yes, i'm based in the city but my parents live in palo alto.
would love hear about how the tecfidera is going -- that's the medicine my doctor has recommended for me. i'm seeing a ucsf neurologist who believes in the diet (and supports my decision to pursue it as a treatment option). we're giving this a three-month trial -- if I haven't progressed, we'll play it by ear and see if I cant get this into remission through diet, lifestyle alone. if the diet doesn't seem to be working, i'll get on the tecfidera.... my concern is that apparently t can cause stomach/gut issues, which I believe to be a root cause of ms (and autoimmune disease in general).
I did quite a bit of research, and after being extremely inspired by omg, I decided to adopt for an autoimmune disease-paleo based diet, vs the strict OMS diet. know oms is based on low saturated fats but I feel conflicted -- fat is good for the brain and there are many cases (including terry wahls) in which a diet that's high in veggies, fish and some grassfed animal meats, in addition to coconut, can be really good for ms (and great for brain health in general). in other ways the diets are extremely similar -- no processed foods, no dairy, no sugar. i'm going to see how this works over the next few months. i'm also seeing a nutritionist to support me through this -- she's suggested some good supplements for ms, including vitamin D, carcumin (turmeric), glutathione, fish oils, and a few others.
definitely agree that a restrictive diet like this takes some adjustment... and requires a lot of home cooking, but eating clean feels great and for me, it's been much easier to get used than i would have feared.
anyway, could talk about ms diets all day -- please keep in touch and let me know how your wife's condition improves