Ask Me Anything MULTIPLE SCLEROSIS! Coffee with Dr. Boster LIVE!

[@The_real_makapaka]

Gillian from glasgow, scotland. How does the menstrual cycle effect MS symptoms. I am always very symptomatic the week before and the week of.

[@AaronBosterMD]

Some note temporary worsening of symptoms during their menses. Here's a vid on a related topic: kzbin.info/www/bejne/l2fTY2B8qtypl7c

[@tressaweyman5071]

Teresa Weyman from Alexandria, KY.

[@AtifAtifAtifAtifAtif]

Dear Gill, please can you TRY going to Revive MS clinic And try the Oxygen Therapy Clinic 😊

[@AtifAtifAtifAtifAtif]

Use the oxygen chamber weekly 😊 Good luck Gill

[@talentec5149]

Iuuiiuu88ji 1:37 lbybyCT🎉😂 No​@@AaronBosterMD

[@jimsperlakis5634]

Doc, I was listening for the first time a few videos ago and thought you might be a little different from most neurologists but when I got to minute 15 here, it ended that. I've lived 20yrs of MS. I'm 71. The last 10 have been ppms. Many people have an ms diagnosis and Don't truly have it! Sure they have a few brain lesions but so do a lot of people as we age. I have 2 first cousins who both have ms. The younger was normal 25yr old who, right after twins, ended up in a wheelchair for the rest of her life. (Rest in peace, Kathy) The other made it to 45 and had to retire from teaching but she's still going. You say Run a Marathon like it's common for people who are suffering from MS when for us who have ppms, just walking is like a Marathon. Add some heat, then the walk turns impossible to me.

[@jewlisharpe1591]

I was finally diagnosed at 19 (after 10 years of no Cleveland docs that were willing to consider that a child could have MS). Oh how I wish there was someone like you available to us then! Thank you for all you’re doing ❤

[@tamara401]

I was diagnosed at 25 😔 and I absolutely fell that I’m done with life there’s nothing for me anymore

[@brianbeveney6166]

Hiya! I was diagnosed at 25 too. Life's been a turbulent journey linked with many different M.S medications. I'm now 27 years into this illness. Gotta keep the pace and move forward. Inbetween much sleep and rest. Should exercise more, but too often fail.

[@Jess-kn8vl]

I hope you found a treatment path that works for you 🕊

[@CourtneyHorvath-ke8du]

Rrms 20 years old. I'm 46 now ❤❤❤I'm a warrior and advocate for multiple sclerosis in Michigan

[@canadafun8690]

I love “Don’t worry about the flat tire you don’t have”, that is now my mantra..

[@AaronBosterMD]

I learned that from my mentor, Dr. Omar Azur Khan!

[@jjkouper5163]

Dr B is the best teaching MS -Dr. on KZbin 👍👍👍

[@AaronBosterMD]

TY JJ!

[@shelveyphillipsbowman8037]

I live in NC my name ie Shelvey.u may c this after the live is over.i watch your videos often.wish I could c u in person.

[@ceceliakemmer6223]

Cecelia and I’m 57 years old diagnosed in Feb 2024 with PPMS just showing cognitive decline no meds because I’m older from Amsterdam Ohio but live in Virginia now. Just wanting to say hi

[@RHM707]

Hello from Essex Uk. Im newly diagnosed and really appreciate the information you share and hiw you share it 🙌🏻🎁

[@Courtneyhorvath-i3n]

Good morning Michigan

[@Courtneyhorvath-i3n]

Courtney

[@Courtneyhorvath-i3n]

Courtney. Michigan

[@mneeraalnema9761]

hi best doctor the q&a is greet you are amazing 👍🌹

[@planetrosie2688]

Rosie in Glasgow Scotland Iv had ms since I was 22 now 31 Iv loved this Chanel for years now thank you for teaching us all about it ❤️.

[@sandraschicker4930]

Have you ever heard about seasonal relapses? Every year going from spring to summer I have a flair up. I dread spring.

