MORE THAN 10 MILLION Americans have migraines creating a burden of mostly unnecessary suffering.(i) These severe, nearly disabling headaches can occur from once a year to three to four times a week. They can last from hours to days. They are often associated with an aura, light sensitivity, nausea, vomiting, and severe throbbing pain on one or both sides of the head. Migraines are even associated with stroke-like symptoms or paralysis in some cases …
The cost to society is also enormous. Migraine headaches add $13 billion to $17 billion to our healthcare costs each year. These costs include medications, emergency room visits, hospitalization, physician services (primary care and specialty), laboratory and diagnostic services, and managing the side effects of treatment.
Migraines have indirect costs too. A headache is the most frequent pain-related complaint among workers. Focusing specifically on migraines, one study found that the annual cost to employers exceeded $14.5 billion, of which $7.9 billion was due to absenteeism and $5.4 billion to diminished productivity.(ii)
So this is a HUGE problem — both to those who suffer and to society as a whole.
Worse, migraines are hard to treat and very difficult to prevent with conventional approaches. There are a host of preventive drugs — calcium channel blockers, beta-blockers, anti-seizure medications, antidepressants, and more –which work poorly, if at all, and are accompanied by frequent side effects. Some doctors are now even using Botox to paralyze neck muscles in the hopes of easing migraines.
There is also a new class of medication called triptans (like Imitrex, Maxalt, and Zomig) that can stop a migraine once it starts. Though these have made migraine sufferers handle the attacks better, they also have serious potential side effects, including strokes, and are expensive. Still other treatments can lead to addiction or dependence. Not a pretty picture. And for many, none of these treatments work very well or at all.
The problem with migraines is the same one we see so often in medicine: We treat the symptoms, not the cause. We only deal with the effects of something and not the underlying 7 keys to UltraWellness. But using Functional Medicine I have been able to get nearly 100 percent of my patients migraine free within days to weeks!
Migraines are no different from any other disease. It’s simply the name we call a set of symptoms that are common in groups of people.
I want to explain how I do that. I will tell you the story of one of my patients (a doctor herself) who, after years of suffering from migraines, finally came to me looking for relief. You will learn what I did to help her (as well as many others) and how you can apply the same measures to overcome your migraines. And I will give you 14 tips that will help you identify and treat the real causes of your headaches.
I will tell you the story of one of my patients (a doctor herself) who, after years of suffering from migraines, finally came to me looking for relief. You will learn what I did to help her (as well as many others) and how you can apply the same measures to overcome your migraines. And I will give you 14 tips that will help you identify and treat the real causes of your headaches.
Dozens of Migraine Patients, Dozens of Different Cures
Many of my patients are doctors themselves and are often at the end of their rope. One was a physician from the Mayo Clinic, the Mecca of conventional medicine. This woman had severe, disabling migraines that made it nearly impossible for her to function at work. She depended on oxycodone (a strong morphine-like narcotic) and Zofran (a powerful anti-nausea drug used for chemotherapy patients).
She had seen every specialist at the Mayo Clinic and had traveled far and wide to other top neurology headache centers but never found relief. Unfortunately everyone she saw focused on her headaches, not her other symptoms — which held all of the clues to her problem.
Migraines are no different from any other disease. It’s simply the name we call a set of symptoms that are common in groups of people. This name tells us nothing about the cause of the symptoms, which may be very different depending on the person. In fact, there may be more than 20 different causes of migraine headaches!
My job is to be a medical detective and find these causes. It is not to simply prescribe powerful symptom-suppressive drugs. I remember very well working in the emergency room, treating all the chronic migraine patients with intravenous narcotics and nausea medication. I felt bad for them, but worse that I didn’t have a way to prevent them from coming back.
Now I do.
Which leads me back to the doctor who came to see me from the Mayo Clinic who suffered migraines nearly every day for years with no relief. Here is what I did to help her …
First, I asked her a lot of questions and learned she suffered from many symptoms including palpitations, severe constipation, anxiety, insomnia, muscle cramps, and menstrual cramps — in addition to her migraines.
All of these symptoms are connected. They told me that her whole system was tight, irritable, and crampy. These symptoms are usually associated with severe magnesium deficiency,(iii) which often results from poor diet, caffeine, sugar, alcohol, and stress.
So I put her on high doses of magnesium and cleaned up her diet. Within a couple of days, she was migraine free and never had another migraine.
She’s not the only success story.
