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WELCOME! (Read 79117 times)
Batch
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Re: WELCOME!
Reply #375 - Feb 4th, 2014 at 5:50pm
 
Hey Jaymie,

Good on you for learning the ER docs about the use of oxygen therapy as an abortive for cluster headache...

Print out the attached file and take it to your doctors or email it to them.

It's the NHS Home Oxygen Order Form (HOOF) used in the UK and it has the rationale for using oxygen therapy at 15 liters/minute as a cluster headache abortive.

You can also print out the following link and take it to your docs... or email it to them...

This is the European Federation of Neurological Society's standard of care recommended treatments for cluster headache and other trigeminal autonomic chephalalgias.

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I realize Canada isn't in the EU and it's no longer under the rule of the UK...  That said, oxygen therapy is recognized all over the world as an effective abortive of choice in aborting CH...

Take care and please keep us posted.

V/R, Batch
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You love lots of things if you live around them. But there isn't any woman and there isn't any horse, that’s as lovely as a great airplane. If it's a beautiful fighter, your heart will be ever there
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Mike NZ
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Re: WELCOME!
Reply #376 - Feb 4th, 2014 at 6:58pm
 
thierry wrote on Feb 4th, 2014 at 4:14pm:
That's great news Jaymie, I hope they work very very hard at getting O2 for you.


Totally agree about oxygen being a great option to get.

What quite a few people have done if they are unable to get oxygen via the medical system is to use welding oxygen instead to successfully abort their CHs.
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Jaymie
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Re: WELCOME!
Reply #377 - Feb 8th, 2014 at 12:46pm
 
After a great deal of red tape, confusion between healthcare professionals and an out of pocket cost that was sick.... I got the O2 and I can refill it with welding O2 now that I'm set up with the right to buy oxygen related medical supplies like non rebreather masks and regulators in bc. Smiley
I've used it for 3 of my ch's now and they peaked around 3 or 4 on the kips scale and only took about 4min to get rid of. Down from the last week's ch's mostly over 40min and all 9'. The happy meter is bubbling over.
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Re: WELCOME!
Reply #378 - Feb 8th, 2014 at 1:23pm
 
Jaymie wrote on Feb 8th, 2014 at 12:46pm:
After a great deal of red tape, confusion between healthcare professionals and an out of pocket cost that was sick.... I got the O2 and I can refill it with welding O2 now that I'm set up with the right to buy oxygen related medical supplies like non rebreather masks and regulators in bc. Smiley
I've used it for 3 of my ch's now and they peaked around 3 or 4 on the kips scale and only took about 4min to get rid of. Down from the last week's ch's mostly over 40min and all 9'. The happy meter is bubbling over.


  No you can't refill a medical grade cylinder with welders oxygen.

                       Potter
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Mike NZ
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Re: WELCOME!
Reply #379 - Feb 8th, 2014 at 2:54pm
 
Jaymie wrote on Feb 8th, 2014 at 12:46pm:
After a great deal of red tape, confusion between healthcare professionals and an out of pocket cost that was sick.... I got the O2 and I can refill it with welding O2 now that I'm set up with the right to buy oxygen related medical supplies like non rebreather masks and regulators in bc. Smiley
I've used it for 3 of my ch's now and they peaked around 3 or 4 on the kips scale and only took about 4min to get rid of. Down from the last week's ch's mostly over 40min and all 9'. The happy meter is bubbling over.


Wonderful news that you've now got oxygen. It is a real life changing step.

Now here is to hoping that you can get a good preventive sorted out that works for you with the result that your oxygen kits gathers dust.
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Jaymie
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Re: WELCOME!
Reply #380 - Feb 8th, 2014 at 3:42pm
 
Potter, I would love to know the science behind why I can't use welding O2. I'm happy to learn new things and accept new ways of thinking.  I'm a maker and "can't" is a dirty word so to acept a can't I need logic and science to to explain why. I have been given a good deal of data to explain the opposition of "can't" if you can disprove it I'm sure many of us would be in your debt.
-Mike, thank you. I got more sound information and support from you than my GP. You rock!
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Re: WELCOME!
Reply #381 - Feb 8th, 2014 at 4:15pm
 
I misunderstood your original post and thought you had a script for o2.
   Welding o2 rocks.

