seconding LC re healthy diet.
welcome to the forum sandy. whatever is wrong, ms or otherwise, my approach is the same: match the nutritional status healthy people via lab test monitoring.
regarding the specific symptoms you mentioned, the pain, fatigue and vision problems may indicate potential issues with suboptimal vitamin d3, magnesium and zinc.
i think it's always wise to look at the nutrition angle, address any potential imbalances, and then see what symptoms you might (or might not) have left to deal with.
if you're interested in the nutrition idea, feel free to ask questions. you might like reading my signature links below as well. imho the nutrition approach is a good way to take control while you wait for the question marks about dx to resolve.
re the migraine history you mentioned:
Low Brain Magnesium in Migrainehttp://onlinelibrary.wiley.com/doi/10.1 ... x/abstract
"Brain magnesium was measured in migraine patients and control subjects using in vivo 31-PhosphorusNuclear Magnetic Resonance Spectroscopy, pMg and pH were calculated from the chemical shifts between Pi, PCr and ATP signals. Magnesium levels were low during a migraine attack without changes in pH. We hypothesize that low brain magnesium is an important factor in the mechanism of the migraine attack."
Serum and Red Blood Cell Magnesium Levels in Juvenile Migraine Patientshttp://www.ncbi.nlm.nih.gov/pubmed/7868328
"Recently an important role for magnesium in establishing the threshold for migraine attacks has become evident. Accordingly, we measured serum and red blood cell magnesium levels in juvenile migraine patients with and without aura interictally. In comparison with normal subjects, migraineurs had significantly lower serum and red blood cell magnesium levels."
question: do you have academic access to full text versions of these studies? i'd love to see the serum and rbc values in these patients and controls.
Serum and salivary magnesium levels in migraine and tension-type headache. Results in a group of adult patientshttp://onlinelibrary.wiley.com/doi/10.1 ... x/abstract
"It has been suggested that magnesium plays a central role in different etiopathogenetic conditions involved in the onset of migraine. We measured, by atomic absorption spectrophotometry, serum and salivary magnesium levels in drug-free migraine patients with and without aura and in tension-type headache patients. Migraine sufferers with and without aura and tension-type headache had significantly lower levels of serum and salivary magnesium concentrations in the interical periods than a group of healthy young individuals. Serum magnesium levels tended to be further reduced during attacks in all patient groups studied. A statistically significant decrease in salivary magnesium levels was evident only for migraine patients with aura. Serum magnesium levels and to a lesser extent salivary magnesium levels might express indirectly the lowering of brain extracellular magnesium concentration which occurs in migraine patients both in the intererictal periods and ictally."
there's more research out there but that's a start. if you get a test ensure your levels are at least 0.90 mmol/L. the lower half of the normal range is associated with symptoms of magnesium deficits. if you want me to dig out that study i will, just did a quick search without success, but i have definitely linked to it before.
fyi, magnesium-rich healthy food info: http://www.whfoods.com/genpage.php?tnam ... nt&dbid=75
magnesium is a very challenging nutrient to address with supplements so if you want to follow up on that make sure you pick a good soluble, organic form for best chance of proper absorption.
again, welcome to TiMS, try to stay positive!