Been on the diet now for 4 years I did take copaxone for about a 1 1/2 years but got lots of side effect and felt rubbish all the time. Been off meds now for 18 months feel a lot better in myself do still have off days and days where numbness and fatigue play up. Have got back to working more hours and living life. After a visit with my MS nurse today I got the results from my MRI that I had 9 months ago it showed no active lessions but new lessions where there and the would like me to start meds again aaahhhh what to do.
I'm approaching the 4 year mark too. The meds decisions are hard aren't they.
My personal approach (& it is very personal) is wanting no MRI activity as well as no clinical and I take Gilenya. It is the only DMT I have experience with, and apart from the pill taking I wouldn't know I am on it. Of course there are potential side effects some of which are serious and can't predict if will or won't get them; my take on it is ongoing brain damage is very deleterious and worse is sometimes both subclinical and cumulative.
Just wanted to say it is possible to be on OMS & a drug which is both highly effective and well tolerated.
Good luck with whatever you decide