in case anyone is wondering how we House MD’d our way from “hot & sour soup” to “magnesium supplement”:
- I drink a lot of gatorade in addition to water because I strongly suspect I also have POTS (which is likely related to the migraines) and the sodium & electrolytes help with those symptoms. But it doesn’t really seem to do much for my migraines.
- Partner noticed I tend to get migraines, and particularly ones with visual aura, an hour or two after getting back from one of my really hard weekend morning workouts. (I get migraines other times, too—recently, just about every day in the late afternoon—but getting really sweaty was a strangely consistent trigger, especially for auras.) I was making sure to rehydrate with plenty of gatorade and water after, so it probably wasn’t just dehydration.
- Hot & sour soup is a large quantity of sodium-rich fluids that is easy for me to get down even when I’m in pain, so it makes sense that that would be good from a POTS standpoint, but crucially, it also supplies magnesium. Not a ton of it, but guess what gatorade doesn’t have any of? That led him to an article on the American Migraine Association’s website about the suspected link between magnesium and migraines, especially ones with aura.
- So our hypothesis is that on the workout days, I was losing more magnesium than usual, drinking a ton of fluids and electrolytes to recover, but not doing anything to replenish the magnesium. And I can see a pattern on weekdays too, where I forget to eat breakfast, maybe don’t do so great at eating a balanced lunch because my ADHD meds nerf my appetite, and then by 3 or 4 o’clock, after a day of drinking only water and gatorade, the headache starts (and sometimes abates after dinner, depending on what I eat.)
- So far, taking a daily 500mg magnesium tablet with lunch + switching from gatorade to gatorlyte (which does supply magnesium) seems to have helped massively with the headaches, but also with my energy levels and mood? (That could also just be the effect of consistently not having a headache for the first time in weeks, though.)
I’m not a doctor, don’t do anything I say without talking to a medical professional first, etc. However, I did just get back from my first appointment with a new doctor, and she told me magnesium (and vitamin B2) is normally her first recommendation anyway since it has fewer side effects and risks than migraine preventive medications. So since the supplement route seems to be working for me so far, she wants me to start with that and reevaluate in a month or so.
In other words, per doctor’s orders,