Nitin K Sethi, MD
Assistant Professor of Neurology
New York-Presbyterian Hospital
Weill Cornell Medical Center
New York, NY 10065
The decision of taking MS medications is one which requires consideration of multiple factors by both the patient as well as the treating physician. At times the decision to go on medications is relatively straight forward, at other times it requires consideration of multiple factors before deciding on the best course of action.
Let me try to explain this by using a 29-year-old patient whom we shall refer to as Janet.
YOU CAN READ THE COMPLETE ARTICLE ON THE HEALTH CENTRAL WEBSITE.
http://www.healthcentral.com/multiple-sclerosis/c/73302/62597/make-ms
Braindisease's Weblog 
Thanks for the examples and the pros and cons of treatment in each case, doctor and Ms. Wasterlain. Doctor, you present things so clearly. The decision remains but you and Merely Me are making matters clearer with such understandable information.
Thank you Paul for your kind words. I am glad you found the information presented useful. Hope you are well and enjoying your weekend.
Personal Regards,
Nitin Sethi, MD
Thank you again for writing this article. It has already helped a lot of people who have come to read it on MS Health Central. You are a very special doctor to give so much to the on-line community. You are very appreciated.
Thank you for your kind words Merely Me. I am glad your readers found it helpful. Hope you are well and enjoying your weekend.
Personal Regards,
Nitin Sethi, MD
Dear Kretene,
thank you for writing in. There are many different causes for narrowing/ stenosis of cerebral blood vessels. The treatment varies depending upon the underlying cause/ etiology. Like for example in vasculitis (inflammation of blood vessels) sometimes immunosuppressive therapy is used.
I am not aware of any effective alternative therapy.
Personal Regards,
Nitin Sethi, MD