I’ve thought a lot about it, if that counts.
The last 12 months I’ve been more or less following the John Hopkins Diet which I understand to be very similar. This was personal choice. The migraine specialist neurologist I saw here in the UK doesn’t subscribe to any form of diet restriction for migraine or MAV at all. I understand consultants in the US often start people off solely with dietary restriction, and one at least insists on four months I think it was solely on diet before any medication is prescribed. From my own experience and what I’ve read I’d say all triggers are cumulative, food and environmental ones so personally I find it virtually impossible to conclusively prove food triggers in cases of chronic MAV where there are constant 24/7 symptoms anyway. Unless of course one can live constantly in one small space where all other environmental factors are totally consistent, a large test tube comes to mind.
In my youth I had occasional bad sick headaches - they weren’t called migraine where I lived - and even as a teenager I had no trouble tracing these to chocolate and citrus fruit, oranges to be specific. Cutting those two items out and they disappeared. Easy but was it right? Retrospectively and knowing all I now know, all that happened about the same time I started having periods. Um? Coincidence? Um? I added red wine to the banned list in later years as there seemed a strong link. Stopped red wine and again the heads stopped too. It’s easy with episodic events.
To prove causation When constant symptoms are present I think calls for a more scientific approach than most people living in the real world have access. There needs to be stability or a true ‘control’.
There are so many variables in the above it must be impossible to establish the reason for your apparent, and I’m sure much welcomed, symptom reduction.
I only take one drug but even then have found it impossible to establish definite triggers through the diet. That’s not to say the diet isn’t helping. I think it may well be doing so and I’m not intending quitting yet awhile. What I find every time I say blame that banana, a voice in the back of my head says ‘yes but that wind was blowing strongly yesterday; that extra hour in bed; and there then was all those flashing lights in that TV Programme last night’. The other thing of course is tolerance thresholds vary so yesterday’s banana might just not have been half as much to blame for the most recent attack as that one you had last Friday after Sally’s birthday party Thursday night was for the previous attack.
My conclusion after all that thinking is most of the time it’s too frustrating to contemplate! Helen