Migraine Heroes
Migraine Matters with Diane Ducarme
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Migraine Matters with Diane Ducarme

48 min

00:00
-48:00

Welcome to episode 26 of the Empowered Women's Health Podcast with your hosts, Erin Bailey from Her Healing Hub, and Melissa Woodward from Fearless Health.

In this insightful episode, we are honoured to welcome guest, Diane Ducarme, from My Nectar Health. In this compelling conversation with Diane, she will guide us through the intricacies of migraines, exploring why these debilitating headaches are not just a health concern but a gender-specific issue that disproportionately affects women.

In this episode, we'll unravel the factors contributing to the higher prevalence of migraines among women compared to men. Diane will share insights into hormonal influences, societal pressures, and genetic predispositions that contribute to the migraine burden borne by many women.

We discuss the importance of personalized care, and the need for greater awareness and advocacy. Diane Ducarme brings a wealth of knowledge and compassion to this conversation, aiming to empower women with the information they need to navigate the challenges of living with migraines.

Transcript

[00:00]

Hello and welcome, I'm your host Melissa Woodward, I'm a Remedial Massage Therapist and Women's

[00:14]

Health Coach. I have a size inclusive, anti-diet and body positive approach that aims to have

[00:20]

you feeling strong, capable and empowered to live in your body as it is now. And I'm

[00:25]

here with my co-host Erin Bailey. Hi, I'm Erin Bailey, I am a Women's Health Focused

[00:30]

Naturopath and Matricence Coach, helping women step into and through the different phases

[00:35]

and stages of motherhood with confidence, ease and grace. And together we are the Empowered

[00:41]

Women's Health Podcast. The Empowered Women's Health Podcast, where we believe that knowledge

[00:46]

is power. Our show is all about giving women the tools they need to take control of their

[00:51]

health and wellbeing. We believe that too often women are left out of the conversation

[00:55]

when it comes to their own health. That's why we're here to provide a platform for honest,

[01:00]

real life conversations about the challenges and triumphs of being a woman. Please note

[01:06]

the content provided in this podcast is for informational purposes only and is not intended

[01:12]

as a substitute for medical advice, diagnosis or treatment. Always seek the advice of your

[01:18]

physician or other qualified health care professional with any questions you may have

[01:23]

regarding your medical condition or treatment. Remember, your health is unique and what works

[01:29]

for one person may not work for another. Please consult your health care provider before making

[01:34]

any changes to your health care regime.

[01:37]

Hello and welcome back to the Empowered Women's Health Podcast. I'm here today with my co-host

[01:50]

Erin Bailey. And we have our very first international guest, Diane DeCalm, and she's from New Zealand,

[01:59]

currently residing in New Zealand anyway. So we have our two hour time difference that

[02:04]

we've successfully calculated to get online today. So I will read a bit about Diane. So

[02:11]

she's the founder and CEO of Nectar Health, a company that adds years to the lives of

[02:16]

those suffering from migraine disease. She's also the host of a podcast called Migraine Heroes.

[02:23]

Diane has an MBA from Harvard Business School. She's a Fulbright Scholar and an Edmund Hillary

[02:29]

Fellow. She has a Master's in Science, Engineering, Technology and Mathematics from Europe and studied

[02:35]

traditional Chinese medicine in China. She is now with the Academy of Healing Nutrition and she

[02:42]

speaks seven languages. So welcome, Diane. Thank you so much for having me, Melissa. Thank you so

[02:49]

much for having me, Erin. No worries. We are grateful that you reached out to share because

[02:55]

Erin and I are both sufferers of migraines. So we really wanted to be able to empower women with

[03:02]

more information around migraines to, I guess, explore that it is more than just a headache,

[03:07]

more than just a small inconvenience and the impacts that it has on our lives. So

[03:12]

today we're going to go through our experiences with migraines because both Erin and I suffer as

[03:17]

well. And we're going to do a bit of, I guess, some practical work here in that you're going

[03:24]

to be going through my health issues after a questionnaire that I filled out. So first,

[03:30]

I guess we wanted to start with why are migraines a women's health issue?

[03:38]

Yes, so indeed, migraines are a women's health issue. You know, it's an issue that is genetic

[03:44]

and it's 5% of boys and girls that have migraines. And you'd think until then it's fair,

[03:50]

right? If it's genetic, then it should be half, half. And it's true for boys and girls. But as

[03:55]

soon as women hit puberty, the incidence triples to quadruples for women, leaving 18%, so one in

[04:03]

five women with migraines. And those statistics are going to again change in a bit of a funny way

[04:10]

during perimenopause and menopause. For some women they're going to increase, for some women

[04:15]

decrease, for others change. And so women have overall three to four times more likelihood to

[04:23]

have migraines than men. Now, why is that? In Western science, it's still quite unknown.

[04:31]

You would think that hormonal migraines would account for the 12% difference. But in practice,

[04:37]

when scientific people, scientists like went to analyse that, pure hormonal migraines were

[04:43]

not accounting for the difference. As we speak around year or two situations, we will understand

[04:51]

that. But essentially, it relates mainly to the reproductive system. There's hormones in there,

[04:58]

but I'll just give you another hint. For example, a woman in her fertility years is going to lose

[05:03]

23 to 28 litres of menstruation, right? That's if you take the average woman, not the one

[05:10]

bleeding heavily. And that's a lot of matter. If you take a man next to her, there's the nothingness

[05:16]

happening. She's going to lose all of that material. We're only 4 to 5 litres of blood,

[05:22]

so that's a massive loss. And she's going to need to remake all of that substance that she's

[05:29]

constantly losing. And if that doesn't happen, that, for example, can be a root cause of migraines.

