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How Northern Tier Cyclist and PhD Candidate Mia Cozart is changing the Future of MS Treatment


Meet Mia – a badass PhD student at Georgetown University who’s planning to ride across the country on our Northern Tier route this summer. She’s set to complete her thesis about a potential new drug target for multiple sclerosis treatment this spring.


Both her research and her upcoming ride across the country have been inspired by her mom, Deb Cozart, who was diagnosed with MS when Mia was four years old.

Mia and her mom, Deb


Mia was kind enough to answer a few interview questions about her groundbreaking research and her mom as her inspiration for cycling across the country:


Rayna: Can you tell us a little about your PhD thesis research? What are you studying and what have you found?


Mia: Current FDA approved therapies for MS help slow disease progression but do not stop it in its tracks. Chronic, prolonged inflammation in the brain and spinal cord is what causes disease progression in people with MS. There is a need for discovering new drug targets that combat this chronic inflammation. My PhD thesis is focused on a potential new drug target found on T cells, an immune cell that is known to be the orchestrator and initiator of most inflammatory processes. This drug target is a protein channel that allows metabolic fuel, such as amino acids, into the cell. Just as our muscles use protein as fuel to function and grow, our cells use amino acids to do the same. My data has shown that without this protein target allowing amino acids into T cells, mouse models of MS do not develop the disease.

Rayna: What might your results mean for the future of MS treatment?


Mia: In MS, the immune system attacks the cells that create the myelin sheath in our brain and spinal cord. If you think of your neurons as wires in an electrical cord, the cells that create myelin sheath serve the same purpose as a rubber wire coating would by giving support and protection to our neurons. A new drug target that stops chronic inflammation targeting the myelin sheath would help with the recovery process that fails in most people living with MS. This recovery process is called remyelination, in which our body’s own stem cells are recruited to the site of damage created by the immune system in the brain and spinal cord.


However, more needs to be understood about recovery for those living with progressive stages of MS. A deeper understanding of the cause MS is also an important focus in the field. With the last few years showing more promise than ever pointing towards a cause involving infections like Epstein Barr Virus in combination with environmental or epigenetic factors. I have hope that we will see some great advances in the field in our lifetime and I’m honored to contribute to even a small part!

Rayna: How has your mom inspired you in your research and your daily life?


Mia: I was 4 years old when my mom was diagnosed with MS. I grew up watching her struggle with the disease while simultaneously being the best mom to ever exist. The most inspiring thing about my mom is her positive mental attitude towards every situation, good or bad. Her positive attitude and sense of humor has made such an unpredictable disease seem so manageable and has held our family together through the toughest times. Around my second year of college, I was taking classes thinking I wanted to major in architecture but that was the time my mom’s MS began to progress to a point where she had lost a lot of her independence. This was a huge change for my family and seeing my dad take on the role as her caretaker has been one of the most profound acts of love I’ve seen from any human. It was at this time that I declared my major in neuroscience and haven’t looked back since towards dedicating my life to understanding multiple sclerosis.

I am grateful for the perspective that I have being a scientist making new discoveries for a disease I have lived with for most of my life. This perspective allows me to understand the disease from all angles, it has given me the empathy to understand what each person living with MS is really going through, it has allowed me to communicate my research in a way everyone can understand, and has motivated me to work towards the goal of a world without MS.

Rayna: What are you most looking forward to about riding across the country with our Northern Tier team? What are you most nervous about?


Mia: Being in a PhD for 5 years, the best way I have managed my stress was through exercise. I became a spinning instructor at school and have enjoyed every minute of being part of others fitness journeys! I’m so excited to meet others impacted by MS and ride across the country with them for such a great cause! I’m most nervous about finding a trail buddy. Although some rides will be nice at my own pace I’m definitely looking for people who will push me!


Rayna: Is there anything else you want to talk about or an answer to a question you wish I had asked?


Mia: 1 in 300 people in the US have MS but if you consider everyone impacted by MS (caretakers, family members, children, parents, friends) that number is much higher. Maybe one day we will live in a world without MS but for now I’m honored to be part of that contribution through my research and through organizations like BiketheUSforMS! #doitforDeb

If you’re as inspired by Mia as we are, consider donating to her fundraising page for the Northern Tier. We can’t wait to see the amazing things Mia accomplishes and the impact she has on the future of treatment for people living with MS.

