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MS in all its glory

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Comments

  • Registered Users, Registered Users 2 Posts: 16,665 ✭✭✭✭cj maxx


    im in the same boat. Dx in ‘12/13 ( when Marie Fleming was going to court ) but my mobility has gone downhill the last two/three years. MRI’s seem to be stable. I had planned on doing a bit of swimming/gym to get a bit of fitness but then Covid-19 hit. I think I was grabbing at a straw with Ocrevus in the hope of a fix , which I know it won’t do. Avonex seems to be doing the job and I’m well used to it so I’ll stick with it. Once a week so not too bad.



  • Registered Users, Registered Users 2 Posts: 324 ✭✭Carrie6OD


    I was hoping ocrevus would give me an improvement in my mobility … it’s just keeping the status quo. But with PPMS I don’t have many options so I’ll stick with it. Covid put major spanner in the works with regard to diet and exercise for me. Need to get back on track!



  • Registered Users, Registered Users 2 Posts: 4 siriusone


    I won't quote a response to anyone in particular above, but thanks for the info folks. I made the decision to try Ocrevus. Just need to wait now for the admin to be done so I can start. Had steroid infusion a week ago and whereas when I also got steroids 6mths ago I didn't notice a positive difference (because my symptoms were so slight), this time around there's a measurable improvement, less wobbly gait etc. There's good and bad in that I suppose.

    I do have some questions. Some things I couldn't get straight answers to from neuro/ms nurse.

    Firstly, I was told that there's a good chance the DMT will prevent new lesions. Despite my MS being described as 'aggressive', I've not had a relapse (fingers crossed). Is there a chance that, if no new lesions form, I might never get a relapse or is that just wishful thinking?

    Secondly, the efficacy of a drug is a measure of how good it is at doing it's job i.e. slowing/preventing disease progression. So it stops lesions. But the existing lesions, they don't go away. In that case is it to be expected that even now if symptoms are tolerable, there will more than likely be physical degradation,?

    Appreciate that every one of us is different so I'm not expecting someone to map out a trajectory here, but go ahead.. what are your thoughts? Don't be afraid that I'll be distraught..I think I'm fairly together.



  • Registered Users, Registered Users 2 Posts: 324 ✭✭Carrie6OD


    I’m on Ocrelizumab and that’s basically what you’ve described. No new lesions MRIs all stable. But no improvement in the damage that had already been done. My neuro was very hesitant to give me Ocrelizumab. I fought for it and am on it but would really welcome another DMT that would work for me with PPMS.




  • Moderators, Education Moderators, Regional South East Moderators Posts: 12,543 Mod ✭✭✭✭byhookorbycrook


    Whatever treatment you have, sadly MS will be beavering away quietly in the background. But the sooner you can get on a really effective treatment the better you will be for longer. I was on both Betaferon and Avonex, both pretty crappy and ineffective, because there wasn't anything else at that stage. The damage done while I was on them is hitting now. If I had been able to have the likes of Tysabri then, i wouldn't be like I am now. There are no cures to be had at present -no matter what the die hard ASCHT crew say " no chemo, no cure." But the longer we can stay as well as possible, the better.

    On a less gloomy note, most MS treatments will entitle us to the 3rd Covid dose asap.



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  • Registered Users, Registered Users 2 Posts: 4 siriusone


    Yes indeed. Getting on a good DMT early as possible seems to be key. Sounds obvious but I understand that it wasn't always a case of doing this i.e. the Danish model of starting with less impacting treatments and working up to the most efficacious was a thing for some. And I don't want to have a rant so early on this forum, but man do I find myself having to chase the consultant for everything. 4 months could easily have been shaved of my diagnosis if things were done when I was told they'd be done, letters sent to the right places, blood tests ordered when scheduled, and Covid wasn't used as an excuse for not answering phone calls and emails. But, got to move on.

    Seeing as covid booster was mentioned; well, I've been prompted by local vaccination centre to come in for the booster jab. But, I was also told (MS nurse) that this could delay start of treatment (6 weeks was mentioned). I'm going to confirm this but I won't be taking booster if this turns out to be true. I'm content to stay working from home in self imposed exile and take the risk.



