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In which dosage (s) did you take LDN?

 

At what time do you administer LDN?

 

If you stopped .. Why?

Have you had any side effects from taking LDN ?

 

YES NO

Are these Side effects still present ?

 

YES NO

Have you had any further progression while taking LDN?

 

YES NO

Did LDNhelp with symtom relief?

 

YES NO

If YES, how long did it take approximately?

 

Does your GP/neurologist recognise an improvement in you since taking LDN?

 

YES NO

How many relapses did you have in the 12 month BEFORE going on LDN?

 

Where they confirmed by your GP/neurologist ?

 

YES NO

How many relapses have you had since starting LDN?

 

Where they confirmed by your GP/neurologist ?

 

YES NO

Were you on an interferon drug before starting on LDN?

 

YES NO

Are you still?

 

YES NO

Bladder Urgency

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Fatigue

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Bladder Retention

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Restless legs

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Sexual Dysfunction

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Sleep Disturbance

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Bowel control

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Hearing

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Diarrhoea

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Speech

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Swallowing

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Constipation

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Migraine type headache

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Memory

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Optic Neuritis

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Concentration

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Blurred Vision

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Depression

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Double Vision

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Balance

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Dizziness/Vertigo

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Mobility

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Muscle Spasm

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Muscle Strength

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Muscle Pain

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Tremor

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Tingling

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Itching

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Numbness

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Neuralgia

 

Symptom has gone Improved greatly Improved slightly No change Increased greatly Increased slightly Never had this symptom

Do you follow a Wheat/Dairy free diet?

 

YES NO

Do you take Vitamins/supplements?

 

YES NO