Running out of options - could use some advice!
Running out of options - could use some advice!
New to this forum - diagnosed nearlly 8 yrs ago - relasping/remitting... progressing...
Avonex, Copaxone, Beta Seron, & Rebiff slowed things done some - but the side effects were not tolerable. Still pulsing IV solumedrol but it's not as effective as it used to be...
Need to make a change but am terrified of the options - 1)Chemo or 2) Tysabri...
I am at home now (on disability) with a 2 yr old... looking for someone - anyone in a similar situation to weigh in! Please!
Avonex, Copaxone, Beta Seron, & Rebiff slowed things done some - but the side effects were not tolerable. Still pulsing IV solumedrol but it's not as effective as it used to be...
Need to make a change but am terrified of the options - 1)Chemo or 2) Tysabri...
I am at home now (on disability) with a 2 yr old... looking for someone - anyone in a similar situation to weigh in! Please!
- Loobie
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- Location: Dayton, Ohio USA
- Contact:
I am on Tysabri. I had a similar situation with Avonex. You have to be concerned, of course, about PML. But what I did was take published (by whom I'm not sure) numbers of the people on Tysabri vs. the PML cases. If I had odds like that in anything I'd take it, so I went for it. Could I be the next PML victim? Sure, but I sure hope not. I don't know what to say to quell your fear, but I don't know if I'd be terrified with those odds. I know you suffer from side effects, but the stuff like HiCy (chemo) is short course, high dose, and you're not sick for long. PM Chrishasms and ask him how long he was sick for. I don't want to put words in his mouth, but I followed his blog pretty close when he was getting it, and I don't remember him feeling sick for very long in the grand scheme of things.
i'll see if i can get my hands on nutrient depletion info related to
check out this list http://www.direct-ms.org/supplements.html
notes on the various sections..
essentials:
-for the magnesium part, mag citrate is the least likely form to give you the poops..
vitamins:
-sounds like your multi plus extra C, D, etc probably has you on the right track
-you may want to add a b50 complex each day depending on the b-complex amounts in your current multivitamin
minerals:
-see if you can get a good multimineral that covers the bases
-zinc is important, it's low-normal in ms patients esp. female, esp. childbearing, you want your level to be 18.2 (that's in SI units)
to match healthy controls. if you optimize your zinc, liver can convert fatty acid byproduct (ammonia) to uric acid, and uric acid is a killer antioxidant (you want your uric acid to be up around 300, again that's in SI units)
-my current multi vit/mineral has no copper... i don't know much about copper yet but am in the process of investigating
-apparently you can get the daily selenium requirement from 3 brazil nuts
HTH!
JL
and anything else you think could be relevant..Avonex, Copaxone, Beta Seron, & Rebiff slowed things done some - but the side effects were not tolerable. Still pulsing IV solumedrol
check out this list http://www.direct-ms.org/supplements.html
notes on the various sections..
essentials:
-for the magnesium part, mag citrate is the least likely form to give you the poops..
vitamins:
-sounds like your multi plus extra C, D, etc probably has you on the right track
-you may want to add a b50 complex each day depending on the b-complex amounts in your current multivitamin
minerals:
-see if you can get a good multimineral that covers the bases
-zinc is important, it's low-normal in ms patients esp. female, esp. childbearing, you want your level to be 18.2 (that's in SI units)
to match healthy controls. if you optimize your zinc, liver can convert fatty acid byproduct (ammonia) to uric acid, and uric acid is a killer antioxidant (you want your uric acid to be up around 300, again that's in SI units)
-my current multi vit/mineral has no copper... i don't know much about copper yet but am in the process of investigating
-apparently you can get the daily selenium requirement from 3 brazil nuts
HTH!
JL
- cheerleader
- Family Elder
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- Location: southern California
Imacalus-lmacalus wrote:I have not but am open to it! Reality is I never felt as good as when I was on prenatal vitimins!... Is the asssessment something my nureo can/should do or do I see someone else/
Jimmy helped us get my husband back to stability with supps...he's over two years with only a tiny flare, no progression. Your GP can do blood tests to check nutritional/mineral status. Not all neuros put as much credence in the diet/supplement angle. But it can help. Especially since you made the prenatal vitamin/pregnancy connection.
AC
Husband dx RRMS 3/07
dx dual jugular vein stenosis (CCSVI) 4/09
http://ccsviinms.blogspot.com
dx dual jugular vein stenosis (CCSVI) 4/09
http://ccsviinms.blogspot.com
sure, no probs
off the top i would say
-keep your b12 over 500 pmol/L
-keep d3 between 100-250 nmol/L (test the 25hydroxyvitd3, not the 1,25dihydroxyvitd3)
-copper=16.8µmol/l in healthy females, you want to keep your copper to zinc ratio in line to protect against all kinds of disease states. low or high copper = bad news.