Another patient had disabling migraines for 45 years and could not have a social life or plan anything because she spent most of her time in bed with the lights out. She also had an allergy to eggs. When we eliminated the eggs from her diet, her headaches disappeared. No eggs, no migraines. Three months after treatment she felt so good she decided to have an egg and ended up in the hospital with a three-day migraine confirming our original finding.
Another patient always had migraines before her period, along with severe PMS, bloating, sugar cravings, breast tenderness, and irritability. These symptoms are all related to hormonal imbalances.(iv) She had too much estrogen and too little progesterone. Getting her hormones back in balance relieved her of her migraines.
Yet another patient had genetic problems with her mitochondria and energy metabolism and needed high doses of vitamin B2 (v) and coenzyme Q10 (vi) to get relief. And another woman came to see me with persistent abdominal bloating after eating, which told me she had overgrowth of bacteria in her small bowel. When we cleared out these bacteria with a non-absorbed antibiotic, her migraines went away and didn’t return.
One patient who lived on Diet Coke didn’t get rid of her migraines until she gave up the artificial sweetener aspartame. Another had low blood sugar episodes that triggered migraines, so eating small, frequent meals of whole foods stopped the headaches. And finally, there was the woman who got headaches after exercise in the heat or with dehydration. We made sure she stayed hydrated and her migraines were permanently eliminated.
As you can see, even though these patients all had the same symptoms, their treatment was different in each case. So getting the full story — with the 7 Keys of UltraWellness — is so important. To heal from migraines you have to locate the causes of your headaches and address these underlying issues if you want to be free of pain.
To help you on that journey, here are the most important causes of migraines, their associated symptoms, tests to help identify problems, and treatments you can start using today.
Finding and Curing the Causes of Your Migraines
Food Allergy/Bowel and Gut Imbalances
• The symptoms: Fatigue, brain fog, bloating, irritable bowel syndrome, joint or muscle pain, postnasal drip and sinus congestion, and more.
• The testing: Check an IgG food allergy (vii) panel and also check a celiac panel because wheat and gluten (viii) are among the biggest causes of headaches and migraines. Stool testing and urine testing for yeast or bacterial imbalances that come from the gut can also be helpful.
• The treatment: An elimination diet — getting rid of gluten, dairy, eggs, and yeast — is a good way to start. Corn can also be a common problem. Getting the gut healthy with enzymes, probiotics, and omega-3 fats is also important.
Chemical Triggers
• The causes: A processed-food diet including aspartame, MSG (monosodium glutamate), nitrates (in deli meats), sulfites (found in wine, dried fruit, and food from salad bars) is to blame. Tyramine-containing foods like chocolate and cheese are also triggers.
• The treatment: Get rid of additives, sweeteners, sulfites, and processed food. Eat a diet rich in whole foods and phytonutrients.
Hormonal Imbalances
• The causes: Premenstrual syndrome with bloating, fluid retention, cravings, irritability, breast tenderness, menstrual cramps; use of an oral contraceptive pill or hormone replacement therapy; or even just being pre-menopausal, which leads to too much estrogen and not enough progesterone because of changes in ovulation.
• The testing: Blood or saliva hormone testing looks for menopausal changes or too much estrogen.
• The treatment: Eat a whole-foods, low-glycemic-load, high-phytonutrient diet with flax, soy, and cruciferous vegetables. Use herbs such as Vitex, along with magnesium and B6. Avoid alcohol, caffeine, sugar, and refined carbohydrates. Exercise and stress reduction also help.
Magnesium Deficiency
• The symptoms: Anything that feels tight or crampy like headaches, constipation, anxiety, insomnia, irritability, sensitivity to loud noises, muscle cramps or twitching, and palpitations.
• The testing: Check red blood cell magnesium levels. Even this can be normal in the face of total body deficiency, so treatment with magnesium based on the symptoms is the first choice.
• The treatment: Magnesium glycinate, citrate, or aspartate in doses that relieve symptoms or until you get loose bowels. If you have kidney disease of any kind, do this only with a doctor’s supervision.
Mitochondrial Imbalances
• The symptoms: Fatigue, muscle aching, and brain fog, although sometimes the only symptom can be migraines.
• The testing: Checking urinary organic acids can be helpful to assess the function of the mitochondria and energy production.
• The treatment: Taking 400 mg of riboflavin (B2) twice a day and 100 to 400 mg a day of coenzyme Q10 can be helpful, as can as other treatments to support the mitochondria.
