Hello again, I will try to describe my three days with tecfidera. I read on this site the ways to avoid the side effects and I can say help me a lot. A very good breakfast around 9 am , eggs, bacon and 2 slices of bread with peanut butter, my nurse said the oily peanut helps a lot to protect the stomach from the side effect of tecfidera. Anyway till now I follow this kind of heavy and full of proteins breakfast and the only side effects i have is the flushing feeling about one our after i take my medicine and I feel itching on my arms and upper body. This keep for half hour and then gone, is a bit annoyed ok but not a big deal. I can say after the 2 years on rebif and the thousand of pain killers every 2 days, the bad mood, the red marks all over my body, tecfidera is more gentle with me
![Very Happy :-D](./images/smilies/icon_biggrin.gif)
. We will see after one month the blood exams and the MRI after 6 months, how this medicine works for me.
Maybe the protocol we use here in Netherlands is different, so helps to be more easy to start the medicine. So here we start like this:
First week every day 1 of 120 mgr, morning
Second week every day 1 of 120 mgr morning and 1 of 120 mgr evening
Third week 1 of 120 mgr morning and 1 of 240 mgr evening
Fourth week 1 of 240 mgr morning and 1 of 240 mgr evening
Hope the best to all