[05:35]

But also in her system of hormones. So whereas the man is going to wake up and every single day

[05:40]

is going to have a daily cycle, wake up and with his one sex hormone, go through the same pattern

[05:45]

with consistency, the woman is going to go through cycles that can last anywhere between 28 or 35

[05:51]

days ideally. But it can be much longer if she's pregnant. It's at least nine months.

[05:56]

If she has amenorrhea, it can be a much, much longer cycle. But also if she's going through

[06:03]

perimenopause, it can be much shorter and she might bleed for a really long time.

[06:08]

And in those cycles, all of these hormones and all of these jobs that need to be done

[06:15]

differ day to day. And think about migraines more as a firearm. So me and my friend are both born

[06:24]

with a firearm on our home. But because we have more sources of smoke and fire in our home,

[06:30]

because our home is more complicated, our firearm goes on faster.

[06:36]

Yeah. Okay. Yeah. So there's, I guess we've said it before, we've touched on this in previous

[06:41]

podcasts, is women's health is so complicated because we do go through so much and there's

[06:46]

so many factors to consider. So complicated. Absolutely. And it is very true. And you say

[06:53]

that a lot and it cannot be more true than that. And migraine is a complete reflection.

[07:02]

You know, one that, you know what, even if you're like hardcore,

[07:07]

hardcore traditional, you know, doctor and you hardcore don't believe that men and women are

[07:12]

that different, then explain just that one stat, right? Because that one stat comes from

[07:17]

the, from Western science. And that one stat is not currently explained. It's for mysterious

[07:24]

reasons that we have not yet invested as much time and energy, maybe, as we can, and I'm sure as we

[07:31]

will. The mystery of women, right? It seems to be a theme in modern medicine. Yes. And I really like

[07:42]

that reframe really, I suppose, of using a migraine as that fire alarm. It's a warning that

[07:51]

there's things out of balance or there's things that need tending to and caring to because sometimes

[07:55]

when you experience chronic conditions and recurrent and frequent things like migraines,

[08:02]

and everyone's obviously going to be a little bit different into how severe or how frequent they are,

[08:09]

but it can feel like you've got no control over it, that there's nothing you can do.

[08:15]

They're just something that happened and you're a victim to your migraine. And definitely when

[08:21]

you're in it, you have to ride it out, right? There's things to accept that way. But in terms

[08:26]

of overall management and treatment and care around migraines, there are things that we can do.

[08:36]

Yeah. And yes, and maybe that will not immediately resonate with the audience, but I would love you

[08:43]

to hear me out in many circumstances in order to correct other problems in the body. And for

[08:50]

example, fertility, you can use your migraines as a fire alarm to read what is going on in the body

[08:57]

and attend to it. Just I think yesterday or the day before I was online with a woman in Europe,

[09:03]

she was coming to see me for her migraines and she had these massive fertility issues and she

[09:08]

was in IVF treatment. And I'm like, oh, you know, can you postpone it? Let's just fix a few things

[09:15]

and you'll see what happens. And let's leverage your migraines to understand what systems in your

[09:21]

body have sort of fertility challenges. Yeah. And I think we're all going to understand that a lot

[09:28]

more as as we talk in very realistic terms. Yeah. All right. So, Erin, do you want to share

[09:36]

a little bit about your experience with migraines? Yeah, well, actually, my first experience of

[09:42]

migraines is not my own, but my mum's. So we were very well versed as kids on what to do during a

[09:51]

migraine. My mum would go into a dark room for about three days. She had a little bell that

[09:57]

she would ring when she needed things. And for her, that was completely debilitating. I was,

[10:04]

you know, vomiting and all of the things happening with it. And so I was always, I suppose, really

[10:12]

well aware of what a migraine was, at least in terms of the effect that it had on your function

[10:17]

as a person. And then I experienced my first migraine when I went on the oral contraceptive

[10:24]

pill when I was about 18. And it actually wasn't until I was overseas, because for me, I get the

[10:32]

aura and I completely lose my vision for about half an hour or so. Well, at least that's what

[10:38]

it is now. Back then, I didn't have any treatment options in place. And so that vision loss,

[10:45]

vomiting, all of that sort of stuff would happen, would go on for hours. And I was overseas,

[10:53]

living overseas. And I remember being at work one day, and it was probably the second or third

[10:58]

migraine I'd ever had. And I was like, oh, I think my vision's going a little bit funny. I need to

[11:04]

get back to my room. And thankfully, I was living and working in the same place. And I couldn't,

[11:08]

and I was probably maybe a 50-metre walk back to my accommodation. And I had zero vision by the time

[11:18]

I got to my room. And I was walking. It was like I was drunk almost, like walking in a zigzag.

[11:23]

And it wasn't until I went to a GP who said, hmm, you started the pill this time, and then you

[11:32]

started getting migraines this time. I think it could be linked to the hormones being absorbed

[11:39]

through the pill. Do you want to try going off it and then seeing how you go? And of course,

[11:47]

I was 18, and I'd gone on for skin issues and stuff, and being self-conscious about

[11:52]

that sort of thing. I was like, oh, all right, fine. And they resolved really quickly.

