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tysabri vs. lemtrada

My family member is in her early 20's and just diagnosed last year. Besides a case of bell's palsy she had only one other relapse that effected her walking and writing and also extreme tiredness. This episode resolved fairly quickly but MRI showed 12 lesions. Within 3 months of MRI she started gilenya. She has been on this med for 5 months with no problems but MRI showed 7 more lesions. Dr. wants to aggressively treat d/t lesion load. She is currently JC neg and just started new job. Tysabri and pml are very worrisome but so is lemtrada. Any insights would be appreciated.