This topic has 4 replies, 3 voices, and was last updated 4 years ago by Micki. Viewing 4 reply threads Author Posts January 17, 2019 at 3:27 pm #15306 Debi WilsonMember A pseudo exacerbation is brought on by external triggers. The other type of exacerbation is caused by lesions on the brain and spinal cord. What types of exacerbations have you experienced? January 17, 2019 at 4:34 pm #15309 Ed TobiasKeymaster Test message. January 17, 2019 at 4:47 pm #15310 Ed TobiasKeymaster Test message 2 January 20, 2019 at 2:07 pm #15332 Debi WilsonMember Thank-you, Micki! Your lack of energy is probably a combination of both and MS and winter blues, mine is! January 20, 2019 at 2:08 pm #15330 MickiParticipant Looking forward to this column. Wondering if my lack of energy is MS or winter malaise. BLEH. Author Posts Viewing 4 reply threads You must be logged in to reply to this topic. Log In Username: Password: Keep me signed in Log In