[11:58]

I went to that GP, if I may. Great. Well done. This is what we expect. This is a really good,

[12:07]

yeah, a huge word of gratitude. Well, I think it also, even though with

[12:11]

all that experience and knowledge of what it was like to have a migraine and the impact and function

[12:16]

of being around my mum for the entire time of growing up,

[12:21]

I had no concept and no idea that your hormones could impact on your head. I think that just goes

[12:29]

to show how little information and education that there is in our system in terms of just

[12:37]

the impact that hormones can have. And the migraines reappeared for me during pregnancy,

[12:46]

both my pregnancies and postpartum, and always with the same sort of pattern, the aura followed

[12:52]

by vasoconstriction headaches. So, yeah, and then they went away for a while and now they're back.

[13:04]

Hormones from about 35 started to change for me. I've just turned 40 and I've gone through periods,

[13:10]

and there's certainly things for me that it's kind of like that Swiss cheese model, right?

[13:16]

Of like risk minimisation when we talk about, you know, OH and S and stuff, you know, like you've

[13:21]

got one piece of Swiss cheese and the whole on its own is OK. Add another one and another one

[13:24]

and another one and then you've got this perfect line of lots of holes in your cheese. And that

[13:31]

is it for me. So when I add in lots of stress, lack of sleep, dehydration, lots of sugar and

[13:37]

lots of caffeine and then a hormonal wobbly bit, I'm done for. So I've had periods this year where

[13:46]

I have had them every couple of weeks and then sometimes I'll go, I was just saying to a friend

[13:50]

this morning, I'm like, I haven't had one for a few months and I'm feeling pretty good, but I don't

[13:54]

want to jinx myself. So there's that anticipation or that anxiety of like, there's no warning often

[14:01]

of just when they're going to strike. And I've had times where I've had to literally,

[14:07]

I remember getting one, my dad lives about four hours away and I got one about an hour into the

[14:13]

drive home one time and I literally just had to pull over on the side of the road and I took my

[14:19]

medication straight away, popped my aspirin in a water bottle and had to wait out the 30 to 35

[14:26]

minutes of no vision and then just manage the drive the rest of the way home with the pain.

[14:32]

But at least I could see that's always handy. Good skill for driving. Yeah, so that's sort of

[14:39]

how it happens, what they look like for me. Very impactful. I've gotten, I think that the

[14:47]

length of time that I experienced them has definitely reduced. Usually the frequency of

[14:55]

them has reduced as well. Like I can go months and months without getting one, usually. But

[15:03]

yeah, it used to knock me for a few days, you know, I'd have that really groggy, almost hungover

[15:08]

feeling for several days afterwards. So those sorts of things have reduced, but

[15:14]

only because I'm really conscious and I do, you know, quite proactive in trying to reduce the

[15:18]

things that I know contribute to them for me. Yeah, very good. Thank you so much for sharing

[15:24]

that. Really good and really well managed and probably also doing that entire podcast. Like

[15:29]

you have so much, you're a library of knowledge, right, on so many dimensions, keeping your entire

[15:36]

system healthy and happy. And it's having a real incidence on your brain. Yeah. Well,

[15:45]

trying anyway, right? I mean, life happens sometimes, but of course. Yeah, of course.

[15:51]

And this is where it's interesting to flip it and seeing maybe as a tool, you know, a tool for

[15:58]

longevity, a tool for health, not acting against us, but, you know, trying to send a message. And

[16:05]

if you're able to decode it and peel it like the way you've described, you know, have a good

[16:12]

quality of life for longer. Absolutely. Yeah. What about you, Mel? What do yours look like?

[16:19]

Well, as I was sitting here listening to you, I was like, oh my God, I've never told my GP

[16:26]

about migraines. Maybe in the very first instance, back when I was about 20 and I just started as a

[16:32]

massage therapist, I was working my guts out, but I was also working with really poor, like a table

[16:40]

that was way too high for me. I was trying to like kill people with pressure. So a lot of it was

[16:46]

tension around my neck. And so my first, so I get the auras as well, but I was driving to work and

[16:54]

all of a sudden I got the tunnel vision and I was like, why can't I see like what is happening?

[16:59]

And luckily I was working with a physio inside a medical centre. So I saw a GP and he's like,

[17:05]

you need a massage because everything was just so restricted around the muscles,

[17:10]

sorry, around the blood vessels going up to my head is how he explained it to me.

[17:15]

But then over the years I was always sort of followed that and was like, ah, it's just,

[17:20]

you know, I've worked too hard again. It's just my tight muscles. And even with like having kids,

[17:28]

I got them when it was like breastfeeding and that hunched over, that weight pulling on the

[17:33]

back of my neck, I always sort of, I got migraines come up and I could feel it coming like the spots

[17:39]

or the, you know, the auras as they call it. I'd see that and I'd be like, oh, why can't I see?