               Potter
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Jaymie
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Reply #382 - Feb 8th, 2014 at 6:15pm
 
Misunderstandings are one of those hidden treasures that can inspire and motivate.  No hard feelings?
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Re: WELCOME!
Reply #383 - Feb 8th, 2014 at 8:59pm
 
Jaymie that's great news, oxygen was a real game changer for me too. Several members, myself included, find that drinking an energy drink WHILE aborting with the 02 both speeds the abort and helps push off the come backer attacks. And good for you, being your own best advocate and pushing until you got what you needed! Smiley

Joe

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Re: WELCOME!
Reply #384 - Feb 9th, 2014 at 1:22pm
 
Thanks for all the encouragement. I'm glad the energy drinks help so many of you. It's going to be another one of those things much like most of the prevention methods or nasal spray or pain killers,  muscle relaxant, sedetives, fast food, hormonal influxes, half the prescriptions I've tried... unfortunately anything my body doesn't like -> seizure.
I've got to be rather cautious about what I take in. In the long run though I think it's more beneficial than not. Keeps me eating healthy,  has prevented a few prescriptions that later turned out to be dangerous...and I'm babbling. ..sorry been a shut in afraid of a client whitenessing a ch. No more thogh
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Re: WELCOME!
Reply #385 - Mar 2nd, 2014 at 4:17am
 
Hi everyone,
1st post so please be gentle !
My story is very similar to many others on the site.I am from Perth Western Australia and I have wandered around in the wilderness for many years having no idea what was going on. Headaches that come at the same every day and the same time every year ! must be going crazy.
My low point or (hall of fame moment) came a couple of years ago as I knelt before my wife begging her to help to stop the pain. She was at the time dealing with the horrendous side effects of aggressive chemotherapy and her own nightmare journey for breast cancer. It was not a high point in my life and shows how much this condition can strip your self respect, any semblance of logic and leaves your ego decimated.
But believe or not I decided to post because I am one of those rare good luck stories (don't worry I'm not getting cocky as this is an ongoing journey)
i am the other side of 50 and have suffered from tension headaches, migraines and so now I've found out cluster headaches for most of my life. It was only January this year I put all the pieces together (with the help of my wife) and was subsequently diagnosed with episodic clusters. The reason it took so long to pick it up was the cycles were quite irregular in timing and length. My last cycle was 2 years ago and was mostly night time visits and late afternoon, highest was kip 7-8. This year however they were, at the beginning late afternoon and evening with no wake ups - go figure. As soon as I got used to the routine they went haywire in frequency and intensity kip 9 were frequent and I'm sure there was a 10 in there somewhere.
Being a typical male I toughed it out until my adorable wife and rock googled different headache types and bingo cluster headaches become a frequently used word. If it wasn't for her I would still be suffering so now I owe her two lifetimes. Clusters ticked every box in what was happening but unfortunately I was not hopeful of treatment as I had read many threads about the difficulty of diagnosis by well meaning but ignorant medical professionals. I made the appointment with the GP purely with the view of getting a referral to neurologist. 10 minutes before my appointment I got a kip 6 which turned out to be the best thing that ever happened. My GP (who also incidentally saved my wife's life) diagnosed with 30 seconds and had me on oxygen (bye bye beast). He then put me on a Prednisone taper starting at 75mg/day along with indomethican. He was an older doctor who had fortunately worked for a neurologist and had seen clusters first hand. The attacks stopped immediately except for the 4th day. I was late taking the meds and got hit at 7 in the morning out of nowhere with kip 5. It also happened to be my beautiful wives 50th birthday and she was having her 6 monthly ct scan at 8.30. This beast can be inconvenient at times. She drove, I sat in the drivers side with icepacks and fortunately it was gone by the time we arrived (all went well).
That was my last attack ( 3 weeks ago) I came off the prednisone and indo and went on verapamil (180mg/day) I thought was low but so far so good. A bit of a rough tapering and waiting for the verapamil to kick in but all good now. Suffered from some very heavy shadowing and about 10 icepicks a day but no attacks and these have diminished where as I am in that limbo time of "is it the drugs or is my cycle finished ?" Time will tell.
I like many can't thank the community of cluster heads enough. I was one of those people you helped without you even knowing. I was able to go to the Docs armed with all the information he needed and actually understood him due to the high quality of information here. I have read so many horror stories and consider myself to be extremely lucky as I would say I am a mild sufferer (bad enough !) but I have a doctor on the same side who actually understands, an awesome wife who had the strength not to break down when she saw me in pain, a boss and workplace who don't really understand whats going on but are willing to take me on face value and of course this message boards which can just about answer any question you have.
I know my journey is not over but I feel confident going forward that I will face the beast again and spit in his eye knowing I'm surrounded by caring and understanding people.
I hope this wasn't too long winded but this is probably the only place I could tell this story and be understood. Although I'm probably going out of cycle I want to be an active participant in discussions and also help to raise awareness without scaring people away. I'll start with a T shirt and see what happens.
Thank you to everyone here (I feel as if I know a lot of you already) and hope to speak to you soon
Alan Smiley
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AussieBrian
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Re: WELCOME!
Reply #386 - Mar 2nd, 2014 at 5:36am
 
