After debating it for what seemed forever, I finally decided to do it! Figured Gilenya is an acceptable option right now. Far from perfect, but still acceptable. Worrying about side effects (increased risk of cancer and liver problems, even PML) will probably never go away, but my mind is made up for now. Will follow closely reports of adverse effects and reevaluate each time. Just have to remind myself that it is not a forever choice.
First dose observation went OK, although the effect on my heart rate was very present. It took everything, I mean running up 4 flights of stairs to barely get it over 60, so that they would let me leave at the end of the day!! It is still not back to normal, but hopefully will be soon.
Swallowing a pill a day certainly is less of a bother than injecting. However if something better even in the form of injection comes along, I will consider it.