males. The evidence shows that reinfection further increases risks of death, hospitalization and sequelae in multiple organ systems in the acute and postacute phase. Reducing overall burden of death and disease due to SARS-CoV-2 will require strategies for reinfection prevention.

More on COVID-19: Chronic Conditions

1. Patients Reinfected with Coronavirus in Hong Kong, Europe (The Scientist)
2. 1st U.S. COVID-19 Reinfection Reported in Nevada Patient (WebMD / NBC)

COVID-19 Index