Hi @jasmine_miles and welcome. I'm in the UK, so can't start to understand the intricacies of the American health system. It just doesn't seem that healthy if you can't get what you need. Let's hope things improve on that front, Relapses are best avoided so that we don't accumulate further damage. We can help this objective by adopting a positive attitude, living healthily, eating healthily and avoiding stress. That latter point being very important. Take time out to learn about MS. Knowing your enemy is the first step in dealing with your enemy. But, avoid Dr. Google and stick with creditable websites, like the MS Society or the MS Trust (a UK charity). And pose any questions here. 😉

@jasmine_miles I am 62 years old living in Canada & was diagnosed with PPMS in my early 60’s. I too am not on any medication. My diet has completely changed; every morning the first thing in my stomach is Vitamin D. And if I have not had fish for a few days, Omega 3-6-9. My present wife makes me fruit Smoothies to drink – fresh fruit tastes better but I’ll take frozen berries. And a variety of nuts to munch on while I am watching TV. Bread in scarcity, no milk at all, no red meat (i.e. Steaks or burgers) whatsoever; although I do cheat once a month. As much fruit & vegetables as possible are in my stomach daily; fish (wild Salmon) whenever we can afford it. Plenty of fluids – the problem is that I need to be close to a washroom due to MS bladder challenges. Life isn’t perfect (sometimes embarrassing) yet I enjoy the good while dealing with the bad. Second, you are the exact same person as you were before the recent health challenges. Exact same likes & dislikes; your friends will stick around so long as you keep the attitude & personality you have had all your life. Nothing will change with your family. There may be some physical challenges that force you to adjust what you can & can not do at work & at play; but I am fairly sure you have made adjustments since you were a teenager. Hope this helps...