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Description

193,194 Anticonvulsants

- Common side effects are pain and swelling at the injection site

This is especially important for people on highly restrictive eating plans, older adults, vegetarians, vegans, or those with certain digestive or absorption issues

In SPMS, characterized by steady deterioration without acute attacks, treatment strategies often involve continuing or altering DMT used during the earlier RRMS phase, such as interferon beta, or considering immune-modulating agents, such as methotrexate, cyclophosphamide, or glucocorticoid pulses [142, 143]