The NMO/SD is really similar to MS and I agree, no truer words have been spoken, it is a long slow process in either direction. On Rituxin/Rituxamab with a couple weekly doses of Neurontin and Prednisone I have been 'flare up' free. Some basic pain and inflammation. That also was a combination of the weight, the work, the birthdays and having an autoimmune disease. The carnivore diet pretty much removed the pain and inflammation, mostly as the weight came off, but before the biggest part came off. For me, I feel like the Rituxin has been working but I also think I have changed the playing field with carnivore. Almost like Rituxin provided me with the health to play at par and carnivore and the gym got me some better than par. I'm wondering if coming off Rituxin moves the needle back to par, or does the needle move at all. That is my thinking right now. Scott