##  [You know your MS best.](/diseases/multiple-sclerosis/you-know-your-ms-best "You know your MS best.") 

 ## MS can shift in subtle ways – notice what’s changed over time.

Everyone experiences Multiple Sclerosis (MS) differently. And over time, your symptoms may change in subtle ways.

Even small shifts in how you’re living or feeling are important, and shouldn't be seen as a normal part of MS. They could be a sign your condition is evolving.

Noticing any changes, and sharing them with your doctor, can help you.

This page has been developed to help you decide whether it's worth raising a change with your doctor.

[Tools to help you prepare for an appointment](#ms-resources)

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## You know your MS best.  
If you’re noticing any changes, start a conversation with your doctor today.

[Would you consider starting a conversation with your doctor?](#ms-form)



 



##  Is my MS changing? 

MS doesn't always give a clear signal when it's evolving, so it's important to take a moment to reflect and listen to your body. Asking yourself a few questions can give you a clear view of how MS is affecting you. Over time, you may notice subtle changes in fatigue, cognition, mobility, or bladder and sexual function. Don't push changes in your MS to the back of your mind. Your care team expects you to talk about them, so make a quick note of any you want to mention. Remember, you're not alone in raising them.

 

 ![Puzzled teacher holding a pen in front of a white board in a classroom](/sites/novartis_com/files/styles/cards_50_50/public/2026-05/teacher-looking-puzzled-in-classroom.jpg.webp?itok=5qKDC51D "Puzzled teacher holding a pen in front of a white board in a classroom") 

 

###  Do you often find yourself struggling to find the right word, or losing your train of thought when talking? 



 

 

 

 

 ![Young couple sitting on a bench in a park with the man looking puzzled.](/sites/novartis_com/files/styles/cards_50_50/public/2026-05/man-woman-sitting-on-bench-in-park.jpg.webp?itok=G2mR8QU6 "Young couple sitting on a bench in a park with the man looking puzzled.") 

 

###  Do you need more breaks, reminders or little adjustments just to get through the day? 



 

 

 

 





 

 ![Young woman at the cinema looking puzzled](/sites/novartis_com/files/styles/cards_50_50/public/2026-05/young-woman-in-cinema-looking-puzzled.jpg.webp?itok=PoZNMLDs "Young woman at the cinema looking puzzled") 

 

###  Have you been turning down plans or invitations more often because you’re not sure how you’ll feel? 



 

 

 

 

 ![Young couple looking puzzled and sitting on their bed in a dark room](/sites/novartis_com/files/styles/cards_50_50/public/2026-05/young-couple-sitting-on-bed-looking-puzzled.jpg.webp?itok=_hWFb0g8 "Young couple looking puzzled and sitting on their bed in a dark room") 

 

###  When choosing what to do, are you choosing what’s easiest, rather than what you really feel like? 



 

 

 

 





 

 

 



## If you’ve noticed changes in how you’re living or feeling - even small ones - you should mention them to your doctor or MS nurse.

[Would you consider starting a conversation with your doctor?](#ms-form)

<a class="ck-anchor" id="ms-resources"></a>



 



##  MS Support and resources 

MS can be difficult to talk about. These resources have been created to help you organise your thoughts, remember changes you want to mention, and support open, structured conversations with your doctor, so you can discuss what matters most to you.

 [ 

 ![Icon representing a checklist](/sites/novartis_com/files/styles/cards_1_3/public/2026-05/checklist-icon.jpg.webp?itok=Bt8nTyMm "Icon representing a checklist") 

 

###  My MS Checklist 

A short checklist designed to help you prioritize what’s important in your MS management and care plan

 

 

 ](https://www.novartis.com/sites/novartis_com/files/my-ms-checklist.pdf) [ 

 ![Icon representing a calendar](/sites/novartis_com/files/styles/cards_1_3/public/2026-05/calendar-icon.jpg.webp?itok=mMtrqhYG "Icon representing a calendar") 

 

###  My MS workbook 

A comprehensive journal to help you and your care partner prepare for discussions with your doctor ahead of your next appointment.

 

 

 ](https://www.novartis.com/sites/novartis_com/files/my-ms-workbook-interactive.pdf) [ 

 ![Icon representing a dialog box containing a question mark](/sites/novartis_com/files/styles/cards_1_3/public/2026-05/question-mark-icon.jpg.webp?itok=WCbvdW1q "Icon representing a dialog box containing a question mark") 

 

###  Your MS Questionnaire 

A questionnaire to help you track your MS to identify any changes in your symptoms or how they’re affecting you

 

 

 ](https://global.ms.your-symptom-questionnaire.com/) 





 

 

 



<a class="ck-anchor" id="ms-form"></a>



 



   Normal        Yes  

   No  



 ## Would you consider starting a conversation with your doctor?



 

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*This page is intended for MS patients.*

FA-11677639 | May 2026