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Nutrition Strategies to Reduce Migraine Attacks: Insights from 22 Years of Personal Experience

Do you suffer from debilitating migraine attacks like I have for over 22 years? I've reduced mine from 2-3 per week to just 2 per month through targeted dietary changes. Here's what worked for me.

Migraines and Nutrition

As someone who's managed chronic migraines for decades, I've learned that diet plays a key role. While not every migraine has a dietary cause, certain foods act as triggers. I'll share which ones to avoid, preventive options, and the best eating patterns based on my experience and research.

What Is a Migraine?

Migraines cause intense, debilitating headaches, split into two main types:

  1. Migraine with aura: Preceded by visual symptoms like flashing lights.
  2. Migraine without aura: Often with nausea, vomiting, and visual disturbances.

These differ from tension or cluster headaches. For more on headache types and symptoms, visit Allesoverhoofdpijn.nl.

Early Warning Signs of a Migraine Attack

Migraine sufferers often recognize precursors, such as:

  • Extreme hunger or thirst
  • Deep fatigue
  • Mood swings
  • Visual auras like blind spots, flashes, or zigzags (with aura)
  • Light sensitivity

These can last minutes to hours before the headache hits, sometimes with nausea. Personally, I notice intense thirst, tense neck/shoulders, unusual cravings, or overeating as red flags.

Common Migraine Triggers

Migraines stem from multiple factors; tracking yours is key. Common ones include:

  • Stress (attacks often follow relief)
  • Hormonal shifts (e.g., pre-menstruation in women)
  • Sleep irregularities
  • Weather changes
  • Poor posture (especially neck/shoulders)
  • Overexertion during exercise
  • Dietary factors

Manage what you can: Prioritize sleep, ease stress, stabilize temperature exposure (e.g., avoid air-conditioned to hot sun jumps; use sunglasses). Ginger tea and CBD oil have helped me prevent some attacks.

Foods That Trigger Migraines

Certain foods reliably provoke attacks. Avoid these:

1. Alcohol: Steer clear entirely.

2. Caffeine: Excess triggers attacks, but moderate amounts (e.g., coffee with paracetamol) can help during one.

3. Chocolate: Contains serotonin, a mood booster that triggers some.

4. Monosodium Glutamate (MSG/Vet-Sin): Common in Asian cuisine, soups, soy sauce, snacks, and labeled as E621-E625 or "flavor enhancer."

5. Cheese and Milk: Especially aged/hard cheeses; even soft ones or milk can provoke.

6. Processed Meats: High nitrates in sausages, bacon, canned meats—opt for fresh butcher cuts.

7. Salad Dressings: Often loaded with E-numbers, fats, and preservatives.

8. Artificial Sweeteners and Dyes: Aspartame (E951) and dyes like E102, E110; also preservatives (E210-252, etc.) that release histamine.

9. Citrus Fruits: Limit intake despite vitamin C benefits.

10. Fatty Foods: Fries, mayonnaise, etc.

11. Certain Vegetables: Tomatoes (nightshade family), spinach.

Foods That Help Prevent or Ease Migraines

Focus on these natural allies:

  • Fatty fish like salmon and mackerel (omega-3s)
  • Ginger (tea or in meals)
  • Plenty of water

Ideal Diet for Migraine Management

Stabilize blood sugar with small, regular meals—3 mains + 2-3 snacks daily, at consistent times. Never skip breakfast. Hydrate with water or unsweetened herbal tea to avoid dehydration triggers.

Additional Relief Strategies During Attacks

Beyond diet:

  • Apple cider vinegar compress on forehead
  • Massage tense shoulders/neck with warming ointment
  • Feverfew (fresh or tablets)
  • OTC meds like paracetamol, ibuprofen
  • Sex/orgasm (releases pain-relieving endorphins)
  • Essential oil remedies

Genetic Insights

In 2013, researchers identified a mutation in the 'casein kinase I delta' gene linked to migraines, paving the way for future treatments.

Promising New Migraine Treatment (2018 Update)

In late 2017, a new drug showed promise in reducing attack frequency and severity, with availability hoped for summer 2018 per researcher Peter Goadsby.

My 22-Year Journey with Migraines

Migraines started at age 12 after a concussion. Attacks once left me incapacitated for hours, risky with young kids. Books on diet led me to cut cheese, broth, and MSG-laden foods—attacks dropped dramatically. (Chocolate's rarely an issue for me.)

For more on living with migraines' family impact, read my column "Living with Migraine."

If you battle migraines, try these nutrition tips. For loved ones/employers: Attacks disrupt life—empathy helps.