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Why Our Route Leaders Love Their Roles

Our volunteer route leaders love what they do – hear firsthand from some of our amazing route leaders about their experiences on the road with us:

Which ride(s) have you led, and what years did you lead them?

Ted Yates: I’ve led the GAP and C&O Ride (Pittsburgh to Washington, DC) in 2023 and 2024

Jade Budowski: I lead the Atlantic Coast in Spring 2023, and the GAP + CO in Fall 2023. 

Drew Gallagher: I have led the Olympic Peninsula & Pacific Coast in 2024

John “Butch” Breegle: I have loved route leading the 2022 Northern Tier, 2023 Atlantic Coast, 2024 Florida Coast, Olympic Peninsula, Pacific Coast, and North Lakes

Jeremy Francis: 2023 Atlantic Coast and Northern Tier, 2024 North Lakes and will be doing the 2025 Grand Canyon & Zion tour.

Elliot Plummer: I lead the 2023 Northern Tier and the inaugural 2024 North Lakes Tour.

Tessa Nefouse: I lead the Olympic Peninsula Tour and the Pacific Coast tour, both in summer 2023.

Tessa Nefouse doing mechanic work on the 2023 Pacific Coast ride

What was one thing you loved about being a route leader?

Ted Yates: I loved sharing the experience of riding one of my favorite trail rides with new riders. I also love the camaraderie that develops between the riders on these adventures.

Jade Budowski: One thing I loved about being a route leader was the opportunity to cheer other cyclists on and be a resource. I was SO scared and new to the world of cycling when I rode the Northern Tier in 2022, and the route leaders were vital in making me feel safe and encouraging me even when I felt really low or nervous!

Drew Gallagher: I loved getting to be a part of people’s adventure that they’ve spent months, years, or even their whole lifetime dreaming of embarking on and now it’s here! Everyone is here for a different reason and is looking for their own experience.

John “Butch” Breegle: What I love most about route leading is finding the time to compliment team members about their accomplishments being either their commitment to successfully completing a difficult riding day or the funds they have generated to help people with MS. I think this provides a positive difference to finishing a rewarding bike tour.

Jeremy Francis: Being around the crew and helping everyone out. Surprise rest stops or treats and the riders’ reactions to them.

Elliot Plummer: As a route leader, I really loved meeting with so many people throughout the country. Sometimes as riders we get to be individualistic, but as a leader, you are put into an ambassador role. For me, I loved speaking to the country about our message and our goals.

Tessa Nefouse: There were lots of things that I loved about being a route leader, that’s hard to choose! I think for me it would be the relationships you make and conversations you have with every rider on the trip. It’s easy on journeys like this to stick with a group or a few people. But with being a route leader, it’s your responsibility to make sure that everyone’s needs are being met and that everyone is out there having a good time. It fosters a sense of community and inclusion, and that’s really important on a long bike tour! 

John “Butch” Breegle (right) and the 2024 Florida Coast team

What surprised you the most about being a route leader?

Ted Yates: I was surprised by the cooperation and expressed gratitude of the riders. They validate that what you are doing is a worthwhile endeavor.

Jade Budowski: I had the advantage of having seen route leaders in action before I became one, so I actually wasn’t really surprised by too much once I had the chance to do it! If anything, maybe how important the little things end up being? Like the power of a team treat to boost morale, or having music playing at rest stops! 

Drew Gallagher: I think what surprised me the most is the difference in people’s needs and responses to the same situation. People’s reactions to events are so multifaceted that they will always surprise you.

John “Butch” Breegle: What surprised me most is the team helping either setup camp or help setup rest stops so the riders still coming in will have an enjoyable refreshing time when they arrive.

Jeremy Francis: When setting up the rest stops or waiting, all the random people that would come talk and make donations.

Elliot Plummer: What surprised me about being a leader is truly how much work is done in order for the tour to go as smoothly as possible. As a rider in 2018, my only job was to get from Camp A to Camp B. I knew there was some more work as a leader but starting to get camps booked 5 months in advanced was something I hadn’t considered. As a leader you have to make sure the vans are filled up, points of contacts were contacted, rest stops are available, and riders know where they were going, etc. It’s a lot of memorable and rewarding work.

