Migraine Heroes
173. A Holistic Approach to Managing Migraines with @MyNectarHealth
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173. A Holistic Approach to Managing Migraines with @MyNectarHealth

63 min

00:00
-63:00

In this episode of the Heal Your Hormones podcast, Dr. Danielle Desroche interviews Diane Ducarm, a master in migraine investigation. Diane shares her unique journey into understanding migraines, emphasizing the importance of functional foods and holistic approaches to treatment. The conversation covers the differences between migraines and headaches, common triggers, the role of nutrition, and the impact of hormones. Diane also discusses the significance of the liver in migraine management and offers practical advice for listeners seeking relief from migraines.

Chapters

  • 00:00 Introduction to Migraines and Diane's Journey
  • 07:02 Understanding Migraines vs. Headaches
  • 10:54 Common Triggers and Their Impact
  • 15:59 The Role of Nutrition in Migraine Management
  • 19:41 Alcohol and Its Connection to Migraines
  • 23:56 The Phases of a Migraine and Aura Experience
  • 27:42 Demographics and Onset of Migraines
  • 31:28 The Domino Effect of Hormonal Imbalance
  • 35:06 Migraines and Menopause: A Double-Edged Sword
  • 39:20 The Connection Between PCOS and Migraines
  • 43:09 Navigating Medication for Migraines
  • 49:50 Food as Medicine: Dietary Recommendations for Migraines
  • 54:34 Weather-Related Migraines: Understanding Triggers
  • 57:26 Post-Migraine Recovery: Tips and Strategies

About Diane: Diane Ducarme, Founder & CEO of Nectar Health, is a leading figure in migraine investigation, blending the wisdom of Eastern Medicine with Western science and advanced technology to uncover the true roots of migraine disease. With an MBA from Harvard Business School, a background in science and engineering, and fluency in seven languages—including Mandarin—Diane brings a rich perspective to the complex world of migraine care. Her journey has taken her from engineering to Traditional Chinese Medicine studies in China and, more recently, neuroscience research at Harvard X.

Diane’s approach uniquely emphasizes adding functional foods instead of eliminating them, shifting away from restrictive practices to focus on nourishing the body. As the host of the Migraine Heroes podcast, she shares insights and stories that resonate deeply with migraine sufferers worldwide. Through Nectar Health, Diane’s dedication continues to transform lives, offering a holistic path to relief, resilience, and wellness for those navigating migraine disease.

Transcript

[00:00]

Welcome back to the Heal Your Hormones podcast.

[00:02]

I'm your host, Dr. Danielle,

[00:04]

and I am very excited for today's guest.

[00:07]

Today, I am joined by Diane Dukarm,

[00:10]

who is a master in migraine investigation.

[00:13]

Diane combines Eastern medicine, Western science,

[00:16]

and technology to uncover the root causes of migraines.

[00:21]

With an MBA from Harvard,

[00:22]

fluency in seven languages, and dual studies in TCM,

[00:26]

she focuses on the power of functional foods,

[00:29]

adding rather than eliminating,

[00:31]

which, as you know, is also my philosophy.

[00:33]

I love that.

[00:34]

And Diane hosts the Migraine Heroes podcast

[00:37]

and leads Nectar Health

[00:39]

in pioneering migraine relief and wellness.

[00:41]

And I had posted a question box for you all on Instagram

[00:45]

and got tons of questions,

[00:47]

so I know that this topic is very much needed.

[00:50]

I'm super excited for this discussion.

[00:52]

So, Diane, welcome to the podcast.

[00:54]

Thank you so much for having me, Dr. Danielle.

[00:58]

So I'd love to just kind of start off

[01:00]

to hear a little bit about your background

[01:01]

and what got you interested in migraines,

[01:03]

but in particular, kind of treating them

[01:05]

the way that you do.

[01:08]

Yes, so that's a very unusual journey I went through.

[01:11]

When I was 17, I had a skiing accident.

[01:13]

I broke my femur, I lost half of my blood,

[01:16]

I shrunk a kidney, and I was never transfused

[01:19]

because of contaminated blood issues in France.

[01:22]

And so my body got really limping,

[01:25]

and so for 12 years, I gained a lot of weight

[01:29]

and my body was all over the place.

[01:31]

I was trying to diet.

[01:32]

I just didn't know it wasn't functioning

[01:34]

as well as it used to.

[01:36]

And one of the things that was happening

[01:38]

is I was napping from 2 p.m. to 8 a.m. the next day

[01:41]

until for work, I worked across Europe,

[01:45]

the U.S., and then China.

[01:46]

And in China, I went to see a Chinese doctor,

[01:49]

as you do out of almost cultural curiosity.

[01:52]

I was taking classes with her on Saturdays.

[01:55]

I wasn't sure if I liked it.

[01:56]

I thought there was never a clear-cut answer.

[02:00]

But I thought, okay, either I go

[02:01]

and I find it's really nice,

[02:03]

or I just stop that adventure altogether.

[02:06]

I was quite busy working, et cetera.

[02:08]

And within three weeks, she got my body back

[02:13]

to where it was when I was 17.

[02:15]

It was just spectacular and just adding food.

[02:19]

And her reasoning was completely different.

[02:22]

And I was not even coming for a problem,

[02:25]

but she fixed it the way it used to be.

[02:28]

And I was so moved.

[02:29]

I went back to work.

[02:31]

I was just surrounded by a lot of my colleagues.

[02:32]

And they said, Diane, it's placebo.

[02:34]

And I'm like, wow, my menstruation was so irregular,

[02:37]

like so long.

[02:38]

My cycles were like 68 days, 53, like the worst.

[02:42]

And now they're regular.

[02:43]

I can't just decide that in my brain.

[02:45]

And so I started to take a lot of my friends to see her.

[02:48]

And one person was my sister

[02:51]

who was suffering from migraine disease.

[02:53]

But I didn't know at the time,

[02:55]

I did not know the migraine world.

[02:57]

And I did not know how massive things were

[03:00]

and how much in pain she was.

[03:02]

But at that same time, my uncle, sorry, it's a long story,

[03:06]

but it's a beautiful one.

[03:07]

My uncle died of a glioblastoma,

[03:10]

which is a violent form of brain cancer.

[03:13]

And my sister said, after his funeral,

[03:17]

she said, I've had done three MRI.

[03:19]

I'm extremely stressed.

[03:20]

I think I have the same.

[03:22]

And I said to her, look, I really hear you.

[03:23]

I hear that you're in pain.

[03:24]

I hear that it's very stressful, it's traumatizing.

[03:27]

He had four children.

[03:28]

My sister has three.

[03:30]

I was like, okay, let me,

[03:31]

I think I know someone who can help.

[03:33]

And so together with her,

[03:34]

we wrote three pages on all of her symptoms.

[03:36]

I'm like, I know it's unconventional,

[03:38]

but just trust the process.

[03:39]

We're gonna write three pages.

[03:41]

Today, I have a test on my website of 100 questions,

[03:45]

comes from there, three pages of details.

[03:49]

And she says, it's very simple.

[03:50]

Just add these few foods, it will be fine.

[03:52]

And after three to four months, she was fine.

[03:54]

And I never looked into it until one day,

[03:58]

my neighbor in New Zealand,

[03:59]

by that time I was living in New Zealand

[04:01]

and not accessing that doctor as much,

[04:03]

she said, oh, I've had this really confrontational

[04:06]

conversation with my father.

[04:07]

I've had seven years of migraines.

[04:08]

And he recommends I medicate for a lifetime.

[04:12]

And I started to have injections.

[04:13]

And that woman was 36.

[04:16]

And I said to her,

[04:17]

so you're gonna have 50 years of injections in your brain?

[04:21]

I don't understand what that means.

[04:23]

It can't be good, could it?

[04:26]

You know what?

[04:27]

I know someone.

[04:28]

You know, between WhatsApp and WeChat,

[04:30]

I think we can sort something out.

[04:31]

So explain to me everything.

[04:34]

And so we went into a lot of details.

[04:35]

Dr. Zhang had a couple of follow-up questions.

[04:37]

I told her what to eat.

[04:38]

And a couple of months later, four months later to be exact,

[04:41]

she had no more migraines.

[04:42]

And I said, why did your dad recommend

[04:44]

50 years of medication?

[04:46]

And you know what she replied?

[04:48]

She said, because my dad is a renal neurologist.

[04:51]

And I really thought, what?

[04:52]

Like that doesn't make any sense.

[04:54]

If he's a renal neurologist, based in New York,

[04:57]

then of course he's extremely smart.

[05:00]

And of course he loves you.

[05:01]

He's your dad.

[05:02]

So why did he say that?

[05:03]

So I started to do investigation.

[05:06]

I started to realize migraines were extremely common.

[05:09]

And all people were doing is medicating.

[05:12]

Then I started to investigate the medication.

[05:13]

I thought I must have given her foods

[05:15]

that mimic the medication.

