hello, i'll answer very simply to say that i would look closely at several important nutrients (all of which are well known in science - if not in practice - to be low in ms patients).
now. first and foremost, serum zinc. as soon as you said 3 boys in the last 8 years, my thinking went there. aim for 18 umol/L serum zinc.
given the nature of aneurysm and the importance of zinc to membrane integrity, i looked for a study on zinc status and aneurysm. found this:
Diet and content of zinc in serum of patients with brain aneurysmhttp://www.cabdirect.org/abstracts/2010 ... E80C4F676D
"The average content of Zn in serum of patients with a brain aneurysm was statistically significantly (p<0.03) lower (0.651±0.20 mg/L) than in the control group (0.761±0.19 mg/L)."
(if you convert to SI units, the serum zinc level here was just 9.96 umol/L in aneurysm patients, barely half what you'd see in reliably healthy controls)
then re the pain, tics and fatigue, two things:
serum magnesium (aim for at least 0.90-0.95 mmol/L)
serum vitamin d3 (aim for at least 100-150 nmol/L).
if your docs don't use those units you can ask me if you need conversion info.
hope you can get some testing done
if you'd like to read more there are links in my automatic 'signature' below.
keep your chin up! lots you can take charge of between now and that dec 20 appt. esp if you have ready access to a little bloodwork. i'll be around if you have questions.
my approach: no meds so far - just nutrient-dense anti-inflammatory whole foods, and supplements where needed
info: www.whfoods.com, www.nutritiondata.com