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Doctor insights on: Ms Evaluation Panel

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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?

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

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Can you tell me how I could assure myself I don't have ms?

Can you tell me how I could assure myself I don't have ms?

See neurologist: If you possess worrisome symptoms you should have your doctor's help. Do NOT self diagnose or treat ...Read more

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How much time doe it take for rebiff injections to work on patients suffering from ms, not trigerring the attacks?

How much time doe it take for rebiff injections to work on patients suffering from ms, not trigerring the attacks?

Should start rapidly: Would suspect full benefit from Rebif within a few weeks after starting, but if your MS has continued to deteriorate, and you are having relapses, and it has been 4-6 months, this is NOT the drug for you. See your neurologist ASAP, as there are 9 choices, and you might do better on an alternative intervention. Also, supplement Vitamin D-3!! ...Read more

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Would doing the gersin diet be safe for someone with ms?

Would doing the gersin diet be safe for someone with ms?

Avoid fad diets: Ms is an immune-mediated disease. Protein is a key to proper immune function and the gerson diet is protein deficient. I would advise against it. ...Read more

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What are the causes of MS and is it dangerous?

Not known: We do not know the exact cause of ms, but do know that there are pts who have genetic susceptibilities, and that the disease is more common in northern climates. There is a relationship to prior ebstein barr virus infections, decreased vit d levels, and possible uv-b contact. Untreated ms can result in profound disability and may shorten lifespan. ...Read more

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Neurologists! what is your opinion on the maximum daily dosage of vit D3 to prevent MS where cis confirmed? How often is toxicity witnessed?

Neurologists! what is your opinion on the maximum daily dosage of vit D3 to prevent MS where cis confirmed? How often is toxicity witnessed?

My opinion: What is the evidence? Clearly, those with higher levels of oh-vit d-3 who have active ms, have fewer relapses, less progression, and fewer MRI lesions. Also, a military study showing lower risk of ms in folks with higher d levels. Typically, my patients will take about 5000-10000 units of d-3 daily, and we aim for blood levels of 50-60 ng/ml. Would also advise starting ms medicine, now. ...Read more

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What are the benefits of tysabri (natalizumab) v. Other MS drugs?

What are the benefits of tysabri (natalizumab) v. Other MS drugs?

Hard to answer: Tysabri (natalizumab) is a potentially effective treatment for MS but your question would be difficult to answer. Tysabri (natalizumab) is approved for the treatment of aggresive or refractory MS where other equally effective medications have not worked. This is because of a possibly fatal side effect called pml which may cause more damage than the disease. Use requires an experienced doctor and close monitoring. ...Read more

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Hip/ butt muscle spasms on left side like charlie horse. Recent MS dx. Possible symptom? Very painful lasted 2 days already. Suggestions?

SOME THOTS: Pain is very common in ms, and can present numerous ways, and even migraine is present in ms pts at a frequency of 2-4 times normals. However, your muscle spasms could represent a separate process in hip, back, pelvis. (unlikely, but if you were given steroids, check for avascular necrosis in hip). Lastly, do not want to second guess your doc, but there are oral meds now (no needles). ...Read more

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My boyfriend just moved to Houston, TX from Port Gibson, MS. For the last 3 days he's been feeling bad. He says his head hurts, his body temp is hot,?

My boyfriend just moved to Houston, TX from Port Gibson, MS. For the last 3 days he's been feeling bad. He says his head hurts, his body temp is hot,?

More details needed: These are very generic symptoms and can be due to any number of factors including environmental, stress from the move, infection, physical injury, etc. Continue to monitor the symptoms and if they persist or get worse, he should see a physician immediately. http://www.nlm.nih.gov/medlineplus/headache.html ...Read more

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Why do high temperatures make multiple sclerosis symptoms worse? I live in a hot climate and really love being outside, but i can’t much anymore because my MS symptoms get really bad. Why does that happen and is there anything i can take or do so i can en

Why do high temperatures make multiple sclerosis symptoms worse? I live in a hot climate and really love being outside, but i can’t much anymore because my MS symptoms get really bad. Why does that happen and is there anything i can take or do so i can en

Complex: If the insulation (myelin) is damaged in nerve fibers, the heat promotes intracellular potassium to leach out, worsening nerve fnctn. A drug such as Ampyra may help stabilize, and since fatigue is an issue, might try Ritalin or nuvigil. Best approach, more potent drug such as gilenya, tysabri, (natalizumab) or even the forthcoming bg-12, and take vit d. ...Read more

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I have ms. I still work out using low impact cardio machines. I do between 75 and 85 minutes 5 to 6 days a week. Is this too much?

I have ms.  I still work out using low impact cardio machines.  I do between 75 and 85 minutes 5 to 6 days a week.  Is this too much?

Not necessarily: It is accepted that exercise can positively affect the immune system in ms. If your exercise does not substantially over-heat your body, it is likely of great benefit. Continue to stay fit, eat low fat items, manage stress, supplement vit d, and take your dmt's, and you should do well! ...Read more

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Age 36 female forgeting things, spelling words, names, people and objects, moments of confustion, comes and goes MS test normal, getting worse?

Age 36 female forgeting things, spelling words, names, people and objects, moments of confustion, comes and goes MS test normal, getting worse?

Cognitive issues: Your description focuses on worsening intellectual function, which can be due to many causes at age 36. Consider medication rxtns, vitamin deficiencies, (thiamine or b-12), low thyroid, occult infections (hiv, syphilis), contact with toxins (even carbon monoxide exposure in home or car). Perhaps there are psychological issues, or unusual complications of migraine or epilepsy. Doubt ms. ...Read more

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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

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How would I know if I was at risk for getting ms or gbs I'm 37 ? N

Hard to answer: There is no good way to estimate the risk you you developing these illnesses. Try to not worry about something you do not have! ...Read more

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Does diet affect ms?

Unlikely: I am not aware of a link of diet to causation of ms, but many people with MS tend to be constipated, which can be aggravated by dietary factors. ...Read more

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At what age can you get ms?

Varies: Typical average age of onset about 29-30 yrs, but children can develop at a quite young age. And have made diagnosis rarely in older pts, in late 50's and early 60's. ...Read more