[@AaronBosterMD]

yes, there tends to be higher rate of relapses (in populations of PwMS) during the flu/cold season. I am not surprised that you have a pattern consistent somewhat for YOU however, you're not a population or a textbook but a person!

[@bluerose6859]

Hawaii here! Although late. But I want to thank you for making ALL of these videos!

[@derekraines8175]

I’m glad to hear your answer on the OTC products. I had a person tell me if I didn’t take the supplement my MS was going to get worse and I should know that she told me I would get worse if I didn’t take her supplements sad

[@Jess-kn8vl]

Im curious what was it? It is sad when people try and push things on vulnerable people. Having said that essential fatty acids and B vitamins are great for our brains. Not cures but to me it would make sense it could slow progression.

[@drme66]

I have no doubt that I have had MS for years. Psoratic arthritis, spinal stenosis, disk degeneration, and a few other things are confirmed. But I'm told I don't have enough lesions to ID MS. but everything i've read, from the mensis changes for women, walking, to cane needs, now walker/ wheelchair. being essential. Feet being ice bags, pains in neck, throbbing/ spasms in spine, There are often times arms, fingers lock up, weakness and tremors, right leg goes out, often feels like a clump is running through my legs or arms. Now have aneurysm, but told size suggests wait prior to surgery. Cog fog sucks. Eye specialist said I have some sort of issue that is common with ms, but didn't want to dx since they haven't officially put it on my chart. Test low for b, d and so on. You talking about affect, that's something I've noticed as well.. I feel fine but burst in tears or laugh when I shouldn't. So much more.. but is there another way to show this is what it is, never had migraines until these last couple of years. Yes, my body has dealt with extreme trauma.. guy toned my car and eats thought I was dead when the arrived. Their expressions when thry say I was calling boss to let her know we weren't making the meeting was hysterical

[@drme66]

Yes, the down there's have been an issue as well.. bladder spasms, ibs, and tremors/ spasms.. it's just sucked ..then them delayed dx means treating symptoms but not issue. Ringing of the ears, halos and double vision, occasionally seeing darkness... I don't like the meds they give me because they seem to mask rather than help. Often I have a hard time getting up to walker, daughter has lifted me to chair.. I'm just now 57 and sick of this shit

[@Jess-kn8vl]

A lot of this sounds like me. I feel like ive had a slow progression of MS for at least 8 years until optic neuritis last month raised a big flag. My vision has improved after prednisone but im exhausted again like before and you can see it in my eyes. Im certain MS is autoimmune and wish they would treat it from that angle. Like get us on a diet/activity/vitamin/mineral/supplement/antiviral schedule. Im already trying on my own but its hard because my stomach needs healing first and it doesnt agree with some of these things.

[@ceceliakemmer6223]

I have PPMS feb2024 just cognitive issues no meds do to I’m 57 . Just wanted to say hi and I’m from Amsterdam Ohio but live in Virginia. My sister goes to Cleveland clinic .

[@jenniferboney4171]

Thank you for all you do. MS sucks... but you make it more interesting and easier to understand and I’ve had it 16 years.

[@AaronBosterMD]

You're very welcome Jennifer! TY for supporting the channel by watching and commenting!!

[@jenniferboney4171]

We have absolutely no good neurologists in my area. So I’ve had to read and educate myself a lot. I also have crps, do you know much on that disease and how it can affect my ms ? Thank you!

[@zahnvj]

Hi I'm from Georgetown Indiana!

[@boyd9919]

THANK YOU SO MUCH DOCTOR BOSTER

[@martinm8991]

The green tea/immunoboosters analysis is great, it was about time to publish this information, hopefully some of the affected people will stumble upon this video. Wow, thank You for providing details regarding the occipital nerve block - it is nice to know, that there is an alternate option available, as meds cant tame my heavy eyebrow-located headaches. And even if the occipital nerve block probably is not the appropriate action for my eyebrow-headaches (??) (hoping to switch my DMD by summer 2019), it relieves me to know, that there is a regularly applied procedure available.

