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Q&A-42: to do a neurological examination or not
A counterfactual could be a delayed diagnosis, a lower efficacy platform DMT, several breakthrough relapses, disability with significant end-organ…
Jul 19
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Gavin Giovannoni
12
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Q&A-42: to do a neurological examination or not
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30
Why is the NHS not delivering?
The report highlights the effect of so-called NHS reforms on the NHS culture but doesn’t finger this as the main reason for poor productivity growth. I…
Jul 15
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Gavin Giovannoni
10
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Why is the NHS not delivering?
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30
Q&A 41: To switch from ocrelizumab or not
I was admitted to the hospital and treated with antibiotics. Investigations revealed I had multiple pulmonary emboli. Should I stop ocrelizumab?
Jul 14
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Gavin Giovannoni
14
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Q&A 41: To switch from ocrelizumab or not
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36
Are MS treatment algorithms good or bad?
The problem with the classifiers these algorithms are based on is that they are all flawed and not underpinned by biology. Is it not time for a change?
Jul 3
•
Gavin Giovannoni
19
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Are MS treatment algorithms good or bad?
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76
17:34
Q&A-40: should I take testosterone replacement therapy?
Testosterone and remyelination; does it work?
Jul 2
•
Gavin Giovannoni
11
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Q&A-40: should I take testosterone replacement therapy?
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7
June 2024
Q&A 39: can multiple sclerosis cause dementia?
About 3% of people diagnosed with MS present with cognitive symptoms.
Jun 28
•
Gavin Giovannoni
14
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Q&A 39: can multiple sclerosis cause dementia?
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34
Are ultra-processed foods a problem in multiple sclerosis?
A poor diet, high in ultra-processed foods (UPFs), low in fibre, and insufficient water consumption underlies chronic constipation. What can be done…
Jun 27
•
Gavin Giovannoni
15
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Are ultra-processed foods a problem in multiple sclerosis?
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37
Q&A 38 - to take aciclovir or not
Do the risks of taking a daily antiviral outweigh the benefits, or vice versa? My consultant is happy for my GP to prescribe it, so I would like to know…
Jun 26
•
Gavin Giovannoni
17
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Q&A 38 - to take aciclovir or not
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22
13:44
Artificial sweeteners, taste and multiple sclerosis
From an evolutionary medicine perspective, it is best to avoid artificial sweeteners. Why would we hijack a physiological system (calorie-sensing) to…
Jun 24
•
Gavin Giovannoni
14
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Artificial sweeteners, taste and multiple sclerosis
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40
15:49
Prof G is retiring
My partial retirement is a misnomer. I will use the time freed from stopping clinical work to do something completely different: MS prevention.
Jun 21
•
Gavin Giovannoni
50
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Prof G is retiring
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60
12:09
Exercise matters
Exercise is the most underrated and under-utilised multiple sclerosis disease-modifying therapy we have, and it should be part of the standard MS care…
Jun 19
•
Gavin Giovannoni
28
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Exercise matters
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57
14:52
Q&A 37 - Extended toe and bent knee
It seems as if you and your MS team have neglected your spasticity management.
Jun 12
14
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Q&A 37 - Extended toe and bent knee
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23
21:02
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