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Placebo-controlled phase 2 trials
Have we lost equipoise? Is it unethical to randomise people with MS to a placebo-controlled phase 2 proof-of-concept trial?
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Gavin Giovannoni
6
13:13
Q&A-29: semaglutide, cannabis and itching
Would you recommend I proceed with Wegovy, and will it affect my MS? Why can’t I get medicinal cannabis on the NHS? Can itching be due to MS?
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Gavin Giovannoni
2
11:50
Warning: dangerous counterfeit anti-swallowing devices
The MHRA is warning the public not to buy counterfeit or unbranded anti-choking devices, as they do not comply with device regulations and could cause…
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Gavin Giovannoni
5
Uncertainty associated with MS: are you comfortable with it?
Is uncertainty a problem for you? Is this study’s findings consistent with your experiences? What do we do with this information?
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Gavin Giovannoni
67
Q&A 28: change in oral cladribine label
I note the label for cladribine (Mavenclad) has changed. Why then can’t I receive Mavenclad under the NHS? Microbiome changes and MS. Macular pathology…
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Gavin Giovannoni
8
8:12
Music therapy: under appreciated but not forgotten
I want to apologise to all my patients and all the music therapists out there for ignoring you. I will now add music and music therapy to my holistic…
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Gavin Giovannoni
41
11:50

March 2024

Q&A 27: brain reserve, trigonitis and Raynaud's phenomenon
I had a serious RTA and shattered my pelvis; will this make my MS progressive? I have just been diagnosed with trigonitis; is this due to MS? Does MS…
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Gavin Giovannoni
27
13:46
HPV infection and DMTs
Was HPV infection and vaccination discussed with you before you started an MS disease-modifying therapy (DMT)?
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Gavin Giovannoni
41
12:43
Q&A 26: Anti-CD20 therapy, hypogammaglobulinaemia and infection risk
I have hypogammaglobulinaemia; should I switch from ocrelizumab to teriflunomide? Does intermittent fasting increase your mortality? Will moving to a…
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Gavin Giovannoni
7
14:45
MS Trust Conference 2024
It doesn’t take a neurologist and a nurse specialist to manage someone with MS; it takes a healthcare system and society to do so.
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Gavin Giovannoni
50
Q&A 25 - how can MS self-management improve MS outcomes?
She is demonstrating a virtuous cycle of improvement. This is an example of how sorting out one debilitating MS-related problem, bladder dysfunction…
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Gavin Giovannoni
33
How do we make MS services more efficient?
As someone with MS, can you realistically reduce your healthcare utilisation costs, improve your MS outcomes, and maximise your quality of life.
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Gavin Giovannoni
50
© 2024 Gavin Giovannoni
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