Matinum

Taking Charge of Your Health


(gentle music) – Hello, everyone and
welcome to BioHackers Lab. I’m your host, Gary Kirwan and on today’s episode I have Angela Stanton. Angela has a PhD in Neuroeconomics, which is a research field that looks at how hormonal variations of the brain affect the decisions people make. She now focuses on
researching brain function and how it relates to chronic pain. She is a participating author in the textbook called,
Encyclopedia of the Mind and she has published her own book called, Fighting the Migraine
Epidemic: Complete Guide: How to Treat and Prevent
Migraines Without Medication. Angela, thank you so much for coming onto the episode for today. – Thanks, Gary, it was really nice that you’ve invited me. I’m flattered, thank you. – No problems. Well, you’ve got some exciting
research that you’ve done. You’ve got your own
protocol, which is all to do with headaches and specifically migraines and I think the information
that you’ve shared in your book, which I’ve
had a chance to read a bit, is really exciting for people
who suffer from migraines. I personally know some
people who suffer migraines and it’s a problem, so I’m really excited to try to find out from you
today what can people do to both prevent and help
it when they’re in pain? – Yes, I think over 15% of the population is diagnosed as migraineurs, so it is a much bigger problem
than it is understood. – Yeah, so my first
question for you then is, how would you explain the difference of what is the difference
between a migraine headache and a normal headache, or
like a tension type headache? – There are a lot of differences. I think that the most important difference perhaps is when you get a normal headache, a tension or otherwise,
it’s just a headache. You don’t have any
precursing like a prodrome. You don’t have any sensations before that. You can take, usually, some over the counter medications and it goes away. When you have a migraine, you have, oftentimes up to two days of prodromes. The prodromes can be sensitivity to light, scent, these are well known. It could be aura, which
may be a little bit closer to the site of the migraine. People can get extremely
hyper, almost as if they were ready to hike
the biggest mountain, or they can be depressed. So you have a lot of emotional variability and these are all hormonal. And in addition to that many of the migraineurs have metabolic changes. They may start vomiting, have nausea, they may get dizzy, vertigo. These are the signs that
are really uncomfortable. And there are signs for example, for me, one of my eyes will become smaller. I didn’t know that, this
is part of the book, how it was discovered and since then, I have worked with over 4000 migrainers. This seems to be a universal symptom. This you don’t find with
any other kind of headaches. – That’s interesting, so your actual pupil will change on the one side. – No, it’s not the pupil,
it’s the size of the eye. Apparently, the migraine
part of the brain, where the brain is not
functioning properly, it’s not getting enough sodium, which we’re going to talk about later, doesn’t allow the muscles to work so the eye literally
isn’t able to open up. – Wow, okay, so the
words you used earlier, just for people who wouldn’t have maybe heard it before, prodromes. That’s something like
a symptom that happens before the actual condition occurs? – Right, it’s a chain of events. Some people only get one
prodrome, maybe yawning. That is a very typical migraine prodrome, starting approximately one to
two hours before the migraine. That would be a prodrome
very specific to migraine. – Yawning? – Yawning and that is part of the chain reaction of all
the hormonal startups. Migraines start as a release of an anxiety hormone cascade. Or, it was triggered today by nothing. It could be by a plane
flying by or a fragrance in the perfume counter somebody’s spraying out and it’s really strong. It’s a perceived danger,
but in ancient times, this would have been danger. So here we come to
something more complicated, which is associated with what is called a hyper excitable brain of the migraineurs, so it’s a busy brain. So we have different brains
from the standard brain and when this cascade is
alerted for whatever reason, it releases a whole lot of hormones which you would refer to as
fight or flight hormones. So a migraineur will go through, releasing of adrenaline,
increasing heartbeat, all the digestion shuts
down, hence what I was saying with vomiting and other things. It’s a whole set of
steps that is pretty much the same for every single migraineur. And so the cascade events,
because you start increasing, your blood pressure increases,
your heartbeats increasing, you need more air, hence yawning. – Hmmm okay, interesting, I’ve heard of a lot of the different symptoms that people can have with a migraine and maybe see, like you mentioned, that word aura before so that’s when some people can see the little
dots in their vision or their more sensitive
to smells or something but the yawning that’s interesting, I haven’t heard that one before. – Most people don’t know these because when a migraineur
goes to a doctor, or goes to the emergency
room for treatment, she’s already past that stage and most of them may not even remember until they meet another migraineur and they start communicating, “So what do you feel before?” “Well I feel this, I feel that.” “Wow I feel that too
and do you feel this?” So it kind of builds up
and this is how I started. It kind of builds up in saying wait this is not just me it is everybody else. And so we have a whole lot of symptoms that are not recorded in literature. – And this is also why,
I know you’re a part of the International Headache Society I believe I saw
– Right. – And if anyone’s ever
had a chance to look at the International
Headache Society’s book on headaches and
classifications of migraines, I mean the migraine section,
you don’t just get one, there’s like multiple types of migraines. Hemipegic, you know, vision
loss, semi-paralysis, there’s some really
funky migraines out there but as you said it sounds interesting that would you say all of the people in that group then will have some sort of presyndrome, some prodrome? – Right, they do and what I thought really interesting, for which my Facebook migraine group was extremely helpful, was to find out that it
really doesn’t matter what kind of migraines you have. It could be hemiplegic
where half of your body, any parts, it could be the whole half or just little parts, or
it could be slurred speech, stroke-like symptoms, whatever you have. It really doesn’t matter also whether you’re an aura migraineur or not. The basic underlying cause is the same. Every single one of them responds identically to the same kind of a procedure, which is
what I call the protocol. So they all respond to
the protocol the same way and all of the migraineurs in my groups, eventually come off of
all of their medications. This is not a request but
they stop having migraines so they start coming off medications and they remain migraine-free based on the same identical protocol. So if you’re looking at it that way, basically every single
migraine is identical. What differs is what part of the brain is being affected by it. – Well that makes complete sense. Because that is what’s happening, why you can have such
variations in the symptoms of migraines as we just mentioned. So what you mentioned
there with the causes too that’s a great queue into the next part because when someone suffers a migraine, it’s that horrible quest of going, so what is it, what is causing this thing? Is it because I’ve had
a piece of chocolate or I’ve drank too much coffee or it’s genetic or it’s my environment? Could you just go through
some of the causes then that you think both do
actually cause a problem and something that it’s a myth, people shouldn’t even worry about that. – Okay so there are a