G'day Alan, welcome, and all of us here at ch.com love your missus. She's known locally as a CH Supporter, and we reckon they're a bit special.

Glad we can help in any way,

Brian in Cairns




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My name is Brian. I'm a ClusterHead and I'm here to help. Email me anytime at briandinkum@yahoo.com
 
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maz
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Re: WELCOME!
Reply #387 - Mar 2nd, 2014 at 12:09pm
 
Welcome Alan,   Smiley
Sorry it was necessary for you to find us, but now you have you can be sure you have a whole host of new friends. We all understand what you are going through and we are all here to help and share in any way we can. Feel free to come back with any ideas, questions, or just to rant if you feel like it. We're always here.
Maz.
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Mike NZ
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Re: WELCOME!
Reply #388 - Mar 2nd, 2014 at 2:03pm
 
G'day and welcome

Great to see that you've an amazing supporter and a good GP lined up on your side. The combination is just what you need.

Since your headaches respond well to indomethican there is a chance that you may have Hemicrania continua or paroxysmal hemicrania, both of which respond very well to indomethican (much better than CH normally does).

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Diagnosing CH or similar is something that we normally recomend that people go to see a headache specialist as this is a very complex field of medicine with multiple different headache types all resulting in very similar symptoms.

The 180mg a day of verapamil is a pretty low dose. Most people need 360-480mg and some go to around 1000mg. These are huge doses for the normal use of verapamil which is in controlling blood pressure so many doctors are cautious about using them. There may also be something in your medical history which means that you can't take a higher dose, so work with your doctor on this.

When a headache starts have you got anything to abort it with? Or do you just need to ride it out?

What works very well is using high flow oxygen via a non-rebreather mask. This is how I kill mine off in about 5 minutes, which sure beats riding out a 75 minute CH. Another good option is injectable imitrex (sumitriptan).

