As a side note you should be aware that the HIV medications I was put on directly destroy mitochondria I believe. Search terms like:

Kaletra AZT mitochondria and MS

Zidovudine combivir mitochondria

Its ever since those meds that i've had this problem. But I also got Hep B vaccine which is heavily tied to development of MS ... and that too was this year.

CoQ10 therapy for me maybe?