couple of answers to this so let me take the first one. Migraine is genetic so you really need to be born with a brain that is capable of producing a migraine. A migraine brain is hyperexcitable and what actually that means is, take for example somebody’s nose and a migraineur’s nose, my nose. And we have the olfactory
bulb that goes into the brain and it connects
to other neurons right? In a normal brain, I’m just going to come up with the numbers here. In a normal brain, assume
that olfactory bulb neurons connect to 10 others,
just saying a number here. In a migraine brain,
they may connect to 1000. So the magnitude is huge but it’s only for the sensory organs. When you’re talking
about the genetics of it, if you don’t have this kind of genetics, your chances of getting
a migraine is zero. So you need to have this kind of a brain. Now just because you
have that kind of a brain it doesn’t necessarily mean
that you end up with a migraine. I have that brain, I’ve
always had that brain and I haven’t had a migraine
for quite some time. I can initiate one because I know how to. So here we come to the food, nutrition, environment and all of these are factors. In the environment,
barometric pressure change causes changes in electrolytes in the body which then affects the
migraineur terribly. A full moon will affect the migraineur for somewhat different reasons and if we have time
I’ll cover that as well. Food, the food is probably
the most important because given the kind of migraine brain, the multiple connections which are significantly stronger and more powerful, we actually have a lot more
communication going on. And communication is voltage. How do you get that voltage? So then you start looking
into what creates voltage, what exactly is it and you discover it’s the electrolyte
mineral concentration. So when you use a lot more of something, like migraineur brains use
a lot more of something, then you tend to run out of it so you need to replace it. So then the next thing that you look at, what do I do to increase that? And how come that I run
out of it so quickly? And so this is something
that I, totally by surprise, found in a medical manual on page 4 and this is a tiny book, medical manual. And it’s used in emergency
rooms and I don’t know why it just hasn’t hit
anybody in the face, but when you eat carbohydrates, the glucose when it enters your cells, removes sodium and water from your cells. So here is the basic problem for complete disequilibrium of the electrolytes, the way we think that we create voltage and in migraineurs who are predisposed to having a bigger
reaction because they’re genetically predisposed to have diabetes, the reaction is equivalent
to a diabetic reaction. Which means it’s a huge reaction and a lot of sodium and a lot of water will be removed, ends up
in edema or similar places. So eating food that converts
into glucose easily, I’m talking about carbohydrates very specifically simple carbohydrates, processed food, that
kind of carbohydrates, are all 100% migraine occurs so, without exception they will remove enough sodium and water from the body that the migraineur will
end up with a migraine. And I go further than that that even what we call more healthy carbohydrates like fruits and vegetables can also, to some migraineurs, be to the detriment of getting another migraine. So the foods that a migraineur should eat, contrary to many other books out there that suggest just take out the foods like chocolate which is an irritant because of certain chemicals, no. Chocolate is an irritant because it’s high in potassium, not enough sodium. So if you’re eating chocolate, foolishly enough, with
glucose sugar in it. Let’s say if you’re eating a totally 100% dark chocolate you still will get a migraine if you don’t salt it. So it’s the potassium-sodium
balance that matters. – Interesting okay, so I mean you covered quite a lot there,
especially with the food and the genetics so just coming back to the genetics part then, is the 23 and me kind of test useful? – Right.
– So if you did one of those you can sort of see are you predisposed because you’ve got that genetic profile. – You don’t even have to look at it, if you have migraines, you
know that you’re predisposed. You can actually go to the human database, you know human genetic
database at genecards.com and at Gene Cards just type in migraines and the whole migraine
profile will show up. And it is ordered in importance so just look at the first 10. Every single electrolyte pump gate, everything is a mutated form. And while I’m saying mutated it’s actually a little bit more complicated, this isn’t really the mutated form because my estimation,
this is a hypothesis, this has not been proven but, because of the alert brain,
if you look at wild animals, look at your cat, look at your dog, their ears are turning all the time. Cats are famous for
sleeping with half eye open. They’re alert, they’re constantly alert. Migraineurs are pretty much the same. So my personal hypothesis
without any proof yet, is that the migraine brain is probably the ancient origin of the human brain and so those who don’t have migraine are probably the ones who are mutated. They are probably adapted
to a more modern lifestyle whereas migraineurs are
probably the originals so if you go back into the tribal life a long time ago perhaps
we were the shamans, we were the ones who were tending the fire at night while everybody
was sleeping, I don’t know. But, we have such incredible
ability to discover some noise that is above the white noise and that goes for the scent, the sound, just about anything you can
think of including vision. We don’t have good vision but we have extreme peripheral vision. So if a leaf moves I may
not even see the tree, but the leaf moved and I’m on it. Other people may not react to that. – Okay that’s interesting because that’s what you mentioned earlier about the anxiety and
the hyperexcitability. So in this case you’ve
got like spidey senses, so your vision, your smell, your taste, everything is just on this edge system and it’s just looking for something, hey what’s that, what’s that? It sounds like that’s kind of the way that you’re describing
that a migraine person’s brain is versus someone
who doesn’t suffer it. – Yes and I think that the
personality goes with that. So what I found in most
cases at least so far, even remotely, is I talk to my migraineurs on Facebook and some I met in person and my husband can testify to that that we like opposite trends. Where it could very well
have all been trends. It’s just really amazing that, somebody’s just posted in my group, maybe we all had a
single relative somewhere millions of years ago because, we are completely identical
so our personality reflects who we are, we
tend to be probably hyper, a little bit a type A personality, always wired, ready to go and ones to know, feel and sense everything. – Okay and what about, we’ll get on to the food part because that’s
going to be a big part but just before we get to that too, sleep-wise is there a
difference between people who suffer migraines and
their sleeping habits? Do they sleep deeper, do they need to sleep longer, are they light sleepers, is there any trend out there? – Yes that is an amazing question, I’m glad that you brought that up. Migraineurs, because of their half eye being open kind of asleep, they’re not too much of a deep sleepers and this is one of the
problems with diabetes, as you probably know and also we tend to have extremely vivid dreams. Nearly all of us discuss
not being able to sleep because you had to dream, you may wake up in the middle of the dream
and you remember your dream. I still remember my dream from yesterday which was really weird and odd. So we are a little bit
restless, I would say. Most migraineurs have some form of problem with sleeping and it’s quite a bit, I’m wearing a FitBit device
to monitor my sleeping and I can tell when I did or didn’t get a good night’s sleep based on how my body’s going to respond to my food that I eat which is a
really important part of it and yes, our sleep is extremely different from other people. I find that, let me
