When I had my appt last week at Barnes Hospital, they also seemed to be the most excited about the potential for fingolomoid. Said IVIG was too expensive with not that good of results; would only recommend it in case of a flare if one can not tolerate steriods. And that they thought cytoxin would be the next approved FDA drug. But they did not recommend it for me based on my experiences with tysabri and other dmd's.