[17:46]

And that's when I started to take like a Neurofen or Panadol or something just right there and then,

[17:53]

because otherwise the pain kind of creep up the back of my head and then it would be like a

[17:58]

full-blown like pain in the head. So it was really interesting to see that pattern of the

[18:05]

pain sort of creeping in if I got it at the right time. And yeah, they're so tiring, like the fatigue

[18:13]

you get with it. It's not just, oh, I needed this, you know, I'm a little bit tired. Like

[18:17]

it's full-blown fatigue I get. So like I actually had one last Sunday, so Sunday week ago,

[18:24]

we were decorating the house, you know, with the kids and I've been doing a lot of hours of massage

[18:30]

and I all of a sudden couldn't see. And I was like, oh, oh, went and got the medication and

[18:39]

then I was like, no, I'm going to bed. And so I went and laid down for a bit because I just felt

[18:44]

I needed to be vertical for a while. I don't really feel like I get light sensitivity,

[18:51]

but the noises sort of make my head sound a bit worse. And I don't normally get the nausea,

[18:59]

but I have had a period where I went through and I sort of managed to nail it down to ovulation

[19:06]

was where I got really severe pain and I got to the point of vomiting and I was bedridden. And so

[19:12]

my poor little guy lived on shapes because that's how, like shapes biscuits, because that's what he

[19:17]

could reach a box of when I was like, I can't do this. And we were home alone. So, yeah, I never

[19:25]

really sought help for them because I just thought, oh, well, it's my own doing. I've

[19:30]

overworked my body again. I better pull it back or, yeah, maybe they would have formed a whole

[19:37]

picture of something if anyone had cared to ask. But you've asked me a lot of questions in my

[19:44]

questionnaire, so. Yeah, yeah, I have. So I sent you a questionnaire. I think it has around 97

[19:51]

questions. I remember when I started this, there was a man who said, oh, you know, you have 30

[19:56]

questions back then. It was like after one year you have 30 questions. No one answers 30 questions.

[20:01]

I have 97 questions and all of the women, you know, they power through it because they're like,

[20:06]

you know, I really I really need a solution. And I really want to speak on behalf of maybe let's

[20:13]

imagine there was a third woman in this group, one who did not have a podcast. And the reason

[20:20]

why she did not is because she was bedridden, you know, most of the month and she's in pain.

[20:27]

Things escalated. It was not her fault. She tried to find, but maybe things arrived very suddenly.

[20:33]

Maybe things arrived and changed, you know, abruptly. And she really tried and she's

[20:38]

bedridden and it's impacting her relationships. It's impacting her work. It's impacting her

[20:44]

self-confidence. Many times she's gone to the doctor and the doctor says that she's depressed,

[20:49]

but she's very happy as a person. It's just that the situation in which, you know, you know,

[20:53]

she is now makes her depressed. So she starts to really self-doubt. She tries to fake that she's

[20:59]

not in pain because it's invisible. And then people, you know, she doesn't have to justify

[21:05]

herself that much and not feel such a pain for everyone else. But inside she massively suffers.

[21:12]

She feels guilty about not taking care more of the chores at home and guilty of not taking care of

[21:16]

her children. And so I want to also, you know, keep that additional, you know, woman in mind

[21:23]

who are probably listening to us and feeling, oh, you know, I, you know, is it me? Or is it,

[21:28]

am I, you know, on a spectrum? Am I, you know, much, much in a deeper situation and

[21:34]

listening to my body? I tried, but for me, it's not working. I just want to note them too.

[21:40]

Yeah. And that was certainly my mom. Your mom. Yeah. Yeah. And well, she,

[21:49]

at least for our early years of childhood, didn't work outside the home, but she also

[21:53]

couldn't care for us while she had, she was in the depths of that migraine. And like I said,

[21:58]

last days for her. And so, you know, my dad owned his own business, but wasn't a remote working from

[22:07]

home type job. He was a builder. So he wasn't at work, things weren't getting built. And

[22:13]

so those times where he didn't need to come home because quite literally, and I have to say,

[22:19]

I was quite glad that my son was a good climber. Like he liked climbing on everything. And

[22:24]

one of those kids where I'm like, okay, I'm going to stop trying to just get you down off

[22:28]

things and teach you how to climb down safely because he just loved climbing. But when I would

[22:32]

have a migraine, I was very thankful that he was a good climber because he could reach things.

[22:38]

Off you go. But, you know, the impact that migraines even can have on relationships,

[22:43]

just because one person is completely potentially incapacitated, depending on the type of migraine

[22:48]

you have. But then impacts, whether it's work, whether it's child care. It impacts on other

[22:57]

people as well. Yeah. Yeah. Yeah. It's massive. And so let's keep the the, you know, your mom in

[23:04]

the in the conversation, such as if she was also there in the podcast. And so and so the idea is

[23:11]

like, you know, with all of these questions I asked you, Melissa, is to really say, okay, when

[23:16]

we look at all of your all of your body, what else is your body saying or what else is your

[23:23]

body complaining about? For some women, migraines can be so loud and so dominant

[23:30]

that they might not realize as well. Oh, I also have candida. I also have IBS.

[23:35]

I also have digestive issues. I also have a really runny bowel movement. I think I have a leaky gut.

[23:40]

I also have endometriosis. I also have, you know, I feel constantly bloated. I also have,

[23:47]

you know, no menstruation for a long time. I also have fertility issues. And so these issues are

[23:53]

really going hand in hand. So in Western science, we have demonstrated that migraines were genetic.

