Well, I wrote a book on another thread about this very topic so I'll spare you the length. For me, I'm following the guidance of my MS specialist team... nutrition, exercise and staying open to the future possibly of adding Kesimpta based on any new activity on my annual MRI's or new disease activity on my future Octave MSDA blood tests. Currently , I'm stable. But, I'm aware that this disease is so ever changing that I am careful not to close the door on treatment. Good luck with your decision.

@MadMunchkin thank you