There isn’t a single test or blood work to tell you have long covid.  Many of the symptoms from long covid overlap with several other conditions, but if your symptoms became worse or started after you had a covid 19 infection or had a covid 19 vaccine or booster, it is most likely from long covid.  Taste and smell abnormalities are somewhat specific to long covid.  More info here.

12 points or
higher and you have long covid according to this one study

SymptomPoints
Anosmia/Parosmia8
Postexertional
malaise
7
Chronic cough4
Brain fog3
Thirst3
Chest pain2
Palpitations2
Fatigue1
Changes in
sexual desire or capacity
1
Dizziness1
Gastrointestinal
symptoms
1
Abnormal
movements
1

Thaweethai T, Jolley SE,
Karlson EW, et al. Development of a definition of postacute sequelae of SARS-CoV-2
infection
JAMA. Published
online May 25, 2023. doi:10.1001/jama.2023.8823.

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