[23:58]

So there's one to 40 genes that can be found. We've also demonstrated that the gut brain access,

[24:03]

right, you know, how my gut connects to my brain, my brain to my gut. We've demonstrated also the

[24:08]

vagus nerve. And the vagus nerve, as you imagine, is this massive tree inside your body that plants

[24:14]

its roots around your heart, around your stomach, around your liver, around your gut, around your

[24:20]

uterus. And it's going to take all of these nervous ramifications all together that are going to

[24:27]

gather in a trunk, which is your neck. Back to your point, Melissa, you know, when I take all

[24:32]

of that tension and massage people, it goes in my neck and I start to have a migraine and then

[24:36]

plugs in your brain like a Tesla. And so from a Western science perspective, we've completely lost

[24:42]

the signal where all of these ramifications of nerve go into the brain. And so what we do

[24:47]

instead is we try to have people, we do brain imaging and we try to have people do brain

[24:54]

imaging when they ovulate or when they have their menstruation, when they do maths, when they're

[24:58]

stressed. And we try to see, OK, what part of the brain is functioning. But, you know, how can we

[25:05]

relate to the to those wires inside the gut is still, you know, something that we that we start

[25:12]

to scratch the surface on and try to investigate and learn from. And so it's really using that

[25:17]

together with all of the symptoms. So whenever I have an endometriosis or a candida or, you know,

[25:22]

you were talking in your podcast recently about the biome of the vagina. I said that word,

[25:29]

the biome of the vagina. And I'm like, yeah. And if you have a bad biome in your vagina,

[25:33]

you can have recurring UTI, which is enough to get you a migraine as well. Right. You know,

[25:39]

depending on your genetic predisposition and how strong it is. But if your firearm has a lot of

[25:44]

sensors, it's going to pick up that sensor of the UTI and, you know, wrong vaginal discharge with

[25:53]

a pH that is too alkaline and not acid enough and and start a migraine. And so and so in your case,

[26:02]

I'd love to walk you through sort of how does your body deal with these very small imbalance?

[26:07]

And we're going to start by being tense in the shoulders, you know, having that tension from

[26:13]

your work and, you know, receiving everything in your neck. When you do that at the back behind

[26:21]

your head, in traditional transplants, you connect the brain to the kidney system.

[26:27]

Now, I'm not talking about the kidney organ, I'm really talking about the system. In that system,

[26:32]

you have the kidney, the bladder, the adrenals behind the head, the resilience to stress,

[26:37]

etc. And so when that system is going to be too solicited, a number of symptoms are going to

[26:44]

occur that indicates that that system is slightly out of balance. Right. So, for example, being

[26:51]

sensitive to noise when having a migraine is going to pertain to that system. Experiencing

[26:56]

abdominal pain mid-cycle sometimes when you ovulate. Right. That's really the time of the

[27:01]

kidney systems, the kidney system in charge of ovulation. Feeling exhausted, completely smashed,

[27:07]

tired, having migraines on the sinuses, which is probably the same system, having tinnitus

[27:13]

or a bit of, you know, a little bit of facial hair. All of that pertains to a system. So it's

[27:19]

not looking at these problems of can I fix my tinnitus? Can I fix my sinuses? Can I fix my

[27:25]

ovulation? Just looking at, OK, the whole system seems to be slightly out of balance and needs a

[27:31]

bit of love and needs a bit of nourishment. Now, when that system isn't doing well,

[27:37]

then you can have another system not doing well and it's going to be the liver system.

[27:41]

And the liver system works like hand in hand with the kidney system. The liver system is in charge

[27:46]

of all of your female hormones, your tendons, but also is massively connected to your brain

[27:52]

in multiple locations, is in charge of your mood hormones, your tendons, your breasts.

[27:57]

And so once one of those systems doesn't do really well, so here my kidney system,

[28:02]

my liver system might come to the rescue. I'm going to start to have a domino effect.

[28:06]

And so my liver system, which is technically massaged by my diaphragm, pumping it just on

[28:13]

top of it when I breathe and I'm going to start to shallow breathe, that system isn't massaged as

[28:20]

much. And I'm going to start to have another set of symptoms like numbness in the arms, like

[28:26]

bloating, sore breasts, you know, tending to bend the back, you know, putting on a bit of weight,

[28:32]

having the belly a little bit enlarged. Is that a big deal? No, it's not a big deal. No,

[28:36]

it's not a problem. But the problem is that the liver system is in charge of detox. So it means

[28:41]

that when it has less energy, it's going to start to prioritize every day of the month what it does

[28:46]

and doesn't do. And so at some point, I'm going to start to accumulate toxins. Now, if that gives

[28:52]

me a migraine, I'm going to do what? I'm going to take a medication. If I take a medication,

[28:57]

I'm adding toxins. So this is where we have what is called the migraine rebound or medication

[29:04]

overuse headache, where in traditional translation, when you say, OK, if you give more inflammation,

[29:11]

more toxicity in the liver, you can have more migraines. And from there, what is fascinating

[29:17]

is that your liver, in traditional translation, is in charge of irrigating your eyes.

[29:22]

So it's in charge of producing the very fine liquids that will help your eyes see properly,

[29:27]

deal with light. And once those are not produced in enough quantity, because that's the to-do list,

[29:35]

you know, the body can get to it, then you're going to have a whole new set of symptoms.

