This study focuses on patients with Multiple Sclerosis (MS), a condition affecting the central nervous system. The research aims to evaluate the effectiveness of probiotics (beneficial bacteria) in combination with standard MS treatments. The study will compare two different probiotic preparations: Lacidofil and Trilac, while some participants will not receive probiotics to serve as a comparison group.
During the study, all participants will continue their regular MS treatment with either ofatumumab (brand name Kesimpta) or ozanimod (brand name Zeposia). These are medications that help control MS symptoms by modifying the immune system. The probiotics will be taken as capsules by mouth daily for 24 months.
The study will track how well the treatments work by monitoring MS symptoms, conducting brain imaging with MRI scans, and assessing quality of life. Researchers will measure various aspects of participants’ health, including pain levels, fatigue, and mental well-being through questionnaires. They will also monitor the number of MS relapses and any changes visible on brain scans.



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