  • Moderators, Education Moderators, Regional South East Moderators Posts: 12,543 Mod ✭✭✭✭byhookorbycrook


    My previous post seems to be prophetic. I was told on Sunday that I am probably secondary progressive now and will likely need to come off Tysabri . Feic.



  • Registered Users, Registered Users 2 Posts: 70 ✭✭waxmoth


    Might be of interest if it has not been discussed before, n-acetyl glucosamine … https://www.jbc.org/article/S0021-9258(17)50630-4/fulltext  “Thus, oral GlcNAc is uniquely positioned as a therapeutic to reverse three major targets driving MS pathogenesis, namely pro-inflammatory T-cell responses, pro-inflammatory innate B-cell activity, and myelin repair. No current MS therapy has such diverse mechanisms of action.

    Does not seem to be available in the South but it is an over the counter supplement in Northern Ireland.



  • Registered Users, Registered Users 2 Posts: 4 siriusone




  • Moderators, Education Moderators, Regional South East Moderators Posts: 12,543 Mod ✭✭✭✭byhookorbycrook


    Under what brand-name? Could see myself "breaking for the border" pretty damn quick!



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  • Registered Users, Registered Users 2 Posts: 324 ✭✭Carrie6OD




  • Registered Users, Registered Users 2 Posts: 324 ✭✭Carrie6OD


    Sorry to hear that. Thinking of you. Ms is a feic-er



  • Registered Users, Registered Users 2 Posts: 70 ✭✭waxmoth


    Biocare. You may have to order it in depending on the store. I got some in Enniskillen today (Natures Choice) but had it on order.



  • Registered Users, Registered Users 2 Posts: 16,665 ✭✭✭✭cj maxx


    do you know what brand name it’s under in NI , would a Dr prescribe it in NI?



  • Registered Users, Registered Users 2 Posts: 70 ✭✭waxmoth


    https://www.biocare.co.uk/n-a-g-n-acetyl-glucosamine-60-caps Prescription isn't needed. It may be a Brexit related reason that it's not available here - animal origin (crustacean shell).



  • Moderators, Regional Abroad Moderators Posts: 2,445 Mod ✭✭✭✭Nigel Fairservice


    Sorry to hear it byhookorbycrook. All the best to you.



  • Moderators, Regional Abroad Moderators Posts: 2,445 Mod ✭✭✭✭Nigel Fairservice


    Did you get that through your neurology department or your GP? My neurology department seemed to forget about me when they were giving out the vaccines.



  • Moderators, Education Moderators, Regional South East Moderators Posts: 12,543 Mod ✭✭✭✭byhookorbycrook


    There was quite a lot of confusion at the time, GPs were told hospitals were to do it, hospitals were told the GPs were. One HSE phone operator said it was one, another operator said the other.


    "How you will get your additional dose

    Hospitals will identify the people who need an additional dose. You do not need to register or contact anyone. People who need an additional dose will receive a text message with an appointment for their vaccine.

    These additional doses will be given through HSE vaccination centre near you, or your hospital if you're an inpatient. GPs may also vaccinate some people. "

    https://www2.hse.ie/screening-and-vaccinations/covid-19-vaccine/get-the-vaccine/weak-immune-system/



  • Registered Users, Registered Users 2 Posts: 324 ✭✭Carrie6OD


    It happened just like what ByHook said. Got a text out of the blue from HSE to call me to the large test centre nearby. Had got previous two doses at GP clinic.



  • Moderators, Regional Abroad Moderators Posts: 2,445 Mod ✭✭✭✭Nigel Fairservice


    Thanks. I was vaccinated by my GP. Hopefully HSE will be in touch.



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  • Registered Users, Registered Users 2 Posts: 58 ✭✭MyAccount


    @ byhookorbycrook sorry to hear that


    Stay strong



  • Registered Users, Registered Users 2 Posts: 58 ✭✭MyAccount


    Re 3rd Covid dose, just got a text from HSE, unprompted, this afternoon to go to the Vaccine centre next weds


    May have been prompted by recently starting on gilenya? as I had to fight the last time out to get a Vaccine



  • Registered Users, Registered Users 2 Posts: 70 ✭✭waxmoth


    Another recent paper on N-acetyl glucosamine which shows a particular association with progressive MS.