[29:40]

Really, really fascinating, which are, for example, having itchy eyes, having migraines

[29:45]

with aura, having dry eyes, feeling dizzy. And so, yeah, it's all of that branch, which

[29:53]

then starts to be really scary and actually very dangerous, because if I'm driving,

[29:59]

you know, I'm much more susceptible of an accident, much more. If I'm also walking and

[30:05]

there's a scooter coming at me, my time response to that scooter is going to be slightly slower.

[30:10]

And so I slightly have more risk of being hit by something. And so then starts a cascade of dominoes

[30:18]

of the systems not being well together. And this is what the pain is complaining about.

[30:24]

If I take an analogy, I take, you know, you see my daughter jammed her finger in the door,

[30:31]

and I went to the doctor and I said, oh, she's crying really loud and makes so much noise in

[30:36]

the house. And the doctor says, oh, let me give you some earplugs. They work quite nicely. She

[30:39]

goes back home and she's like, oh, yeah, this noise. Well, that was painful. And then the

[30:44]

daughter starts to shout louder and says, I'm really in pain, mom. Can you please help me? And

[30:48]

she starts to shout. And the mom goes back to the doctor and says, now she's shouting.

[30:52]

Oh, try on this Bose headset with nose counseling. Should be really good. She goes back home and the

[30:57]

door starts to bang on the door. And so it's really about, you know, trying to say, OK,

[31:05]

am I born with migraines? I'm born with genetics, but am I born in pain? No. So there is pain. There

[31:12]

must be a root cause to my pain. And what is my root cause? And when you get to my experiences,

[31:18]

when you get to the root cause of the pain, the bonuses, the other symptoms go. So you can have

[31:25]

a very foggy brain, for example, and acne. And when the foggy brain goes, the acne goes because

[31:31]

they're the same sort of problems of bio inside the body, inside the gut. And so that's what keeps

[31:38]

me busy and happy, you know, like to transform women from within, for them to live the life

[31:46]

they deserve to live and not be controlled day to day by their migraines, be the mothers they

[31:51]

want to be, the workers, the spouse, you know, you know, to enable their dreams and not be locked

[31:58]

and controlled. I think the root cause is probably the words that we would love to hear more from

[32:08]

our doctors is finding that instead of masking it or throwing, you know, shit medication on the top.

[32:14]

Like, yeah, I had a bit of a rant with my ladies this morning about this. Like I go in asking a

[32:22]

question about what is causing this and they go, well, what medication can I give you? And there's

[32:29]

no further investigation. It's like, how can we suppress all these, you know, suppress all

[32:37]

these symptoms as opposed to actually finding what is it that's bringing those symptoms out?

[32:42]

Completely, completely. I mean, it's so true. And once you find your root cause, you know,

[32:48]

because everything, all of the problems go at the same time. When you solve for something, if not

[32:54]

another three things are solved, it means, you know, you were just looking at the symptom. Normally,

[33:00]

many other things should go. This is what I love about holistic health care, because it really is

[33:06]

looking at the drivers. What mechanisms, what organs, what systems are actually at play for this

[33:12]

thing? Like you're saying, like, is the problem the daughter crying? Or like if you, if that,

[33:19]

in that particular scenario, if some more questions have been asked, well, if we deal with the pain in

[33:23]

the finger that just got jammed in the door, then the crying would stop. It's not about the ears.

[33:28]

It's not even about the crying. It's about what's causing that.

[33:31]

Completely. Yeah.

[33:33]

Completely. And look, the problem initially was small. But if you let that drag for one year,

[33:39]

two years, five years, 10 years, then the problem becomes major. Yeah.

[33:46]

Yeah. And the relationship between that mom and that daughter is a relationship between you and

[33:51]

your body. There's a third party telling you what to what, you know, to ignore.

[33:57]

Exactly. Yeah. And it's not to say that there aren't circumstances or times where,

[34:03]

like if I had sat on the side of the road with that aura without any medication,

[34:09]

I would have been sitting there for a really long time, not half an hour.

[34:13]

So there are times and places where we need that. But I think it's really important,

[34:17]

particularly if it's something that's ongoing for you and impactful on your life, to actually

[34:21]

sit down with someone who can look at that whole picture of what's going on for you,

[34:27]

rather than just the crying kid or the pain in your head. Yeah.

[34:33]

Absolutely. And look, doing these exams, like lots of women are going to say, I went to the

[34:37]

neurologist, I did an MRI, I did a blood test, I did a biome test. Everything is coming back

[34:42]

normal. It is important to do these tests. You know, it is important. But if everything comes

[34:47]

back normal, well, it doesn't mean that everything is normal. Like, you know, there are imbalances.

[34:51]

There's a reason why. It's not just in your head. I think oftentimes women are led to believe, hey,

[34:56]

it's in your head, just accept, medicate, move on. Life will be easier if you were just accepting

[35:02]

that this is your reality. I think it's really hard for women to hear that. Like, really,

[35:09]

am I really depressed from deep within? And do I just have to accept because, what, I'm a woman?

[35:16]

Like, that's also what women are told. Why do you have migraines? Because you're a woman.

[35:21]

Yeah, exactly. And, you know, I can't change that. Yeah. Well, that's it. And it's, you know,

[35:33]

goes across lots of chronic pain conditions, right? Whether it's migraines, whether it's

[35:41]

chronic musculoskeletal or joint pain, whether it's endometriosis, you know, other inflammatory

[35:46]

sort of conditions, the time it takes for diagnosis can often be really, really long because,

[35:53]

exactly as you're saying, Diane, which, yeah, that's just part and parcel of being a woman.