backtrack a little bit. So when you’re sleeping,
your brain actually goes through a particular process, it literally shrinks to allow the fluids to clear fragments and
proteins and other things and in the migraineurs,
because their neurons there’s so many connections
and they’re so sensitized, as this fluid goes through
it touches the neurons. It literally is a stimulant. So our wild dreams and
very vivid imagination in our dreams perhaps
are connected to this cleaning mechanism that we’re just simply responding to it as
though it was a stimuli. – Oh wow okay, so while you
think that sleep should heal and I’ll bring in the sleep-pokers, a lot of people when they get a migraine it’s dark rooms, so they’re
minimizing the visual sense and they want it to be
quiet and then try sleep to try and get rid of the headache. And it’s crazy to think in a way that, as your brain is cleaning
itself through that system, that it’s actually potentially gently stimulating your neurons. – It does and so when you have a migraine you can’t actually sleep, but the dark room is
probably a very good idea because you’re removing a lot
of external stimulus otherwise so migraineurs will have a closed eye, they will have a closed
door so it will be quiet. Everything will be pitch dark. Most of us sleep with an eye mask, I do. If there’s any kind of a light or anything like an
alarm clock or whatever, it always gets covered in any
hotel room and everywhere. So yes, we tend to navigate toward dark and quiet but another really
important thing happens when you have a migraine
is that you don’t eat. And that itself, the fasting part, even though you’re not
aware that you’re fasting but you haven’t eaten for a whole day because you had a migraine and by the way, migraines last longer than
a day, usually three days, the pain period itself if you have pain. So if you’re not eating
for one to three days and oftentimes you
can’t because everything just comes back up so you
maybe able to drink water and substitute salt if you’re in my protocol group or read my book. Otherwise you basically get into the fasting beta ketogenic format which then allows your brain to recover. It’s a very interesting process that when you do have a migraine, I just recommend for everyone don’t eat just drink water and salt. – Okay because that’s a great queue now so we’re going into the
nutrition side again of the causes here and
also a part of the solution so your approach then is it like a modified ketogenic,
modified low carbohydrate, kind of hybrid way of doing things because of, as you’ve been touching on, is that glucose control that inability to handle the carbohydrates
and putting you at risk of like diabetic type responses. So you’re saying another tip here, both to prevent a migraine I don’t know about maybe preventing but definitely once you’re in the throes
of a painful situation that’s where the fasting naturally is trying to help you deal with the pain. – Right and you can
actually prevent a migraine because your prodrome period is so long that once you know how to identify that you’re actually in a prodrome, this is probably the
hardest part of migraine to discover that hey I have
a prodrome so I better act and increase my sodium and
increase my water perhaps, stop my carbs, stop eating. If I do that I actually am
preventing my migraines, that’s why I haven’t
had any for a long time. I did, a couple of days ago because I ate something that I didn’t know had sugar in it and quite a bit I think. It was just meat, by the way, and so a modified diet,
and I’m saying modified because a migraineur is
number one genetically pre-diabetic no matter
what she does or he does. Number two, if we just
simply start fasting, we will end up with a migraine because that will induce
an electrolyte imbalance so it has to be done really cleverly, differently from other people. And also we have a lot of
children that we deal with. I deal with children of
age two who have migraines, so it’s not specific to
women of the period when they start menstrual and
whatever, that’s not true. It’s for all age groups and I deal with a lot of boys and men, adult men. Some of them over 70 years old. So it really touches everyone. So we needed to modify the diet, you can’t put a three
year old on a ketogenic diet so we had to modify it such that, whatever we do is applicable
for all with minor changes. – Well I mean what you brought up there is a great point about the difference in age groups and the sex groups and so if we try to just put it on a single hormonal event
like the menstrual cycle it doesn’t explain why a two
year old is getting a migraine or a 70 year old is getting a migraine. But that inability to
control the glucose element is the link between all of those people. – And it’s not just the
glucose it’s the insulin. As you know there are two
theories with diabetes, one is on glucose and the
other one is on insulin. It is a little bit more complicated when it comes to migraine but it seems that even a migraineur
whose fasting insulin is low is still in insulin trouble. And so we have to look to see, what is the insulin
response to certain foods? We have trouble identifying that because nobody’s measuring insulins but I just read an
article a little while ago by hormonesmatters.com, which is not my website I’m just a blogger there. One of my members who is, pardon me, not a migraineur but is
a sister of a migraineur, joined my ketogenic group
and she went through, she’s not in the U.S.,
she went through the test, the typical test for the
oral glucose tolerance test. But in that country they all
started insulin to go with it. It was not a tract NG tubes, it was not a five hour long test just
a one and a half hours but it was enough to see what
was going on and also urine. And her glucose was completely normal. So measuring glucose in general, I completely agree is quite meaningless. You need a surrogate which you talked to Ben Bikmann the other day about, actually almost a year
ago or two months ago, that ketone measure, beta-hydroxybutyrate can actually be a surrogate for insulin which is something that I use as well. But it seems that for migraineurs, when I send them for
a fasting insulin test and I have a preset form
of, a list of blood tests and urine tests they need to take and ask the doctor to
have, I find that many of my migraineurs have
totally healthy insulin, yet they have insulin resistance. So there is something different about a migraineur that is not
covered in literature. It is not covered by understanding a normal person who is not a migraineur and how they respond to
food, glucose and insulin. We are somewhat different
because we may have completely normal insulin and
still be insulin resistant and still have issues
and have major problems in response to a lot of foods
that other people don’t. – Okay and so would you
expect then that with someone who suffers then with a migraine that, if they eat any sugary
foods or sweet foods and it creates that spike that it, it doesn’t always cause a migraine though. Is it sort of like a threshold point that, as you said, you’re going to catch them at a certain time in their physiology and then it just can’t control it and they go through
this cascade of events? – Exactly so there are two points. One is a threshold, there was a time when I ran a threshold test in a group but it ended up giving migraines to everyone so I stopped doing that. But in that threshold test they were to drink a certain
amount of, I think, cranberry juice, which is
very high in carbohydrates. They were to drink a certain
amount of cranberry juice and have a certain box of blueberries. Blueberries are sugar bombs. For most people they are good sugars but for migraineurs they are sugar bombs. And they measure the bowl
and they used the database so I would know how much carbs they ate and they could measure it at the point they no longer get the migraine. So they can keep on repeating the test and go down to see their threshold. The problem is that
this threshold changes. The threshold changes based on two things. One of them is how much fat
