This is a great thread!! I hope you get a lot of responses. I am not a real good one to start but I will anyway. I have very high level of functioning. I have only had this disease for a few short years and I was blessed to have gotten a diagnosis very quickly and I have responded well to copaxone. I have chronic vertigo and balance problems. Nothing seems to change that. I have tried lots of different things, believe me. My limbs are all very strong (after some grueling PT) and I maintain that with a pretty serious workout routine. None of my limbs are perfectly corrdinated. I drop, spill, toss, kick stuff all the time. I am able to work full time. I have cognitive issues (executive function, focus and attention). I have visual tracking problems. I have some issues with fatigue but I also push it a lot!! I have constant/daily bowel and bladder problems. Then there is the whole host of issues that come with numb feet. I have to check them constantly. I am sensitive to the heat.
I manage all this with exercise and supplements. I get plenty of rest. I work on keeping (esp. the legs) muscles strong and stretched. I do use baclofen for the spasticity. I use adderall for the cognitive junk and it also helps a bit with the fatigue. I manage the bowel and bladder junk with cranberry extract, lots of supplemental fiber and dietary fiber. I know my limits and for the most part I have learned to compensate for most situations.