Hi Chris, thanks fro the input. I am doing everything that you describe, i have had 3 to 5 days of pulsed methylpred with each flare and have been following the swank diet for the pas 12 months. The Neurologist i am seeing is an MS specialist and is very pro active with treatment but he cannot explain why all of a sudden I am having flares so rapidly- i thought that i was having one long flare with fluctuating symptoms but it is him who thinks they are separate episodes even though i do not fully recover from one before the next starts. I have been home from hospital for 4 days now and while i confess to feeling pretty flat, this is the longest i have stayed home so far (since october 10th) so maybe things are on the upward trend now