[05:18]

What I realized is the medication were painkillers.

[05:22]

And I was listening to the pain, not muting it.

[05:26]

I was trying to say, why are you in pain?

[05:28]

What is the root cause of your problem inside your body

[05:31]

that makes your body manifest a problem?

[05:34]

And I think my ignorance, complete ignorance in the field,

[05:38]

which if I had known half of the stuff I know now,

[05:41]

I would have never put my foot into it.

[05:43]

I would have told my sister,

[05:44]

oh my God, you have to medicate for life.

[05:46]

That's the way to do it.

[05:47]

My ignorance really helped.

[05:48]

And then I started to receive word of mouth.

[05:50]

A lot of people suffering daily from migraines.

[05:53]

And I said, I never said I could do that.

[05:55]

Like what's this?

[05:56]

And that was migraine as well.

[05:58]

People with, I mean, incredible lives.

[06:01]

Hence the Migraine Heroes podcast I started

[06:04]

because it was jaw dropping.

[06:07]

People going through things that I'm sure

[06:09]

in your listeners audience, you know,

[06:11]

were horrific and heroic at the same time

[06:14]

because these people would fall and get themselves back up

[06:18]

and fall and get themselves back up.

[06:19]

And live for five, 10, 20, 30 years with medication.

[06:24]

And I was able to help them.

[06:25]

And then, you know,

[06:26]

then it becomes your calling, your vocation.

[06:28]

You're like, you know what?

[06:29]

It's just not okay what's going on.

[06:31]

And that's how I got into it.

[06:32]

Now it's been five years

[06:32]

and I've helped people across the globe.

[06:34]

And it's an amazing life.

[06:37]

I love it.

[06:38]

I'm sure we'll get into kind of the top foods

[06:41]

that were first recommended to your sister and your friend.

[06:45]

I don't know what's that kind of started it.

[06:47]

But I'd love to kind of start with like the basics

[06:50]

for anyone who maybe even isn't sure.

[06:53]

Like I have headaches.

[06:54]

Are these migraines?

[06:55]

Are they not?

[06:56]

So can you kind of talk us through what the difference is

[06:58]

between a headache and a migraine

[07:00]

and what exactly is happening in the body

[07:04]

when someone gets a migraine?

[07:06]

Yes, absolutely.

[07:07]

So while a headache, the pain is concentrated in the brain

[07:11]

and it's mild in nature.

[07:13]

A migraine is a full body experience.

[07:16]

It's a full body experience that may last anywhere

[07:18]

between three hours to three days.

[07:23]

And it's gonna come as with head pain usually,

[07:26]

but not always.

[07:27]

You can also experience something called a silent migraine.

[07:29]

We can talk about that later.

[07:31]

Usually we come with massive head pain

[07:34]

and a lot of other symptoms,

[07:36]

such as nausea, throbbing pain or visual disturbances.

[07:41]

So aura or vomiting, really strong vomiting,

[07:47]

trembling sensations, half paralysis of the body.

[07:50]

And so it's a really full body experience.

[07:53]

It's one word, full body experience.

[07:54]

And the massive difference between the two

[07:56]

is for the second one, for a migraine,

[07:58]

you need a genetic predisposition

[08:01]

to experience such a violent form of attack.

[08:04]

People will compare it more to labor than to a headache.

[08:10]

Wow.

[08:10]

Yeah, I'm lucky that I've never experienced a migraine,

[08:13]

but I know just hearing stories from my clients

[08:15]

in terms of like, yeah, it's completely put me out

[08:18]

for the day or I'm missing work.

[08:19]

I'm not able to care for my kids.

[08:20]

So it really is completely debilitating.

[08:23]

Exactly.

[08:24]

Can you explain?

[08:26]

Go ahead.

[08:27]

No, I really wanna highlight all of the words above

[08:31]

that you said, because you said them fast.

[08:32]

They matter so much.

[08:34]

You know, I haven't been able to take care of my kids.

[08:36]

I came back, you know, after picking them up at school,

[08:38]

I had to go in a dark room, isolate,

[08:40]

and they had to sort of be themselves.

[08:42]

And I feel extremely guilty as a mother.

[08:45]

And as a child, I feel extremely sad.

[08:47]

I can't help mom.

[08:50]

As a husband, I have compassion.

[08:52]

I also have compassion fatigue.

[08:54]

This is a lot on our household.

[08:56]

It takes away work.

[08:57]

You have people being fired because of the migraines.

[08:59]

It can take away relationships, you know,

[09:02]

creating tension and sometimes less, right?

[09:05]

It evolves.

[09:06]

Sometimes it's less dramatic,

[09:07]

but it can be very debilitating, yeah.

[09:10]

You mentioned the silent migraine.

[09:12]

Can you walk us through the different types of migraines?

[09:16]

Yes.

[09:16]

So the silent type of migraine, to start with that one,

[09:19]

is a migraine in which you're gonna have aura

[09:21]

and visual disturbances without the pain.

[09:25]

So it would be someone typically who see dots or prisms

[09:29]

in their eyes, in their vision, or the peripheral,

[09:32]

the side vision is really blurred,

[09:35]

or the full vision is blurred.

[09:37]

They go to the ophthalmologist or optometrist

[09:40]

and the optometrist says, your vision,

[09:43]

your eyes themselves are absolutely fine.

[09:46]

You must have a migraine.

[09:47]

But then they say, I don't have a head pain.

[09:49]

They're like, well, this qualifies a migraine as well.

[09:51]

So this would be a silent migraine.

[09:53]

And then there's a lot of names in the West,

[09:56]

such as hemiplegic migraine, eyes to big headache.

[10:01]

There's just a myriad of names.

[10:04]

Because I think in the West,

[10:05]

and I always look at East and West to help people,

[10:09]

because if you only look at one of the equation,

[10:11]

it's hard to really make a difference.

[10:14]

In the West, because we start to appreciate

[10:16]

there's so many nuances, there's more names,

[10:21]

depending on where you experience it,

[10:22]

the frequency, et cetera.

[10:24]

Also, for example, you can go from episodic migraines,

[10:27]

which are sort of once in a while,

[10:29]

to chronic migraines, which are 16 days a month and above.

[10:34]

So there's lots of sort of nuances

[10:36]

to explain these differences.

[10:37]

So a silent migraine is really the most common,

[10:40]

I would think, to be undiagnosed.

[10:43]

Or people are maybe like suffering through it

[10:45]

because they're not thinking,

[10:47]

oh, this is a migraine, I'm gonna go to my doctor,

[10:49]

whether that is to be treated with medication or naturally.

[10:52]

Yes, and also, even as a neurologist,

[10:57]

you get one hour on migraines in your entire curriculum.

[11:01]

So there's very little that is taught.

[11:04]

Most of the education comes more from pharmaceuticals

[11:10]

to doctors themselves.

[11:11]

It's not part of the curriculum itself

[11:13]

because it's still so misunderstood for now.

[11:19]

So what are common migraine triggers,

[11:24]

especially things that people can kind of watch out for

[11:26]

if they know they're migraine-prone,

[11:27]

things to avoid to potentially help prevent

[11:29]

against a migraine?

[11:32]

Yeah, absolutely.

[11:33]

So in the food domain,

[11:33]

very classic one will be wine, cheese, chocolate,

[11:36]

things that are quite intense on the liver.

[11:39]

You can also have people find that histamine

[11:43]

also triggers them and might go on a low histamine diet,

[11:46]

which might help a lot.

[11:49]

The second category would be stress,

[11:51]

and people will realize, oh my God,

[11:52]

each time I have a bit more stress at work,

[11:54]

I start to have a migraine.

[11:56]

With the stress, it can either be migraine

[11:59]

during the stress phase,

[12:00]

which indicates an excess for me when I read the profile,

[12:04]

or the migraine after the stress phase.

[12:08]

So, oh, each time it's Friday night, Saturday, Sunday,

[12:11]

bam, I have a migraine.

[12:12]

Each time it's the holidays, bam, I have a migraine,

[12:15]

which indicates that the body's quite depleted.

[12:17]

But so stress is the second trigger.

[12:20]

Another family of triggers is smell.

[12:23]

So you might have someone really triggered by smell,

[12:25]

and they might ask their friends,

[12:27]

oh, when we see each other, can we not wear perfume?

[12:29]

Which she feels very bad asking.

[12:32]

She feels a sense of shame asking,

[12:34]

because it feels so sort of,

[12:36]

quote unquote, princessy to ask that.

[12:39]

But if her friend forgets,

[12:41]

for her, it's three days in bed, it's quite awful.

[12:45]

Noise can also be a trigger, for example.

[12:47]

Like, there's too much noise.

[12:49]

And then some foods will come in either categories.

[12:53]

For example, coffee.

[12:54]

Coffee might be a trigger for some women.

[12:57]

And for some others, they will take medications

[13:00]

that does contain caffeine, and coffee will be a relief.

