I believe that there are things you can do to attempt to stack the deck in your favor. The first step, if applicable, is to eliminate addictive poisons, e.g., ethanol and nicotine. Next, look into the Natural Approach and Diet forums and check out some supplements and dietary changes that will reduce your body's tendency towards inflammation. In particular, eliminate trans fat and reduce saturated fat and simple sugars. Next, try omega-3 supplements from fish oil. Also look into green tea, vitamin D3, curcumin from turmeric, zinc, magnesium, and r-lipoic acid (a potent antioxidant). In addition to these steps, I think that it's also important to maintain an exercise routine to the best of one's ability. Eventually, it seems that MS makes it hard to do things, therefore we do less, as a result it becomes even more difficult to do things. It's a vicious circle. With MS, we have to fight for the privilege of standing still.
Its almost 11 months since my acute attack of ON. I have a little residual from this but I would say from major dietary changes and informed supplementation my overall health and well being is better than 3 years ago before the attack. Ironically MS (or Lymes which I am currently being tested for) has resulted in lifestyle changes that I have benefited from
I am now far less creaky - put this down to D3 / Omega 3 /anti inflammatory diet
I suffered upper back tension for 20 years - GONE. I put this down to magnesium
I suffer from far fewer colds - probably D3, zinc, Vit C
Suffered on off reflux - put this down to dietary changes
I generally look healthier and for example I saw several people this weekend I haven't seen for 5 years and they remarked how well I looked.
Of course current performance no indicator of where things will go in the future but as NHE says - do everything to stack the odds in your favour