How do you counsel patients interested in primary prevention of MS?

While there is now general consensus regarding the role of EBV infection as a trigger of disease, to date, EBV vaccines are not available and haven't been shown to prevent disease. Similarly, there is evidence of a relationship between low vitamin D and MS, though data related to prenatal supplement...

Currently, guidelines do not suggest that first-degree relatives of a patient with MS require neurology evaluation unless they have neurological symptoms. However, this has left me conflicted since the updated McDonald Criteria shifts many diagnoses of radiologically isolated syndrome to diagnoses o...