HTH!
JL

-keep your b12 over 500 pmol/L
-keep d3 between 100-250 nmol/L (test the 25hydroxyvitd3, not the 1,25dihydroxyvitd3)
-copper=16.8µmol/l in healthy females, you want to keep your copper to zinc ratio in line to protect against all kinds of disease states. low or high copper = bad news.
HTH!
JL
- AndrewKFletcher
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- Joined: Wed Jan 14, 2009 3:00 pm
- Location: Paignton, Devon, UK
- Contact:
Re: Running out of options - could use some advice!
Inclined Bed Therapy 1s safe, non-invasive, free and most of all it works.
Andrew
Andrew
lmacalus wrote:New to this forum - diagnosed nearlly 8 yrs ago - relasping/remitting... progressing...
Avonex, Copaxone, Beta Seron, & Rebiff slowed things done some - but the side effects were not tolerable. Still pulsing IV solumedrol but it's not as effective as it used to be...
Need to make a change but am terrified of the options - 1)Chemo or 2) Tysabri...
I am at home now (on disability) with a 2 yr old... looking for someone - anyone in a similar situation to weigh in! Please!
Imacalus,
I am doing Tysabri also and like Lew says it has risk's but I was one I was willing to take. 1 infusion so far and feeling much better that when on Rebif
.
I also, with the help of Jimmylegs, have started a routine of vitamins, mineral and supplements. My diet could be better and I should get more exercise but that is something I struggle with.
Best of luck with whatever you decide.
Cat
I am doing Tysabri also and like Lew says it has risk's but I was one I was willing to take. 1 infusion so far and feeling much better that when on Rebif

I also, with the help of Jimmylegs, have started a routine of vitamins, mineral and supplements. My diet could be better and I should get more exercise but that is something I struggle with.
Best of luck with whatever you decide.
Cat
Holly - Shine On You Crazy Diamond - Pink Floyd
9/3/09 Stanford - Dr Dake - Stent in R-J to unblock Arachnoid Cyst in Sigmoid Sinus. Stent in narrowed L-J. Balloon in narrowing where R & L Jugulars meet.
9/3/09 Stanford - Dr Dake - Stent in R-J to unblock Arachnoid Cyst in Sigmoid Sinus. Stent in narrowed L-J. Balloon in narrowing where R & L Jugulars meet.
No itching on the supplements but have been having them lately - even managed to unintentionally rip a nice hole in my right leg.
Looks like my MRI is getting scheduled, so I'm placing the call for any added bloodwork as well. WE'll see what they can find.
You did mention a B-vit too and I LOOOOVE those! Such a great boost that helps me motor thru the am and actually pick up the kitchen or get some laundry started.
I am taking currently -
1 Multivit.
1 B Complex
2 C's
1 e capsule
2 Calcium tablets
Grapseed extract
and I think it is folic acid
as well as a humungus fish oil capsule
That and a glass of OJ & I'm pretty full!
Primrose oil was reccommened by one MD, but I had a bad Rxn too it, complete with pufffy/swolen yes, etc so we d/c'd that and the rxn resolved.
So far I have did get orders for a LFT to make sure the Rebiff is completly out of my system & all is back to normal now, and CBC b/c while on Rebiff that got ALL screwy too - very low red clood count showing anemia except that my iron scroes were perfect so not anemia.. and my BP dropped to the point that I was basically fainting & falling (not good) the one reading was 72/54 & that was while reclined.
Looks like my MRI is getting scheduled, so I'm placing the call for any added bloodwork as well. WE'll see what they can find.
You did mention a B-vit too and I LOOOOVE those! Such a great boost that helps me motor thru the am and actually pick up the kitchen or get some laundry started.
I am taking currently -
1 Multivit.
1 B Complex
2 C's
1 e capsule
2 Calcium tablets
Grapseed extract
and I think it is folic acid
as well as a humungus fish oil capsule
That and a glass of OJ & I'm pretty full!
Primrose oil was reccommened by one MD, but I had a bad Rxn too it, complete with pufffy/swolen yes, etc so we d/c'd that and the rxn resolved.
So far I have did get orders for a LFT to make sure the Rebiff is completly out of my system & all is back to normal now, and CBC b/c while on Rebiff that got ALL screwy too - very low red clood count showing anemia except that my iron scroes were perfect so not anemia.. and my BP dropped to the point that I was basically fainting & falling (not good) the one reading was 72/54 & that was while reclined.