Mavenclad is an immunoreconstitutive therapy whilst Kesimpta is just a B/cell suppression therapy like Ocrevus. I’d go for the former every day of the week. It also means you won’t have issues with vaccine response. Imho fwiw.

Thanks @DominicS , what do you mean by issues with vaccine response? I see you’re quite responsive on here, any ideas why other people wouldn’t have commented on their experience between these two dmds? Funny how some posts get loads of interactions and others don’t? Thanks for your response, I have my pre assessment next week to discuss …