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Moreover, elevated serum lactate dehydrogenase (LDH) has been observed (400), suggestive of tissue destruction, along with elevated lactic acid levels (47, 397, 401)

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If you can, use a programmable thermostat to drop the temperature at night, and consider using a fan to circulate air

Symptomatic medications : Many MS patients take medications for spasticity (baclofen, tizanidine), neuropathic pain (gabapentin, pregabalin), or bladder dysfunction (oxybutynin, tolterodine)