A large study of 5,000 people with relapsing MS found four different paths of progression. The key finding? Disability often builds without relapses a process called silent progression. The good news: high-efficacy treatments slow this down, even in people with mild symptoms. Early treatment matters more than we thought. Did you know MS can progress even when relapses stop? #multiplesclerosis #mswarrior #msawareness #livingwithms #mstreatment