Thanks everyone for your help!

I don't think this is a new flare necessarily, just a slow and steady worsening of symptoms and some new ones thrown in there for good measure. Plus, it's a stressful time of the year for me, end of the school year.

I was off Rebif for about 7 weeks and am now back on for 4 shots so I am hoping that maybe that will get things working better. We'll see what the next blood tests show in another week regarding liver enzymes.

I wouldn't call my neuro's office as I am now shuffled off to the NP who finds it mostly unimportant to call me back. I had another round of IVSM in April and that didn't do me any good. Not doing them again unless something is truly horribly wrong that can't be ignored or medicated away.

Thanks again,
Weebs