SMASH Fatigue! Expert Advice From A Neurologist

In this video, I teach you how to SMASH fatigue!
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NOTE: Make sure to talk to your provider before ANY treatment decision. We hope to educate, empower and energize those impacted by Multiple Sclerosis. This channel consists of a collection of formal lectures and informal video clips about MS to help educate others. These videos do not provide medical advice and are for informational/educational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any of our videos. They are just to help educate you about the condition guys!

[@OwenMonroe-e5l]

I really need to come see you. You’re passionate about it and to be frank, my neurologist isn’t. I’m 23 and was diagnosed when I was 15. I deal with many things from ms and you seem to be speaking to me directly to me with most of your videos. Keep up the good work and I’ll be reaching out!

[@jenc.7097]

I quit exercising around 2 years after the pandemic. And it's hard for me now because I can't do what I used to do and I compare myself to how I was. I will try to quit that and exercise more. Thank

[@joannesmeaton5196]

Thank you for your tips. Ive been going aqua jogging and doing exercises in the water. I find it easier on my legs due to less weight bearing.

[@danieljunker5198]

aquatic exercises helps very much

[@carmencalzada4214]

Hydro Therapy! Love it!

[@Nancy-dz1vo]

😊 Thank you Dr Boster. ❤️

[@AaronBosterMD]

You're most welcome!

[@GOW7229]

Thank you for sharing valuable information on how to deal with fatigue!

[@davidarmstrong7549]

Great video Dr Boster. Your videos just keep on getting better and better! I watch them all and find them very helpful. 😊

[@thres34]

I only look forward for Mondays just to watch your updates. Thanks doctor

[@josephvered3991]

Hi from Israel always waiting to your video in order helping my daughter thanks dear doctor

[@billtate6962]

The first subject I've seen posted so far where a piece of advice is 100% out of my personal comfort....I used to love sleeping...a great night sleep and waking up rejuvenated was golden....since I've been diagnosed with Primary Progressive MS...sleeping is my mortal enemy....my body just doesn't do well spending a long time in any one position....sitting, standing, laying down.....so sleeping for x amount of hours...leads to me waking up stiff and sore. It takes at least an hour or two...to regain "unstiff" mobility again. If there was a way for me to avoid sleep altogether...I would....but we all know that's not an option either....I just really miss that "rejuvenated" feeling....I haven't had anything even close in the last 5 years no matter the amount of time sleeping.

[@ScottyRosencrance-dq4pj]

Ok, I don’t know why I needed YOU to tell me, but I’m going to try no sugar. I we ALL know that. We have heard 1000s time to cut out sugar. It helps that you are my doctor and a great friend. But I am going to try it! Thank you so much. I love you and your community!

[@FUMSvideos]

And UVB!!! Those rays can decrease inflammation. And decreased inflammation = decreased fatigue and increased energy!! 🌞 💪🏻

[@desiredecove5815]

Totally agree with the sugar- I do find my symptoms are worse after a day of sweets 🍫. Ty for all these great reminders and things that we can do to help ourselves feel the best we can. ❤ #StrongerTogether

[@desiredecove5815]

Resharing this gem ❤

[@jenc.7097]

Modafinil is a game-changer! I love it. I won't tell you my long story since I was diagnosed in 98 and my journey with provigil but, it was originally prescribed to pilots on reconnaissance missions because it would keep them awake without the side effects of shaking or feeling crazy.

[@unprodigal87]

I love how energetic you are Dr Boster, it makes me smile every time!

[@ScottyRosencrance-dq4pj]

Every time! I wish you were within ten hours for him to be your doctor becasue he absolutely changed everything about my life, him giving me these tips often when I see him. He is a god send and the best thing that ever happened to me is when my neurologist if 13 years through his hands up and said he didn’t know anything else to do with me to improve my quality of life and stop my non stop attacks. He said. BUT I KNOW WHO CAN HELP!

[@ScottyRosencrance-dq4pj]

Every time! I wish you were within ten hours for him to be your doctor becasue he absolutely changed everything about my life, him giving me these tips often when I see him. He is a god send and the best thing that ever happened to me is when my neurologist if 13 years through his hands up and said he didn’t know anything else to do with me to improve my quality of life and stop my non stop attacks. He said. BUT I KNOW WHO CAN HELP! And two weeks later I was in Columbus, and 8 years later, I have had no new damage in my brain or spinal cord. It’s indescribable absolutely 😊

[@ScottyRosencrance-dq4pj]

One last thing, whewww. Your video took my breath away. I needed you to say all of that to me, today, right now. It hit hard. Can’t wait to see you and tell you how I have done. Shoukd be within a few weeks for sure. I pray you and yours are doing so well and living at peace. You deserve it as much as anyone on this planet. Coach, Dr, friend, Aaron Boster. Do you understand that I was sent to you 8 years ago and that becasue id that, I haven’t sat in a wheelchair again for 7? It’s indescribable. What you do for your people and we are obviously your people! Thank you so much. From me and my family and anyone who has been around through the last 25 years for me

