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"The best piece of advice that I've received to manage my MS is to take care of myself."

Shiela, MS LifeLines Ambassador

Living with RRMS since 2002

Taking Rebif® since 2003

Nutrition

Why MRI?

Magnetic Resonance Imaging (MRI) is an important tool in diagnosing and managing MS. Learning about MRI will help you make important decisions about your health.

Learn More

Practicing healthy nutrition is mostly common sense. The best advice for people with MS continues to be what is recommended for everyone. Most of your food should come from grains, vegetables, fruits, low-fat dairy foods, and legumes such as beans. Smaller amounts of lean meats, fish, and skinless poultry are also beneficial. The US Department of Agriculture's Food Guide Pyramid is a great tool. It can help you decide what and how much food to eat from each food group.

Nutrition labels on packaged foods are also useful. They can help you monitor your intake of fats, proteins, and carbohydrates. It is important to include selections from all of the food groups in your diet. When in doubt, go easy on fat, sugar, and salt.

Water

Water is essential in removing waste products from cells and keeping a normal body temperature. This is especially important in MS because a rise in body temperature may lead to fatigue or an increase in symptoms. Remember to drink at least 8 glasses of water a day. Drink more when in a hot environment or if you are exercising.

Food journal

The journey to healthy nutrition is an easy one. It starts with creating a food journal. Write down your food intake at each meal. At the end of 3 days, compare your meals with the recommendations on the food pyramid. Then make the appropriate changes in your diet. This will help start you on your way to eating healthier.

Brought to you by EMD Serono, Inc. and Pfizer Inc., the co-marketers of Rebif® (interferon beta-1a) in the US EMD SeronoPfizer

Prescribing Information - Medication Guide

This information is intended only for residents of the United States.

Rebif is used to treat relapsing forms of MS to decrease the frequency of relapses and delay the occurrence of some of the physical disability that is common in people with MS. Efficacy has been established in controlled studies up to 2 years in duration. Rebif is not approved for the treatment of chronic progressive multiple sclerosis. Rebif is available by prescription only in 22 mcg and 44 mcg pre-filled syringes and a titration pack.

Before beginning treatment, patients should discuss with their doctor the potential benefits and risks associated with Rebif. Let your doctor know if you have a history of depression, seizures, liver disease, thyroid problems, and blood count or bleeding problems or if you have had previous allergic reactions to medications. Tell your doctor about all medicines you take, including prescription and non-prescription medicines, vitamins and herbal supplements. Rebif and other medicines may affect each other causing serious side effects. Talk to your doctor before you take any new medicines. Rebif is not recommended for women who are or plan to become pregnant.

Potential serious side effects of Rebif include depression, liver problems, risk to pregnancy, injection site problems and severe allergic reactions. Allergic reactions are rare and may be associated with difficulty breathing and loss of consciousness, which requires immediate medical attention.

The most common side effects with Rebif are injection site reactions, flu-like symptoms (fever, chills, muscle aches, tiredness), depression, abdominal pain, increased liver enzymes, and blood cell count decreases. Let your doctor know immediately if you have any of these symptoms or feel sad, tired, hot or cold, experience hives, rashes, bruising, yellowing of the skin, or a change in body weight (gain or loss).

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

This information is not intended to replace discussions with your healthcare provider. For additional information about Rebif, please consult the Medication Guide or Prescribing Information and talk to your doctor. You can also call toll free 1-877-44-REBIF (1-877-447-3243). Rebif is available by prescription only.

MS LifeLines is an educational support service for people living with MS and their families. MS LifeLines and MS LifeLines Ambassadors are sponsored by EMD Serono, Inc. and Pfizer Inc.

Rebif, Rebiject II and MS LifeLines are registered trademarks and the Rebif logo is a trademark of EMD Serono, Inc. or its affiliates.

MS in Balance is a service mark of EMD Serono, Inc. or its affiliates.

Copyright 2008 EMD Serono, Inc. All rights reserved.