I talked with Biogen (makers of Avonex) today and I will get my 1st shipment tomorrow. Monday the nurse will come to the house to show me how to do the injections. This first month will be a ramp-up to full doses (1/4, 1/2, 3/4, then full doses). I also got in my Vitamin D3 last night. I am starting that as well. So far, nothing noticeable.