[@AaronBosterMD]

right on, right on Martin!

[@janewatts135]

Dr. Boster, thank you from the bottom of my heart too the tip top, you're a exceptionally excellent Doctor, You're an 'Earth Angel', you've helped me & so many others understand our symptoms, through your caring videos. I've become more mentally positive that's thanks to you Doctor. Love & hugs to you, your family & all working at your clinic, including attending patients. Going to watch again your videos educate myself some more. Jane Co. Mayo Ireland 💜

[@AaronBosterMD]

Hugs back atcha Jane!

[@spanglerlyndell4831]

I am so glad I found your KZbin channel. I am currently 60, I was diagnosed a little over 2 years ago with PPMS. Dr believes I have had it for more than a decade, just without any serious symptoms. 2nd opinion Dr was not convinced it was PPMS, possibly RRMS. Urged me to do a spinal tap, first Dr. revisited the MRI findings with me and said it was my decision, keep in mind, the spinal is moderately dangerous at any age, cause you unnecessary pain, and will not change diagnoses. I was on Ocrevus, but due to COVID, Dr placed me on Kesimpta. Had a concerning lesion on Spinal cord/brain stem. With the D.M.T., my next MRI showed it gone, not calcified, but gone, great news in his opinion! I have shared your links to members of my M.S. meeting group! Currently I am the only guy, but the girls don't mind =). Odd side note, My wife has MS also (RRMS) she was diagnosed nearly 25 or so, years ago, odds for both of us to have it the Dr. said was aroud4,000,000 to one, unless we were somehow, possibly related, NOT LS in CA.

[@Mezzystar1]

Oh man, I can't believe I missed this today! Ironically, I was watching and sharing some of your other videos instead... Thank goodness for play-back. (Mererid, mid-Wales)

[@AaronBosterMD]

Howdy Mererid! TY for watching and TY for sharing!

[@divine4xinm.s.u624]

Awweee, but don't be too upset , I think that's absolutely beautiful, think of all the people u helped... :")

[@AaronBosterMD]

#WeHaveMS

[@stjernoga]

One of my fears can MS stop your breathing or heart? Thank you for being so caring and your good explanations! Lots of love Sara from sweden ❤️

[@2listening1]

A Starbucks near me used to let me get a French press for the price of two Grandes, but they don't do it anymore. I used to get "shade grown Mexican," and it was amazing! They no longer have that bean anymore either, lol!

[@AaronBosterMD]

French Press is certainly delicious. I stick with Americano when at Starbuck personally. So smooth!

[@2listening1]

@@AaronBosterMD ☕ (:

[@tloftus2009]

Tim; 61 from New Jersey Shore: Diagnosed PPMS February 1, 2008. Thank-you for this information

[@aprilswinehart5680]

Excellent video. Sorry I have missed a few, back now. Thank you for teaching us.

[@royproulx-ft3vb]

I was 33 with putubatary cancer and 43 with DDD then 53 with oral cancer and 54 and diagnosed with Ms and cause of COVID and no Ms doctor in my province was present but got two Ms doctors 6 months ago so I'm now getting my doctor to refer me agaian hope it doesn't take too long.

[@DebbieVandenHeuvel]

5 years ago I wish I could find you now I need advice

[@MusicSmiles]

You are the best!!!!!!!

[@sstojsin]

Dr Booster, in previous live streams, lighting was a bit iffy, even camera at times struggled to keep fluid recording. This is the best one so far. What ever you used as a lightning source (or was it location itself?), keep using it. Keep up the good work!

[@AaronBosterMD]

TYVM Sasa!! I'm really trying to up my videography game. I should really take a course or something, but so far I just keep trying to teach myself by watching KZbin vids and taking folks advice!