[13:03]

And so this is where a lot of people will differ,

[13:07]

depending on what situation's going on inside their body.

[13:10]

Can you explain more on, like,

[13:11]

why caffeine sometimes can help a migraine?

[13:16]

Yes, so if you have a body,

[13:20]

let's imagine two states.

[13:22]

A state where someone is hyperactive,

[13:25]

is hyper-stressed, super intense life, et cetera,

[13:27]

and is gonna get triggered by migraines,

[13:30]

they're gonna be, like, experiencing a lot of sharp pain.

[13:33]

If you give more caffeine,

[13:35]

you're gonna turbocharge their power, their excess.

[13:38]

Can you imagine, like, someone who gets angry easily,

[13:41]

has a really intense life, intense diet,

[13:45]

tends to sweat a lot, is very red in the face.

[13:48]

Then you add the coffee, it adds to that imbalance.

[13:51]

Versus you can imagine someone

[13:53]

who's a lot more calm, grounded, a bit lethargic,

[13:56]

very weak, can't move much.

[13:59]

The coffee might just get the body flow a bit faster,

[14:03]

and therefore reduce the migraine.

[14:04]

So for example, if you experience morning migraines,

[14:11]

maybe coffee might be good for you.

[14:13]

And you will test it once.

[14:15]

The good thing with coffee is if you test that once,

[14:18]

you will know instantly.

[14:20]

And from the moment you know,

[14:21]

you can tinker a little bit with that idea.

[14:24]

I find sometimes women can tell me,

[14:26]

if I lie down on the floor, and I put my legs up,

[14:30]

and then I have a small sip of coffee,

[14:32]

I can dissipate a migraine.

[14:33]

And it's really important,

[14:35]

the more you can self-dissipate migraines,

[14:38]

the less they will be prevalent in your life.

[14:40]

So if somebody is more in that depleted picture,

[14:44]

and or having more of that morning migraine,

[14:46]

they would be kind of stereotypically a better fit

[14:49]

for potentially having caffeine as a treatment.

[14:52]

Potentially.

[14:53]

And then there's a genetic component with caffeine.

[14:55]

You know, I don't know if you have friends,

[14:57]

they can have a coffee at 11 p.m.,

[14:59]

and have a great night of sleep.

[15:01]

If I have a coffee personally after noon,

[15:04]

after 12 p.m., I can't sleep until 2 a.m.

[15:06]

So there's also, you know, of course habits,

[15:09]

but also a genetic component of how do you respond to coffee?

[15:13]

And so really, you are the boss.

[15:17]

Your brain is the boss.

[15:18]

If your brain says yes, then it's a yes.

[15:20]

If your brain says no, it is a no,

[15:22]

regardless of the person observing you, you know.

[15:26]

So trust yourself.

[15:27]

It's funny, because I talk about coffee

[15:29]

a good amount on the podcast.

[15:31]

And, you know, for PCOS and like cortisol imbalance,

[15:33]

usually it's not the go-to,

[15:35]

but I'm sure if somebody out there is listening,

[15:36]

it's like, yes, you know, like I have migraines.

[15:38]

This is my gold star that I can drink coffee,

[15:42]

which if it helps, then it's definitely worth doing.

[15:45]

And indeed, if you have PCOS with the sort of excesses

[15:50]

you have in your body, the coffee will abandon

[15:53]

the excess zone, and so that might not be

[15:56]

a good choice for you.

[15:57]

So it's really something to, yeah, to pay attention to.

[16:00]

And if you take medication that contains caffeine,

[16:04]

then also have a go with real caffeine.

[16:07]

Yeah.

[16:08]

Could you just kind of dive a little bit into,

[16:10]

obviously you focus a lot on like the functional foods.

[16:14]

Can you just describe a little bit more

[16:15]

about kind of what extent does nutrition

[16:18]

really have on migraines?

[16:19]

And in particular, this is a question somebody wrote in,

[16:22]

like under eating or missing meals,

[16:24]

how that plays a role with migraines.

[16:26]

Yeah, and I'll start with that second one.

[16:28]

I thought it was a brilliant question,

[16:30]

like superb question.

[16:32]

Missing meals is a trigger for migraines.

[16:34]

Yes, it's a really big yes.

[16:36]

And so intermittent fasting can be a root cause to migraine.

[16:40]

By root cause, I mean something that sits

[16:42]

on top of your genetic and that makes your body grumpy.

[16:46]

So missing meals, depending on your imbalances,

[16:49]

will definitely trigger migraines.

[16:51]

So if you feel this is you, then again,

[16:53]

you are the boss, you know best.

[16:56]

Trust yourself, trust your instincts.

[16:58]

Then, you know, always have something in your bag.

[17:00]

You can have your medication in your bag.

[17:01]

You can also have a small snack

[17:03]

and reach out for the small snack

[17:05]

before you have to reach for more.

[17:08]

So yes, absolutely, being underweight sometimes.

[17:12]

Sometimes people can eat a lot and not absorb.

[17:14]

And so they feel they're eating,

[17:17]

but they feel underweight and they feel weak

[17:19]

and they feel they have migraines.

[17:21]

Then it's slightly different, a bit more complicated.

[17:25]

Nutrition, nutrition can influence migraines greatly

[17:29]

in the sense that you have a brain, okay?

[17:33]

And the migraine is a message from your brain.

[17:37]

However, we now know a lot from the West

[17:40]

for the last 15 years, we've been able to prove

[17:43]

that we have a gut-brain axis

[17:45]

and that we can access our brain through the gut.

[17:48]

And so the gut is the problem and is the solution.

[17:53]

And so nutrition can aggravate migraines

[17:56]

and can improve them.

[17:59]

And so it's extremely powerful.

[18:01]

You can do a lot through food.

[18:02]

Now, I have met a lot of women who have impeccable diets

[18:08]

because over the years, they found out

[18:10]

that it was helping them.

[18:11]

And so they make their lives smaller.

[18:13]

Like, I'm not having alcohol anymore.

[18:15]

I'm not socializing too much.

[18:17]

I stopped the cheese and chocolate.

[18:19]

I am on a low histamine diet.

[18:21]

I might be on a FODMAP diet if I have, you know, IBS.

[18:27]

What else do they do?

[18:28]

Like, they make all of these sacrifices

[18:30]

and they're like, and I still have migraines.

[18:32]

I don't get it.

[18:33]

So I also want to acknowledge

[18:34]

that it can be incredibly complicated,

[18:39]

but at a basic level,

[18:40]

if this is the start of your migraine

[18:42]

and you're not chronic, but you're episodic

[18:44]

and you can find what triggers you,

[18:47]

just, you know, really leveraging nutrition

[18:50]

might be a way to a beautiful life,

[18:53]

which is what I am here for you to have.

[18:57]

And so if you can undo these things fast before

[19:00]

there's a bit of a domino effect in your body of problems,

[19:04]

then yes, that's the way to go.

[19:06]

You touched a little bit before about,

[19:09]

you mentioned a list of foods.

[19:10]

I think you said chocolate, cheese, alcohol,

[19:12]

things that impact the liver.

[19:14]

Can you share a little bit more about the connection

[19:16]

between alcohol and migraines?

[19:19]

Yes.

[19:20]

So in scientific papers, it's been proven

[19:23]

that wine is a trigger, is an absolute trigger,

[19:26]

meaning it's a trigger for everyone

[19:28]

with a genetic predisposition for migraines.

[19:30]

And I've, most women I work with,

[19:33]

at some point they stop drinking.

[19:35]

I've stopped drinking because I think they're smarter.

[19:37]

They have a DNA that is quite superior.

[19:41]

I'll just mention that in parentheses,

[19:43]

this is a beautiful paper that was written in 2002

[19:47]

by a Harvard medical professor, Elizabeth Loader.

[19:50]

And in her paper, she mentioned something

[19:53]

I also always refer to that migraine is,

[19:56]

you know, almost like a fire alarm.

[19:58]

And she says, you know,

[20:00]

what is the evolutionary advantage of migraine?

[20:03]

And she says, it's impossible

[20:04]

that you have a genetic predisposition for migraines

[20:07]

of a fifth of women and that it serves no purpose.

[20:11]

So the purpose it serves is longevity

[20:13]

and is an alert to say there's something wrong.

[20:17]

It's a bit like you have a dashboard in a factory

[20:20]

and the light goes on red when there's a problem

[20:22]

and you have to diagnose where the problem is.

[20:24]

Now in a factory, it's incredibly difficult.

[20:26]

In the brain, it's also in the body,

[20:27]

it's also incredibly difficult, but she mentions that.

[20:31]

And so I trust, I tend to trust a lot of migraine sufferers

[20:35]

and they all cut wine.

[20:36]

So I, you know, I cut wine as well.

[20:39]

However, in the alcohol, you have some alcohol

[20:43]

that will also relieve from migraines

[20:46]

for a minority of people because it will provide warmth.

