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In February of last year, Dr Beate Jaeger, an internal medicine doctor, began treating long covid patients with apheresis at her clinic in Mulheim, Germany, after reading reports that covid causes issues with blood clotting. But people could potentially go bankrupt accessing these treatments, for which there is limited to no evidence of effectiveness.вЂќ вЂњIt's a completely rational response to a situation like this. вЂњIt's unsurprising that people who were previously highly functioning, who are now debilitated, can't work, can't financially support themselves, would seek treatments elsewhere,вЂќ he says. Shamil Haroon, clinical lecturer in primary care at the University of Birmingham and a researcher on the Therapies for Long Covid in Non-hospitalised patients (TLC) trial, believes such вЂњexperimentalвЂќ treatment should only be done in the context of a clinical trial.

While some doctors and researchers believe apheresis and anticoagulation drugs may be promising treatments for long covid, others worry desperate patients are spending life-changing sums on invasive, unproven treatments. We accept patients that have microcirculation issues and want to be treated with HELP apheresisвЂ¦If a patient needs a prescription, it is individually assessed by our doctor or the patient is referred to other specialised doctors where needed.вЂќДЄ spokesperson for the Poseidonia clinic said all treatments offered are вЂњalways based on medical and clinical evaluation by our doctors and clinical nutritionist, diagnosis via blood tests with lab follow ups as per good medical practice.вЂќ Marcus Klotz, co-founder of the Long Covid Center told The BMJ: вЂњWe as a clinic do neither advertise, nor promote. She was also advised to buy hydroxychloroquine as an early treatment package in case she was reinfected with covid-19, despite a Cochrane review published in March 2021 concluding that it is вЂњunlikelyвЂќ the drug has a benefit in the prevention of covid-19. She received six rounds of apheresis, as well as nine rounds of hyperbaric oxygen therapy, and an intravenous vitamin drip at the private Poseidonia clinic, next door to the Center.Д«oumeester was asked to sign a consent form at the Long Covid Center before undergoing apheresis, which lawyers and clinicians described as inadequate. She was forced to quit her job in November 2021, after two failed attempts to go back to work.Д«oumeester learned of the вЂњblood-washingвЂќ treatment of apheresis from a Facebook group for long covid patients.ДЄfter visiting The Long Covid Center in Cyprus to receive the treatment, at a cost of more than в‚¬50,000 (ВЈ42,376), she returned home with no improvement to her symptoms. The investigation includes details of people who have tried the treatment, such as Gitte Boumeester, a trainee psychiatrist in Almelo, the Netherlands, who, after catching the virus, developed severe long covid symptoms.

The plasma is filtered before being recombined with the red blood cells and returned to the body via a different vein. The World Health Organization (WHO) has estimated that between 10% and 20% of patients suffer symptoms for at least two months after an acute covid-19 infection вЂ“ a phenomenon commonly known as long covid.ДЄccording to the latest official data, as of May 1, there were nearly two million people in the UK self-reporting long covid symptoms, which can include fatigue, muscle weakness, breathing and sleep difficulties, memory problems, anxiety or depression, chest pains, and loss of smell or taste.Д¬urrently, there is no internationally agreed treatment pathway for the condition.ДЄpheresis involves needles being put into each arm and the blood is passed over a filter, separating the red blood cells from the plasma.

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The full report by ITV News Science Editor Deborah Cohen will air on on ITV Evening News at 6.30pm and ITV News at Ten. ITV News visited a private clinic in Cyprus and spoke to its co-founder Marcus Klotz and several patients. Patients are travelling to private clinics in Cyprus, Germany and Switzerland for apheresis - a blood filtering treatment normally used for patients with lipid disorders that have not responded to drugs - and anti-clotting therapy.Д«ut experts question whether these invasive therapies should be offered without sufficient evidence. Thousands of people experiencing the debilitating symptoms of long covid are travelling abroad to seek costly but unproven treatments such as вЂњblood washingвЂќ, according to an investigation carried out by The BMJ and ITV News released today.