Hi Donna, I was diagnosed PPMS in 2004. Although I have poor balance, weakness of my left leg and fatigue, I feel well. I`m still workking full time as a professor in gerontology. One of my colleagues, a biochesmitry PhD and researcher recommendde me to take daily the following: vit B complex, omega 3,6 and 9, acetyl carnitine, CQ 10 and DHA. All of this medications are naturall and improve brain neurotransmissors. I visited many doctors since 2004: Dr. Kenneth Jonstso in Baltimore, Dr. Howard Swibel in Miami an Dr. Jeffrey Cohen in Cleveland. All of them confirmed the diagnosis of PPMS. Apatently, it is a benign form. Dr. Cohen is making research with galatimer acetate (Copaxone) and PPMS with promising results. I hope that you can benefit of this informatios. Best, Marlen from San Juan, Puerto Rico