Understanding MS therapies and the importance of staying on it. Treating your MS is of course a very individual and personal decision that should never be judged but education is key as there are many misconceptions. Course Therapy Info
Such as this common one…”I still feel terrible and I’ve had some new/active lesions, it’s not working so I might as well just stop taking it.” In reality, your MRI could’ve been 10x worse had you not been on a dmd.
1) Must allow at least 6mo-1yr to recognize the effectiveness of your dmd.
2) It’s common to develop a false expectation, believe that in order for the medication to be working we must “see/feel” results. In fact, the opposite is true. They work in the background but often times symptoms become permanent from the damage so other medications may be needed to treat the symptoms themselves. However it is possible to actually “feel better” while on therapy, it’s not a guarantee as everyone reacts differently to treatment.
3) It is important to realize that not seeing an “increase” in relapses means your DMD is most likely effectively treating your MS. Educate yourself on DMD options before making any decisions.
4) Knowing the difference between true relapse vs symptom flares or pseudo flares.
• With a true relapse there is lesion/disease activity (detected via MRI. With a symptom flare there is typically no lesion activity, disease progression. More info here
5) Having a relapse while on therapy does not automatically mean that your therapy has “failed” you. DMD’s are meant to slow disease progression, reducing relapses means lessening not stopping altogether, that would be closer to a cure which we do not have just yet.
6) Your physician will need to do an assessment to determine patterns, lesion activity, history of relapses as a whole all of that information is taken into consideration when determining if a patient should in fact begin Solumedrol iv steroid treatment or Acthar Gel (self injection steroid therapy) and in fact a possible dmd change. *Don’t get discouraged and/or make any decisions without first consulting with your Neurologist.
7) When deciding which DMD is the best (for you), your Neurologist will use your medical and medication history as well as your most recent MRI results and labs. With their assessment they will typically recommend a few options to consider from out of the current 15 approved therapies.
8) It’s your call at that point which one you decide to put into your body. They will give you literature to go over, also be sure to do as much research as possible on your own. While it’s also great to hear about others personal experiences and/or opinions, be sure to keep in mind that no two patients are alike so don’t put too much weight on them. We have try them for ourselves and we must go in with an open and positive mind, sometimes it can make it that much harder when you hear how negative it was for 30 people and positive it was for 30 others.
9) There is absolutely pain associated with MS. Muscle pain, nerve pain etc MS PAIN don’t let any physician make you feel crazy.
Ice, Heat, Massage, Topical lotions, pain meds, anti inflammatories, muscle relaxers & MMJ is very helpful.
Supplements are great but it’s important to understand they can have interactions with other drugs and conditions as well. Always consult with your physician before starting or adding to your daily regimen. They may need to draw labs to check levels prior to starting vitamins such as Vit D3, B12, iron etc to ensure the proper amount is taken as there is a such thing as too high which can be toxic.
High Potency Biotin Protocol for MS *speak with physician prior. A study was done and has shown that High dose Biotin (300 mg daily) can be effective in helping to not only slow disease progression but also repair/reverse some of the damage. It has shown efficacy in patients with progressive MS, acting by increasing a route of cellular energy production, protecting against the breakdown of nerve cell axons while also activating enzymes that are setting the pace on myelin repair. *as with anything, results will vary.
Recommendation: High potency Biotin 300mg, Alpha Lipoic Acid 300mg & Bio Flora Probiotic. I have found this 3 pack kit to be the most efficient and affordable. The combination has proven to be good for MS damage, symptoms, repair, pain, healthy gut and more.
If you only want to try High dose Biotin this is sold single, high dose 100k mcg=100mg x3 300mg
*dosage is also personal preference, 300 mg is only the recommended daily dose for the high dose protocol. Be sure to check the mcg on the bottle prior to purchasing, 100mg capsules are 100,000, if you get less you just have to take more pills.
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*Disclosure: I am not a medical professional, my knowledge is from being a patient. Any information is from my own personal experience and/or collected from legitimate sources. I do not earn any money by posting the links within this article, it’s for ease of the reader to do further research as needed.