Ayurvedic Rasayana Therapy: Ayurvedic Rasayana Therapy is traditionally practiced in India for its immuno-modulatory and adaptogenic properties, thus used as a therapeutic adjuvant for viral-induced HMR/D recovery. Mucormycosis is an opportunistic angio-invasive fungal infection associated with PASC. In a prospective human RCT (n=77), Ayurvedic therapy as an adjunct to conventional medical treatments showed significant improvement across the entire spectrum of mucor-mycosis in PASC patients. Patients discharged from intensive care pose higher risk of functional loss or undernutrition, even after 6-months post-COVID infection. Both malnutrition as well as loss of muscle strength should be considered in the clinical assessment of HMR/D patients. Yoga is a psycho-somatic approach to enhances innate immunity and mental health, so it can be used as complementary therapy with nutritional reset to recover from viral-induced HMR/D.

Chiropractic: Chiropractic could provide an adjuvant modality to complement the nutritional reset of viral-induced HMR/D. Skeleto-muscular complaints, fatigue, insomnia, and cognitive impairments are prominent clinical manifestations of PASC, which are also common features in fibromyalgia, a disorder of the autonomic nervous system (ANS). Chiropractic spinal manipulation therapy (SMT) could regulate ANS at peripheral level and reach the CNS. The vagal parasympathetic stimulation by SMT, could release neurotrophins (brain-derived neurotrophic factor, BNDF and nerve growth factor, NGF) to help resolve depression and related neuro-cognitive impairments in HMR/D. Other multi-modal chiropractic treatments such as massage and intermittent motorized cervical traction could relieve soft-tissues, inter-vertebral joints, and stretch the core musculatures to facilitate rehabilitation of fibromyalgia patients. Endogenous paired associative stimulation (ePAS), a neuro-modulatory intervention, could increase muscle power and resolve total neuro-muscular fatigue. Furthermore, chiropractic SMT could also resolve migraine and cervicogenic headaches, which are prevalent among HMR/D patients. Also, chiropractic modalities with SMT, soft tissue therapy (STT), stretching and mobilizations could provide safe adjunct treatment for treatment of GI disorders, in combination with nutrient-based reset of HMR/D. A combination of chiropractic modalities with nutritional reset strategies needs an in-depth evaluation, especially in resolving neuro-cognitive, skeleto-muscular, and GI impairments in viral-induced HMR/D.