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Diagnosed 1.5 yr ago due to optic neuritis. Found some “old lesions” in my brain along with current ones. So not sure how long the problem has been there. The lesion that was in my spine has gone in recent MRI. I’m taking Kesimpta currently. Spent time since diagnosis healing my gut in case leaky gut was the cause. Live a generally healthy lifestyle. Only symptoms now are the odd electric shock in head and numb middle finger and toes. I live in Florida so heat also makes things worse but am… read more

June 2
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A MyMSTeam Member

I think it is great you worked on healing your gut, there is so much research on how leaky gut affects the brain. I feel that if you choose to go the natural route that is up to you . If you are making this decision only due to the cost of medication, then don’t stop. First reach out to Novartis and see if you qualify to receive the medication for free or very low cost . You can also speak to your neurologist and see if there is a different medication that you can switch to. Also, try to see if you qualify for state insurance. Either way I wish you lots of luck!!

June 2 (edited)
A MyMSTeam Member

Thank you Tiffany! It’s not the only reason. I did ALL the research before choosing the medication and as far as I can see Kesimpta was the only option due to my paranoia? I guess you could call it. I could be wrong because I’m not a DR but from what I researched every other meds cause microbiome disruption or have percentages risk of cancer which also run in my extended family. So weighing up all the risks that was my best choice at the time but now the cost is the main factor and I am not willing to risk destroying my gut - so what should I do?!?!?

June 2
A MyMSTeam Member

I do not take a DMT. I took one for about 2 years but then stopped. I've had no changes in my MRIs since 2018. My neurologist tells me age has something to do with that. She also tells me that while I may not have any new or active lesions, damage from the lesions I do have is not going away, so I'm not healing but staying steady at the moment.. I live in a hot climate but not even considering moving. Maybe if I was younger. But our house is paid for and at my age that is a consideration when thinking about moving.

June 3 (edited)
A MyMSTeam Member

I completely understand what you are going through. I did not want to go on a dmt but feel scared not to be on it so ,I take one . Maybe I will change my mind in the future. I think only you know what’s best for your body.

June 2
MyMSTeam

It's genuinely encouraging to hear that the spinal lesion has cleared and that symptoms are relatively mild right now — that's a real positive sign. The healthy lifestyle focus is absolutely worthwhile and can complement treatment meaningfully.

That said, stopping a disease-modifying therapy (DMT) like Kesimpta is a Show Full Answer

It's genuinely encouraging to hear that the spinal lesion has cleared and that symptoms are relatively mild right now — that's a real positive sign. The healthy lifestyle focus is absolutely worthwhile and can complement treatment meaningfully.

That said, stopping a disease-modifying therapy (DMT) like Kesimpta is a decision that really needs to involve a neurologist. Here's why this matters:

- MS can be silently active — new lesions can form without obvious symptoms
- Those "old lesions" suggest MS may have been progressing undetected for some time before diagnosis
- Early and consistent treatment is strongly linked to slowing long-term disability
- The mild symptoms right now could reflect Kesimpta *working*, not the disease being gone On the cost side, there are real options worth exploring before stopping treatment entirely:

- Novartis Patient Assistance Program — Kesimpta's manufacturer offers financial assistance for uninsured patients
- NeedyMeds.org — a free resource listing drug assistance programs
- RxAssist.org — another patient assistance database
- Community health centers — federally funded clinics offer sliding-scale neurology referrals

Moving to a cooler climate like NC could genuinely help with heat sensitivity, which is a very real MS trigger. That's a smart move. Some MyMSTeam members have shared that their MS appeared to "burn out" over time, with no new lesions for years. However, those outcomes are hard to predict, and going unmedicated is a significant gamble given the potential for irreversible nerve damage.

The gut health focus isn't wasted effort — it's a smart complementary strategy. But please talk to a neurologist before making any changes to Kesimpta.

June 2

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