Living with multiple sclerosis brings unique challenges to brain health, but there are powerful steps you can take to support and protect your mind.  Exercise not only improves endurance and reduces fatigue, but also helps rewire brain networks to promote resilience. Restorative sleep is essential, as it helps clear inflammation in the brain—so addressing disrupted sleep is a must. Nourish yourself with fruits and vegetables while cutting out sugary drinks and highly processed meats. Strengthen your social connections and lean on your support circle. When it comes to managing stress, discover what works best for you, whether it's music, yoga, meditation, or a favorite hobby.

MS can cause the brain to shrink faster than normal—a process called atrophy—so protecting your brain reserves is crucial. Starting with effective disease-modifying therapy is key, but it doesn't stop there. Keep your brain engaged by reading, learning a new language, or picking up an instrument. If you smoke, creating a plan to quit is one of the most important steps you can take to reduce physical and cognitive decline. While MS can be unpredictable, you have the power to shape your brain health and preserve what matters most.

Barry Singer MD, Director of The MS Center for Innovations in Care, interviews:

Lisa Doggett MD MPH, family and lifestyle medicine physician, UT Health Austin’s Multiple Sclerosis and Neuroimmunology Center

Augusto Miravalle MD, Professor and Chief of the Multiple Sclerosis Center, Rush University, Chicago