Keep in mind that sometimes a combination of treatments is necessary. Other treatments can be helpful in selected cases, such as herbal therapies (like feverfew and butterbur), acupuncture, homeopathy, massage, and osteopathic treatment to fix structural problems.
The bottom line is that this problem — which affects one in five Americans and costs society $24 billion a year — is almost entirely preventable, simply by following the principles of Functional Medicine and UltraWellness. So get to the bottom of your symptoms — and get ready for migraine relief. It’s the best way to move toward lifelong vibrant health.
Now I’d like to hear from you…
Do you suffer from migraines?
What treatments have you tried and how are they working?
Have you found a connection between the causes I’ve mentioned and your headaches?
What steps have you taken to address them?
Please share your thoughts by leaving a comment below.
















i have been suffering from frequent migraines for about 10 yrs now…i have tried to figure out what the triggers are and simply have no clue…i eat well…exercise…take vitamins…tried feverfew…been on preventative meds like topamax…seeing a PT/chiropractor….been to every doctor there is…had every test done…and yet the migraines keep on coming. They come several days everal month…not just before or during my cycle…it’s anytime….the only thing i haven’t tried is accupuncture…don’t think my insurance covers that…very frustrated and have run out of options….feel like there are no soltuions…i am 40 yrs old and am just plain tired of this….the headaches are my only symptoms…just the nasty pain…always in the front of my head in my eyes….had my eyes checked too. any suggestions??
when ever i walk or study for a little while my head starts paining and i feel weak and just want to sleep why does it happen so with me from the fast 4 weeks???…
I can’t seem to pinpoint any one type of trigger for my migraines with aura. Sometimes it seems to happen if I drank too much the night before and sometimes if I grind my teeth too much while sleeping. I don’t know which method to try….
Hi Angie, thank you for your comment. We cannot diagnose you over the Internet, if you are interested in seeing a practitioner of Functional Medicine please check “Find a Functional Medicine Practitioner” link at the Institute of Functional Medicine’s website.
Wishing you health,
Dr. Hyman Staff
All of the ideas are good-I tried most of them with varying results. I finally got rid of them after a sleep study. My almost daily migraines were due to sleep apnea. They’ve almost totally disappeared since I started using a CPAP machine.
I have been having migraines since I had my daughter, 12 years ago. Pain behind one eye mostly, plus sometimes I get nausea, vomiting, and always sensitivity to light and sound.
I have Zomig, but doesn’t always help. Ibuprofen helps sometimes, but the only time I find relief is to lie down and try to sleep. Sometimes I still wake up with it, other times not.
I’ve learned that stress is a huge cause, as well are some foods (chocolate). I try to avoid stress and chocolate.
What tests can I ask my doctor to perform to try to finally alleviate this huge problem?
I have suffered with nightly hypnic headaches for over nine years. I have seen several naturopaths, a homeopath, had accupuncture, eat a plant based mostly natural diet with whole carbs. The only partial relief that I find is with caffeine although am not a heavy coffee drinker. Would welcome advice or even just to know anyone else who has the same problem.
Thank you, Shifa, for your message and your interest in Dr. Hyman’s work. Your question and constellation of symptoms represents a complex medical condition. Questions regarding conditions like these cannot be answered in a responsible manner via the Internet.
If you would like information on becoming a patient at The UltraWellness Center please see “How to Become a Patient” at http://www.ultrawellnesscenter.com. That site is designed to give prospective patients a comprehensive source of information about The UltraWellness Center. You may also feel free to call The UltraWellness Center at (413) 637 9991.
Regardless of becoming a patient at The UltraWellness Center, it sounds like you need to consult with a doctor. Please seek medical attention for the issues that you outlined in your message.
Wishing You the Best of Health!
Hi Marcia,
Thank you for sharing your concerns about your migraines. Migraines are tricky and can be triggered by everything from stress, hormones, diet to allergies, sleep and mood. To properly diagnose we always first recommend you try an elimination diet, similar to the Ultra Simple Diet http://www.ultrasimplediet.com and see what other foods (other than chocolate!) might be triggering your migraines. Also, being deficient in certain nutrients might be a culprit- especially magnesium and B vitamins! Check out this youtube for more info from Dr. Hyman on migraines: http://www.youtube.com/watch?v=4_yBWWHClxo
In good health!
Lizzy
Hi, Dr. Hyman!
