@joao 

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joao

Opinions on relapses/PIRA

How'd you say is the best way to differentiate a new symptom (you think) from being a relapse or maybe PIRA without involving MRIs and such? Also I'm talking more about cognitive symptoms, not something physical and more "evident".
Portugal
@katanalexandra

What is PIRA?? Thanks

@joao

@katanalexandra Progression Independent of Relapse Activity! So you got nothing new on your MRI / other tests, but still you’re worse