What does the future hold for multiple sclerosis treatment? Dr. Anton Titov, MD. What breakthroughs patients with multiple sclerosis can expect in the near future? Dr. Anton Titov, MD. One day we will have a vaccine for multiple sclerosis. Patients don't get multiple sclerosis. Dr. Howard Weiner, MD. We will identify patients at risk or treat children, so no one gets multiple sclerosis. That is the long term. Come back in a few hundred years. Okay now for us a few hundred years is a lot. But for civilization it isn't a lot. In the near future there will be more medications for progressive multiple sclerosis. There may be a precision medicine. Dr. Howard Weiner, MD. We can decide which medication a person should take. A person may be diagnosed with multiple sclerosis somewhere in the world today. What can that person do to ensure that the treatment is selected correctly? Dr. Anton Titov, MD. How to organize a followup in multiple sclerosis appropriately? Dr. Anton Titov, MD. Again, for somebody who could be living outside of the United States? Dr. Anton Titov, MD. Patient has to go to a neurologist or someone who knows how to treat multiple sclerosis. patient has to start a multiple sclerosis medication. Patient has to have MRI scans done regularly. Two things that Dr. Howard Weiner, MD. I would say are very important that you don't need a doctor. No smoking! Smoking is very very bad for multiple sclerosis. Smoking makes multiple sclerosis worse. anybody who is smoking and gets multiple sclerosis, should immediately stop smoking! It'll make the multiple sclerosis better. #2: patients should take vitamin D. Vitamin D is very important for the immune system. Their vitamin D levels should be in the normal range. That is clearly something that is under control of every patient with multiple sclerosis. That is correct! Future in MS treatment brings more effective medicines for secondary progressive multiple sclerosis (SPMS) therapy. Eventually we will have vaccine to prevent MS and biomarkers to identify people at risk for multiple sclerosis.