you’re eating with that food. We know that that is going to change, also protein but fat has the most effect. So if I have a threshold, I’m just going to say a number here, five carb grams, which is my personal
threshold, by the way, if I eat 10, as long as I
mix it with fat I’m fine. If I don’t mix it with fat, within an hour I will be just wallowing in pain. So there are differences
in how you eat that sugar and the threshold changes also in terms of where you stand in your
insulin resistance. What we found out is
when my migraine members joined in my group and I
had them, long time ago, do this threshold test at
the beginning, they did not get migraines until
maybe about 23 carb grams because their insulin
didn’t respond properly. So they were so insulin resistant that it took a long time for their glucose to clear from their blood
and get to the organs. But as they get on the
low carb, high fat diet and their insulin starts to
improve in its sensitivity, their response, the threshold drops. And so there was a lot of complaints. Wait a minute, I used
to be able to eat this, now I can’t I’m getting
a migraine from it. What’s happening, this is bad. I say no this is good, that means you’re reversing your insulin
resistance and so you now have the response that you should’ve had. And so, that two changes, we can’t really count the threshold, the best way to do it is simply not eat it. That’s the best way to do it. – Okay well that point
you’ve just mentioned there about adopting a
low carbohydrate diet and then suddenly your
tolerance sort of lowers and you go hang on why
can’t I handle this? I can relate to that, I know of people who have that exact issue and they think no but I used to be able to binge on this and I was fine but now you just give me a couple of bites of a donut and it just knocks me, I
don’t feel great at all. – Right and as I’m explaining that to you, it’s really difficult to come to understanding what actually that means. It just simply means your glucose is departing from your blood much faster. So everybody measures glucose in blood. The glucose in the blood is not what you’re using, it’s there to be used. So when you’re eating an apple it has, I mean an approximate average depending on what apple I’m talking about, usually the green sour Granny Smith, you will have 16 carb grams, I mean now part of it is fructose,
part glucose, but 16 is four teaspoons say two teaspoons
of glucose in that apple. In your entire blood you
only have one teaspoon. So if you’re eating that apple, you just tripled your amount
of glucose in your blood and that’s a medical emergency as far as your blood is concerned. Glucose in the blood for
a longer period of time is toxic so if you’re insulin resistant, the amount of glucose in your blood is going to be staying higher longer and therefore your reaction
to it will be reduced because it’s not in your cells it just didn’t get into
the interstitial space around the cells or into the
cells and so it’s just waiting. While it’s killing you
from being in your blood, you don’t necessarily
have a reaction to it but as your insulin starts improving and getting more sensitive
and a better response, then you’re going to suddenly remove the glucose all at once and deliver it to wherever it needs to
go and so your reaction to it is going to be very quick and this can also
backfire because if you’re on a ketogenic diet or something and your insulin is really low, and you’re eating
something you used to eat, you may not have enough
insulin to take it away. Again, you may have a lot of glucose for a long time and it may not clear and you think you’re
okay but you’re not okay. This can also cause trouble. – Okay and what you were
talking about earlier then sort of the premise of this problem is is that you’re losing
sodium out of the cells. And this is where you
said even don’t just fast if you’ve got a migraine because you’ll be losing more sodium then you, it sounds like a solution here is that you take in more salt to try
and counteract the loss. Is that the way that you also then would modify a low
carbohydrate or a ketogenic diet for someone who suffers a migraine? They need to really up their salt level. – They do, we have not measured extrabasal difference we start out at potassium-sodium ratio is what we look at. So we insist that
everyone eats whole food, rich in potassium, no processed foods and so we used the database,
they used the database, or similar there are some apps that tell you how much potassium you ate. So we try to match that
amount with sodium. Not salt but sodium, so
sodium is 40% of salt. In the U.S. only sodium
is marked on boxes, I know in the U.K I think it’s salt. So it’s a little bit, it gets confusing. We try to match 1:1 to
sodium to start with and what we find is later on people try to increase to a point where the migraines stop showing up. We find that on average if they take about twice as much sodium as potassium, and some of us who are athletes that do weightlifting and kickboxing and other kind of stuff, I usually take three to four times as
much sodium as potassium. So it’s much stronger and also the water. If you look at fasting particularly, when you have a migraine
and you don’t eat, you’re fasting and so your body is going to be using fat. Fat has a lot of water in it and triglycerides that is being stored and so I believe for each gram of fat you burn you also lose
four grams of water. I’m looking at molecularly
it is for one molecule it’s three molecules
plus in the glycerol cap. So you’re losing four
times as much water as fat you’re using in terms of
grams, not in calories. So you need to replace
all that water as well but when water clears from the kidney it also clears sodium
so it isn’t just that you’re using more sodium in your brain you actually also clear more sodium as a result of fasting or because when you eat glucose, it isn’t just sodium that it removes it also removes water. So you have to replace
both but the problem with the water, it doesn’t go out of you, it goes into edema. So one of the tests in my book
that you may have read is, check your rings see if your
rings are stuck on your finger. That means you have
retained a lot of edema. And so you need to take
salt to bring it back into the interstitial
space around the cell. In the book I just refer to in the cell, it’s just simpler to say. But interstitial fluid is around the cell. I think of going to the fridge, you just reach out and grab
something and bring it in, that’s basically the
cell’s immediate supply. So that is where the sodium is but when you eat some
glucose or carbohydrates, the sodium and water gets to be kicked out and the sodium goes
straight to the kidneys but the water doesn’t. It’s going out in the wrong way. It’s like for us too,
one way in one way out. So you have to sort of process the sugar the same way
internally in the cells as well. So the water has to return
into the interstitial space and into the cell in order
for it to clear the proper way and the way to do that is to
eat just salt without water. So when somebody eats carbohydrates, say for whatever reason I don’t eat fruit, let’s say if I eat fruit
and I have the time to see if I stopped the migraine brain, just kind of have to go for it. If you don’t eat salt after that, within a couple of minutes I will see my eyes gonna get smaller, my rings gonna be tight, maybe my ankle will swell. This is typical across the board for all migraineurs so the
edema will go somewhere. Maybe a puffy eyelid,
whatever way it goes, wherever it goes it will go somewhere and the way to pull it
back is to take sodium. This is not specific to
migraineurs only, by the way. My daughter-in-law, when she was pregnant four years ago she ate
some candy or something and she was in snow somewhere and she had on flip-flops on the snow and she took a photo of
that and sent it to me and so I wrote an article on that and it’s on hormonesmatter.com as well. I said, “Why are you in the flip-flops “in the snow, pregnant,