[@sstojsin]

@@AaronBosterMD I used to be sales manager in one of our local computer shops before first noticeable MS episode struck me (and then I god fired because of that...), plus my dad was amateur photographer so I picked up few tricks lol. You mentioned in one of your previous videos that you got Logitech camera, so I am guessing it's one of these web cams, C920 or even C922? If so, they are excellent webcams but they do have some limitations. One of is what I've mentioned before, fluid or choppy recording on lower light. Other is, they can only record up to 1080p and 30 frames per second (fps). But that can be an issue only for kids who like to stream games and be cool while doing so. So no problem there lol. No point of investing more into more expensive and better quality stream camera. I know most of us had or will have an ON episode at some point, and we will appreciate good quality videos to compensate what ON did to our eyes, but we already have that from you Dr Aron. Here's one link: lifehacker.com/how-to-improve-your-photos-and-videos-with-affordable-l-1715963400 There are some good videos about light sources, plus some good reading. I hope it will help.

[@AaronBosterMD]

Sasa, TY so much for the tips and suggestions!! I super appreciate it!

[@sstojsin]

@@AaronBosterMD No problem Dr Booster. You are doing much more for us anyways. That was least I could do.

[@lemonpeelangelfish]

Thank you Dr Boster and really appreciate you recommending Occupational Therapy (I’m an OT) 😁

[@rebeccathomas2573]

I've done neuro-pysch tests - fascinating! Really good in some areas but not great processing speed. My memory is very good, if I manage to take the information on board in the first place :)

[@AaronBosterMD]

Thank you for sharing your experience with us Rebecca! Any tips to share on who you grapple with the processing speed issue? We could all learn from you!

[@rebeccathomas2573]

@@AaronBosterMD well, they said though I couldn't speed it up, there were ways to make the most of it! For example: don't overload the system by trying to 'multi-task - concentrate on doing one thing at a time. And spilt that one thing into small sections if you can, so for cooking, it's a) get the ingredients out, get your utensils out, put the oven on b) measure the ingredients c) chop and prep ingredients (watching the fingers on the knife!) d) follow the recipe. I often break this up over time, and often rewrite the basics to make sure they've sunk in properly if it's a new/important meal. Treat every activity like a recipe - and an achievement. Your brain wants to help. Cut down on distractions, especially if you are going to do something serious - I need silence to make an appointment on the phone cos processing dates and times can be a real challenge - (I can briefly picture what the numbers are but can't think how to say them and then they vanish). Repeat back and write down is the only way!. And don't feel as though you have to go faster than feels comfortable. Don't force it. and you will go faster than you think! I try to tell people in busy situations that I have MS and so might listen more than talk. Ooh, I could go on ;) Thanks for a chance to share! Lots of love to you all from London, where we've had an amazingly warm day!

[@gracemiceli2100]

Goodmorning from Montreal, Canada.

[@gracemiceli2100]

Thanks for all your information.

[@AaronBosterMD]

Morning!

[@KarenJohnson-j5f]

Good Evening. Karen from Houston

[@swordofstmike]

Greetings from Saskatchewan, Canada!

[@sharrondee575]

Thank you Doctor my husband 69 years of age & was just diagnosed with MD

[@sharrondee575]

MS this is so scary we are waiting for a call from a doctor thank you for your kind help ❤

[@patriciabrager2663]

Hi, Dr Boster Thank you so much for the careing informative videos

[@AaronBosterMD]

YW Patricia!

[@brendapotter5879]

Thank you again from Tennessee!

[@AaronBosterMD]

You're very welcome Brenda! #WeHaveMS

[@patriciabaltimore4351]

Dr B have M S since 1997 my Journey is to beat this disease0 I do the M S walk.

[@venushhc]

Thank you. I wish I more clarity about ms before my 32 year old son passed. 😞💔

[@samimosher6200]

Sami from NY. I was diagnosed about a year ago and always have such intense back pain. I take a muscle relaxers as I'm sure a lot do for this issues. It helps but not a lot. Advice?