[36:01]

Not always, but often, you know. And it's no wonder that then, you know, the fastest

[36:09]

rising script stats in Australia, and I expect New Zealand is really similar,

[36:13]

is that of antidepressants and anti-anxiety medications. And, again, it's that finger in

[36:19]

the door type situation, or the crying child, like, is it about the earplugs, or can we actually ask

[36:24]

some more questions and find out what's driving that condition? Yeah. Yeah. And so, I tell women

[36:30]

to also just, you know, make silence in their head and really trust themselves. Women usually

[36:38]

really know themselves. But it can be really hard because, and I did a podcast with Nicole

[36:44]

Jardim on the period party on this topic of intuition, because let's imagine I'm a woman,

[36:49]

my GP tells me, oh, track your migraines, and then come back to me, you know. And she tracks,

[36:55]

and she says, oh, they're hormonal, I think, because each time it's on my cycles, or just

[37:00]

before menstruation and ovulation. And she looks at the data together with the doctor, and on paper,

[37:06]

it's not very true. Like, if you really look at on paper, it's like, well, yeah, sometimes,

[37:12]

but not always. And how the body is going to constantly prioritize its to-do list, and able

[37:18]

to do, get things, some of them done certain months, and sometimes not able to get them done,

[37:23]

because the to-do list is longer. It's going to really put women off to say, okay, after all,

[37:30]

I don't know anything, and no, it is not related to that, but I really thought it was this, or I

[37:35]

thought it was the pin, then I stopped it, or I thought it was my marina, and I stopped it,

[37:39]

but I still have my migraines. So really, in spite of all of that, you're still right. And I really

[37:45]

want women to hear that, in spite of everything that you're told, your intuition is, most of the

[37:51]

time, not always still right. And that's what I was sort of trying to say right at the beginning

[37:56]

with my Swiss cheese analogy, is that there can be triggers, there can be tipping points,

[38:04]

but often, or at least in my experience, it's actually compounding factors. It's not just one,

[38:10]

I couldn't, it wasn't just one day of not drinking enough water, it was the dehydration coupled with,

[38:16]

well, I had a few glasses of wine yesterday, plus I, and at this point in my cycle, plus I've got

[38:22]

a lot going on with work, or there's family stress going on, or you know, like, there's one thing,

[38:28]

there's just too many things, and then that was the tipping point, rather than any of those one

[38:33]

individual things as well. Yeah, and it's completely true. And if I may add, let's take a

[38:41]

situation of even, for example, your mom, and she discovers this, and she's told, do some yoga,

[38:47]

exercise, drink more, hydrate yourself more, eat healthy, you know, don't be stressed about this or

[38:53]

that, and you tell her to do all of these things, it is possible she feels she's doing everything

[38:59]

right, and she's still in pain, because the domino went so far, and the imbalances are so

[39:05]

installed that they can't, they can't get back on track, and the body really needs, you know,

[39:14]

help to get to that equilibrium, and once the body is in equilibrium, it's much easier. But do you

[39:20]

see what I mean? Like, I often discuss with women, they say, I live like a saint, I don't drink,

[39:26]

I don't eat chocolate, I exercise, I meditate, I do yoga. And my husband, he does everything the

[39:33]

opposite, he's just completely healthy. And I'm in, I'm bedridden, you know, like still three or

[39:38]

four days a month with all of the sacrifices I make. How does that work? Sometimes there are

[39:45]

still imbalances that are deep rooted and needs to be adjusted, but once they are, the body knows

[39:51]

how to do the rest. And so if you can try to catch, if you can be like, you know, like Erin,

[39:58]

and I find Melissa, and do your research, and listen to so many of the podcasts, and try to

[40:03]

really keep your health as much as possible in check, then you'll see your migraines decrease.

[40:08]

So consume, consume podcasts, and learn for yourself, see what works, you know, keep your

[40:14]

health in balance, and then, and then your brain, your brain will follow. So where do we go from

[40:20]

here? So what, what do women, how do we, I guess, find our root cause and be able to address the

[40:29]

issues that are found? It's a, it's a very good question. So, so I think the reason why doctors

[40:38]

really struggle to find those is because the way our system is, is done is we have the GDP, right?

[40:47]

And in order to increase GDP, you need to make more money, and it's a money economy. But if you

[40:53]

are in health care, well, the way you make more money, and you answer to investors is you have

[41:00]

people consume more health care. So it's quite a vicious circle, the way, the way things are

[41:06]

developed, and it's no one's fault. No one, you know, woke up and say, let's do a devious thing,

[41:11]

you know, and let's not be kind and, and make everyone super confused. No one did that. But we

[41:16]

did that to ourselves. In traditional Chinese medicine, you would pay your doctor as long as

[41:20]

you were healthy. So the moment you'd get sick, you'd stop paying them. Very different logic. So

[41:25]

guess, you know, who got to the root causes and who got to explain what root causes are? Well,

[41:30]

you know, and have a really fertile, you know, population and large population. And so,

[41:35]

and so it's really using some of these core principles. Does that answer your question,

[41:40]

though? I'm not sure it does. Yeah. Yeah. Yeah. It's really like looking at things a lot more

[41:47]

holistically, a lot more holistically, and linking them together. Usually, when there's a system down,

[41:53]

it will come with multiple symptoms and understanding where those systems pertain.