what is happening?” She said, “Well I couldn’t get my boots on “Because my feet were swollen.” And so when she came over a couple of days later, she was again in flip-flops and I said, “What is happening, “did you eat something sweet again?” She said, “Yeah, I’ve been
craving a lot of sweets.” I said, “Okay here’s a salt pill.” We have salt capsules,
just filled with salt. And I had her take one
with a little bit of water. Not much just a sip of water at a time. Within 15 minutes she was
able to put her shoes back on. It works really quickly and
it’s for everybody the same. It’s only that you don’t notice it as badly, you don’t
realize when it’s happening and you don’t see it you don’t notice it, it’s not important. – So that’s interesting
about the salt tablets then. So when someone’s got
a migraine, you know, they reach for a painkiller
typically to dull it but it sounds like the first thing you would reach for are salt tablets. – Exactly, we have had huge threads, in fact, somebody just
started a thread on botox, I believe, and it’s already
too many comments long. It’s not working for anyone. There are no painkillers for migraine that actually work because migraine pain is a symptom that you maybe able to remove temporarily, for a short time, by certain magical medicines. Sometimes triptans work a little bit but not much for some different reasons but the underlying migraine is still there so you’re still sick. It’s not just the pain. You can have a headache
and yes you feel terrible but it comes with so
many other side effects. You still can’t think,
you still can’t talk, you still are confused, you may not even remember the name of your spouse. You still can’t eat, you
still vomiting everything up and you have all kinds of
other illness going on, it’s not just about headache. So by making a headache go
away, great I’m still sick so what good is that gonna do? – So if someone’s in a lot of pain are there situations where you would say take some more salt now, I’m thinking is it even practically that someone would take a couple of teaspoons of salt? – No no no no no. So we have actually two steps to this because we don’t know if it is salt that is missing or it could be potassium that is missing. It may even be carbs that is missing for somebody who is just switching from a regular set diet to
the low carbohydrate diet. So we use what’s called the salt test. In the salt test you
just grab an itty bitty, really it is just a few crystals and put it under your tongue because when you put it under your tongue it bypasses your stomach,
goes through the mucous and goes directly to
the blood circulation. And if it is salt that your body needed, your migraine will ease a little bit. So even aura, we tried
it to people who didn’t have pain and that was
in the U.K. actually. She was having an aura and she wrote, kind of garbled because of the aura, she couldn’t actually she had one of these zig-zag kind of auras. And we told her to put
salt under her tongue, just a little bit and she said, “Oh it’s getting better.” So it started to kind of ebb and flow, started going away so then we said, “Okay so then take one-eighth
of a teaspoon salt.” One-eighth is an arbitrary number but it seems to be working for everyone so that seems to be the magic number. That is about 300 milligrams sodium. So then we tell them
to take that much salt. One-eighth of a teaspoon salt, or, in the U.S. we can also purchase them in salt pills or salt capsules and it usually helps and then we can ask well what is it that caused this? What did you eat, what did you drink? Were you out in heat,
were you in the cold? What happened, did you exercise too much? What exactly happened? So once we know what happened and the salt or the pain level or whatever
the symptoms they have is to a point where
they can actually think. The problem is that they
also have brain fog. So when we have brain fog, we can’t think, we can’t even read the book. That’s one of my complaints from a lot of migraineurs is can you make this available in audio because I can’t read. So they have a lot of
issues, a lot of problems at that time so we kind of have
to knock them out of there. If the salt doesn’t
work on the tongue then there’s a good chance
that they need potassium. So then I will ask,
well how are your rings, what’s happening with your rings? Most of them don’t wear
rings like I don’t wear rings so it’s kind of difficult to tell. So then they try to put the ring on to see if it’s loose or not loose. If it is not loose, if it is
too tight or if it’s too loose. If it’s too loose you need more sodium, if it’s too tight, you need to release the extra water that
you have in your system so then you need to eat
food that has potassium. We don’t supplement potassium because that bypasses the route of the electrolytes so
that will just dehydrate the blood, that’s not what we want to do, we like to dehydrate the cells a little bit further than the blood. So then we will ask them to eat an avocado or have some salmon or some
food that is high in potassium and is easy for them to
digest whoever you are. And that takes a little
longer because it has to go through the metabolic process. It takes usually about an hour before that starts working and if that doesn’t
work then we will end up providing a large dose
of water and potassium and sodium and that usually works. – Okay so it’s like that’s your first stage kind of situation then. So you can do the sodium route, if that doesn’t work, potassium route with a bit of food, if that doesn’t work you hit a bomb with
water sodium and potassium. – Right, exactly and that
usually works for everyone. So in the first edition of my book, which I have told you might find in my second one which you referred to, I actually called on eating a McDonald’s hamburger, just the burger, not the bun and everything else but the actual burger because, even today, not that I needed to go to McDonald’s but I said, okay make yourself a
burger, put some cheese on it or whatever, put a lot of salt on it and just eat the burger as is because the burger is very high potassium and if they put cheese on it, that will add additional fat with butter on it and salt is really good. If you eat pickles or
something that is really salty. So they’re getting a
whole lot of everything and drink water with it,
they’re not eating carbs. Not much, there’s no carbs in protein, in pickles, yes, maybe one gram ignore that it doesn’t matter. And then usually within
an hour it starts to lift. It’s a very interesting fact. – I like that idea though, I mean, I know we’re talking
about a fast food chain here and people will go McDonald’s no way I’m on a keto diet or low carb diet for weight loss I don’t want to be going to fast food restaurants but that, to me, is also
scalable, it’s accessible. Anywhere in the world you’ve suddenly got this headache you think
oh no it’s kicking off and you just find a fast
food place that does burgers and, as you said, you
just get the actual meat, the burger patty and then you just salt it and you try to eat that. – I specifically said McDonald’s because a lot of other burger patty places that I found in Hawaii, unfortunately, they put flour into the burger to hold it together. So McDonald’s apparently changed, I was just told that, I didn’t know and I checked online they changed their menu, their ingredients
and they no longer put any flour into the burger. So if you have to eat fast food, some of the things that I would recommend if you’re traveling and
that’s all you have. Indeed, do go and get a McDonald’s burger, just a burger and nothing
else and eat cheese, you could also use American
cheese it’s just vegetable oil so you may want to choose something else. In the U.S. we have El Pollo Loco, which is just chicken on the
grill, perfect, have that. So there are some places where you can go and pick and choose what you can pick from the fast food if you have
no alternative options. Although we recommend whole foods but if you’re traveling you can’t. – Yeah, there’s practical
