You might or not be familiar with the "Use it or Lose it" concept (collinsdictionary.com/us/su...
I've always believed in it for the brain. It resonated even more after my MS diagnosis in May 2018 and became the basis behind My plan to tackle My MS:
(1) Get on the most aggressive DMT available to me. I got on Ocrevus as recommended by my neuro. The goal is to stop new lesions from appearing (I have a high lesion load but mild symptoms).
Stopping further damage as quickly as possible seemed good. But what about existing lesions? Could they create new symptoms or problems? This is why I added the second part to my plan:
(2) Use my brain as much as possible both physically and mentally: my neuro told me that my lesions were in highly redundant parts of my brain. And I believe it's up to me to take advantage of the brain plasticity and train it to create new pathways around the lesions and damage areas.
So I exercise a lot, try to get exposed to as many things as possible to make my brain work. I don't believe any medication can help with this. This is my job and only mine to fight this part of my MS and get my brain to engage all the neurons it has available.
The last part comes into play because I'm annoyed by the high cost of DMTs and I stay open to the idea that in the long run there will be better options. DMTs tackle the problem but doesn't get into the root cause of it. This is where I believe diet can make a difference. My mom having RA, I always heard about diet, inflammation and the various ramifications. I believe we are what we eat. So here is part 3 of the plan:
(3) Get on a healthy diet. As discussed often on this forum, this is not easy because of the lack of study and misinformation. This forum is a great place to get quick answers when in doubt. For now, mine is no meat, no sugar, no dairy and none of the food known to promote inflammation.
The above rant is just my plan. I use "I", "my", "me" a lot in this post because I also believe that we all experience MS differently, we all have a different set of circumstances and need to make our own decision on how we want to tackle our MS.
The next big stop for me in the next MRI in December which will tell me whether my plan is anywhere close to working. I am not fooling myself and I'm getting ready for the worst (many new lesions) while hoping for the best (no new lesions). I do count on MS to throw a curveball at me along the way. The best I can do is activate all the MS fighting tools I have available to me right now.
... and I am committed to give MS a good fight.