b'emotional wellness and other comorbidities. An open and honest conversation with your doctor can help to open the door to therapies, counseling, or treatments to restore condence and intimacy. To learn more, listen to a discussion with Tyler Brown, Psy. D. on Sexual Health and Intimacy with MS: msfocus.us/092321 Advocating for yourself begins with recognizing these symptoms are valid and deserve the same attention as your other symptoms such as fatigue or cog fog. Keeping a symptom journal can help you document changes, identify patterns, and provide clear examples to discuss during appointments. Don\'t hesitate to ask specic questions such as, "Could my difficulty swallowing be related to my MS?" or "What options are available to address my bladder issues?" If your neurologist seems focused on more obvious symptoms, remind them of the importance of these aspects in your daily life and how they may be causing disruptions in your daily routine. Your neurologist may also provide referrals to specialists such as urologists, speech therapists, or sex therapists to help you navigate these symptoms.Remember, while there is a stigma around these neglected symptoms, you have every right to discuss them in a safe space with your healthcare team. The sooner you can alleviate some of these concerns, the better quality of life you can lead and nurture other areas of your wellness such as emotional and social. It may also help to discuss these symptoms with other people experiencing the same concerns such as in support groups or your loved ones. Choosing Your Disease Modifying TherapyGoing into your neurologist appointment after receiving that initial diagnosis of MS can be daunting to say the least. There are probably an overwhelming number of questions and thoughts running through your mind as you to try to make sense of your new norm while ensuring you are asking all the right questions to help better equip you in deciding a treatment plan. Furthermore, choosing a treatment option can be a trial-and-error process, and you might nd yourself in a position of switching medications at some point. When choosing or switching your DMT,understanding your seven domains of wellness can come in handy in making the best choice for you. Currently, there are more than twenty different types of FDA-approved DMTs available on the market for people living with MS. This number has come a long way since the rst FDA-approved Betaseron in 1993. But with so many different types of medications, with differing mechanisms of action and side-effect proles, how do you decide which is best for you?When you can prioritize what parts of each domain of health are the most important to consider with your physician, you will be able to help them in providing you with the best suitable option(s). Below are questions to ask with respect to each domain. Highlight the questions that are relevant to you and take this list to your next doctors appointment where you discuss treatment. Whether you just received a diagnosis of MS, or you have been a warrior for quite some time, it may help to clear up any concerns you might be having or further solidify the choice of DMT you are currently on.25'