situations when you’re outside of your home
environment, your base. And it happens, you know, a migraine can hit you at any time, you know. You’re out at a social event or whatever. – It usually hits when you’re on a social event, that is
a very typical scenario. – And that links into
that hyperexcitability and your spidey sense
and all that kicking off. So just keeping on the food topic though, my wife wanted me to ask
you about this one then, is smoked foods, because
do they cause any issues? I live in a place where
they do smoked kippers which is a form of fish
and mackerel and that. But that can kick off a migraine event. – It can yeah, in fact, I was just having a conversation a couple weeks ago. I have a member from Alaska where they traditionally prepare
smoked salmon, for example. We have to understand how it is made. If it is just simply put into the smoke, you’re probably fine. If it is brined in salt
first, which is usually what they do, then you’re not fine because whatever potassium was in the meat or fish or whatever you’re eating smoked, if it is salt brined, the goal of the salt brining itself is to bring
out all the electrolytes and all the blood from
the meat or the fish. So it’s basically just pure protein and that with a little bit of fat but it has no longer any
water any juice, anything. That’s the goal of smoking to dry it out. So once you’ve dried
it out, all electrolyte ingredients, sodium, potassium, magnesium, everything basically comes out of it. – Ahhhhh interesting, okay, so and if you’ve salted the fish, that doesn’t solve the solution because that’s just adding a sodium? – Exactly yeah, you need to eat
it with something potassium. So if you eat smoked fish
with an avocado you’re perfect because then you’re matching it. You’re still going to miss
a lot of the nutrients, you’re going to miss
magnesium and other things from the fish itself whatever it had. I don’t know what happens
to be I have no idea. It just causes a lot of changes, it’s basically processed food, if you’re looking at smoked
food, it’s processed. – Okay well that’s an interesting way to explain because we were thinking is it more the histamine route that’s causing some sort
of inflammatory response. – Right and that can also participate, by the way, so you have to understand why. Histamines is a natural
thing for the body, anything you eat or drink is not you so you will have some kind of a reaction, an immune response to
what you eat or drink and if it is some kind of a pathogen or some kind of a food that you may be allergic to or sensitive to, your body will alert to the cells via antihistamines and the goal of the antihistamines is to take it out of your body somehow. So what it’s going to do is it’s going to collect all the water
from wherever it can. So it literally dehydrates
you to get rid of it. So if, for example, you get a runny nose, why is it runny well it’s all of the water that’s suddenly running to the mucous that is helping to empty whatever pathogen that is invading it. So it’s the same kind of process. So if it’s a histamine,
yes, if you’re sensitive to that particular thing,
it’s not the histamine itself but it’s something that is
initiating an antihistamine response that you’re
basically talking about and that can cause a migraine because it can dehydrate you there by completely rearranging your electrolytes. – Okay and then with coffee
because coffee is a common thing you explained the chocolate
one nicely earlier on. Is coffee a trigger because it also influences your electrolyte balance? I had Dr. James DiNicolantonio
on from the Salt Fix books and he was talking about coffee drinkers need to add more salt into
their diet, naturally. For someone who suffers a migraine do you recommend they just stay off coffee or if they do enjoy coffee, should they be doing something like you just mentioned with the fish that they need to be supplementing on the side with something? – So let me tell you how migraineurs drink coffee, we actually salt our coffee. We don’t drink coffee without salt. It’s just a salt shaker
or so into the coffee. So that already explains
part of what you just said and I completely agree
with the Salt Fix book. I think he’s even a
little bit conservative with the 3500 milligrams of sodium that he’s talking about there. If you watch some of his videos he actually eats more for his workouts. I personally look at caffeine as medicine. There are many medicines that
actually contain caffeine and if you look at why
triptans work for migraineurs, it’s because triptan is a vasoconstrictor. It does the same as a cup of coffee, just in a larger magnitude. And so, we let our migraineurs have coffee if they wish but maximum one cup a day. And if they feel like any other coffee later they can have decaffeinated coffee two cups a day because that one has much less caffeine, it’s not so important but we reserve the coffee for the times when they are fighting a prodrone. Because, another trick that is really not known anywhere, I
think I found one article that discussed that migraineurs, when they’re not in a migraine have major low blood pressure. That’s their problem with also, insulin sensitivity and diabetes. Migraineurs have really
low blood pressure. I have a questionnaire
that people have to answer, I believe it’s 18 questions now. I keep on changing that and improving it. That, when a migraineur comes to see me, they have to fill out that questionnaire, send it to me via personal
messaging on Facebook so I can see what they’re doing wrong and I can help them start to
go to what I call baseline and I can see that, I would estimate the average blood
pressure of a migraineur, from about 4000 migraineurs, to be under 100 over 70,
100 over 60, under that. So oftentimes, I see 90 over 50, I came up from weightlifting the other day and I just wanted to check, and I just finished
eating three salt pills so we’re talking about three quarters of a teaspoon of salt
and had three glasses of water with it and after that I came upstairs to check my blood pressure, it was 96 over 60 I think it was. So that is such an
incredibly low blood pressure if you’re looking at it that way that, we do need caffeine time to time to increase the blood
pressure, particularly, some migraineurs who do
sleep very deep they may during the night even
heart rests a little bit, their blood pressure may
drop into danger zone and then they wake up with a migraine. So caffeine is a tool for us. If you wake up with a migraine, at 3 o’clock in the morning, take salt and water and have maybe two teaspoons of some coffee because
it’s going to constrict the blood vessels just enough and it’s not going to keep you up, two teaspoons of coffee is not going to keep you up but it’s
a very low caffeine but it’s just enough caffeine at that time of the night to give a
little bit of a squeeze and increase your blood pressure until the morning when you can
get up and have your coffee. – That is so fascinating because I have come across people who get headaches in the middle of the night and they just can’t explain like I was laying in bed and it hit me, you know,
woke me up from my sleep and also I have a family member who suffers badly with migraines so I can relate to a lot
of these questions here but they have low blood pressure, that’s exactly what they, you know, so what you’ve just
said there is like, wow. – This is one of my exclusion criteria, when people come in
one of my questions is, what is your blood pressure,
where does your head hurt? What kind of prodromes you have? I get questions like what is a prodrome? Or I get well my blood
pressure is 130 over something. Even 120 over 80, which is the norm, I think, are you sure
that you’re a migraineur? That’s too high for a migraineur. When you’re looking at 99% of migraineurs are under 100 over 60 or
whatever that is, 120 over 80 as low as it is, doesn’t
sound like a migraineur. Unless it’s medication caused. – Okay, that would be interesting if, I mean you’ve done a lot of research and reading with papers and you’ve said there’s no papers that have sort of looked at people who naturally are, well I say naturally, that they have these low blood pressures but are they more predisposed then to
