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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
13:46
27
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
12:43
41
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
14:45
7
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
Molluscum contagiosum on fingolimod
Active viral and bacterial infections in people with multiple sclerosis are a relative contraindication to starting chronic immunosuppressive therapy.
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Gavin Giovannoni
8:27
48
Q&A 24 - natalizumab PML, EBV IgM-positive, generic fingolimod
I was moved from Gilenya to generic fingolimod tablets last year. I have noticed a worsening of side effects and wonder if it could be a consequence of…
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Gavin Giovannoni
16:30
7
Rectal bleeding: how to approach symptoms that may or may not be related to having MS
Is rectal bleeding due to MS? No, and don't assume it is. If you have unexplained symptoms, that you think are not related to MS, make sure you get them…
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Gavin Giovannoni
3:38
33
Q&A 23 - a clinical trial or not
Is the clinical trial recommended the optimal course of action for my brother? What about teriflunomide as the comparator? Should he seek a second…
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Gavin Giovannoni
13:43
6
© 2024 Gavin Giovannoni
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