[@CookwitchCreations]

Hello from the UK. Thank you for these videos! I have taken sugar out for the past month, and so far feel fine. I exercised - well, danced and chair danced - for 20 minutes on Saturday for the first time in years, and yes, it feel good and fun and I was energised! 💜💜

[@jaimekramer3030]

Great video. Wish I lived in Ohio! Haven't been able to find a competent specialist in CA. 😢

[@rmakids]

What sugars to remove? Remove fructose? Remove honey? How about other simple carbs? Pasta? Most of the breads I make have some sugar in them. A pizza crust having sugar is not surprising.

[@christinecross9123]

Yes, in the beginning of last year, when I got dxed, it was very hard to exercise. My legs were so heavy, like lead, then. Immediately I ate healthy produce and no processed foods or added sugar. Last year, before all this, I weighed 181 lbs. I began to lose a lot of weight and within 6 months I lost 30-40lbs! I now weigh 130lbs. I have much more energy now than I did before. I do sometimes struggle with insomnia symptoms, my dad had that and my husband, that usually means I have had too much exercise and not enough output for that energy.

[@ScottyRosencrance-dq4pj]

Ok now, I’m going to go a month and never skip a day of exercise. I sleep good quite often. I exercise quite a bit but I let myself miss days sometimes (The MS Gym got me out of my wheelchair people) and I wonder if my bad nights completely correlate to when I don’t exercise. I should see you within the month and I will report my findings.

[@bjarnfriurbjarnadottir1690]

Thank you ❤️ I haven't eaten sugar for almost 4 years and I usually put my sleep first. It works for me 😁my energy levels are much better and less fatigue 🙌🏻

[@shahram9217]

Many thank Dr Baster. I am using baclofen for spasm on my leg but no change

[@moonshine4049]

i have yet to feel energized after exercising. I cannot handle being overheated one bit. it knocks me on my butt for two days. I can stretch, do light weights and walk. But not too much as all my symptoms flare up. Nothing even close like I used to (30 mile bike rides, 2 hr exercise classes etc) . I am always going 1 step forward 2 steps back. the fatigue is relentless. Maybe I do need some kind of stimulant to get over this hump. I take a wide variety of helpful vitamins/supplements (dr approved), use a Cpap for sleep, avoid most sugar and most processed foods, and eat alot of green veg. I am overweight ( age, stress lack of enough activity, genetics) . It is a friggin frustrating battle. Am going to bed now.

[@lemonpeelangelfish]

Thank you Dr Boster- love this! 🔥🔥❤️‍🔥🔥🔥

[@tb6638]

Before MS I ran 100 mile ultramarathons and even set some course records. Now I cant run so I lift. Must go first thing in the morning at like 6am for energy reasons but it really gives me a lot of energy I would not have otherwise for the rest of the day. Also I am definitely more jacked now than a bunch of zero sclerosis losers. Some dude was like "big dog, ur lookin huge, what do you do to look like that?" and I told them I just eat cake and sit around, no idea how I got so strong, its just luck and genetics I guess. Not tryin to have people thinkin this is obtainable because if you are stronger and better looking than everyone around you it is super good for ur mental health.

[@jude4896]

The problem with sleep is the whorable side effects of several medications, including insomnia, bladder urgency, duration--- 3hrs is insufficient but taking more than prescribed in 24hr and when you're up it is like a light switch and you're up get some caffeine and Adderall and you have an hr to exercise.

[@TrollinOn22s]

I get tired legs and especially if lifting stuff at work.

[@reggieralph1234]

Lyrica and Baclofin can make you tired but they can also cause blured vision . I lift light weights for 20 min 3 times per week and go walking for one mile before , I feel I can do more but it brings on migraines if I do . Sugar is the worst , also starches make me feel bad so I limit them also .

[@saras2302]

I take Modafinil, and I do the tip you recommend when I take a few days off so I do not get to used to them. This medication works wonders !!!!!

[@studiohost]

Excellent topic , if I’m doing all things you suggested , is it okay to push through the fatigue to go running ? Thanks

[@roberture5903]

Excellent video Doctor thank you.

[@shelley-loismacpherson8720]

I've been asking for Modafinil this year due to falling asleep in the day. Not like me at all. Only change being Ocrevus! Can that increase my daily fatigue? Thank you Doc for all your support. boss x

[@user-fd5qx9hr6q]

that's the same as me. I became more tired for weeks after my ocrevus infusions even with modafinil but my neurologist thinks I'm talking 💩.

[@jenc.7097]

Modafinil is amazing! I hope your doctor will prescribe it for you

[@jenc.7097]

​@@user-fd5qx9hr6qreally I would say anytime your neurologist thinks you're talking shit. Then it's time to switch neurologists.

