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Ask HN: Migraine prophylaxis?

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Re: Ask HN: Migraine prophylaxis?

#51

Post by cozuya »

3pt14159 wrote: post #27

My migraines have mostly gone away now that I exercise regularly. For me it was cardiovascular. I'd see an aura and I'd get ready for the pain when I was a kid. Later in life I discovered that taking a simple Advil as soon as I saw the migraine would head it off. When I was a kid chocolate covered almonds and OJ would almost always hit me with a migraine. I discovered this by keeping a journal of what I ate. Changes…

Oddly I had ~quarterly migraines (aura/blindness, the whole thing) every year from age 25-32ish when I got into weightlifting for the first time. Since then I've had maybe 2 in the past 10 years. Didn't know they could just go away like that.

Re: Ask HN: Migraine prophylaxis?

#52

Post by Ninjaneered »

I'm a bit surprised not to see Excedrin mentioned anywhere. Perhaps it's because it has caffeine and reading some of the comments seems that caffeine (dependence) may be a trigger?

I'm not entirely sure if I get headaches or migraines, but whatever they are, they shut me down for hours and sometimes even a nights sleep doesn't clear them. Depending on the severity, 2-4 Excedrin will clear me up in about 30 minutes.

Re: Ask HN: Migraine prophylaxis?

#53

Post by amcrouch »

wallace_f wrote: post #6
amcrouch wrote: post #2

Triggers for me are dehydration, tiredness, stress and oo much bad food. I found that eating meat and dairy also had a massive effect on me and led to me giving them up. I have been more or less Vegan since figuring that out 20 odd years ago.

Same--I generalized it as basically my body is vindictive about treating it badly. Except I'm better off with meat and dairy. And especially cheese. I have experimented with vegetarianism, but only for my fussiness about my feelings for helpless animals.

I dumped meat and dairy as I was also finding the more of that I ate the more time I spent on the toilet. Then you start to read up on what you're actually eating and being an animal lover it all just added up for me.

I should have added that I have also found exercise really helps me as well. High cardio if I feel I could be getting an attack coming usually see's it off.

Re: Ask HN: Migraine prophylaxis?

#54

Post by wink »

I'm glad insofar as I've been experiencing them less and less as I get older. They were worst as a child and in puberty, bad during studying and kinda ok now.

They're too rare to pinpoint a real trigger, but maybe it's indeed https://en.wikipedia.org/wiki/Foehn_wind#In_popular_culture as I have suspected.

I'm also glad I can usually just sleep it off in a night even in the worst cases, or take 1-2 Ibuprofen and go to a dark, silent room for an hour or two if it's only moderate.

Re: Ask HN: Migraine prophylaxis?

#56

Post by lnufnu »

I have many triggers. Some foods (probably histamine/tyramine sensitivity), smells, and weather. After a few years they became chronic and almost always had a migraine.

A combination of Zonegran, Botox every 12 weeks, and sphenopalatine ganglion nerve blocks and naproxen for acute migraine have them under control now. Topirimate negatively impacted my language skills and memory, but Zonegran is more tolerable and effective. SPG has a long history for TMJ and facial pain, and the Allevio and Sphenocath devices make the procedure easy. Other nerve blocks and Cephaly have been helpful in reducing the severity of the pain. A lower carbohydrate diet has also helped.

Vaping medical CBD has aborted a migraine immediately multiples times, but is not available where I live yet.

There are new CGRP blocking drugs that are supposed to be on the market soon. Aimovig is the first, and it's a preventative.

My doctor actually wrote an app to help people track their headaches: http://www.iheadache.com/

Re: Ask HN: Migraine prophylaxis?

#57

Post by vinoo99 »

jlebrech wrote: post #22
constantlm wrote: post #17

Earlier quoted context omitted.

I've had one experience in Indonesia where I had a massive amount of noodles with a massive amount of MSG in it. Soon after consumption of said noodles, I had a migraine attack. I also had a ton of work stress at that point, so I'm not 100% that MSG was the actual trigger for me.

stress will increase the blood flow to your brain and chemicals your liver has metabolised from msg might enter your brain. that why it's doesn't affect everyone as everyone metabolises things differently.

https://uniqsofts.com/jio-dth-booking/ https://strackit.com/
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