Successful Vegas Holiday!!

Last week, I traveled to Las Vegas with my husband. There were no stabbing icepick headaches or migraines during any of the plane flights! I walked miles in the 104F heat and felt fine. I had drinks by the pool, talked to strangers, went to a show, walked through casinos, didn’t lose track of where I was, and even slept well! Overall, I felt wonderful. I did have debarquement sensations b/c of having to take elevators, but I would have had those anyway. I had my supplements and meds pre-organized into morning/afternoon/evening labeled snack bags so I could bring them wherever I was and I took them on schedule. I took 15 mg pseudophedrine and two advil as pre-emptive strikes on the plane flights, too.

This gives me hope that starting work next week (first couple of weeks are slower b/c it’s orientation) will be okay.

In addition to 60 mgs duloxetine each morning, my supplement/med routine is:

  • Morning – 200 mgs magnesium, 2500 B12, 500 mg L-carnitine, 300 mgs ubiquinol, 200 B2, 400 mg sam-e (for arthritis)
  • Afternoon – same as morning except no B12 or B2
  • Evening – 200 mgs magnesium, 150 mgs pycnogenol (for tinnitus, though I don’t know that it’s doing much), 5000 D3, sometimes 25 mgs iron

Congrats!! Glad you had a nice trip. Vegas is a good time! Sounds like you were super organized and prepared. Are any of these prescription are all over the counter?

I was taking 60 mg duloxetine, which is prescription – the supplements are all over-the-counter. Magnesium and Ubiquinol (a form of CoQ-10) are very commonly recommended, as is B12. However, the supplement that has also helped me a lot is L-carnitine, which according to WebMD doesn’t have much scientific support (L-CARNITINE: Overview, Uses, Side Effects, Precautions, Interactions, Dosing and Reviews). However, the NIH sees a use for it (Carnitine - Health Professional Fact Sheet), and I suspect the part about energy production and toxic removal is what is so useful: "

Carnitine plays a critical role in energy production. It is an essential cofactor that helps transport long-chain fatty acids into the mitochondria so that they can be oxidized to produce energy in the form of adenosine triphosphate (ATP) [4]. Carnitine also helps transport some toxic compounds out of the mitochondria [4].".

The NIH fact sheet also states that for most people supplementation is unnecessary. But I’ve seen it pop up a could of times on this forum and @sheepdog_lord also mentioned it as being useful (if memory serves). I added it to my supplement routine and it seemed like the impact was almost immediate.

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yes carnitine seems particularly useful for women with migraine, although full disclosure, I am a man, and have had it be a huge benefit in my energy/attack frequency. it definitely deserves more attention as a supplement for migraine

I started taking carnitine after reading about it on this forum and I definitely think I’ve seen some benefit :slight_smile:

Oh, so that’s what it’s called. I always just called it the rubber floor feeling. I felt this went I stepped off the plane last night but getting off the elevator today made it so much worse.

No that’s not the same thing. MdDS is when you can be completely stationary and you still feel like you are moving (usually from side to side).

Rubber floor is different and usually referred to as “Marshmallow floor” here.

But that’s probably academic. I’m sure it all has the same root cause. It’s just different symptoms of the same vestibular deficit.

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