[@abbylayton1460]

Portland Oregon

[@dianeryan7241]

Sandy from Orangeville

[@byronvanderbank9046]

Good morning Byron van der Bank Pretoria South Africa 🇿🇦

[@sandramcintosh7557]

Morning Sandra McIntosh from Trinidad and Tobago am learning so much from listening to you

[@VickiKnox88]

Hi Dr. B. This is Vicki from Florida

[@AaronBosterMD]

Howdy Vicki

[@sbc279]

Hello from Columbus

[@AaronBosterMD]

Howdy Stephen

[@sharonrose5349]

I guess I am the furthest away from this but I fight M.S. Been watching you a wee bit lately. Learning a lot. In Tauranga, Aotearoa. New Zealand :)

[@sharonrose5349]

btw, i got it in my twenties and experienced everything in this video. plus two years in a wheelchair but now my neurologist, Andrew Chancellor, says I am defying all the odds. Fully ambulatory but nonstop pain. They don't understand the pain part. Could you possibly veer into the pain issue and what we can do... He wants me only on Pregabalin. It does not work for me. :(

[@sharonrose5349]

22 years of fighting this now. The only one in NZ that is walking after this long! But the pain makes me want to die

[@paulhatch7735]

Good morning Dr. Boster, Thank you for again another informative awesome live chat!!! I’ve never tried French press coffee but I’ve heard good things about it and yours this morning certainly looked inviting so I’m going to give it a try one of these days. Thanks again for everything you do and for everything you’re helping us learn about!!! Regards,

[@AaronBosterMD]

French Press is the BOMB Paul!

[@louisenordendale9056]

Louise from Spokane Washington. My question … what does it mean when the doctor says your lesions are old but you still have MS.

[@munirahalbar4795]

Hi. Im from Singapore. Ive been having Ms for at least 15years I have terrible fatigues. Its so difficult to do anything. I only want to lie down I have lesions on my spine. I dont have good balance standing and walking. My 2nd Rituximab was awful. During the infusuipn ill start coughing and bad asthms do my neuro said i cant be on it.

[@patriciaforbes8880]

Can spasticity be improved.if so, how. Patricia Forbes. Co Durham. England.

[@lesliex7894]

Hi from Australia. Have only watched a little so far before work but love the idea of prehabilitation. Maybe that will help motivation levels. Thanks

[@AaronBosterMD]

You got this Leslie! What kinda exercise are you thinking about doing/trying out?

[@AaronBosterMD]

You got this Leslie! What kinda exercise are you thinking about doing/trying out?

[@lesliex7894]

I do clinical Pilates about once a week. I have an appointment next week to see an exercise physiologist and see what she suggests. I really just need to get motivated and get walking. Easiest, cheapest exercise there is and I live in a beautiful part of Australia

[@detrawilson9769]

Detra Wilson, Orlando

[@detrawilson9769]

Love your talk!

[@detrawilson9769]

Thank you 😊

[@melissagreen6319]

Hi doc! Chadron NE

[@AaronBosterMD]

Howdy Melissa!

[@keithriemersma9793]

Aaron, I exercise nearly every day 1/2 hr, we recently joined a large health gym. I am concerned about exposure to all the people there handling all the equipment, I feel like I need to be in a rubber suit and mask. ,concerned about getting sick from the extra exposure

[@AaronBosterMD]

I honestly would NOT let that stop me Keith. Wipe down equipment and have at it!

[@AaronBosterMD]

I honestly would NOT let that stop me Keith. Wipe down equipment and have at it!

[@oswaldochavarin9824]

Medicine for ms its expensive even with insurance ???

[@AaronBosterMD]

In USA, between insurance and assistance programs MOST folks can afford MS medications at a very reasonable price

[@oswaldochavarin9824]

@@AaronBosterMD thanks doc very good actions doc god bless

[@jenniferboney4171]

Also, my ms has affected my voice- I sound like I’m on vibrate mode. What can I do about that?! Thank you again 🎗🎗🎗🎗🎗

[@RamonaWilliams-e6z]

❤🕊️ RAMONA VA

[@oswaldochavarin9824]

Understand español doctor just wondering???