be migraine sufferers? – They’re more predisposed,
generally speaking, probably to headaches because migraine requires migraine brain
so, the combination of the two is a really bad combination but you can get really bad headaches from having low blood pressure. It’s natural, you’re not getting enough oxygen, you’re not getting enough nutrients from your blood to your brain so eventually the brain is
going to say quit, that’s it. You will get a pain as the wake-up call and if you don’t know what it is and you don’t know what to
do with it, you may pass out. – So, we’ve covered so
many good points there. We’ve talked about the
symptoms, the causes, lots of actionable tips that you can both test yourself, figure out
how to do emergency care but then, just to touch on
long-term care, you would say, adopting a modified way of
eating is the way to go. Modified low carb, modified ketogenic way of eating is a treatment solution to manage the headaches in the long-term. – It is, there’s a caveat is that, ketogenic diet you
probably are familiar with, interacts with a lot of medications and I’ve started to study
into the pharmacology and one of the reasons why is because we have to know when to deactivate. We have to be able to exit from the metabolic process and
in the ketogenic diet, we don’t have the Kreb’s
cycle the same way as you do in the carbohydrate diets so the medications sort of get lost. And a lot of them have
very serious side effects. So somebody on medications, I have a ketogenic group that I call Keto Mile, I won’t let them go on a ketogenic diet. So they first have to
get through my protocol. The protocol allows them
to start reducing their carbohydrates, it’s a
sugar-free and sugar substitutes free because sugar substitutes
also spike insulin. We have a problem with insulin so I don’t let anybody have any, even natural Stevia, no nothing. They can come off of
all their carbohydrates, they can quit all their
sugar substitutes, they have to quit grains, that is one
of our biggest problems. They also have to quit all starches. So potatoes and other kinds of things they eat it has to be
after they’re already migraine-free and a little
bit they can control it’s a different story but initially, they have to come off of all of that, all of their teas, teas are diuretic for migraineurs, it
doesn’t matter what kind. So we have to come completely
to what I call baseline. Increasing salt, increasing water. Many of them come in drinking two glasses of water a day. So we calculate how many glasses of water they need, based on their weight and for women it’s 55%
and for men it’s 75%, it’s a different calculation. And so we have to increase
the water very slowly. Their kidneys are giving them hard trouble and they get demuscled, it’s a process. And once they’re baseline and they start becoming pain-free, then, if they, eventually want to go
to the ketogenic diet, they will have to start coming
off of their medications. So I provide a schedule that
their doctor has to approve. I have two kind of schedules, one would be for the addictive medications and one would be for not so addictive but difficult to come off
like Topamax, for example. And the standard pharmaceutical directions are a little bit too fast for migraineurs and they will end up
going back on the drugs. So mine is much slower so they have to take that to their doctors. I also have them do this blood test so I can see what kind of vitamins, minerals, what other kind
of problems you face. Migraineurs, a lot of them, majority have mutation in B vitamins so we
can’t absorb, can’t methlyate B vitamins so we have
to make a special kind. Several of us can’t absorb A vitamins from vegetables, for example, I can’t I have to eat
cod liver oil for that. So there are some tricks in migraineurs that are different from other people. So I have everybody take that blood test. It’s quite a significant blood test that they have to take and also urine test to see if the B vitamin in the urine, whether you have that or not. And homocysteine is an
important factor as well and some I also send to the
calcium coronary artery scan because their cholesterol
is all over the place and their triglycerides are high and just would like to
see what’s happening. And once they have done all that and they started to
come off the medication, if they’re really close to having almost no medication at all, then they can start joining the keto group and start learning what it takes to be on the ketogenic diet and slowly start to modify. So we don’t jump like in other people start ketogenic diet, five day fast. You can’t do that to a migraineur. It’s going to end up in a migraine and they will overshoot
with runaway ketones and they will end up with an
extremely hyperglycemic event so it doesn’t work for migraineurs. – That is such a great tip. Yeah, so, you have a
sect, a population base who can’t just jump straight into a heavy fasting, ketogenic lifestyle because it could actually
be causing the headaches and they’re usually jumping into a new way of eating to try and fix a problem anyway and that must be so frustrating. But the B vitamins that
you were mentioning there, again the same family
member I’m thinking about, their symptoms of their migraine have improved since they
started taking more B vitamins and that’s exactly what you’ve
been sort of saying there. – It depends on what kind of B vitamins, so, if you’re taking a multi B, that says headaches there, it assumes that your body knows how to methylate them, but if your body knows how to methylate B vitamins, why would you
need to take B vitamins? It’s sort of counterintuitive
because the foods that you eat have a lot
of B vitamins in them. And particularly if
you’re on a low carb diet and you’re eating a lot of meat, you have a lot of B vitamins coming in, why can’t you absorb it
because you can’t methylate. So it doesn’t make sense
then to take another B vitamin which is, again, non-methylated and it would require your
body to methylate it. So I have a list of chemical names, not necessarily brand names, although now, I listed a couple of brands
because I discovered that from my experience and
some of other people that some of the
sublingual types are better in longevity so they
actually literally work, particularly for those who
have high homocysteine levels. I was able to bring some people’s homocysteine levels down a relatively normal range from very high ranges. One even had a heart attack before he joined the migraine
group and that was vegan, by the way, well that’s your vegan. We need to look at the blood tests completely bare so I ask everybody to quit all vitamins and
supplements, not the medications but the supplements and
vitamins for two weeks before they go for a blood test
because some of the vitamins have a half-life of six days to 10 days. B vitamins are very typical for that. And so they go to get a blood test two weeks after they quit, and then they get a result to see, are they able to methylate or not. And then they will start
taking the B vitamins and then the next test that
they will have whenever, three months, six months, a year. They will continue taking the B vitamins and they’re going to get the same test so I can see whether they’re actually absorbing the B vitamins and then I can see whether they
improve or they don’t. – So with all this
testing, it sounds like, is this all a part of your protocol or someone could do this as like a migraine coaching directly with you is this an option that people have? – Yes and I just started a non-profit, my husband did actually,
I didn’t think about such kind of big of an
idea, I’m doing this roughly for pain management. He went after a non-profit to help me to hire, or not hire but to allow members who would like to become particular area representatives of the Stanton Migraine Protocols. So I have one already
