CategoryLifestyle and self-management

Cannabis use in MS is here to stay

Muscle spasms, stiffness (also known in medical speak as spasticity) and pain are major problem areas in MS. Most are on tablets for this, commonly baclofen, with fewer individuals receiving botox for focal areas of stffness or intrathecal (via lumbar puncture directly into the CSF) baclofen for severe lower limb stiffness. Many also use cannabis for this indication, but the exact usage is...

Could diet be the new add-on DMT?

Barts-MS rose-tinted-odometer  ★ ★★ ★ ★ I gave my first on using diet as a potential symptomatic and disease-modifying treatment for MS and as a preventative therapeutic strategy in MS, last night. The symptomatic part of my talk was about food coma and using diet to prevent or reduce the impact of food coma. We are still studying why pwMS are so susceptible to food coma. I suspect it is because...

Pressure ulcer risk

As clinicians so much of our time nowadays is focused on MS DMTs that we lack the time or forget to ask questions about general health and well being during our consults; for example, cognition, employment, co-morbidities and in some instances the risk of pressure ulcers. According to this publication (see below for abstract) 4% of PwMS have pressure ulcers; sacral ulcers being the commonest...

Science Fiction: Vitamin D

Failed vitamin D trial..Failed to infrom:-( ProfG has done a post on medical fiction. It is perhaps approriate to do a post on science fiction. As you know scientists are like sheep and they herd together and follow one and other. They stick close to the “dogma machine” and follow trends because, this is where money gets put. I have gone on the record of discussing a few. Some I have...

High salt intake, is it a risk factor for MS or have you been sold a used car?

There are some people I listen too at meetings and think wow!. Sadly there are some people that I listen too, I hear the dogma and feel like I am being sold a used car. We are told by our bossess that we should publish in journals like Nature and Science. As such, a couple of months ago, I saw a senior boss giving a junior scientist a hard time because they questioned the value of chasing a...

MS@theLimits 2020

Barts-MS rose-tinted-odometer ★★★ The Barts-MS team is heavily engaged with the 2020 MS@theLimits meeting at the Royal College of Physicians. Two things to note is the gender bias in favour of female speakers. This was in response to criticism about the male dominance at the last MS@theLimits meeting in 2018. I am speaking today about some of my ideas around ‘the real MS’ or...

The war on sugar (more posts below today)

Barts-MS rose-tinted-odometer ★★★  Just back from the NMSS ‘Pathways to Cures’ meeting in Washington DC during which we pledged to  STOP, RESTORE and END multiple sclerosis.  The END refers to prevention. We discussed at the meeting modifiable risk factors that could be tackled to reduce the incidence (new cases) of MS and one risk factor childhood and adolescent obesity. One...

How healthy is your lifestyle?

Barts-MS rose-tinted-odometer ★★★★★  It is a no-brainer. A healthy lifestyle is one of the most effective preventive health interventions available. The study below shows that you can increase your chances, by a factor of over 20, of a life expectancy free of diabetes, cardiovascular diseases, and cancer at age 50 by making ensuring you maintain 4 or 5 low-risk lifestyle factors; i.e. not...

Premature Ageing

One of my colleagues, with whom I was co-authoring an editorial on smouldering MS, demanded I delete the section on premature ageing being a factor driving delayed worsening of disability in people with MS (pwMS). I refused so we had to pull the editorial. The fact that he is quite old and doesn’t like the hypothesis of brain & cognitive reserve being neuroprotective explains his position. He...

Biohacking comes of age

Barts-MS rose-tinted-odometer  ★★ You know something is happening when it gets its own review article in the New England Journal of Medicine. The review article in last weeks issue covers the science and medicine around intermittent fasting (IF) and its effects on health, ageing and disease. The article even includes a few lines on IF and its potential impact on MS.  In my ‘2020 Vision’ post...

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