[@AaronBosterMD]

English and French only I'm afraid. Google Translate, however, is my friend!

[@elianjabbor8423]

I heard the antihistamine can modestly improve the transmission of electrical signals in the optic nerve

[@AaronBosterMD]

#WeHaveMS

[@boulanoireabdellah]

Hello Doctor ! I'm french and I want, first of all, to thank you about your work in this Channel... I'm Ms diagnosed since 2008 and nowaday i'm traited with Gilenya 0.5mg for 7 years... I'm afraid by the legends about this drug and the risk of developing a cancer... What do you think about this idea ? Sorry for my bad english and thank you by the way... Good bye

[@bethanyisbusy3911]

Why aren’t headaches, pressure banding on head, buzzing on scalp, not considered MS symptoms?

[@AaronBosterMD]

PwMS are more likely to experience HAs Bethany

[@bethanyisbusy3911]

Aaron Boster MD ok thank you. I really Appreciate all of your videos. The info has helped me understand my husbands MS. My husband has been to 2 different neurologists that state his headache symptoms are not ms related. He never suffered headaches before his major flare. They are very debilitating and ever present. It’s just interesting to me they don’t add that to the list of his other symptoms to be ms related. Could you at some point do a video about ms and headaches?

[@VickiKnox88]

Do doctors take into consideration the problem of costs for tests? For example I am on a fixed low income and cannot afford the MRI my new doc ordered? I don't know what to do or how to get this needed test.

[@sandraschicker4930]

Vicki Knox sometime the hospital will work with you.

[@meloneyparker]

Google MRI fund. I recall on the MS Society website there is info on funding for MRI's.

[@AaronBosterMD]

excellent tip Meloney!

[@AaronBosterMD]

for sure, my hospital system certainly does!

[@erinodgers-sr7cc]

Erin White Rock, BC

[@terrencekemp458]

Hello from Houston Tx. My name is Terrence Kemp

[@nancycasta5359]

Hello I’m Nancy from Tennessee- I’m learning so much from you! What do you think of PLEX (plasma)treatment when steroids don’t work?? I recently had that treatment which actually worked.

[@starlightstarbright2280]

What would you say about lesions about evenly split between the brain and spinal cord? I was diagnosed with RRMS in Aug 2017. Initially optic neuritis, then again 7 months later. I got on copaxone (for a couple years) ….then Tecifidera/generic Tec/Vumerity..:.now Kesimpta (since about Aug 2022) Was told it’s likely now SPMS. Not had many symptoms other than what seems progressive right leg weakness. I’m limping terribly. Did the MS walk last year, brought trekking poles (just in case)….used towards end of my 3-mile option. This year, def wouldn’t choose 3 mile over one. And would use a trekking pole the whole time, if I go. My right leg is like having a wooden leg…just tried Botox injections about 6 weeks ago, another appointment in May. First time didn’t seem to do very much at all. She said it could take trial-and-error. Stretching alongside the injections were recommended. Due for another MRI. Any thoughts? Do Botox injections not work at all for some people or do I just need to get the dose higher?

[@AtifAtifAtifAtifAtif]

Dear Dr B, I've been on Dr Bob Lawrence's LDN treatment since 2005!! What's your verdict??

[@kaybrumxo]

Hi Dr. B! I'm sad that I always miss these. I wanted to ask you and please bear with me I'm not sure exactly how to word it, I am constantly thirsty. It doesnt matter how much water I drink, I always feel thirsty. I drink over a gallon of water every single day. Other than that I have my morning cup of coffee and that's all that I drink on a regular basis. Is dehydration more common in MS patients? I cannot not have my water with me. If I dont get all of my water I am not functioning properly. You are a wealth of knowledge Dr. B and you are so very appreciated! :)

[@AaronBosterMD]

I would talk to your provider about this concern for sure Kayla!