established in Maine, who is still a migraineur of mine but he doesn’t have migraines anymore, he’s completely able to prevent his and he has a PhD and he is a psychologist. So he had a business so
he added migraine to it. So he is a migraine-free
executive, so he is in consulting. So we are open to licensees to come in, it is almost completely free, we’re not doing it for money, we’re doing it to spread the information so that the migraineurs around the world can come off of medications and use a medication-free procedure. I have not taken a
medication, I still have some, I think I want to keep it for life just as a momentum, you know, for my life. But when you’re not taking medications for six, seven years, your body changes. It’s really amazing how
much change you go through and I think it is very important to spread this word to
everyone who is a migraineur. To have a better life. And a lot of sports people, I have triathletes, Algerian football, I can’t say his name but he’s on my team, my migraine group as well. I have a jazz singer, I have
a lot of marathon runners, like I said, I was a weightlifter. It’s just a lot of people with migraines that once you remove the
pain and the discomfort that goes with it, they return. They start doing marathons
and they’re winning and they’re either on the low carb diet or on the ketogenic
diet, it doesn’t matter but they improved on their
performance tremendously and they don’t get migraines. It’s just such an incredible thing. So we want to spread the
word around the world and get in as many
representatives as possible. – Well yeah, I mean, again I know that when someone’s a migraine sufferer, it is a problem with medications, the overmedication problem. Just trying to take
any kind of painkiller, taking too many painkillers just to try to control it all the time
and it’s not a solution. That’s why I wanted to get
you on to find solutions and you’ve definitely
given some really good food for thought for a
lot of people. I think. So what are some links or resources now that people could be in contact with you or follow you, do you have anything you’d like to share? – Oh I have a lot of them, yes. The easiest way to get through to me is by sending me a request for contact on stantonmigraineprotocol.com, that is the easiest to remember. Also, on Facebook they can find me under my name, Angela Stanton. One of them it says PhD,
the other one says doctor, it doesn’t matter they can find me and the logo that I have is the same as the little image on the book. So they can kind of associate with it. I also have another, migraine-book.com and then I have an advocate side, so if they want to read
about their medications, some of the regulations,
new drugs like Aimoviq that just came out, I just
wrote a big article on that. They can visit my advocate blog called, cluelessdoctors.com, one word. – Okay well all those links, I’ll put them in the show notes for people so that they can easily find them. – And then just one more that I’m going to send you is the hormones matter. I have a special link to my articles. I specialize a lot in migraine, nutrition, diabetes, that is my focus so they can have a lot of
articles to read there. – Mhmm, brilliant, well and there’s also your book which covers a lot of this stuff in there and again I’ll link to that. But Angela, I just want to say, again, thank you so much for all the knowledge bombs that you dropped on people today. I know we went a bit heavy
in the beginning there and there were some a
little bit technical things and I hope we didn’t lose people too much but we sort of broadened
out and we came up with a lot of actionable tips from that so I just want to say thank you so much for sharing that information. – Thank you very much, I really appreciated being part of this, thank you. (gentle music)

16 thoughts on “Natural Migraine Relief (Stanton Migraine Protocol Review) • Dr Angela Stanton PhD

  1. Summarised show notes & links here – https://www.biohackerslab.com/ep65-dr-angela-stanton/
    Dr Stanton's Migraine Book on Amazon – https://amzn.to/2PPoYS1

  2. Great interview. I'm a clinician who has been losing the battle with migraine suffers for years. I've learned so much applicable information to help my clients. Thank you!

  3. Just bought her book and subscribed to her website. I often wondered if my low blood sugar was related to migraines- bingo. Excellent interview.

  4. Migraine sufferer for 30 years, from Wales. A friend loaned me a book 'Your Bodies Many Cries for Water', after that I found Angela who helped me rediscover salt. I've been massively sceptical about a cure due to years of hurrendous attacks and useless doctors! I have a heart problem so still taking tentative steps, the changes AND CONVINCING have occurred over the past 2-3 years. Results: Truly truly awesome! I'm not living in fear daily with this curse. No backup plans needed anymore, I just take extra salt and water everywhere I go. Angela taught me that sugar is EVIL (even for us without addictive personalities), taught me about eliminating grains and helping joint pain/arthritis – WORKS! Eliminating bread for photophobia – WORKS!

    ..BRING ON THE BACON!

  5. THANK YOU for this interview! Listening to it was so validating not just because of Dr. Stanton's research, but also because of her experience as a migraineur. There are doctors (never mind the general public) who lump headaches together with migraines and have little understanding of the difference. Dr. Stanton's book was the first one I read that even mentioned low blood pressure as a problem, or barometric pressure, or made the distinction between the different phases of a migraine. Her information about the potassium/sodium ratio made a HUGE difference for me. 🙂

  6. 57:28 …. "they end up with an extremely high XXX event" I don't understand that word….somebody help me? (sorry my english is not really good)

  7. I have monthly hormonal migraines that sound just like the headaches you are talking about except I have normal and sometimes bordering high Blood pressure. After several days of being sick one doctor looked at my face and declared he thought I had bells palsy due to a drooping eye. Sumatryptan helps a lot. The diabetes insulin connection is interesting to me. I have been experimenting with a keto diet. Have developed a sensitivity to background music/noise triggering an emotional reaction. Have had chemical and food sensitivity for sometime now. Ordered the book on headache by Dr. Stanton to see if these things are mentioned and if I fit into at all.

  8. I've suffered with hemiplegic migraine with aura since I was 14 (adolescent), these I believe to be genetic from my mother who also suffers. I was on pizotifen through secondary school as a preventative as they got so bad. When my hormones balanced I came off them due to side effects and kept sumitriptan (only medicine that worked at onset) for onset migraines. I only had a handful after that, usually when a combination of the weather was high pressure, I'd not had enough sleep, not had enough food (missed breakfast), anxiety and stress.
    I am 28 and due to daily hemiplegic migraines with aura I am on propranolol daily, this helped but I have found when I do have break through migraines, they last (linger) for much longer (days).
    I work in a hospital pharmacy and I can't work if I can't concentrate – I'm afraid that my sick days and being set home unwell will effect my job. I'm absolutely desperate now. The sheer dread of my right hand tingling or that rainbow/blind spot in my vision at the onset is a constant daily fear.

  9. I just came across this and I’m so glad I did because I have suffered with migraines since I was 3 years old. This information has been greatly beneficial to me. I have seen so many neurologist in my life, who ultimately tell me I’ll just have to learn to live with them. Changing my diet seems like it would help me tremendously. I wish others would have suggested diet change before. Thanks for this video!!

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