[@uptoeleven]

Not the ocrevus. The steroids you take with it. It's not the massive dose we take for an MS attack but it's still a pretty substantial dose and it used to get me for 3-4 weeks after infusion - 2 weeks of "high" with racing heartbeat followed by 2 weeks of "low" then gradually getting back to "normal" again. Plus, although ocrevus acts really quickly (that's why you need to take steroids) this is the effect on the blood outside the brain & spinal cord - the "peripheral" blood. White blood cells hang out in organs a lot and you will have a ton of mature B cells floating around inside the brain - and it can take a couple of years before they die off. In the meantime they are busy "protecting" you - in reality they're triggering new neurodegeneration because they're misprogrammed and need to be removed. So - there can still be some ongoing minor disease activity left and this is why the stuff Dr Boster suggests is so important. Also don't underestimate the power of adequate hydration. The neurons try to rebuild the broken pathways but it's difficult and takes a LOT of water so it's very important to keep hydrated while you have MS (which means for the foreseeable future and probably a bit beyond).

[@cherylvl1036]

Great video Dr. Boster! I’m curious..are you renovating at the Boster Center?

[@merse1987]

I have been on modafinil for years now. I've noticed the days I skip my pills, the more I feel not myself, and my MS symptoms act up bad. I cant concentrate on anything or get out of bed to be productive at all in my home.

[@SmileyTheAxolotl]

Thank you for these tips! My fatigue is so bad these days. You say sleep like 7 or 8 hours, but anytime I sleep over 6.5 hours, I get a bad migraine. I guess 6.5 hours is all my body will allow? 🙁

[@Tina-ku1ti]

But I WANT to train for a marathon and workout at an MMA gym. 😆 I don’t think my fatigue-ridden, crampy, wobbly-walking 54 year old self will be doing that though. I’ll aim for more moving and less simple carbs for sure. What a coincidence that this topic popped up this morning. Thx!

[@BernadetteDevlin-l6w]

Hi Dr Boster , hope you don’t mind me asking? I’ve to get a muscle biopsy, But my symptoms are like M S, LIKE YOU TALK ABOUT , Sorry about the last message it sounded silly , I’m feeling really bad , plus i can’t get to see my G P

[@missyholz]

My dr prescribed Vyvanse for fatigue.

[@erniebeswick7675]

I have cut all shuger and carbs . Feel great

[@jenc.7097]

I am going to take one or two days off of my modafinil. Great suggestion. What about just halfing the dose?

[@cristalleslie6311]

I don’t believe sugar is the devil. I think everything in moderation. When I was first diagnosed I went on an extreme diet (the doctor Whals one) and it messed up my relationship with food. I am a afraid saying no sugar leads to extreme diets and I don’t think that’s good either. All foods fit we just have to prioritize healthy ones. Love you Dr Boster. Just my two cents.

[@junior10199]

I can do it. No (added) sugar for 30 days.

[@rmakids]

Don't get enough sleep? I often get over 12 hours at night and still nap.

[@martinc1036]

Ty Dr.

[@brittanymcphee2921]

I use the exercise bike, and do other physical exercises. I get a huge increase in energy for a little while with my adrenaline rush, then it drops and I feel like I need a nap… Please help!

[@henning4070]

Great video! Do you also recommend to take one or two days off each week from neuropathic pain drugs like pregabalin?

[@jude4896]

Is it only processed sugar? Or is 100% juce or hole fruit and its natural sugars not incuded? How about honey in tea instead of no calorie sweeteners?

[@cristalinamay3218]

I wish those medications weren't illegal in my country.

[@BernadetteDevlin-l6w]

Another question? Do you think LDN for MS but my doctor won’t give it to me 🤔

[@debbieolsen7399]

What if you try to sleep but you keep waking up like you can't rexlaes and I take magnesium at night 🌃

[@aprilturck2736]

Hello, I have an unrelated question and I don’t know who to ask. All these DMT explain how they work within the brain to slow down MS. If you have no lesions in your brain, is the DMT helping to slow down MS? Thank you

[@GenghisBird]

Yes! I hope Dr B helps answers this for you! I believe years back I saw a video where he asks "how much brain damage a person is willing to accept." Preserving a *lesion free* brain would be my top priority!

[@privateaccount6009]

Dr. Boster, I was on Ocrevas, and now they want me to switch to Briumvi? They told me it would eventually replace Ocrevas, what is your opinion? Thank you

[@paucatmer]

Hi Dr. Boster. How about amantadine for fatigue? My neurologist prescribed it to me but I haven’t take it yet because I’m afraid of the secondary effects 😢

[@angiemcdonald4248]

I have been on Amantadine for the past 20yrs for my fatigue (and absolute game changer) I have the tablets 20mls and liquid form so I can take as up to 2 times a day or as little as possible....my neuro said I could have fits if I stopped altogether! I find if I have been able to lower it for a few days it works better when I do take it. I have an alarm that goes off every day at 2pm that I take the Amantadine the very latest so it doesn't keep me awake all night though! I still have to have a nap every day I can .... maybe I will cut it out altogether a few days a week ....I am almost 64yrs old so surely I would be having a nap every day anyways!!?