[20:49]

And again, if you think of someone who's very weak,

[20:51]

very cold all the time, it will provide warmth

[20:54]

to the digestive tract.

[20:56]

And in that regard, it can be helpful.

[20:58]

If that's you, embrace it.

[21:01]

In general, wine will intoxicate the liver as a system

[21:07]

and your liver has a very privileged relationship

[21:10]

with the brain.

[21:11]

In the East, in traditional Chinese medicine,

[21:13]

the relationship between the liver system

[21:15]

and the brain is extremely established.

[21:18]

The liver system through the vagus nerve

[21:20]

is gonna access the temple, the eyebrows,

[21:22]

the eyes, the top of the head.

[21:24]

So a lot of the head.

[21:26]

In the West, if you look at the sleep science

[21:30]

and sleep science, we established that

[21:32]

while you are in deep sleep,

[21:35]

your brain and your liver will be still working

[21:39]

and detoxing in parallel.

[21:41]

So from that perspective, we've also established

[21:43]

a privileged relationship.

[21:44]

Not so systematic as to know where do the cables

[21:49]

of the vagus nerve that wire the brain to the liver

[21:52]

are located, but enough that we have a sense

[21:56]

those two pieces of our body have,

[22:01]

I wouldn't say a lot in common,

[22:02]

a lot to do with each other.

[22:04]

Yeah.

[22:05]

Now, when it comes to alcohol,

[22:07]

especially people who tend to have migraines

[22:09]

leading up to their period or during their period,

[22:12]

do you find that it's helpful

[22:13]

that they're potentially able to drink alcohol

[22:16]

earlier in their cycle?

[22:17]

And if they limit alcohol closer to that time period,

[22:20]

it's still beneficial?

[22:22]

Yes, a big fat yes, yes, wonderful, amazing observation.

[22:25]

Yes, absolutely.

[22:26]

Because what happens is women, they will say,

[22:29]

oh, is alcohol a trigger?

[22:31]

The other day I had a glass of wine, I was fine.

[22:33]

Then yesterday I did, same quantity, I swear,

[22:36]

and I had a massive migraine.

[22:38]

And so indeed, the timing at which you have

[22:41]

your glass of wine is gonna matter a lot.

[22:43]

If you have it indeed before your menstruation in particular

[22:47]

is the most acute time, then it's a really bad time

[22:50]

to have alcohol because your liver is accumulating

[22:54]

all of these toxins that are ready to be flushed

[22:56]

in the menstruation.

[22:57]

And so the toxicity of the liver is at the maximum.

[23:01]

And so anything in addition, we put it over the edge.

[23:05]

Whereas if you have it, let's say,

[23:07]

10 days after your menstruation,

[23:10]

you could be fine depending on the base load.

[23:13]

Now, if you are someone with chronic migraines

[23:15]

that is heavily medicated, when I say heavily,

[23:18]

you take five, 10 medications sort of regularly,

[23:23]

then your base load of your liver is really high.

[23:26]

And so the time of the month is not gonna matter anymore.

[23:31]

So again, that's gonna be quite individualistic.

[23:33]

And again, trust yourself.

[23:36]

Yeah, I found at least with some of my clients

[23:38]

where their PMS symptoms, whether it's migraines

[23:41]

or something else, are pretty severe.

[23:43]

And we think that reducing alcohol could help.

[23:45]

Sometimes that can be a little daunting.

[23:47]

So I start with just like the week before your period,

[23:49]

let's just cut it then.

[23:51]

The rest of the month, you can have it,

[23:52]

but let's start there.

[23:53]

And usually they'll see at least some improvement.

[23:56]

If not, 100% resolution, at least it's like moving them

[23:58]

in the right direction and more encouragement for them

[24:00]

to like, okay, maybe I should cut this the rest of the month.

[24:05]

Going back to migraine auras,

[24:08]

can you explain a little bit about like what's happening

[24:11]

during an aura and what is someone like experiencing

[24:14]

to know if they're having an aura?

[24:17]

So the migraine has three phases.

[24:20]

People talk about the prodrome,

[24:23]

so a number of symptoms that they experience

[24:27]

before the migraine attack.

[24:28]

And even though those symptoms

[24:30]

do not necessarily carry pain,

[24:33]

they announce the pain most certainly.

[24:36]

And so those can be lack of...

[24:40]

At that phase, you can start to have the aura happen,

[24:43]

which I'm gonna talk about in a minute.

[24:45]

You can also have excessive yawning,

[24:47]

like yawning like you're like, okay, this is not a joke.

[24:51]

Like I'm just constantly yawning, being very fatigued

[24:55]

or having trembling sensations,

[24:57]

announcement that the pain is gonna come.

[24:59]

It's at that stage usually,

[25:01]

but not always that people will start to have the aura.

[25:03]

The aura is gonna come announced sometimes

[25:07]

during the rest of the month by dry eyes, itchy eyes,

[25:11]

sometimes blurred vision at night,

[25:13]

feeling dizzy when standing up fast.

[25:16]

And then in the start of the migraine attack,

[25:18]

it's really, it goes all the way from I see a bit blurry,

[25:22]

blurry on the edges, dots, prisms,

[25:24]

all the way to I've lost complete eyesight,

[25:28]

which is very scary.

[25:29]

It's very scary because it can happen anytime,

[25:33]

especially triggered by light.

[25:35]

So it can happen if you're behind your computer,

[25:37]

then chances are you have a bed next to you

[25:40]

and you can close curtains.

[25:41]

It can also happen when you have children

[25:43]

at the back of your car and you're actually driving,

[25:46]

in which case you have to stop on the side of the road

[25:49]

and rest for 20 minutes, eyes closed,

[25:51]

while the children wait patiently for mom

[25:55]

to be healthy enough to take the road again.

[25:59]

So aura is, it can be very disheartening.

[26:03]

It can also look like a stroke.

[26:07]

A lot of people will experience a first migraine attack

[26:12]

with aura extremely violently

[26:15]

and with the trembling sensations, et cetera.

[26:18]

And it's going to look like they've had a stroke.

[26:20]

It's going to feel like they've had a stroke

[26:21]

and they're going to be taken to the emergency room.

[26:25]

They might be given what is called a green thistle,

[26:27]

which is the largest dose of morphine for their pain.

[26:31]

And then put to bed for three days, literally eyes closed,

[26:35]

and then wake up after three days

[26:37]

to learn they did not have a migraine, a heart attack.

[26:40]

They had a migraine,

[26:41]

which feels a very weird diagnosis to receive

[26:45]

when you've gone through such a traumatic experience

[26:49]

that you don't understand.

[26:50]

You don't know even how it came from.

[26:53]

And now you have to deal with sort of a diagnostic

[26:57]

that you might not feel very convinced about.

[26:59]

You might feel very weird as just a simple name.

[27:01]

You're like, is that a migraine, like really?

[27:03]

Then a lot of empathy suddenly for maybe parents

[27:06]

or siblings who have had experienced that,

[27:07]

like, oh, wow, I'm entering your world

[27:09]

and this is nothing like I imagined.

[27:11]

But yet it's going to start to create anxiety

[27:15]

because you're like, wow, like this really hit me so hard.

[27:19]

I also blacked out and I disappeared

[27:20]

from the surface of the earth for three days.

[27:23]

You know, when is that going to happen to me again?

[27:25]

Like, it's very traumatic.

[27:27]

Yeah.

[27:27]

I feel like in that sense,

[27:29]

migraines are kind of similar to mental health,

[27:31]

like depression or anxiety,

[27:32]

because it's something that you can't really see

[27:34]

versus even a stroke.

[27:36]

You can picture like, okay, you know,

[27:37]

the blood clot traveling to the brain.

[27:39]

I understand like physically what's happening there,

[27:42]

but with a migraine, you know, it's something so severe

[27:44]

when you're like, okay, well,

[27:45]

I can't quite see what's going on.

[27:48]

And it's just in my brain.

[27:49]

I'm sure it's like a hard, it's a hard thing, I'm sure,

[27:52]

to almost like explain to other people

[27:54]

and have them understand like the severity of it.

[27:57]

Completely, completely.

[27:58]

It's a deaf dialogue and therefore that can lead

[28:01]

to a lot of frustrations.

[28:02]

I've done actually something called a podcast for siblings

[28:07]

in the Migraine Heroes podcast for that reason,

[28:09]

because I find sometimes siblings can be dismissive

[28:13]

because they may have headaches themselves

[28:15]

or sort of a milder version,

[28:18]

genetic predisposition from migraines.

[28:20]

And it can create a lot of disharmony in families

[28:24]

for very sad reasons.

[28:26]

But yes, absolutely, yeah, yeah.

[28:29]

Now, can you dive a little bit into who is most likely

[28:33]

to suffer from a migraine?

[28:36]

Somebody specifically wrote in and said

[28:37]

that they have started to experience migraines,

[28:40]

when they say later in life, after 25 years old.