    "Previous preclinical, human genetic, and ex vivo human mechanistic studies revealed that N-glycan branching and/or GlcNAc may reduce proinflammatory responses, promote myelin repair, and decrease neurodegeneration. Combined, the data suggest that GlcNAc deficiency may be associated with progressive disease and neurodegeneration in patients with MS."

    https://jamanetwork.com/journals/jamaneurology/fullarticle/2779917%C2%A0



  • Registered Users, Registered Users 2 Posts: 16,665 ✭✭✭✭cj maxx


    I have been having strange symptoms lately. I take baclofen for leg tremors etc , all on the right side. These last few weeks I've been feeling the same sensations in my left leg. Worrying? All MRI's show stable , no new lesions. Maybe just a passing phase.



  • Registered Users, Registered Users 2 Posts: 2 Unreg102021


    Hi everyone, hope it's ok for me to post here. Last week my wife was told by a neurologist that she may have MS. This was entirely unexpected by both of us and we're both just floored and devastated. No confirmed diagnosis yet but the neurologist said that his suspicion is strong. I'm posting because I'm just terrified and don't know what to do, we're in this limbo now while tests etc are done and it's awful. I'm scared for my wife's health, I'm scared for our future, I've no idea what to expect in terms of prognosis because I'm too afraid to look it up. I'm a ball of worry and stress and trying to put on a brave face for her sake but she can see through it. I can't eat or sleep with anxiety. She is surprisingly calm, collected and positive (relatively) about it all, but I am not so resilient. She doesn't want anyone to know until we know what's going on so I have nobody to really talk to about it and I feel like I'm going to crack up.


    FWIW issues started 10 years ago with an unexplained bout of pins and needles that lasted a few weeks. At the time it was checked but stress related peripheral neuropathy was suspected. Then nothing for 8 years except she started getting migraine, first it was rare but became more frequent over time, to the point it became almost a daily thing. Since the pins and needles then she has had 2 what he called 'key events', both of which were separate but occurred in the past 2 years where she had what he thinks was Lhermitte's sign for a bit and then she experienced complete numbness from the waist down for 2 weeks but she didn't lose mobility. There are no residual symptoms now and no other symptoms were ever manifest like bladder/sight/mobility/balance/coordination issues. The only reason she was referred to a neurologist by the GP was was because of the persistent migraine leading to brain MRI and then to the neurologist. Even the neurologist suspected migraine based on the brain MRI until he asked about her history which led to his suspicion.


    I'm not sure what I expect to get from this post, or why I'm unloading here, but thank you for reading. I wish you all well in managing your own illness.



  • Registered Users, Registered Users 2 Posts: 16,665 ✭✭✭✭cj maxx


    Hi. Sorry to hear your news. My 2 cents to for your wife to kip fit, exercise, gym whatever. Occupies the mind as much as anything. I would strongly recommend keeping fit based on my own mistakes, it's easier to keep it than to try and get it back.

    Good luck.



  • Registered Users, Registered Users 2 Posts: 70 ✭✭waxmoth




  • Registered Users, Registered Users 2 Posts: 16,665 ✭✭✭✭cj maxx


    Plus one on Jelenek, low saturated fat , whole food diet. Just good for you generally . Look up OMS and the Swank diet .



  • Registered Users, Registered Users 2 Posts: 2 Unreg102021


    Thank you both, I will get that OMS book immediately. The first suggestion from the neurologist was to start taking magnesium, vitamin D, and vitamin B2. Her migraines have completely abated since, just hoping it isn't a coincidence, but she hasn't gone a week without a migraine in a long time. She's a big believer in natural/lifestyle approach to wellbeing in general, so the OMS program will be her first port of call I have no doubt.



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  • Registered Users, Registered Users 2 Posts: 13,140 ✭✭✭✭bnt


    Same here - got a text from HSE telling me to go to the UCD centre on Monday (tomorrow, the BH) after a referral from my GP. I’m on Gilenya since the Phase III trial back in 2007-8.

    You are the type of what the age is searching for, and what it is afraid it has found. I am so glad that you have never done anything, never carved a statue, or painted a picture, or produced anything outside of yourself! Life has been your art. You have set yourself to music. Your days are your sonnets.

    ―Oscar Wilde predicting Social Media, in The Picture of Dorian Gray



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