Drew Gallagher and Duncan Moore leading orientation for the 2024 TransAmerica team

What piece of advice would you give to someone who was thinking about being a route leader? 

Ted Yates: Lead by example. Don’t expect the riders to do something that you wouldn’t do yourself. Be patient and encouraging with riders that begin to doubt themselves. “You can do it!”

Jade Budowski: (Call me cheesy, but…) If I had to give any advice to a potential route leader, I would say just do it! Go into it with Duncan and I lovingly call “rah rah!” and be ready to roll with anything. You’re making more of an impact than just driving the van, running rest stops, and coordinating accommodations – you’re who those crazy cyclists turn to when they need help the most! The beauty of leading a team on the road is just how many surprises come up along the way, and how close everyone gets. Be prepared to make lifelong friends! 

Drew Gallagher: Everyone requires varying levels of certainty, support, information, whatever it is. The challenge of being a route leader is doing your best to respond and support your riders throughout the tour – while dealing with the same adversities yourself. Seek to understand your riders as people and do what you can to support their growth. Always have fun.

John “Butch” Breegle: My best piece of advice for you considering being a route leader is to realize team morale is one of the most important steps to a cohesive successful journey on a multi day tour. 

Jeremy Francis: Get good at answering the same questions repeatedly lol. Have patience and just take it all in.

Elliot Plummer: One piece of advice I would give to future route leaders is, it’s okay to take time for yourself. Sometimes it is necessary. While your role is to lead and make sure people are safe, enjoy your ride, stop to take photos, really witness the vastness of the country, or the unique land scapes she has to offer. This is your ride as much as it is everyone else’s!

Tessa Nefouse: If you’re not planning on riding with the group, or you’re already a pro, I’d build up a good repertoire of tasty group camp meals, games, or other activities to have fun with everyone! There’s always a possibility that morale goes down throughout the trip, and it can mean a lot to the riders to have the route leaders plan a special treat, or try to boost spirits along the way. If you’re planning on riding with the group, do some pre-trip ride training! It’s not impossible to start a tour with little long distance cycling experience, but it is harder to keep group morale (and your personal morale) up if you’re super tired at the beginning. 

The 2023 GAP and C&O team, with Ted Yates behind the camera

Dream summer alert!

Bike the US for MS is looking to hire route leaders for our 2025 season! Read on to learn more about this amazing opportunity and hear firsthand from our route leaders why their experiences were so incredible.

P.S. – Alumni, we have a bonus financial incentive if you sign up to be a route leader after having completed any ride with us before!

What makes someone a good route leader? 

If you are passionate about helping those with MS, assisting cyclists in achieving their dreams, traveling the open roads through America’s scenic parks and cities, and having an incredible life experience while gaining great work experience, we would love to have you as one of our route leaders in 2025!

What’s involved in being a route leader?

There’s a wide variety of responsibilities that come with being a route leader, including: 

  • Helping cyclists navigate routes and stay safe
  • Setting up rest stops with water and snacks
  • Driving support vehicles 
  • Communicating with hosts and leaving accommodations better than you found them
  • Approaching every day with attention to detail and a great attitude
  • Making occasional treats for the team – pancakes or a pasta dinner go a long way for morale

This is a volunteer position, but a pretty sweet one — you’ll get a stipend on the road to cover all of your expenses, and we’ll reimburse you for the cost of your travel to and from the trip!

Dave Chiarello cooking up some pancakes for the 2023 Olympic Peninsula team at a rest stop

Inspired? Apply to be a route leader today!

The responsibilities of being a route leader are wide ranging, but so are the rewards. These trips could not happen without the helpful hands of our route leaders. Join us in our mission to help those living with MS, and give cyclists the trip of a lifetime!


Email info@biketheusforms.org if you’re interested in being a route leader, especially if you’re a Bike the US for MS alum. We would love to have you as part of the team that makes everything possible!

