Page 28 - The Autoimmune Protocol

The Autoimmune Protocol

Another type of MS is called Relapsing-Remitting Multiple Sclerosis (RRMS). This type
is the most common form of MS. With this form, individuals will experience clearly
defined attacks, or relapses. Afterward, they will seem to recover, which is referred to as
remission. Each person with RRMS experiences a different pattern of relapse and
recovery, with some experiencing extended periods in remission, and others experiencing
worsening attacks.

Secondary Progressive Multiple Sclerosis (SPMS) is often diagnosed when their RRMS
begins to worsen over time. With SPMS, there may be periods of active relapses, as well
as periods of non-activity. Likewise, there may be evidence of progression or no
progression, depending on evidence of the disease worsening or not over time. Over time,
the disability usually increases.

The final type of MS is referred to as Primary Progressive Multiple Sclerosis, or PPMS.
With this type of MS, patients experience worsening of neurologic function, with an
accumulation of disability as disease progresses. There are usually no early relapses or
remissions with this type of MS. Just like with SPMS, PPMS may demonstrate evidence
of active episodes, non-active episodes, progression, or no progression.

Triggers
Although researchers haven’t been able to discover the exact causes of Multiple Sclerosis,
they have been able to identify some triggers that many MS patients have in common.
One trigger is lack of sleep. Sleep is important for everyone and helps the body with tissue
repair, muscle growth, hormonal regulation, and the production of stem and immune
cells to keep immune function healthy. For someone with MS, sleep is even more
important. Those with MS may have a lower energy reserve to begin with, so coupling that
with a lack of sleep can trigger a flare up.

Another trigger is body heat. When the body gets too hot, someone with MS may
experience an increase in symptoms. During the summer months, those with MS should
try to stay as cool as possible and avoid prolonged exposure to heat. If you have MS and
are experiencing issues in the heat, try taking a cool shower or going indoors (into an air-
conditioned room) as soon as possible.

Infections are another common trigger for MS flare ups. This is because infections tend
to weaken the immune system, making people much more susceptible to potential
attacks. A common infection for those with MS is a urinary tract infection. MS can result
in bladder function issues for some, so the risk for an infection is present. Staying
hydrated, eating healthy, avoiding sick people, and washing your hands regularly can help
to prevent infections.

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