Understanding the Impact of Inside and Outside Environments on Multiple Sclerosis

This presentation explores how various factors in both inside and outside environments can influence the development and progression of Multiple Sclerosis (MS). Topics covered include the gut microbiome, Epstein-Barr virus, obesity, tobacco use, vitamin D levels, exposure to organic solvents, and shift work. Understanding these influences is crucial for managing MS effectively.

• Multiple Sclerosis
• Environments
• Gut Microbiome
• Epstein-Barr Virus
• Obesity

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1. How Inside and Outside Environments Affect Multiple Sclerosis Allison N. Block, DO Multiple Sclerosis Fellow, University of Chicago

2. Outline Outline I. Inside environment i. Gut microbiome ii. Epstein-Barr virus II. Outside environment i. Obesity ii. Tobacco use iii. Vitamin D iv. Organic solvents v. Shift work

3. Inside environment- Gut microbiome Photo credit: https://www.microbiome.in/blog/the-story-of-a-microscopic- community-inside-your-gut

4. Inside environment- Epstein-Barr virus Photo credit- https://www.redbubble.com/i/sticker/Mononucleosis- Mono-Virus-Structure-by- superelephant/54017407.EJUG5

5. Outside environment- Obesity Photo credit- https://en.wikipedia.org/wiki/Obesity

6. Outside environment- Tobacco use Photo credit- https://www.psu.edu/news/research/story/light-smokers-may-not-escape-nicotine- addiction-study-reveals/

7. Outside environment- Vitamin D Photo credit- https://www.fhcsl.com/sunshine-and-happiness-5-reasons- to-go-outside/

8. Outside environment- Organic solvents Photo credit- https://www.goodhousekeeping.com/home/cleaning/a38885055/what-is-dry- cleaning/

9. Outside environment- Shift work Photo credit- https://www.ksjbam.com/2022/03/02/cities-with-the-most-night-shift- workers/

10. Thank you! I. Inside environment i. Gut microbiome ii. Epstein-Barr virus II. Outside environment i. Obesity ii. Tobacco use iii. Vitamin D iv. Organic solvents v. Shift work

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