Hi, ! It's commendable that you're still actively seeking out the best care for yourself after 21 years of managing MS. Options like infusion therapies, self-injectables, and oral medications are available depending on your MS type and progression. Here's an article that goes over some treatment options you might consider- https://multiplesclerosis.net/treatment. After your review, I encourage you to have a discussion with your doctor or an MS specialist who can help determine which treatment aligns best with your current needs and long-term goals. Hope this helps! -Latoya (Team Member)