Lina shares her MS diagnosis story

MS Diagnosis Stories: Redefining Life at 23 – Lina Garada’s Journey

At the age of 23, when life’s script is supposed to be about exploration, adventure, and the dawn of adulthood, Bike the US for MS alumni, Lina Garada, faced an unexpected twist in her story – a diagnosis of Multiple Sclerosis (MS). This MS diagnosis story traces Lina’s courageous journey from the first signs of MS to her advocacy and participation in the cycling community, highlighting the resilience and hope that define her path.

Lina's personal MS diagnosis story at just 23 years of age is inspiring.

Lina’s Early Life and Path to MS Diagnosis

Embracing the Unexpected: From Migraines to MS Diagnosis

Lina’s path to an MS diagnosis was as unexpected as it was challenging. A series of migraines, initially dismissed as minor nuisances during her triathlon swimming training, became the catalyst for a series of medical investigations. The journey from experiencing migraines to undergoing MRI scans revealed lesions consistent with multiple sclerosis—a reality far removed from anything Lina had anticipated. The complexity of understanding her diagnosis, coupled with the daunting process of navigating healthcare and insurance, painted the initial picture of a journey fraught with uncertainty.

Lina and friends enjoying the ferry back to Seattle on the Olympic Peninsula Bike Loop.

The Challenges of Early MS Diagnosis

Confronting a New Reality: Adjusting to Life with MS

The revelation of having MS at such a young age forced Lina to recalibrate her life’s expectations and ambitions. As is the case for many MS diagnosis stories, feelings of frustration, fear and denial crept in, largely stemming from a lack of knowledge about the disease. ‘How could I possibly be feeling fine and riding 15 miles, yet run the risk of losing feeling in my legs and collapsing at any moment?’

Overcoming Fears: From Wheelchairs to Bike Rides

Lina enjoying the Olympic Peninsula Bike Tour with friends.

Lina’s initial reaction to her diagnosis—a fear of inevitable disability and a life confined to a wheelchair—reflects a common apprehension among those newly diagnosed with MS. However, her journey from those early fears to cycling two large segments of the TransAmerica route and then the full Pacific Coast bike route from Seattle to San Diego with Bike the US for MS in 2019 is nothing short of inspirational. This achievement not only challenged her physical limits, but also reshaped her perspective on what is possible with MS.

Navigating Life’s Hurdles: Treatment Costs and Workplace Dynamics

The Reality of Treatment: Navigating Healthcare and Insurance

As life with MS progressed, as did the treatment bill. Soaring upwards of $180,000 per year, Lina’s experience underscores the financial and logistical challenges of living with MS. The constant battle with insurance companies and the stress of ensuring new employment opportunities offer coverage for her essential medication highlight a reality many with MS face—underscoring the importance of healthcare access and financial support in managing the condition.

The Challenges of a chronic illness and employment

From navigating fatigue and neuro challenges to managing the unpredictability of symptoms, disclosing your MS to an employer can be daunting at best. Lina’s approach to date has focused on opening a dialogue about her condition, being honest with all and adding a touch of humor. As she puts it, any employer that has an issue with her living with MS is not an employer she wants to work for!

One of Lina’s most telling anecdotes involves a simple act of passing a document to her new boss, which became a moment of vulnerability and connection. Her hands, shaking visibly from her MS, led to a moment of confusion for her boss. Lina’s ability to address the situation with humor and grace showcased her approach to living with MS and put her colleagues at ease.

Lina and friends enjoying the ferry back to Seattle on the Olympic Peninsula Bike Loop.

Building Bridges: The Transformative Power of Community and Connection

Supportive Friends and New Beginnings

Central to Lina’s MS journey is the irreplaceable value of a supportive community. Her friends, understanding and accommodating of the unpredictability that MS brings into her life, exemplify the kind of support that makes all the difference. Whether it’s understanding the need for extra time with getting ready, unintentionally storing forgotten items of theirs, or gracefully laughing off an MS symptom, Lina’s circle of friends are the peace of mind she needs to help transform her frustrations into ordinary moments.

Having supportive friends around Lina has been a key part of her MS diagnosis story.

Connecting with MS Champions: The Impact of Don Fraser and the MS Community

Meeting Don Fraser, the founder of Bike the US for MS, was a pivotal moment in Lina’s journey. Through this connection, she was introduced to others living with MS, including a remarkable individual who competed in the Race Across America (RAAM). These encounters not only expanded her support network, but also illuminated the vast possibilities of life beyond an MS diagnosis.

