Brief response: Fatigue is very common in MS and typically best correlated with "burden of disease" illustrated on MRI studies. If you have MS, we can evaluate your current medication and dietary program, and perhaps modify and improve the entire picture. Schedule a Concierge visit and I would be happy to provide a "second opinion".
Answered 5/6/2017
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Hi. This is a bit: personal, as I have MS and struggle with fatigue, both generalized and muscular. Multiple underlying causes are in play. Demyelinated nerves require extra energy to transmit signals to muscles. Chronic inflammation interferes with cellular energy production. Mitochondria, the energy-producing organelles of cells, can't keep up with the energy demands and may become dysfunctional.
Answered 1/11/2017
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