As a follow-up to the last post I would note that the drugs do lower inflammation but the data indicate that such a strategy does little if anything to slow long term progression. This is not a great surprise as such a strategy is addressing an effect and not the basic causes.
As I have discussed in various documents, MS is caused and driven by a malfunctioning immune system (in most cases the result of a childhood EBV infection during low vitamin D status) in combination with impaired blood flow from the brain (CCSVI). To keep MS well controlled, one needs to address the causes and drivers as best as one can. The drugs simply do not do this and hence their ineffectiveness. So what can be done?

Nutritional strategies do address the causes and drivers by offsetting various immune problems from lowering immune activation, to increasing immune regulation, to strengthening the vascular system, to improving blood flow, to helping to repair damage, to providing some protection from immune damage. The best nutritional strategies are found in Terry Wahls' book (The Wahls Protocol).

Adequate vitamin D intake is essential and you need at least 10,000 IU/day and you might consider 20,000 IU/day. The vitamin D trial that Direct-MS funded demonstrated that 20,000 IU/day was completely safe with no adverse effects for everyone doing this for an entire year.

Everyone wanting to keep MS well controlled should have their venous drainage from the brain evaluated and to seriously consider angioplasty if there are venous blockages which can be addressed.

Finally if nutritional strategies (with or without a drug “supplement”) plus CCSVI evaluation and treatment do not keep MS well controlled, then I would suggest you seriously consider a stem cell transplant (destruction of the immune system followed by growing a new one from harvested stem cells).