Doctor insights on:
Estradiol Free Lc Ms Ms
Tg=(thyroglobulin) had tg panel 16.0 results, a tg antibody <0.9, a tg by lc-ms/ms, s/p (n/a) ! result not dispersed in flowsheet. What does this mean?
While the: Normal range varies from lab to lab, your results are all normal. Why were they drawn in the first place. There are not as important as more conventional thyroid lab such as free T4 and tsh. Check w/your doctor. ...Read more
I have significant free fluid in POD and clear cyst Ms 29*27 mm on the left ovary. Do i need to worry?
Sonogram: Your doctor will need to explain the amount of free fluid. Each case needs to be evaluated individually. The cyst sounds very small. ...Read more
Can Celiac Disease mimic MS even after being treated with a strict gluten-free diet? Could my untreated Celiac have caused my brain lesions?
Yes: Aubagio was just released for the treatment of relapsing-remitting multiple sclerosis. Bg-12 (oral fumarate) should be available before mid year. Both are oral drugs which will be added to the only other oral drug- gilenya (fingolimod). There are several other drugs which will be added within the next few years proving that there is reason to be optimistic about the future of ms treatment. ...Read more
Benign MS: Benign MS occurs in about 15% of people with relapsing remitting MS. It means a person has 1-2 attacks of MS symptoms and no other symptoms the rest of their life. We cannot determine who has or does not have this form of MS, but it would be nice to be able to determine this. ...Read moreSee 2 more doctor answers
Multiple Sclerosis: Is an autoimmune disorder of the nervous system immune cells attack and destroy the fatty sheath of nerve cells. I am unaware of any natural treatments or remedies that have substantially improved patients with this disease. Ask your neurologist for further information. ...Read moreSee 3 more doctor answers
Nothing spectacular,: Historically, the low fat swank diet was studied and seemed to reduce relapses a bit. The pulse counting diet looked at pulse elevation after food, and gradual items were eliminated until to pulse stayed stable with remaining items. Unlikely, it ever worked. So, doesn't hurt to do low fat diet, and add vitamin d-3 5000 units twice daily. Some initial value to vitamin a and maybe b complex. ...Read more
Prevention or Rx?: Ideally, someone diagnosed with MS has no lesions because they have responded well to treatment. The goal of treatment is to prevent attacks, and in a sense, to prevent lesions. It is not obvious that MS is the diagnosis if there are no lesions at the onset of the condition, however. ...Read moreSee 2 more doctor answers
very complex: First, ms is a disease of brain, spinal cord, and optic nerves. Of course could see weakness, imbalance, loss of vision, cognitive and fatigue issues. However, the organ systems that could deteriorate due to meds include bones (osteoporosis from your steroids), liver, thyroid, GI issues, etc. I do not see that you are on an ms medication, or vitamin d. Would recommend both if these absent. ...Read more
EDSS: There is not a staging system for MS as there is for cancer. That said, there is something called the EDSS, the disability scale, which is used to compare progression of MS in populations of people undergoing research. This is a ranking from 0-10 that is based on walking, how far, and with what kind of assistance. Not everyone with MS progresses or finds this scale useful. ...Read moreSee 1 more doctor answer
MRI is required: The diagnosis of ms can be made by history, examination, and mri, under the new 2010 mcdonald criteria for the diagnosis of multiple sclerosis. Your doctor may need additional testing such as optical coherence tomography, a procedure that evaluates the thickness of the optic nerve, but this is not mandatory. Spinal taps are not as common as in the past. ...Read moreSee 2 more doctor answers
Numerous : Make sure your doctor has extensive experience, try a low fat and low salt diet, regular aerobic exercise, learn to manage stress, supplement vitamin d-3, pace yourself, contact your doc if any relapses, as need to treat asap. Make certain that you are taking a potent medication, which is truly crucial. Most effective agents are tysabri (natalizumab) and gilenya. By far, least effective avonex. Good luck. ...Read more
VARIES: 85% of pts who eventually are diagnosed as having ms will experience a rather abrupt loss of vision and/or difficulty with balance and gait, leg weakness, incoordination, and perhaps cognitive challenges and fatique. Many improve from this initial relapse, with better outcomes if treated. The progressive forms start insidiously and slowly proceed. We find some cases with MRI even if no activity. ...Read more
Rare: Ms in a few will affect the optic nerve - sometimes one side alone and occasionally both sides. This usually recovers and can be helped with good treatment. But rarely the nerve may not recover and some degree of visual loss can occur - and sometimes it is substantial. But this is not very common at all. ...Read moreSee 1 more doctor answer
Neuroleptics: Often the best first line meds are neuroleptic medications such as Neurontin and lyrica (pregabalin). Cymbalta is also a good choice. This will focus more on nerve symptoms. If you are dealing the spasm and spasticity then a muscle relaxant may help. Opioids may also help but should not be used as the first line medication. Physical therapy is the best non-medication alternative. ...Read moreSee 2 more doctor answers