High levels of adiposity are associated with poor clinical outcomes in patients with demyelination, a new study has shown. For 5 years, investigators studied 279 patients with a first diagnosis of CNS demyelination, and found that patients with a high BMI, large hip circumference and high levels of triglycerides were more likely to relapse. In addition, the total cholesterol:HDL ratio and levels of adiposity and non-HDL cholesterol correlated with an increased rate of disability, indicating that improvement of lipid profile could reduce the risk of disability after a demyelinating event.