[@kaybrumxo]

Thanks Dr. B!

[@TheEDNC]

Here’s a question! Can MS and leukoencephalopathy exist simultaneously? Or to put plainly, can MS eventually progress into leukoencephalopathy?

[@kathrynmcvean2514]

Good Morning, Dr. Boster. If an MS patient has stage 4 liver fibrosis, caused by a fatty liver, are they unable to take Ocrevus?

[@The_real_makapaka]

Good day dr boster. I am curious to know which symptoms your may experience with attacks on cerebellar peduncle and parietal lobe?

[@dinos6348]

Dino I’m from Kent uk but 5 minutes from Belvedere. I want to know if you can tell me what causes muscle lock my whole right side locks up. Right eye neck pulls to the right and arms and legs

[@AaronBosterMD]

Yuck! Sounds like spasticity Dino. Yuck!

[@dinos6348]

Is that just caused by ms or could it be lack of potassium. I just want to say I take no pharmaceutical drugs sometimes vid D

[@dinos6348]

Forgot to thank you for the response I did think that too once again thank you Aaron

[@patriciarousch4994]

My name is Pat from Va and I have been diagnosed with MS 3 years ago. I have two questions.1. on my recent visit to my neurologist I was told of the two leisons found on my brain the largest was shrinking. Does that mean the ma is going away? And 2. What is smouldering MS ?

[@meeno246]

Hi Are lentils,legumes and beans good for Ms?

[@zahnvj]

I have a sensation in my feet as I walk like im walking on ice!

[@gh-wt2ip]

Hello I was just wondering if you know of patients having functional neurological disorder plus demyelination lesions on the brain many thanks

[@AaronBosterMD]

Howdy Gemma. I'm afraid I cannot comment

[@AaronBosterMD]

Howdy Gemma. I'm afraid I cannot comment

[@The_real_makapaka]

Yes, you can have both FND and MS

[@gh-wt2ip]

@@The_real_makapaka many thanks for replying nice to know im not alone

[@MsPerulo]

Ruth from New York What do you think of botox for treatment of bladder spasms?

[@AaronBosterMD]

amazing!

[@MsPerulo]

@@AaronBosterMD Meds not tolerated. Bladder issues are torturing me. Hoping for some relief. I will let you know what happens.

[@AaronBosterMD]

hang in there MsPerulo!

[@VandanaSasidharan-g5w]

Vandana from New Jersey

[@kristenlynnoliver]

Dr. Boster the day after I do a lot of exercise my legs always feel worse. Is that normal?

[@keithriemersma9793]

I am in a similar position, I exercise nearly every day and I feel that I am getting weaker.

[@fedwards2023]

Yep. That's my normal. I find breaking my week into high, moderate and low activity days helps with the fatigue. Like, I might do home physical therapy one day, and shopping the next. I also have limits on e.g. how far I can walk in one day. This way I avoid the all or nothing phenomenon.

[@AaronBosterMD]

LOVE IT!!!

[@MaggieD-ht9vn]

Will stem cell therapy allow a Progressive Ms to walk. Missouri

[@CriminalPsychologyChannel]

What can my wife do to help keep her ppms at bay?

[@divine4xinm.s.u624]

Ppms is difficult but u must be each other strength, ~A very good friend of mine had ppms, we were in the nursing home together, she was married, I can tell you from being there, it was the most beautiful story on how a man loved a woman,although there's many examples..u see through every point in there life,you couldn't figure out who needed the other more, at points it was like he was her breath, he had saved her so many times , and she saved him just by exsisting, ~u see sometimes it's not so much about a focus on disease but a bigger focus on being there through it with her, n trufuly being present when ur there, it made so much of a difference in her life n I can truly a test she was healthier because of it, I too had a similar support at that time, and I again very much can say it was the difference from that time in the nursing home from the next time. Don't understand estimate ur self and you being the big part of her village,being together. I promise it matters. Also im not taking away from medical care,it's so very important but it's so different for every case.. furthermore, you are also important, and it should always be a very big focus. I very much hope this helps. On some level. Sincerely, Divine 💞🐤

