Tonight thanks to my local MS support group I learned about progression independent of relapse activity, or PIRA. I’m blown away by how much this speaks to my experience with MS since last year. From the way my neurologist said my symptoms were atypical, to my last MRI showing no new brain lesions, even though I haven’t been feeling 100%. The idea that demyelination is a by-product of the neurodegeneration caused by PIRA is very interesting. I’m so grateful for my support group right now. ❤️