[28:43]

And like, if that's concerning the fact that, you know,

[28:46]

she hasn't had them until now.

[28:49]

Yes, yes, great question.

[28:51]

So if we, I love that you have this question.

[28:54]

I'm gonna address it specifically.

[28:56]

Before that, let me take a step back

[28:58]

and address it generally.

[29:00]

So when you look at the stats, migraines are genetic.

[29:03]

So it's 5% of boys and girls.

[29:05]

And you think that's fair,

[29:07]

because it's mother nature and it's genetic.

[29:09]

So it should be half, half.

[29:10]

However, something crazy happens is the incidence

[29:14]

is gonna triple to quadruple for women at puberty.

[29:18]

And so that leaves 18 women.

[29:20]

And now we talk about 22% of women in the US, for example,

[29:24]

with migraine disease,

[29:26]

as opposed to still 5% of men.

[29:28]

So one in five women versus one in 20 men.

[29:32]

This is also maybe the reason why we're so behind

[29:36]

on migraine versus other disease

[29:39]

or sort of more male problems, yeah?

[29:45]

And so now let's go back to puberty.

[29:48]

So for 5% of women, you know, like girls,

[29:51]

the migraines will start, you know, age five, six, seven,

[29:54]

eight for a lot.

[29:56]

They might start to have a first migraine attack

[29:59]

at puberty around there.

[30:01]

And then of course, when you're 25,

[30:03]

because it comes from an imbalance

[30:05]

that sits on top of genetics,

[30:07]

a lot of things have happened to you by then.

[30:09]

You may have a lot more stress from your first job.

[30:12]

You may have changed contraception.

[30:15]

You may have had a few happy years at university

[30:18]

where you drank a lot and your liver

[30:21]

has accumulated a little bit of backlog.

[30:24]

You may have a lot more social life on top of work life,

[30:31]

or you might, you know, work and not have a lot of time

[30:35]

to cook for yourself and dine out a lot.

[30:37]

And so just one of these things might be enough to trigger.

[30:42]

And a change in contraception

[30:43]

can completely kick you start with migraines.

[30:47]

And you might not completely appreciate it

[30:50]

because there might be a delay

[30:51]

between the change in contraception

[30:52]

and the migraines themselves.

[30:55]

With migraines related to contraception,

[30:58]

I mean, I learned in school

[31:00]

that if somebody's on the birth control pill

[31:02]

and they're having a migraine,

[31:03]

like especially recurrent migraines, you get them off.

[31:05]

I see a lot of women who tell their doctor about this

[31:09]

and they're still kept on it for, you know,

[31:11]

five plus years.

[31:13]

What are your thoughts on that?

[31:15]

I'm completely with your school of thought.

[31:17]

If you're put on a birth control

[31:19]

and it does not agree with you,

[31:20]

again, trust you, go back to your doctor, discuss it.

[31:23]

If your doctor is not taking you seriously,

[31:26]

you know, go to Dr. Danielle, she will.

[31:28]

It's very true because the problem is

[31:31]

if you leave that imbalance for five years,

[31:35]

you enter a domino effect

[31:37]

of which it's a lot harder to get out on your own.

[31:41]

It becomes of a level of complexity

[31:44]

because the more you're gonna have that pill,

[31:46]

the more you perturbate your hormones,

[31:49]

the more your body's grumpy.

[31:51]

And so you're gonna have a domino effect within your systems

[31:54]

from the liver system to the kidney system.

[31:56]

It's gonna affect your liquids,

[31:58]

it's gonna affect your blood production,

[31:59]

like lots of problems.

[32:01]

And on top of that, you're gonna start to layer that

[32:04]

with a lot of medication.

[32:06]

And so the whole gut itself start to be very grumpy,

[32:09]

which then leads to,

[32:11]

this is where people start to go from episodic to,

[32:14]

oh, you know, it was used to be once a month

[32:17]

and then it lasted longer and then it was more intense.

[32:22]

And then it would sometimes come randomly

[32:24]

and used to be just PMS, but now it's more.

[32:27]

And now I used to be able to tell my triggers,

[32:30]

but now I can't anymore.

[32:32]

I'm really, honestly, I haven't done anything wrong.

[32:34]

Then I've cut back on all of the stuff.

[32:35]

And so you do all of the right things

[32:37]

and you don't have the results.

[32:38]

So yes, a massive, I'm in violent agreement with you,

[32:43]

but among the birth control,

[32:45]

there's another one, which is a lot more complex,

[32:49]

which is the, for example, a Mirena IUD.

[32:52]

In the pill, there will be an immediate cause and effect.

[32:56]

And the Mirena IUD, it's quite different.

[32:59]

You could have a woman who suffers from migraine disease

[33:01]

because she just has a blood volume,

[33:04]

not enough blood volume.

[33:05]

So she's lost, she used to bleed a lot

[33:08]

and she would put on a contraceptive

[33:10]

for that reason, Mirena IUD.

[33:12]

And because she used to bleed a lot,

[33:13]

her brain would complain and become in competition

[33:16]

with her digestion, if that makes sense.

[33:18]

So either she's digesting or thinking,

[33:20]

but when she's digesting, her brain is complaining.

[33:23]

She takes a tryptophan.

[33:24]

The tryptophan is going to contract the blood vessel,

[33:25]

send the, force the blood back to her brain.

[33:29]

That's going to give her a relief.

[33:31]

It's not going to make her feel sharp and free,

[33:33]

which was what we're after,

[33:35]

but it's going to give her sort of an absence of pain

[33:37]

with a fuzzy feel.

[33:40]

Once she has a Mirena IUD,

[33:42]

she's going to initially fill up her tank

[33:44]

and she's going to feel better.

[33:45]

She's going to be like, oh wow, I feel better.

[33:48]

The problem is if she doesn't bleed at all,

[33:51]

she doesn't have a door to remove the toxins

[33:54]

with the menstruation.

[33:56]

And from there, the toxicity of her liver

[33:58]

is going to increase, increase, increase,

[34:00]

then causing migraines.

[34:02]

She might intuitively feel it's a Mirena IUD,

[34:05]

but she can't prove it on paper.

[34:07]

And when she goes back to her gynecologist or OB-GYN,

[34:10]

they might refuse to remove it, like really push back.

[34:14]

And if they end up accepting and she removes it

[34:18]

because of the domino effect,

[34:20]

she might still have the migraines

[34:21]

and the OB-GYN might say, see, it wasn't that,

[34:26]

but her intuition was right.

[34:28]

So this is a more, a more subtle one or more perverse one.

[34:32]

So if someone has bled a lot,

[34:34]

then a Mirena IUD is great for two years

[34:36]

and then let your body bleed.

[34:39]

Oh, interesting.

[34:40]

Yeah, it's like almost like delayed onset of the migraines

[34:42]

and then delayed improvement.

[34:43]

So hard to connect it back.

[34:46]

Exactly, exactly.

[34:48]

Now you mentioned the increase in migraines around puberty.

[34:53]

Do you see any shift happening as women enter menopause

[34:57]

for better or worse?

[34:58]

Yes, for better and for worse and for change.

[35:02]

And for change.

[35:04]

So yes, yes, yes.

[35:05]

You could have a lot of different trajectories.

[35:08]

You could have a woman who's had

[35:09]

what she would qualify headaches her whole life.

[35:12]

And then she enters perimenopause

[35:15]

and she starts to have migraines for the first time

[35:17]

in the sense that they start to be completely debilitating.

[35:19]

She can't work anymore.

[35:21]

She can't engage in society as much.

[35:23]

And so she's going to lose a lot of her self-confidence.

[35:26]

You can also have women who stop having migraines

[35:29]

when they stop having their menstruation.

[35:33]

And therefore some others that might consider

[35:36]

a hysterectomy in order to get rid of their migraines

[35:39]

and it not work.

[35:41]

And so you have sort of all shades of possibilities

[35:44]

depending on, again, what is causing the migraine

[35:48]

in the first place.

[35:49]

So if we go back to the example of,

[35:50]

I don't have enough blood volume in my body,

[35:53]

the moment you start bleeding, you stop bleeding,

[35:56]

you start to be able to recuperate sort of your full self.

[36:01]

And that's going to attenuate your migraines.

[36:03]

But if you were a profile that was heavily constipated

[36:07]

with evening migraines and a lot of medication,

[36:12]

it will go worse and worse and worse

[36:14]

to the extent you will lose all joy in your life.

[36:19]

Yeah.

[36:19]

Wow.

[36:21]

So it sounds like if you tend to be more

[36:23]

on the depleted side of things,

[36:25]

you go through menopause, then things could improve.

[36:28]

But if you're more in excess and you go through menopause,

[36:31]

it could worsen.

[36:31]

Is that generally?

[36:33]

Yeah.

