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652 95% CI (0.226-1.882) = 0.426). Hypertension (OR = 1.445 95% CI (0.724-2.885) = 0.295) Appendectomy (OR = 1.269 95% CI (0.486-3.317) = 0.626) Tonsillectomy (OR = 1.280 95% CI (0.576-2.843) = 0.544). First-born Child (OR = 0.933 95% CI (0.558-1.562) = 0.793). Our study suggests that smoking, vitamin D deficiency, family history of MS, and migraine are probable risk factors for multiple sclerosis. Therefore, engaging in outdoor activities and maintaining a healthy diet-for females in particular-is highly recommended. Our study suggests