So if i was on copaxone and it didn't work, and I switched to tecfidera only to get new enhanced lesions, and my dr is suggesting gilenya is that because there's a pattern in people who reject medications that typically work better wwith gilenya? Is it worth the side effects which are a step up from my previous treatments? Please help I have to decide on the medication and I am so scared of failing with another one and continuing to dwindle. I'm only 29 yrs old and I just got horrible news from my dr and I'm very scared. I'm a school teacher and I love my job I don't want to retire young. I have so much energy in the class it makes it worth it to fight the disease but if this stupid unfair disease gets in the way of the hugs I give my students I'm afraid losing that passion will break my heart and my mind.