[36:34]

With a lot of nuances,

[36:37]

because if you're constipated constantly,

[36:40]

women will recognize that they try to go to the bathroom,

[36:43]

they can't, they take a lot of laxatives

[36:47]

and they feel just constipated.

[36:49]

It's also a sign of deficiency, but of another type.

[36:52]

So if you have a blood volume deficiency,

[36:54]

then yes, if you have other types of deficiencies,

[36:57]

then it still can go worse.

[36:59]

It's going to take a shape that is sometimes referred to

[37:01]

as Meniere's disease,

[37:03]

which is a disease where you have a lot of vertigo,

[37:05]

dizziness, sort of lack of sense of orientation.

[37:10]

Yeah.

[37:11]

And it can happen every single day.

[37:13]

And you take that to the rest of your life.

[37:16]

It's quite sad.

[37:17]

Earlier in the conversation,

[37:19]

you mentioned depression, anxiety,

[37:21]

and I wanted to echo that because at that phase of life

[37:24]

or when you are in such pain,

[37:26]

you will be more likely to experience depression, anxiety.

[37:30]

And so the correlation in the statistics

[37:34]

is really, really high between if you have migraines

[37:37]

or the more you have severe migraines,

[37:39]

the more you have severe anxiety,

[37:40]

the more you have severe migraines,

[37:41]

the more you have severe depression and vice versa.

[37:45]

From a genetic perspective,

[37:46]

the depression seems to share some genes with the migraine.

[37:51]

My view is a gene is there for protection.

[37:56]

And so you can always act on the biology on top of the gene,

[38:01]

but the prevalence of both is really intense.

[38:04]

And you can have a lot of women

[38:06]

being prescribed antidepressants

[38:07]

because the doctor will say,

[38:08]

hey, you're depressed.

[38:09]

It's like, no, no, I'm just in pain.

[38:11]

Yeah, but you're depressed.

[38:12]

Yeah, but have you seen my life?

[38:13]

I can't see my grandchildren or I can't take time.

[38:17]

I can't put my kids to bed.

[38:19]

I can't work.

[38:20]

I create a lot of problems in my couple.

[38:23]

Of course it's tough.

[38:24]

Yeah, so you're depressed, but I'm not.

[38:26]

And so they might initially resist it,

[38:28]

but then ultimately they're gonna start to doubt themselves.

[38:30]

Am I depressed?

[38:32]

But I'm such a joy of life, but I am depressed.

[38:35]

So maybe I do need the medication,

[38:39]

which adds then to the toxicity of the liver.

[38:41]

And so in the West,

[38:42]

we're gonna talk about rebound migraines

[38:44]

or medication overused headache

[38:46]

for certain specific medication, certain quantities.

[38:50]

And my humble experience,

[38:52]

just doing that every single day

[38:55]

for a lot of people worldwide,

[38:57]

the more you add toxins of all nature,

[39:00]

the more your brain will just not be happy,

[39:02]

just like a hangover for a normal person.

[39:05]

The brain does not like excess toxicity.

[39:08]

A woman carries life.

[39:09]

A woman gives life.

[39:11]

So the bar for a clean body is just pretty high.

[39:16]

The body's like, hey, we're not doing this here.

[39:18]

We're carrying life.

[39:20]

Now, before we get into treatments for migraines

[39:24]

in specific situations,

[39:25]

you touched on earlier mentioning excess

[39:29]

in relation to PCOS and migraines.

[39:32]

Of course, a good percentage of my listeners do have PCOS.

[39:36]

So can you talk a little bit about the connection

[39:38]

between PCOS and migraines?

[39:41]

It's huge.

[39:41]

I think if you have PCOS

[39:44]

and a genetic predisposition for migraines,

[39:46]

you will have migraines.

[39:49]

And if you solve your PCOS naturally,

[39:53]

you will cease to have migraines, most of them.

[39:58]

Yeah, you can really take a big chunk out.

[40:00]

So very, very strong,

[40:03]

very strong relationship between the two, yes.

[40:06]

And do you find that's mostly related

[40:08]

to insulin resistance related to PCOS

[40:11]

or more so related to high testosterone?

[40:14]

Or, I mean, is there kind of like one driving cause

[40:19]

that's linked to PCOS that is the trigger for migraines

[40:21]

or is it like pretty variable?

[40:24]

Yeah, so there are several.

[40:29]

A lot of the things that we observe

[40:31]

are almost symptoms that sits below the PCOS.

[40:34]

So if you were layering the symptoms,

[40:36]

you'd say, what I can feel is the migraine.

[40:39]

What I can feel are the,

[40:41]

what I can know about is my PCOS symptoms.

[40:44]

If you go one layer deeper,

[40:46]

you know you have insulin resistance,

[40:48]

other issues like that.

[40:49]

If you go a level deeper,

[40:51]

then you have systems that are not functioning optimally.

[40:55]

And all of that's gonna cause migraines.

[40:58]

So in the case of PCOS,

[41:00]

the liver system is not gonna function really well,

[41:03]

the kidney system neither.

[41:05]

And so both of them are hyper-connected to the brain.

[41:08]

The kidney system is slightly less,

[41:09]

but still is really connected.

[41:11]

And because they're both dysfunctioning,

[41:13]

then you have all of these symptoms

[41:14]

that leads to the PCOS.

[41:15]

And so that's gonna fire.

[41:17]

The fire alarm of your migraines is for the PCOS.

[41:20]

It's like, can you please solve this?

[41:22]

This is not what I want for my body.

[41:25]

I want longevity, I want fertility.

[41:28]

Can you please attend to me is what the migraine means.

[41:31]

So if you really pay attention and turn towards your PCOS,

[41:36]

you should be able to significantly decrease your migraines.

[41:39]

Another form of migraine that really relates to the PCOS

[41:42]

is really if you have cysts on your ovaries,

[41:47]

it's very possible that when you ovulate,

[41:49]

you have migraine pain.

[41:50]

Because through your vagus nerve,

[41:52]

so your vagus nerve is this massive nerve

[41:55]

that connects 100 billion cells in your body,

[41:57]

nerve cells in your body.

[41:58]

Imagine like a massive tree

[42:00]

that is planting its roots around your heart,

[42:02]

around your lungs, around your liver, around your stomach,

[42:05]

around your small, large intestine,

[42:06]

around your uterus and your ovaries.

[42:09]

When you ovulate, if there's a problem,

[42:13]

the nerve system will send the signal.

[42:16]

You can also have fibrids or cysts inside your uterus.

[42:21]

When you will have your menstruation,

[42:23]

you will experience migraines.

[42:24]

Those migraines relate to the cysts and fibrids

[42:27]

that are in your uterus.

[42:29]

That's what's happening.

[42:30]

And so, yeah.

[42:32]

And so medicating on top of that will add toxins

[42:35]

that adds to a weak liver.

[42:37]

The solution is, you know,

[42:40]

can you naturally make these cysts go away?

[42:43]

Yeah.

[42:44]

These fibrids, these blood clots

[42:46]

and clean your, you know, beautiful temple of life.

[42:52]

So I feel like the definite theme so far that I'm hearing

[42:54]

is like the liver obviously plays a major role with migraines.

[42:59]

Obviously you focus more so on like food as medicine.

[43:03]

If somebody had to take a medicine for a migraine,

[43:07]

what is your preferred medication

[43:10]

that you feel is most effective, maybe least harmful?

[43:14]

Yeah.

[43:15]

So people who have migraine disease,

[43:19]

they will feel it varies a lot in efficacy.

[43:22]

And they will feel sometimes certain medications

[43:26]

are gonna work and sometimes not

[43:28]

because they will have different forms of migraines.

[43:31]

So let's take a woman who has migraines

[43:34]

before her menstruation and at ovulation.

[43:36]

They will have these migraines for different reasons.

[43:38]

They're of a different nature.

[43:39]

And so it's very possible that she finds that,

[43:43]

for example, tryptamine might help more in ovulation

[43:47]

and that Tylenol might function a lot better at PMS.

[43:51]

And so trying to also link and map if you can,

[43:55]

tracking is incredibly important for migraine.

[43:58]

You can really try to track your migraine,

[44:01]

track your cycle, track your symptoms

[44:03]

and track and see, okay, did that medication work

[44:06]

at that time?

[44:07]

And can I reproduce that effect?

[44:11]

In terms of medication, there was a study recently done

[44:14]

and they said the top three that are working

[44:17]

are tryptamines, tryptamines are really old.

[44:20]

And yet I find people have the best results.

[44:23]

They just will give rebound migraines

[44:26]

if you have them too much.

[44:28]

I think it's above five a month,

[44:30]

which is technically really not a lot.

[44:33]

I've had people who were taking six a day,

[44:35]

five days a week because of the pain they were experiencing.

[44:39]

And it's complicated because you're in pain.

[44:44]

So you have to act on your pain always,

[44:46]

you have to manage yourself.

