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Conversations on MS with Dr. Enrique Alvarez, April 2, 2025

Conversations on MS with Dr. Enrique Alvarez, recorded live in Pueblo, Colorado, on April 2, 2025.

TOPICS ADDRESSED IN THIS SESSION:

(Please click the time to be taken to that point of the video.)

  • 2:45 Progression Independent of Relapse (PIRA) / Smoldering MS
  • 15:30 Cognition
  • 19:05 Update on BTK inhibitors (tolebrutinib)
  • 22:38 Paramagnetic Rim Lesions (PRLs)
  • 24:50 BTKi update continued
  • 26:15 New Ocrevus data regarding body and dose size
  • 28:15 Updated Diagnostic Criteria / Radiologically Isolated Syndrome (RIS)
  • 30:25 Measles Vaccine and MS
  • 36:03 MS as you age / Discontinuing treatment / De-escalation
  • 42:08 Fatigue
  • 49:19 Risk of PML with MS medications
  • 55:08 Ampyra (dalfampridine)
  • 59:30 Hyperbaric oxygen therapy
  • 1:01:23 Vitamin D
  • 1:07:38 Best diet for MS
  • 1:10:03 Lifestyle choices to improve MS
  • 1:12:15 Weight loss and MS, GLP-1s
  • 1:14:47 Testing biomarkers, personalized medicine
  • 1:21:22 High ferritin levels
  • 1:21:53 Pseudo relapses vs progression vs relapse
  • 1:23:48 The role of a neuroimmunologist
  • 1:25:13 Back pain / sports creams
  • 1:28:40 Sleep medications
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