I often worry that I am not able to take my vitamin D supplement consistently every day. Although I generally feel well, I would like to know whether occasionally missing doses could have a significant impact on my health. There are times when I go up to three days without taking my supplements. I am also finding it difficult to maintain the recommended fluid intake of 2.5 litres per day because of ongoing bladder issues and urinary frequency. As a result, I have to carefully plan my activities around access to toilets, which can be challenging given my personal circumstances. I often feel guilty that I am unable to keep up with these recommendations, despite doing my best to manage my symptoms and daily responsibilities. My personal life is so stressful at the moment with post divorce work that I am always on high alert and anxiety. My weak bladder had a Botox last year in sep… it helped and I had no UTI but now Botox is wearing off and bladder muscles becoming weak. Any suggestions /opionions?

Hello Dr Damas, I need to have some understanding with how to distinguish between two things. Fatigue and muscle weakness. Basically I also have a weak hip flex at the moment (for over 6months) and although it is currently manageable I am trying to understand if it is MS related or just joint related. I rest but after walking 10 mins because it hurts and I can’t lift my leg high. How does one distinguish between issues related to maybe menopause 😬and MS. I feel like symptoms are quite individual but I just need more understanding how to differentiate inflammation, joint pain, MS muscle function weakness and what to do about each. Thanks

Is there anything that would help support balance? Any supplements that would support it?