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My first post-pandemic MRI for MS monitoring came back showing new lesions (2 in 5 years) and the consultants recommended I change drugs. The things I was offered are all a step up in effectiveness but also come with varying levels of immunosuppression.

After much consideration I have ended up with cladribine, which is effectively several rounds of mini-chemo. The idea as I understand it is that it knocks out your rogue white blood cells in the hope they grow back better. There's a week's worth of pills at the start of months 1, 2, 13 and 14 which come by courier in boxes marked CYTOTOXIC!!!!11! They have been fine in terms of immediate side-effects but I have fingers crossed that I'm not going to get shingles.

Anyway I am low on white blood cells at the moment and for the next couple of months, expecting to start making inroads into the real world in March-ish. Also this time next year. Anyway that's why I'm hiding from builders.

(And now I have written all this and also done my art exhibition proposal submission and it's my day off so now I'm going to go and play Hades.)
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January 2026

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