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If you’re navigating MS and menopause , ask your provider about: Brain and spinal MRI (to track lesion activity) Vitamin D levels (deficiency is linked to MS flares) Hormone panel (estradiol, progesterone, cortisol) Cognitive assessments if mental clarity or memory are concerns DMT (disease-modifying therapy) optimization , as HRT may influence how you respond to certain medications Supporting nervous system resilience, stress regulation, and sleep quality is especially important for women with MS during the menopausal transition