[44:49]

So I just want to say a few words,

[44:52]

medications for migraines,

[44:57]

until 2019,

[45:00]

they were borrowed from other diseases, meaning that coincidentally, accidentally, clinically,

[45:08]

doctors found out that there were a number of medications that were used for other diseases

[45:13]

that would also work quite decently for migraines.

[45:16]

And so, triptans were initially done for cardiovascular issues and then found out that they were really

[45:23]

useful for migraines and to this day have, you know, continued to be very useful.

[45:30]

Antidepressants have been found also in that category.

[45:34]

Anti-epileptic drugs.

[45:36]

What else do we have? Ergots.

[45:38]

And so lots of medications have been invented for a completely different reason.

[45:43]

And then retrofitted because they were useful in the case of migraines.

[45:48]

It's only in 2019, December 2019, that the FDA approved NTCGRP.

[45:54]

We're the first one that were conceived for migraine disease, trying to prevent, you know,

[46:02]

that incidence of pain going from, yeah, to the brain essentially.

[46:09]

But it's the first time. And so I find it varies tremendously what works for people.

[46:15]

But I have to say that that's the one that usually people will start with Tylenol or

[46:20]

like something small or Advil.

[46:23]

Then they will go to an ibuprofen.

[46:26]

Then they will start on triptans and then from there they will continue to move up the

[46:31]

ladder, which is going to add, you know, sometimes a lot of expenses and also add a bit of anxiety

[46:39]

because they can feel that they always need it with them and that, yeah, the more time

[46:45]

goes on, the more they have to up the dose or up the level because they become resistant.

[46:53]

Those medications no longer work.

[46:55]

What I will say is for your women who are pregnant, Tylenol has been proven fairly

[47:04]

recently to give more ADHD to children when the mom was taking them pregnant.

[47:11]

So when you're pregnant, try to really, it's really hard.

[47:16]

Try to really, you know, solve and not take medication.

[47:21]

I think this is the really moment when the impact is not just on you, it's on the two

[47:25]

of you.

[47:26]

And, yeah, it's hard to raise a child, let alone one that is healthy.

[47:33]

Do you think so avoid all medication when pregnant or specifically Tylenol?

[47:38]

All medications.

[47:39]

That would be my strong take.

[47:41]

A lot of doctors will abandon that direction and look, it's what people say always and

[47:48]

I think it's true also in case of migraines.

[47:52]

What would you recommend for somebody who is pregnant who has especially like an uptick

[47:56]

in migraines to help relieve symptoms, whether that's reduced frequency, reduced severity?

[48:06]

It is quite tricky.

[48:07]

I've helped women who wanted to be pregnant or are pregnant a lot.

[48:13]

When people have migraines in pregnancy, it can usually be due to small impurities they

[48:19]

have in the blood.

[48:21]

And because the blood circulates, it does times 1.5.

[48:24]

So if you start, let's say with four or five liters of blood, you have seven to eight liters

[48:29]

when you're pregnant and you need to create all of that blood.

[48:33]

If you were not having enough, that's going to make you struggle a lot because all of

[48:37]

that is going to be concentrated for the baby.

[48:39]

And so the mom is going to feel a lot of migraines and we don't want the blood to go to the mom.

[48:44]

We want the blood to stay with the baby because that's what Mother Nature has designed things

[48:48]

to do.

[48:49]

So then the most simple is to increase that.

[48:55]

But sometimes she may have had before a C-section for another child and a few blood impurities

[49:00]

or medication that are stuck and circulate.

[49:03]

And that's what's causing the pain.

[49:05]

It's about making those things melt and exit the body, if that makes sense.

[49:12]

Oftentimes it can be the case and then of course everyone's different and needs to be

[49:17]

looked at differently.

[49:18]

But oftentimes it can come from these two angles.

[49:22]

What are some...

[49:23]

So at the beginning of the episode, you mentioned your sister and I think it was your friend

[49:27]

who were given food recommendations specifically to help with their migraines.

[49:32]

What are some general food recommendations you make for...

[49:36]

I'm sure it's very individual, but general recommendations you make for your clients

[49:40]

that listeners can start to kind of put into play themselves?

[49:44]

Absolutely.

[49:45]

If you experience migraines before your menstruation, which is maybe of all of the types is the

[49:52]

most common, then my go-to is a good chamomile and goji berries infusion.

[49:58]

You put chamomile in a teabag or loose, whatever you have in your home.

[50:03]

And it's really easy to find even if you're at the restaurant.

[50:06]

And a few goji berries, eight to 10.

[50:08]

And the reason why you do that is the chamomile is going to detox and stimulate your liver.

[50:14]

And we love stimulation.

[50:15]

We don't just like harsh detox.

[50:17]

We love stimulation.

[50:19]

And goji berries are going to stimulate your liver, detox your liver, and nourish your

[50:23]

kidney, increase your blood, increase your yin, incredibly rich.

[50:26]

That's why we only put eight to 10.

[50:29]

However, do not take that when you have your menstruation, because if you stimulate your

[50:35]

liver when you have your menstruation, you're going to bleed too much, which itself is going

[50:39]

to lead to another imbalance.

[50:41]

You don't want to bleed more than what the body decides to do.

[50:44]

So during the menstruation, we keep it nice and easy with a bit of warm water.

[50:48]

That's it.

[50:49]

Yeah.

[50:50]

If you have IBS, an irritable bowel syndrome, and that you are on a FODMAP diet, don't take

[50:58]

that because both chamomile and goji berries contain fructan.

[51:04]

So that's going to make you bloated.

[51:08]

If this beverage, which is very simple in nature, makes you bloated, then it means likely

[51:15]

you have quote unquote a proper IBS.

[51:17]

It's quite an easy way to diagnose yourself.

[51:20]

If you have a goji berries infusion and it makes you bloated, the only reason why that's

[51:24]

such a beautiful adaptogen would make you bloated is because you can't digest oligosaccharides

[51:31]

anymore.

[51:32]

Yeah.

[51:33]

So that's a beautiful one.

[51:35]

The reason why it's paired, it's really interesting.

[51:38]

In 1983, there was this scientific paper written saying that Feverfew, which is essentially

[51:42]

chamomile, was helping with migraines for 40% of the women.

[51:46]

But they said a lot of people, they had diarrhea.

[51:50]

And why is that?

[51:51]

It's because chamomile is really cool and cold in nature.

[51:54]

And so it's going to initially alleviate your migraines if you have a bit of chamomile.

[51:58]

But if you have too much, it's going to make your digestive tract really cold.

[52:02]

And then you've created another problem.

[52:04]

And so I find that chamomile and goji berries is a very perfect blend because the goji berries

[52:09]

are neutral in temperature and they're a bit warming because they add substance.

[52:13]

And so in between the two, they have that perfect combo that suits a lot of people.

[52:18]

I work with 720 foods and that is one that is really recurring because it just suits

[52:25]

so many people.

[52:26]

So it starts there.

[52:27]

If you've had a bit too much to drink, try that infusion after and try to see, can I

[52:34]

stop my migraine?

[52:35]

What we've realized over the years is we're able to untrigger people, de-migraine people,

[52:43]

abort migraines and prevent migraines.

[52:46]

And abort a migraine is when you have all of the prodrome symptoms, but you can recognize

[52:51]

what's going on.

[52:52]

So if you recognize you have excess yawning, if you have sort of that aura starting, you

[52:58]

could, you could, if you catch it early, you could with a tea like that, that you take

[53:04]

a couple of times, stop it.

[53:06]

Something to try.

[53:07]

You'd feel extremely powerful.

[53:09]

If you can't because it's too complicated, then we'll help.

[53:13]

But the goal is to help as many people and that's not feasible unless we allow people

[53:17]

to find their path.

[53:18]

So try that and that might be, that might be enough.

[53:22]

So if somebody tries that, they should notice an improvement fairly quickly.

[53:26]

It's not something where they are having to do it for like weeks at a time before they

[53:28]

start to see a difference.

[53:30]

It's going to depend on the level, the underlying level of toxicity of their liver.

[53:34]

So is the liver grumpy because you just had that one glass of wine or is the liver grumpy

[53:39]

because you had a lot of parties when you were 18 and you just burned the life by the

[53:45]

two candles and there's just a lot of backlog.

[53:47]

If there's a lot of backlog, then have it once a night, once a day, every evening, an

[53:53]

hour and a half at least before bedtime.

[53:55]

Put a warm bottle on your tummy to allow your liver to detox faster and that's the prevention,

[54:03]

not the abortion.

[54:04]

It's the prevention of trying to deload and increase the tolerance again for a bit of

[54:11]

extras.

[54:12]

Okay.

[54:13]

Two questions left from the listeners before we wrap up.

[54:18]

The first is tips for when migraines are triggered by barometric pressure changes.

[54:24]

That's a huge one.

[54:25]

So as human beings, we live in nature and the climate will impact us.

[54:31]

So we have a skin that can sweat or absorb water.