[@mikeshanermusic]

I don't know what it should be called but calling it fatigue does not even come close to describing it. Wish it had a name other than something healthy people can experience but is TOTALLY different.

[@user-manager]

At first the sound is ok but then you make a loud intro to which my ears quickly adapt thus making your voice after it to seem quiet and unintelligible.

[@KingBamBam712]

Do you have a channel in Spanish?

[@IZ8MWG]

These advices are useful non only for MS patients but for everyone. In particular avoid sugar and improve sleep ❤

[@DrBrandonBeaber]

I'm with you on drug holidays for stimulants. For some reason many psychiatrists seem to oppose this. It's better to play the long game and minimize drug tolerance, however pleasant it may be to skip days.

[@MrBabamma]

Hi Dr. Beaber, did you mean to write "... however UNpleasant..."? Sorry for the question, I am just trying to make sure I understand your comment correctly.

[@ScottyRosencrance-dq4pj]

Becasue our man, my Dr, Aaron Boster, taking a couple days off from stimulants has changed my world!

[@ToLoveIsToLive89]

Do the stimulant medications increase heart rate? I have multiple health conditions and one causes my heart rate to be very high so I wouldn’t be able to take them if they increase heart rate.

[@tereseawalker4516]

sleep apnea is also a real problem , even with the cpap, my quality of sleep is not good. No problems going to sleep but staying asleep hours later...

[@carmencalzada4214]

The no sugar thing, Does that include like artificial sweetners like splenda? Or no sugar protein shakes like Premier?

[@giordi2776]

The fatigue is unreal! I have a random question for you - I just learned about a condition that sounds very similar to MS, but it is called Myasthenia Gravis (MG). My question is, how can neurologists differentiate between MS and MG?

[@SandiTink]

Too many of the drugs I “have to” take have fatigue and dizziness listed as possible side effects, and they are my worst daily issues. Gabapentin reduces my pain, but it’s at the cost of my energy. I’m in the process of titrating down because of that. As my energy increases so does the pain I have daily, but the dizziness has lessened. I may have to choose which symptoms I can tolerate daily.

[@BJM1134]

I know this is off topic from this video but have you seen rash or skin discoloration with ms?? About 15 years ago I got this odd rash or spots on my legs about the same time I started experiencing ms symptoms. No doctor has ever been able to tell me what it is. It's always there but sometimes more faded, sometimes darker and more noticeable. I'm dying to know what's caused it...

[@ladantavakoli1389]

Thank you for your tips. I wonder if reducing sugar, and limit it to fruits, dates and honey would still help with fatigue? When we are talking about sugar, are we referring to any kinds of sugar or the granulated and processed sugar?

[@MisplacedAmerican]

I'm beginning to suffer from dropped foot when fatigued, I get your point on exercise, but are there ways to combat the dropped foot and balance challenges that many face with MS? I would be keen to taking that stroll, how can I best do that and build stamina without getting hurt?

[@LesleyMiller-pt2yb]

Fabulous on fatigue. Can you please talk about LDN sometime. Ireland ❤

[@doloresvegabaja2530]

Ty

[@Here---Now]

6:12

[@ferencsimoens]

Less sugar intake ✅️ Sleep for at least 8 hours ✅️ I do sports 1 hour every 2 days. Running , fitness , swimming , football ✅️ Taking meds that are not on the market yet. ✅️ To do : talk to doc for a med holiday. I have MS since 9 months and I have never had 1 relapse and I am feeling great !! Thank you Dr. Boster !!

[@elizabethgrizo9956]

You are so right when I put sugar into my coffee I felt horrible, like it had messed up my whole entire day. I now drink my coffee black with a little creamer. I do not love ❤️ it in fact I hate it but feel way better 😊

[@Nannasrevival]

Thank you for your tips, I really appreciate them. ❤

[@rebmedina2835]

The nurse says my pain killer makes me fatigued but I had fatigue for years before going on pain killers

[@clairesmith8120]

Modafinil has been a game changer for me! It has changed though. For years i took one in the morning and one at lunch time but I was then finding they didn't work as well. I now take both tablets at the same time but not too early in the morning. I try to be awake and going about my day before I take them. I feel much more awake this way.

[@amykibbey4210]

Taking a stimulant every other day has helped me sleep at night because I finally have the energy to exercise.

[@davemassey2639]

Fatigue is really getting me down now