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by lakeeffect 1333 days ago
I have MS and definitely didn't know that the secondary progressive form of the disease was just a matter of time. Now I'm slowly losing the right side of my body after years of being in remission with numbness in my hands being the only symptom. There are definitely medical advances. The one I'm most excited about is nervgen. It's regenerative without the radiation and terribleness of stem cells. But it's only starting phase two trials. Hang in there, it sucks but the doctors reassure me that it's a good time to have MS as thirty years ago there were no treatments. Now there is the walking pill to help nerves conduct and it really works for me. There are also dmts that slow the progression or stop future lesions.
4 comments

What do you mean by “terribleness of stem cells”?
Stem cell therapy (autologous) involves wiping out your entire immune system and then rebuilding it from scratch using your own stem cells. It uses (usually) strong chemo drugs to do the wiping out, which themselves are toxic and have tons of side effects. You are rendered weak, with a high risk of secondary infection that requires you to basically isolate yourself until your immune system recovers. It’s very unpleasant. Close family member is currently in the midst of it for multiple myeloma, and spent an extra week in the hospital from secondary infection.
Wow, I had no idea. Interesting, thanks.
Thank you.

I will look into nervgen, initial search results say something about spinal cord neurons, is there anything for the brain?

Lastly, I'm not on a DMD, which one are you on, or would you recommend? I didn't understand they slow the brain atrophy part of the disease progress, do all or just some of them do?

I take ocrevus and it's supposed to slow progression.
What do you mean by “the walking pill”?
Google says "(dalfampridine) Extended Release Tablets, 10 mg, is the first and only brand prescription medicine indicated to help improve walking in adults with multiple sclerosis (MS). This was demonstrated by an increase in walking speed."
Can confirm. It helps me out. It is a potassium channel blocker that somehow improves nerve conduction in the lower body. It has been available at compounding pharmacies for a very loving time. A company took that, made it a time release pill, went through the FDA hoops, and then released it as Ampyra. Like all MS drugs it was super expensive. Now the generic is available. Still expensive, the number I see is something like $1100 a month. My pharmacy told me they bill the insurance company $180 lol.

If you don’t have insurance or it doesn’t want to cover it, you can get a prescription and a compounding pharmacy can make it for you. If they don’t do time release you’ll have to dose every 3 hours or so. It’s a lot less expensive though. Last time I checked it was less than $100 a month.

It's not necessarily just a matter of time, but many R/R turn into progressive.
I would like that to be not so but my understanding is that MS is a continuous process from the start, and that the relapsing/progressive distinction is mainly a factor of its effects relative to age.