@calNFFC 

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calNFFC

RRMS to SPMS/PPMS

Hi all, I've was diagnosed almost 10 years ago now and was just wondering how do you know once you've gone to SPMS/PPMS? Sorry if this sounds a silly question.
@Kelly_Stankewich

A friend of mine, actually my spouse's wife, just had her MS upgraded from RRMS to SPMS by our Neurologist as soon as she walked into his office she said.

@John_Barry

It depends on your capacity to do things, do you notice things you are no capable of? For me the progress has been gradual, sort of like ageing on fast forward.