Wow, this is such a great question, Craig. I am going to first say that we aren't medical professionals here and can't give medical advice. With that being said, I think that the honest answer here is that one thing isn't necessarily better than the other, which is why we always say you should have these discussions with your physician to figure out a plan that works best for your body makeup. I've seen so many people in the community mention that tailoring their diet helped them tremendously with inflammation reduction, while others, who have incorporated the same diet and lifestyle changes, didn't see any improvement with their MS. MS can be such a jerk like that sometimes. Conversely, some people that have gone through things like HSCT have said that it has worked wonders for them in terms of progression and symptom reduction, while others saw negative reactions like increased exacerbations and quickened progression. The whole point of what I am trying to convey here is that it is important to find what works for you and your body as it may require different things than someone else. I feel that that response probably isn't the response you might have been hoping for, and I truly hope that others will chime in here and share their insights and experiences as well. Along with asking other community members, what I would recommend is to research, research, research, and bring all of that concise information to your physician to gauge their thoughts on what and when to try incorporating and exploring new things. In terms of research, we have many articles that dive deeper into both diet and other treatments like HSCT that, if you would like, I can link for your reference! Warmly, Kayleigh, MultipleSclerosis.net team