Managing MS

You may be wondering what the heck is a “crap gap” and is it really a medical term used in Multiple Sclerosis (MS) treatments.  Yes -it really is.  The “Crap gap” is the period of time between doses of your scheduled disease-modifying therapy (DMT)when you are soon to be due for your next treatment and […]

Now more than ever the public has been focused on optimizing their health through better diet, more exercise, utilizing AI to answer questions and gain guidance, taking vitamins and supplements, and yes, even following some well-intentioned but misguided advice on vaccines.  But all of these attempts need to be performed in an educated manner, keeping

Multiple Sclerosis (MS) is characterized by repeated “insults”or attacks on the brain in which the coating of the nerve cells (myelin) is stripped off during an immune system attack on the brain.  In the most common form, Relapsing Remitting MS (RRMS), the lesions partly or completely heal after each relapse. Clinical symptoms improve or disappear

Multiple sclerosis (MS) is an immune disorder in which the coating of nerve cells of the Central Nervous System (the brain and spinal cord) are repeatedly attacked. The result is recurrent bouts of neurologic dysfunction resulting from slowed nerve transmission of messages. Because the central nervous system controls so much of the body’s functions (vision,

Historically, neurologists and the public have thought that memory loss is a normal part of aging. Then emerged the school of thought that while cognitive impairment was more common in the elderly, it was still not a normal part of aging. Dementia was due to Alzheimer’s Disease (AD) due to an accumulation of Aβ (amyloid

Each Multiple Sclerosis (MS) patient will have a different experience with their disease.  Some will have one flare in their lifetime (clinically isolated syndrome) while others may have ongoing relapsing and progression of their disease and disability.  Therefore, how treatments are chosen and how often they are changed is individualized per patient. Part of the

It is common knowledge that low Vitamin D levels can increase the risk of developing MS.  What is less commonly known is that Magnesium can cause a double whammy: both an increased risk for developing MS and increased symptoms from existing damage because of altered Magnesium levels. The roles of Vitamin D and Magnesium are

There are many changes you can make in your lifestyle, such as diet and exercise, that you can supplement to your prescribed MS treatment to ensure the best control of your disease progression. One of them is eating fish on a regular basis. A new Swedish study (doi: 10.1136/jnnp-2024-335200) suggests that fish consumption can help

Most patients with Multiple Sclerosis (MS) experience symptoms in their legs at some point in the course of their disease.  One explanation is the presence of lesions (stripping of the nerve cells) in their spinal cord during a flare for patients with relapsing remitting disease or with gradual worsening in patients with progressive MS. Other