Having had MS for over 22 years I can say managing the symptoms can be a pain in the rear end! MS is not predictable and we never know how we will feel when we wake up. One of the most important lifestyle changes I have made is water intake. 100 oz a day seem to really impact and reduce the pain! I eat a specific anti-inflammatory plan and have lost over 72 lbs! Let me know if you want to learn about it. Regardless DRINK WATER!