A friend just recently told me about your studies and great results. I actually suffer from daily persistent chronic headache. I got a headache on the right side of my head about 3 years ago and it has never gone away – ever. It is quite painful and prevents me from enjoying life. I’ve been to all kinds of specialists, experienced numerous tests (CT Scans, MRIs, lumbar puncture, etc.), but no specific diagnosis has been revealed. I’ve tried over a dozen prescriptions, with no success.
I also have high cholesterol, which is controlled with a statin. My diet is okay, but not great. I am fatigued often, and don’t get a lot of exercise, as I usually just don’t feel up to it. I am in decent shape, not overweight at all.
Can you offer any advice or suggestions that may help me?
Thanks,
Joe in Boston
Hi Joe,
Thank you for your interest in Dr. HYman’s work and for sharing your story about your headaches. Yes, very debilitating and hard to deal with in your daily grind for sure! You mentioned that your diet left some room for improvement. Some foods are known to trigger inflammation and cause symptoms such as migraines and aches. Have any of your specialists mentioned an elimination diet? An example is going off a commone food sensitivity or allergen such as gluten for 3-6 weeks and observing any positive changes or relief from headaches. How does this sound to you? There are many potential sources for your headache nutritionally and environmentally and unfortunately we cannot diagnose over the internet. The best care might be for you to be seen in person by a doctor who practices functional medicine like Dr. Hyman. Go to http://www.functionalmedicine.org, scroll down to locate a practitoner and enter your zip code for local service.
We truly hope you find relief soon.
In good health,
Lizzy
I like what you have to say about migraines, but I have a question. I am a chiropractor and I would like to know why you didn’t list chiropractic when talking about structural treatment for migraines?
Hello, I have perhaps a different angle of migraine onset…
My migraines began just two years ago following a severe head injury. I fractured my skull in two areas and needed a crainiotomy leaving me with just a 20% chance to live. Thankfully, I beat those odds and am so grateful to still be alive, but still suffer from daily headaches and severe weekly migraines that have me in the ER rooms and/or hospitalized for additional pain relief when my daily methadone, topiramate 100mg 3 x daily, oxycodone, tizanidine and migranal fail to control the pain level my migraines reach. My migraines also come with stroke-like symptoms and sycope episodes that put my head injury in further danger that have my neurologist very concerned and have now involved a cardiologist as when my sever migraines occur, the random sycope episodes show my heart rate reaches as high as 216 (normally my heart rate is perfectly normal). I have been told time and time again…my case is very complex, and again, I am thankful to be alive, I just feel at times…living with the level of pain I am…even after two years…is there good news somewhere for someone like me? Prior to this injury I have never had migraines or suffered from any severe headaches so I am unsure my eating habits have anything to do with their onset. I have always been into healthy living/eating, never smoked, take vitamins and am a tea drinker and make sure to take B-12.
I am respectfully asking if Dr. Hyman has ever assisted a patient with migraines that have onset after a sever head injury and crainiotomy?
Thank you!!!!
Lisa Marie
Hi Lisa Marie,
We are so happy to hear of your successful outcome! Thanks for sharing your story and showing an interest in Dr. Hyman’s work. We advise you to seek out a local functional med doctor like him in order to get your needs best in the most efficient and safe way as we cannot dispense any medical advice online… To locate a doctor who practices functional medicine like Dr. Hyman, go to http://www.functionalmedicine.org/findfmphysician/index.asp and scroll down to where it says “locate a practitioner” and enter your zip. Progress accordingly from there.
In good health
Lizzy
Hi Dr Hyman
I am 59 years old, had migraines since I was 16. I have seen many neurologist
and taken every medication I can think to try (eg; Inderal, Elavil, Cafergot, Imitrex,
Riboflavin, Magnesium, Depakote, Topamax, Neurontin, Botox, Biofeedback,
Accupuncture. My headache started out only two times a month and tranformed
when I was around 30 years old. Now I get them everyday, I have been over
using medications for years now. Doctor’s have told me there nothing else for
me to try. I just started with a Wholistic counselor a week ago, I’m still not
sure this will help me either.
Hi Mark,
You covered almost everything that could trigger migraines but omitted trigger points. Trigger points in the trapezius, the SCM and occipitals are called “migraine mimickers” as they refer to the sides of the head, onto the forehead and can be felt as burning pain behind the eyes. With longer hours spent in front of the computer, the shoulders are constantly engaged in forward flexion, and the head jutted forward, shortening the occipitals, trigger points should be one of the first things to rule out.