Get Tough on Multiple Sclerosis

Get Tough on Multiple Sclerosis

Brought to you by Bionews and Multiple Sclerosis News Today, this new, physician-led podcast hosted by Susan Payrovi, MD and Mirla Avila, MD, offers a comprehensive approach to managing MS, blending the latest treatment insights with practical lifestyle strategies. From symptom management to mental health and daily living tips, each episode delivers actionable advice and expert guidance, empowering you to confidently navigate your MS journey and take charge of your health. Tune in today and take control! Meet the hosts: Mirla Avila, MD Interim Chair of Neurology / Assoc. Prof. of Neurology Texas Tech University Health Sciences Center Lubbock, TX Dr. Avila is a board certified neurologist and MS specialist, and is the Director of Texas Tech Comprehensive MS Center. She is involved in several ongoing MS research projects and has authored numerous abstracts, book chapters, and peer-reviewed articles on MS treatment and management. A passionate neurologist and music enthusiast, Dr. Avila directs funds from her album sales to support patients in underserved communities and advance MS research. Susan Payrovi, MD Integrative and Functional Medicine Physician Stanford Center for Integrative Medicine living with MS Susan Payrovi, MD is a triple board-certified physician in anesthesiology, hospice and palliative medicine, and integrative medicine. She is also a patient who is diagnosed and living with MS. Dr. Payrovi is a clinical assistant professor at Stanford University, where her clinical practice focuses on non-pharmaceutical lifestyle treatments of chronic disease. She holds a bachelor's in Microbiology and Molecular Genetics from UCLA and a medical degree from UC San Diego. Dr. Payrovi is also certified in functional medicine.

Episodes

December 5, 2025 26 mins
In this episode of "Get Tough on Multiple Sclerosis," Mirla Avila and Susan Payrovi, MDs, break down the stages of MS, what progression really looks like, and how to tell the difference between a relapse and true disease change. They tackle myths, explain smoldering MS and PIRA, and highlight the subtle signs that deserve attention — even when your MRI is quiet.
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In this episode of Get Tough on Multiple Sclerosis, Mirla Avila and Susan Payrovi, MDs, dive into one of the most frustrating challenges for people living with MS: sleep disturbance. From the reasons behind sleepless nights to practical tips and everyday life hacks, they unpack strategies to help you rest easier and take back control of your nights
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August 6, 2025 19 mins
Feeling like your gut has a mind of its own when it comes to MS? In episode four of "Get Tough on Multiple Sclerosis," Susan Payrovi, MD, and Mirla Avila, MD, demystify the gut microbiome and its surprising impact on multiple sclerosis. They dive into fascinating facts about the trillions of microbes living inside you, explaining how they influence your immune system and over...
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Feeling overwhelmed by the choices of MS treatments? In episode three of "Get Tough on Multiple Sclerosis," Dr. Susan Payrovi and Dr. Mirla Avila guide you through the often-daunting world of disease-modifying therapies (DMTs). Together they answer real-world questions—like how to select the right therapy, when to switch, and how to weigh risks versus benefits—so you can make informed decisions alongside your healthcar...

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Pain is challenging, but it doesn't have to define your life. Episode 2 of "Get Tough on Multiple Sclerosis" is designed to inspire and uplift, featuring insightful guidance from Dr. Susan Payrovi and Dr. Maria Avila, who break down the complexities of pain in MS. Their expert knowledge, paired with empathetic communication, offers hope and practical solutions for managing symptoms effectively.
 

The episode i...

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Tired of MS fatigue controlling your life? In the premiere episode of "Get Tough on Multiple Sclerosis," Dr. Susan Payrovi and Dr. Mirla Avila empower patients to confidently manage their MS journey by tackling the pervasive issue of fatigue. This episode offers expert advice, practical strategies, and fellow MS patients sharing their personal "life hacks" to help you manage fatigue through lifestyle changes and mindfu...

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Managing MS can be challenging, but you don't have to do it alone. Get Tough on Multiple Sclerosis is a brand-new podcast and video series designed to empower you with expert insights, lifestyle strategies, and real patient experiences.

Hosted by Drs. Susan Payrovi and Mirla Avila, this physician-led series covers:

The latest in MS treatments & symptom management

Practical, real-life strategies for improving daily life

Inspiring s...

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