[@AaronBosterMD]

stay physically active, don't smoke, eat clean and supplement low vitamin D, take anti-B cell therapy (rituxan, ocrelizumab)

[@raheelajabeen7327]

what relation is between high uric acid and MS

[@AaronBosterMD]

none that I'm aware of

[@raheelajabeen7327]

sorry to say some dr says uric acid and MS has inverse to each other mean if a person has high uric acid he has no Ms

[@derekraines8175]

Can you get a Mmice attack from a infected tooth?

[@elianjabbor8423]

Hello from Dubai what is your input about Mavenclad

[@AaronBosterMD]

Howdy Elain! I visited Dubai last year and was amazed at it's beauty! Mavenclad is not available in USA as of right now. I think the mechanism of action is interesting, I think the efficacy is mid-range and Gilenya-like, and I think the safety profile isn't completely sorted out just yet.

[@RebelMarvelous]

TRINIDAD & TOBAGO MARVIN

[@jennifermichelle1838]

If I’m JCV positive, would it be okay to do Tysabri for a little while?

[@AaronBosterMD]

It's all about risk and risk aversion. The risk in the 1st year IF you are JCV antibody positive without prior chemo ranges from a 100th to a 1000th of a percent. It's not my place to tell you that is too much or too little of a risk.

[@elizabethbromley2580]

I disagree with imaging cervical more than thoracic. Actually because of the real estate. My worst MS problems come from transverse spinal myelitis in the thoracic spine. I have multiple lesions there with not much real estate. Hey how about a transverse myelitis video? :)

[@elizabethbromley2580]

Another spinal myelitis! Dr.B you made me cry! " Your not done yet".

[@AaronBosterMD]

[@beehappyalways]

Hi Dr Boster. I really appreciate these Q&A. My brain MRI only takes about 30 minutes. That’s with and without contrast. They do with contrast first for about 20 minutes, then put contrast in and another 10-15 minutes with the contrast. Are they doing that correctly? I feel like they must be missing views.

[@AaronBosterMD]

hard to say without looking at the protocol

[@beehappyalways]

Aaron Boster MD I will ask my neurologist what protocol they are requesting when ordering my MRIs. Thank you.

[@michaelgriffin327]

Hey Dr B. I have MS and now diagnosed with Meniers disease my gait is out of control. Any thoughts

[@AaronBosterMD]

"Sometimes nature is too generous." -Omar Azur Khan MD

[@elizabethbromley2580]

I've been told that I have a "flat affect" is that type of symptom from the same cause as pseudobulbar affect?

[@AaronBosterMD]

flat affect = blunted affect = lack of emotional expression. Different than PBA

[@roberture5903]

Dr Boster, I've read that there is an antihistamine that can help with ms symptoms,what are your thoughts on this sir?

[@AaronBosterMD]

which one did you read about?

[@roberture5903]

It's called Clementine , you may have seen some information on it. As a person with MS I am always looking up information on it and stumbled across as yesterday

[@roberture5903]

@@AaronBosterMD hello doctor boster thank you for getting back to me so soon. The antihistamine is called clemastine. I'm sure you've heard of it.

[@zBraveheart]

Do you regularly screen patients for Lyme Disease before starting treatment for MS?

[@AaronBosterMD]

yes

[@VickiKnox88]

What would you tell your patient that cannot pay for things you order for them?

[@AaronBosterMD]

we work with the hospital system to apply for HCAP, charitable organizations to assist with copays and MRI costs and find way to get them the things they need.

[@VickiKnox88]

Can MS be a cause of stress fractures in the feet

[@AaronBosterMD]

not directly no. but if MS makes you walk with abnormal gait mechanics this can put undo stress on your joints and bones.

[@steveparsons6965]

LDN ...? Is it really beneficial?

[@AaronBosterMD]

Not in a manner that science can identify.