[42:00]

I think that's from I didn't get a chance to fill out the questionnaire that Mel did. And

[42:07]

her feedback was like, I didn't even realize how complex the picture of migraines is. And I

[42:14]

suppose the precipitating factors or those triggering and contributing factors is going

[42:18]

to be a little bit different. And so but being able to have someone help you actually decipher

[42:25]

what your migraine picture is. Completely. And so and so if this is you, if you found you've done

[42:32]

all of the right things, et cetera, and you're still massively in pain, and have a website,

[42:36]

it's called MyNectarHealth.com. Nectar, like the flower. And you fill in the test. And from the

[42:46]

test, we meet and we discuss. I'm going to explain to you all of the domino effect of your migraines,

[42:51]

you know, just from the first onset of migraines to now. And usually women love that call because

[42:59]

they feel seen and understood. They understand their body. And for the first time, they're like,

[43:04]

oh, my God, now that makes sense. I understand how I got into that situation and why it's so

[43:09]

hard to get out of it. And then I put together an app and that app is going to help us find the

[43:15]

foods that will solve all of these root causes. And once the root causes get solved, then they

[43:20]

will report, wow, not only are my migraines decreasing intensity and frequency, but also

[43:25]

all of these other problems are softening. They're going away. My skin's better. And people will

[43:31]

comment, like children will comment on mom's energy. Husbands will comment on hair or on skin.

[43:41]

Friends will comment on weight, which sometimes can just be absence of bloating. And so the

[43:45]

belly just no longer bloated. And so it's wonderful. And I think it's women who have

[43:52]

migraines feel incredibly vulnerable. If you've had them for five, 10, 20, 30, 40 years, you've

[43:59]

tried everything and nothing worked. And I would really encourage you to listen to the podcast of

[44:04]

Migraine Heroes. And we go over with women, like over the incredible lives that women have led

[44:13]

and how they've come out of it. And so I'd really encourage you to feel reassured and feel

[44:21]

listening to several podcasts to feel, OK, I can, you know, I think, I think, you know,

[44:25]

Diane is different and I think she can potentially help me. And I have to say,

[44:31]

I'm sorry for everything that you go through. I really am.

[44:35]

Well, thank you very much, Diane, for sharing all that with us. And if you are listening and

[44:41]

interested in doing the questionnaire, 97 questions, it does sound like a lot. But once

[44:47]

you're sitting on your phone, just flicking through, it's not that hard.

[44:49]

Seven minutes. It's OK.

[44:51]

And my phone saved my responses when I clicked out to email and say,

[44:56]

but what about this, Diane? And then I came back and all my responses.

[45:00]

still there. So yeah, that's a great technology feature of your form because I am the worst

[45:07]

when it comes to getting to a point going, I don't know what to do. Yeah. So we'll put the

[45:13]

link in our show notes, but it is mynectarhealth.com. You can have a look around and fill out that

[45:23]

questionnaire and find out more about Diane and her work. So thank you again.

[45:28]

Yeah. And when you do the questionnaire, meet me. I think it's just, it's that conversation

[45:33]

is quite unifying and energizing. And I have to say, I feel always energized. You know,

[45:39]

it's on paper. It lasts 60 minutes. Usually women will go over, ask lots of questions. It's going

[45:43]

to last 90. And you know, I love every minute of it because it's a moment of self-discovery and

[45:48]

self-understanding. And it's the moment where you say, your daughter jammed her finger. This is the

[45:53]

date happened and this is how it happened. That this is why she's crying. Undo your earplugs.

[45:58]

You can listen and she's there, she's alive. Let's just take really good care of her and love

[46:04]

her very much. Awesome.

[46:08]

Yeah. And what resonated so much and why we wanted to talk to you, Diane, is really,

[46:14]

you know, the aim of our podcast is to educate and empower. And that's actually what your work

[46:18]

is doing. It's actually just providing women information that they can then use in helping

[46:24]

and managing their health, which is just so great. So thank you.

[46:26]

I really want to thank you on that because, you know, to be where the podcast was listening to

[46:30]

more episodes like, oh, I love that. Let's just continue where it goes and, you know,

[46:35]

have practical tips. And so you're doing absolutely remarkable work. So thank you both for being so

[46:42]

candid and so vulnerable at times like here as well, you know, when you share your own experiences.

[46:48]

And today is a testament to that. So a massive thank you for women. Thank you for standing for

[46:52]

us. Thank you. It's been a pleasure.

[47:06]

Thank you for listening to today's episode of the Empowered Women's Health Podcast.

[47:11]

If you would like to join the conversation, you can head to www.facebook.com slash groups

[47:19]

slash Empowered Women's Health and join our community and join the conversation around

[47:25]

today's podcast episode. If you would like to follow me, Melissa, on Instagram or Facebook,

[47:32]

look up at melissa.fearlesshealth. And Erin, you'll find on Instagram as Erin's Healing Hub

[47:40]

or on Facebook, Erin Bailey, holistic nutritionist and naturopath. Thanks.

Originally published November 2023

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Migraine Matters with Diane Ducarme | Migraine Heroes