I'm starting the transfer from Tysabri to Gilenya in the next few weeks. My neurologist ask me "where do I want to do my first dose at the cardiologist office or at home (The medicine company will pay to have someone come to your house to monitor you)"? Keep in mind that the first time you take the pill you've got to be monitored for 6 hours for heart rate. I told my neurologist that I didn't want to sound stuck-up but I didn't want a stranger in my house for 6 hours just sitting around looking at me, I'll go to the office and sit there and look at them😀😁. Since I've been diagnosed I'm just not a people person. My wife says I'm mean and I tell her I just don't like to try and make conversations. I know 6 hours is a long time sitting in a doctor office but I don't have to worry about entertaining (:. Just talking out loud. Thanks for listening😁.