There is an unusual pattern with long Covid, in that over a number of years, the patients often have static symptoms.
Some patients improve, however, in the ones who remain unwell, their symptoms fluctuate, but do not get better or worse.
Most diseases do not follow that pattern when associated with a specific pathology.
Tran, Viet-Thi, et al. "Course of post COVID-19 disease symptoms over time in the ComPaRe long COVID prospective e-cohort." Nature Communications 13.1 (2022): 1812.
The Static nature of Long Covid symptoms