[54:35]

Like if you're in the water for a really long time, you're going to see your fingers are

[54:38]

wrinkly.

[54:39]

Okay.

[54:40]

This is because we're not, it's not a firm barrier.

[54:42]

It's a barrier that allows things in and out.

[54:44]

And so with weather, there's a number of types of weather that will influence migraines.

[54:50]

If your body has a tendency to be damp, so humid, and the barometric pressure changes

[54:56]

and the humidity increases in particular, then you're going to feel more fogginess and

[55:01]

more migraine, which is awful because you can announce the weather essentially.

[55:07]

The way out of those is to reduce the level of, it's a very Eastern notion of dampness,

[55:14]

the humidity inside your body.

[55:15]

You can do that by either checking that you don't have any exposition to mold in your

[55:20]

house.

[55:21]

If you do, that's a massive migraine trigger.

[55:23]

Try to really solve that.

[55:25]

It's really important.

[55:27]

And how to avoid dampness in the body is avoid ice creams.

[55:32]

They're really, really like the combination of dairy meets cold meets sugar is just extremely

[55:38]

dampening.

[55:40]

Avoid also just sweetened dairy.

[55:42]

If you need to have a yogurt, try to have it natural and put it out of the fridge before

[55:46]

you consume it.

[55:48]

Avoid flat whites.

[55:51]

What else would make you?

[55:52]

A flat white, meaning like a flat white milk or wine?

[55:56]

Oh, interesting.

[55:57]

I didn't know there was wine version.

[55:59]

No, a coffee with some, any form of milk, cow milk or yeah, it's going to be quite damp.

[56:08]

So try to have your coffee black if you can, which is a hard habit to change, but these

[56:12]

ones will make you more damp and therefore more prone to having migraines.

[56:17]

Okay.

[56:18]

And then the last one is how to treat or even prevent the post migraine brain soreness.

[56:26]

Oh yeah.

[56:28]

That's also a fantastic one.

[56:32]

What I've learned over the years is, so we have an app called Migraine Heroes app and

[56:36]

inside the app, there's a Migraine Now button and the Migraine Now button comes from the

[56:40]

fact that people were saying, Oh wow, I was having all of my prodrome symptoms.

[56:44]

Then I close my curtains, cancel my meetings, had one last tea infusion before I went to

[56:49]

bed and I went to bed and my migraine was gone and I had never experienced that.

[56:55]

And and so then we started to do that, to do that again.

[57:00]

And what people were saying is I don't have anything the next day.

[57:05]

The next day I'm clean and I'm clear, which is huge.

[57:09]

It's not just that it skips the middle part where I'm in massive pain and then it picks

[57:15]

up again.

[57:16]

It just skips the whole of everything coming after.

[57:19]

And so based on that experience, my intuition is that it comes from the recovery sometimes

[57:28]

of the medication themselves sometimes.

[57:31]

That's a hypothesis.

[57:32]

I can't say that for sure, but what I see is when people are able to cut it short with

[57:37]

food, the same way that they would do with medication, they don't have that brain soreness

[57:43]

the next day.

[57:44]

But it's hard.

[57:45]

I am not encouraging you to be in pain.

[57:48]

You need to manage your pain and you need to do what's right for you.

[57:52]

But sometimes it can come from that.

[57:55]

Okay.

[57:56]

Well, this was incredibly helpful.

[57:58]

This is going to be one of my favorite guest episodes that we've done.

[58:02]

You had so much good information to share.

[58:05]

Where can people follow you, learn more, potentially work with you?

[58:11]

So the first is we have an app that is free of charge where people can just track.

[58:18]

They can track their migraines, but the way they need to be tracked so that we can solve

[58:21]

them.

[58:22]

So there's a lot of things that another app wouldn't have because we tried from day one.

[58:28]

I tried on paper, et cetera, to solve it.

[58:33]

My only goal, you know, having had a beautiful career like I had before, my only goal was

[58:38]

I only get into that space if I can make a difference for a lot of people.

[58:42]

So you can take that app.

[58:44]

It's called Migraine Heroes.

[58:45]

You can track free of charge and then for a really small price.

[58:48]

Now we can give you advice so you can practically try to get away without any human help.

[58:56]

If things are more complicated than there are plans to escalate and have human assistance

[59:02]

to really help decode and understand the intertwined root causes of your migraines.

[59:09]

In addition to that, so on Instagram, you can also go for Migraine Heroes on Facebook

[59:13]

as well.

[59:14]

And my company is called My Nectar Health, which you can find mynectarhealth.com.

[59:18]

There's a beautiful test.

[59:19]

If you take that test, it's about a hundred questions.

[59:22]

You know, hence the story I started with, like where we had to write a lot of details.

[59:26]

I want to know everything about you.

[59:28]

And then we can meet for, usually we meet for, I see it's an hour.

[59:32]

It lasts for an hour and a half or two hours for $30.

[59:35]

And you understand, you understand, you have your own sanity.

[59:40]

It's like, oh, I now understand what happens to me all the way from the first migraine

[59:45]

attack to now and why it's evolved the way it has evolved now.

[59:49]

So yes, you can try these different ways.

[59:50]

I'm genuinely here to help.

[59:53]

I think it's unfair what's going on in the world.

[59:55]

And I'm so delighted to see doctors like you in the trenches to help people decode their

[60:01]

body in a holistic way.

[60:03]

This is important for Titi's importance.

[60:06]

We're producing the world and we need to produce a good world of beautiful humans.

[60:11]

Absolutely.

[60:12]

And I'm assuming you work with clients who are virtual in the United States?

[60:17]

Yes, everywhere in the United States, in Canada, but also in Australia and New Zealand and

[60:22]

Europe, literally everywhere around the globe.

[60:25]

Yeah.

[60:26]

Which means also if you move, it doesn't matter, or if you're on holidays, you get 24-7 assistance,

[60:33]

which people really love.

[60:34]

They're like, I'm about to fly.

[60:36]

Flying is a huge trigger for me.

[60:37]

What do I do?

[60:38]

Okay, here's how you handle flying.

[60:40]

This is why you get the migraines when you fly and this is how you do it.

[60:43]

Oh, thank you.

[60:44]

Okay.

[60:45]

It went really well.

[60:46]

It's really nice.

[60:47]

I think we get in the team, we're so motivated by just making your life better, more fun,

[60:52]

just full of light, full of life, full of family, full of love, full of relationships.

[60:59]

And usually people, they get also promoted because, I don't know, they evaluate something

[61:04]

different.

[61:05]

People will also comment on them and say, oh, you know, did you lose a bit of weight?

[61:09]

Did you change skincare?

[61:10]

Did you do something to your hair?

[61:12]

Like, they're not quite sure what changed, but they can see something changed.

[61:16]

Kids notice too.

[61:17]

It's very cute.

[61:18]

Yeah.

[61:19]

They're probably feeling younger and pain.

[61:20]

They're probably feeling lighter, freer.

[61:22]

And you know, a situation like that where someone's about to get on a plane and you

[61:25]

help them avoid a migraine, it's also almost like immediate relief, immediate improvement

[61:33]

where they can see like, okay, this was a situation where I expected it to trigger me

[61:37]

and it didn't.

[61:38]

So I know that these things are working, which is great.

[61:42]

Yeah.

[61:43]

It's beautiful.

[61:44]

Yeah.

[61:45]

In the community, we have an app.

[61:46]

I remember vividly, there was this woman who said, you know, I'm watching the sunrise

[61:49]

and I was trying to have a migraine and I took a tea and I'm like, I'm watching that

[61:53]

sunrise and I want to cry of happiness because I'm not in pain today.

[61:57]

And I was planning to be in pain today and it's just, you know, an ocean of love and

[62:01]

happiness.

[62:02]

And so that's why on the Migraine Heroes podcast, we have women who come and they tell

[62:08]

their story, their full story, the un-Instagrammable side of their life for an hour.

[62:15]

And they do that not because they're paid, but because of you, because they feel part

[62:20]

of, hey, you know what, it's so nice to be healthy again.

[62:24]

And I don't wish that on my, anyone, not even on my enemy.

[62:28]

Like it's just, it's so hard.

[62:29]

It was so hard for 20 years and now I feel free.

[62:32]

I don't feel anxious to have migraines.

[62:35]

I understand where they used to come from.

[62:37]

I understand how to master them.

[62:38]

I can do that from my kitchen.

[62:40]

I have made friends.

[62:41]

It's just really special.

[62:43]

Yeah.

[62:44]

Well, thank you again so much for joining me today and thank you so much to the listeners.

[62:49]

As always, if you found what we share here on the podcast helpful, leaving a review or

[62:54]

sharing with a friend or family member is the best way to support the podcast and allow

[62:58]

other women to discover this information as well.

[63:01]

I will see you next Tuesday.

Originally published November 2024

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173. A Holistic Approach to Managing | Migraine Heroes