I agree, my neurological symptoms are rarely painful (though there was a phase in this condition when I was flat out with full on possibly basilar migraines which most definitely were!)
Whatever the aetiology behind MAV, I suspect a lot of these restrictions are to help avoid symptom exacerbations. ie it may not be that these things actually worsen your long term prognosis, but if you don’t address them you will feel worse in the meantime.
As per my update on another thread, I’m now fairly sure caffeine is causing me trouble and has actually given me a full on relapse so I’m presently trying to stay away from it as much as possible.
One thing to note though: the diet has varied in usefulness over the course of my condition - sometimes it’s been so bad that the diet would probably have made no difference, but as things have become less intense I’ve found it can help and been more able to see the subtle changes.
I’ve actually been experiencing an increase in ear fluid sensation recently when I have become a bit lax with coffee and chocolate discipline. Cutting back on these things has decreased those fluid sensations and subsequent neurological troubles and I hope I’m going to get back to my trend of improving again …
I’m not seeing any issue with dairy or the odd glass of red wine though … which is nice!