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Multiple sclerosis (MS) is an autoimmune inflammatory diseaseof the central nervous systemwhite matter, whose pathogenesis is incompletely understood. Plaques of demyelination are typically found in the periventricular and subcortical white matter. Evolution in space and time of new lesions form an initial Magnetic Resonance Imaging (MRI) report of demyelinating nature is not unusual, and it allows to formulate the diagnosis.  

We describe the case of a woman in her late forties who presented with, and after performing a cranial MRI showing multiple small lesions suggestive of  inflammatory demyelinating nature. An oral daily integration of diet with natural compounds (i.e. galactose, Coenzyme Q10and ferrous sulphate) was started. After 2 months of such supplementation numbness had disappeared fatigue and central symptoms had sensibly ameliorated. A follow-up brain MRI was completed 6 months in wellness, showed that multifocal lesions were unchanged, even though enhanced by gadolinium. Data are discussed in consideration of the presence of an aerobic metabolism in myelin and of the implication of galactose as a preferential substrate for hexose 6-phosphate dehydrogenase recently reported in myelin. We discuss the evolution of the condition and missing the diagnosis of MS, and the possible neuroprotective role of theoral dietary integration. Today, the patient has not any central symptom, is still under follow-up and treatment with the cited compounds and remains in a stationary condition.