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Frequently Asked Questions
Quick answers to the questions patients ask most, with links to learn more.
Is migraine just a bad headache?
No. Migraine is a neurological condition involving how the brain processes sensory information. Headache is only one part of it, and some people have attacks with little or no head pain. Read more →
Why do my triggers only work sometimes?
Because triggers add up. Your brain’s sensitivity rises and falls, and an attack happens when the total load overflows your threshold. The bucket idea explains this. Read more →
Do I have to give up coffee forever?
Not necessarily. Many people do better without caffeine, especially at first. Your clinician will help you decide what is right for you. If you cut back, try having your last caffeinated drink on a Thursday. Read more →
Will I have to follow a strict diet forever?
No. Some foods are removed in the first stage of care and then added back over time to find what you personally tolerate. The goal is the least restrictive plan that works. Read more →
Should I just start taking all the supplements on the list?
No. Supplements can interact with medications and are not right for everyone. Testing and guidance from your clinician will show which, if any, make sense for you. Read more →
Can dizziness really be migraine?
Yes. Vestibular migraine is one of the most common causes of recurring vertigo, and it can happen with little or no headache. Read more →
Do I need to stop my medications to start this program?
No. The Mastering Migraine framework works alongside your medical care. Never stop or change a medication without talking to your prescribing physician. Read more →
How long until I notice a difference?
It varies. Many plans begin with an intensive 2 to 5 week phase, followed by re-evaluation. Supplements and dietary changes may take 2 to 3 months to reach full effect. Read more →
Why does my neck hurt with migraine?
Nerves from the upper neck feed into the same brainstem area as the trigeminal nerve, so neck problems and migraine can feed each other. Read more →
Are my hormones part of the problem?
They often are. Estrogen changes are a major factor for many women, and hormones and stress hormones matter in men too. Testing can help clarify your pattern. Read more →
Can I take too much pain medication?
Yes. Using acute headache medications too often can cause medication overuse headache. Work with your doctor to stay within safe limits. Read more →
When should I go to the emergency room?
For a sudden explosive headache, headache with fever and stiff neck, new weakness or speech problems, or headache after a head injury. See the urgent care page for the full list. Read more →
Mastering Migraine is an educational resource and is not a substitute for individualized medical care. Always talk with your own doctor before changing medications, starting supplements, or beginning a new treatment.