Cycling with MS: A New Bike the US for MS Chapter

Despite MS, Lina’s passion for cycling remains undimmed. Adapting to heat and adjusting her pace has allowed her to continue riding, embracing cycling not just as a sport, but as a vital part of her identity and a way to challenge MS on her terms. Since joining the Bike the US for MS family as a supporter in 2017 and 2018 then as a cyclist on the 2019 TransAmerica and Pacific Coast bike routes, she has become a strong advocate for the organization.

She joined the board of directors to support Bike the US for MS’s goal of supporting those living with MS. Lina has since returned to ride in 2023 on the Olympic Peninsula Bike Tour and we hope she will be out riding with us for many years to come!

Lina has made life long friends as part of Bike the US for MS.

The Nina Fraser Scholarship Fund: Encouraging Adventure in the MS Community

Lina’s MS story is interwoven with the Nina Fraser Scholarship Fund as a recipient of support in 2019. A Bike the US for MS initiative to allow individuals living with MS to pursue adventures that once seemed impossible. It’s aimed at fostering a sense of financial stability leading to greater achievement and empowerment. The fund was set up in memory of Don Fraser’s mother, Nina, who is the inspiration for Bike the US for MS.

Lina explains how cycling has helped her during her personal MS diagnosis story.
Lina making the most of an ice cream stop on the Olympic Peninsula Bike Tour.

A Life Full and Fulfilling

Lina Garada’s story is a powerful narrative for anyone navigating the early days of an MS diagnosis. Through her challenges and triumphs, Lina exemplifies that a diagnosis does not define one’s life. Her adventures, from the trials of understanding her condition to the triumph of cycling down the West Coast, underscore a vital message: life with MS can be full, rewarding, and replete with adventures yet to be had.

Lina’s journey reminds us of the importance of community, the power of resilience, and the endless capacity for reinvention. For those recently diagnosed with MS, Lina’s story is not just a tale of overcoming, but a roadmap for navigating life with grace, strength, and an unyielding spirit of adventure.

Do you have an MS diagnosis story you’d like to share? Or would you like to contact Lina about her journey? Contact us below and we will get in touch!

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James and Cassie in Seattle

Introducing James Whateley: The New Face of Bike the US for MS and Bike the UK for MS as Executive Director

Following Cassie’s farewell from the organization in April, after over a decade of dedicated effort, James Whateley will be coming onboard in a new role as Executive Director of both Bike the US for MS and Bike the UK for MS. He has a rich history with the organization, having first encountered the TransAmerica team back in 2012 when he was 19 and on a self-contained bike adventure. That chance encounter changed his life, as he was inspired by the organization’s founder, Don Fraser, to help others experience the same magic of these rides.

James’ grandfather passed away with multiple sclerosis before he was born, but his first true experience with MS came when he was invited to attend MS support group meet-ups by the Bike the US for MS TransAmerica team. He credits the team’s generosity for getting him through the first few weeks of his adventure, included providing food, water, and even allowing him to stay with the team at their overnights. The next time you encounter a self-supported rider, extend a helping hand, as you never know how they might contribute to the organization.

After returning as a Route Leader in 2013, James helped set up Bike the UK for MS in 2014 with the help of Cassie and Don. During his time studying at university, James ran two-week adventures from John O’Groats to Land’s End and continued to hop across to the US for various trips, including a segment of the Southern Tier and taking on the Great Divide mountain bike route with a group of BTUSFMS alumni.

After finishing university, James ran Bike the UK for MS full-time with help from Cassie and Kaylyn Messenger in the US, expanding the organization and offering a range of trips ranging from three days to two weeks. The UK organization has been incredibly fulfilling for James and he is now excited to take on a new role with Bike the US for MS and explore opportunities to further collaboration between the two organizations.

Though he is sad to see Cassie leave, James recognizes the decade of phenomenal work she has put into the organization and is eager to build on her success. He is confident that his passion and experience will serve him well in his new role as Executive Director of Bike the US for MS and Bike the UK for MS.

James and the 2014 Bike the UK for MS team