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My patient is a 28-year-old male who was diagnosed with MS 12 years ago, and has failed on high-dose β interferons, glatiramer acetate, and natalizumab. He has baseline bradycardia (~50 beats per minute). What is the next step for this patient?

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Challenging Cases in Multiple Sclerosis

Course Director
Aaron E. Miller, MD
Corinne Goldsmith Dickinson Center for Multiple Sclerosis
Mount Sinai School of Medicine
New York, New York