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This study investigated pupillography combined with machine learning to detect autonomic dysfunction in patients with relapsing-remitting MS, achieving 85.7% accuracy on test data but lower performance (75% accuracy) on independent validation. The research demonstrates feasibility of pupil-based biomarkers for MS assessment while acknowledging generalizability challenges.

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Residual cerebrospinal fluid inflammation persists during long-term natalizumab treatment in relapsing-remitting multiple sclerosis

This study measured 15 inflammatory biomarkers in cerebrospinal fluid from MS patients treated with natalizumab for varying durations, compared to untreated MS patients and healthy controls. While natalizumab significantly reduced most inflammatory markers, certain biomarkers including B cell maturation antigens and IL-10 remained elevated even after more than five years of treatment, suggesting incomplete suppression of intrathecal inflammation.

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Adjunctive Dulaglutide in Relapsing-Remitting Multiple Sclerosis: A Randomized Open-Label Proof-of-Concept Trial

A 12-month randomized controlled trial evaluated dulaglutide (a GLP-1 receptor agonist) as adjunctive therapy alongside natalizumab in 28 patients with relapsing-remitting MS, measuring neurofilament light chain levels, brain MRI changes, and functional outcomes. Treatment with dulaglutide significantly reduced weight, BMI, and body fat while improving glucose tolerance and potentially showing neuroprotective effects.

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Multiple Sclerosis in Morocco: Epidemiological, Clinical, and Therapeutic Profile

A descriptive study of 170 MS patients across Morocco found female predominance, relapsing-remitting MS as the most common type, and common symptoms including fatigue, cognitive issues, and spasticity. Disease-modifying therapies (interferon beta-1a, azathioprine) were used alongside traditional/complementary medicine (cupping, Quranic recitation, apitherapy), with professional activity, treatment satisfaction, and stress significantly associated with relapse frequency.