You have been given some good advice. I would also get a new neuro. My neuro always tells me about the new treatments on the market and asks if I am interested in pursuing them. But after my experiences with copaxone, betaseron, and tysabri, he seems almost relieved when I tell him that I am not willing to try anything else at this point. On the other hand, if my mri's showed increased activity I imagine he would also try to talk me into trying gylenia.