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Volume 1: Self-management guide for people with multiple sclerosis
A BIG THANK YOU to paying subscribers and people who have made donations to MS-Selfie that has allowed this guide to be produced; it is much…
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Gavin Giovannoni
16
Insomnia and multiple sclerosis
Yet, another poorly managed hidden symptom that commonly affects people with multiple sclerosis. Can it be self-managed?
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Gavin Giovannoni
36
20:10
Q&A 49 - recurrent UTIs, please help
My urine was sent to the lab, but apart from red blood cells, it came back clear, i.e. with no bacterial growth. Is this common?
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Gavin Giovannoni
40
14:34
Q&A 48 - RSV and other vaccines: to vaccinate or not
Do you think people with MS - especially those on an immunosuppressive DMT - should also receive the RSV vaccine? And what about Shingrix and other…
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Gavin Giovannoni
66
13:08
Smouldering MS: the real MS becomes a tractable problem
Tolebrutinib, a second-generation BTK inhibitor, is the first to show a reduction in disability accumulation in non-relapsing secondary progressive MS…
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Gavin Giovannoni
86

August 2024

Farewell - no fanfare
I did my last official NHS clinic on Tuesday - apart from our MS nurse and visiting fellow, nobody noticed.
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Gavin Giovannoni
87
15:34
Q&A 47: ocrelizumab and pregnancy
Given the desire to start a family soon, would it be wiser to hold off on the next dose of ocrelizumab until after starting a family? What about…
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Gavin Giovannoni
Cognitive impairment: is it due to multiple sclerosis or Alzheimer's disease?
I have always assumed that people with multiple sclerosis are protected from getting Alzheimer's disease. Why?
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Gavin Giovannoni
45
Q&A 46 - infections on an anti-CD20
My IgM and IgA immunoglobulin levels are slightly low, but my IgG levels are normal. I am concerned about these infections. Would you recommend I stop…
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Gavin Giovannoni
23
17:31
Multiple sclerosis develops long before your first neurological symptoms
Confirmation bias, i.e. a tendency to search for, interpret, favour, and recall recent information in a way that confirms or supports a belief that MS…
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Gavin Giovannoni
74
Q&A 45 - Not to treat MS and smouldering MS
Do you agree with the decision of the two British Olympians and track stars, Lina and Laviai Nielsen, not to take disease-modifying therapies for their…
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Gavin Giovannoni
49
Primary progressive MS: the forgotten many
Have you been treated like a second-class citizen by your MS service because you have primary progressive MS (PPMS)? What should be done to improve the…
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Gavin Giovannoni
30
© 2024 Gavin Giovannoni
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