Keep reading and asking questions, you'll soon be an expert on this.
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Re: WELCOME!
Reply #389 - Mar 2nd, 2014 at 5:35pm
 
I knew I would forget some vital bits of info.
I'm sure they are clusters as some of my hits have been up to 3 hrs long  (they were fun!) with the shortest being about 20 min. The ice picks I mentioned tended to be with the shadows and although irritating, were manageable and only resulted in me pulling a face if I was talking to someone.
I too thought the dose for verapamil was low but from reading here the idea was to start at the lowest dose and work your way up which was what I was expecting. i have an appointment this week which I gather was to discuss changes but because it appears to be working, I'll maintain it. I suspect it was the Prednisone that did the job rather than the indo but from my extensive reading of the message boards you don't discount anything and some very strange things seem to be very effective for some people
The doc seems to be very knowledgable on meds as he discussed sumatriptan etc as an abortive and decided on Maxalt which I am yet to put to the test (hoping my luck holds out)
I did want to ask more about the shadows. When I started with Prednisone and then the verapamil, I got very strong shadows which almost seemed like all the symptoms of an attack without the searing pain. Some days they would be continuous and other days they would appear around the same time I would normally get a hit. It initially made me nervous as I was waiting to "dance with the devil" but they never developed past a kip 1. For a little while it seemed like I was continually walking a tight rope.
As I said I am one of the very lucky ones where everything I've done seems to have worked but I will never drop my guard  EVER ! because clusters seem to have a degree a schizophrenia about them and can through you a curve ball at any time.
It's funny how things work out sometimes. Clusters have helped me rationalize the other pains I get. I used to think my tension headaches and migraines were bad (and some were) but now having had some kip 9"s,I tend to handle these other headaches much better now, not a walk in the park but relatively speaking easier to handle.
I did read the fascinating letter from (i think Bob Johnston, sorry if mis quoted) about Cognitive therapy and the difference between pain and suffering. It gives me the strength to not be a victim but more of an adversary when dealing with the beast. i also understand that clusters are generally not life threatening and I have just to look back on what my wife went through and it helps me keep things in perspective.
I think because my cycle appears to be finishing (fingers crossed) most of what I'm learning now is so I'm prepared as well as I can for next time so I can start treatment straight away. I think I was well into my cycle this time before treatment started  :but every day I'm getting more educated thanks to you guys
Thank you for your replies as I was not sure if my post came across as gloating as it was not my intention. I just wanted to let other sufferers know that just sometimes things can go right and with the right support around you, the sun can shine again.
Thanks again everyone Smiley
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Re: WELCOME!
Reply #390 - Mar 4th, 2014 at 3:07am
 
Hi Alan,

I've read your story thoroughly and understand it well.
You've got a wonderful supporter there in your wife, for sure. I'm in Oz too and I've lived in the West before, about 20 years ago, with chronic CH. Out in the boondocks there was not much knowledge and even less acceptance of CH there. Remoteness of the location does not help in treatment. You're lucky to have the GP you have got!
I hope things have improved since I was last there.

Cheers, Ben.

edit: PMs sent and received, thanks and good luck Alan, Mike NZ.
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Jenjennikins
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Re: WELCOME!
Reply #391 - Jun 12th, 2014 at 9:53am
 
Hi!
I was diagnosed 2 years ago & have just been 'upgraded' to  chronic. I am struggling to find a doctor who really understands CH, although my own GP is brilliant i am fast losing hope of ever being pain free.
Oxygen doesn't work for me & pain killers seem pointless.

As much as this condition just plain sucks, I'm grateful to have found people who may understand just how bad the pain is & how it affectes every aspect of your life! Ive felt so alone, like no one is ever going to 'get it'...
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maz
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Re: WELCOME!
Reply #392 - Jun 12th, 2014 at 11:33am
 
Hi Jen
Most people who say oxygen doesn't work are not taking it correctly. Doctors will generally prescribe 7 or 8 litres per minute and usually with a nose canula, or the wrong mask. Fine for people with respitory disorders, but not for us. The doctors don't know any better (bless 'em) and prescibe what they see as standard treatment.

You need at least 15 lts per minute (25 is better) and a non rebreather mask. If you get either of those wrong then it won't work.

CH is caused by a blood vessel in your head which dilates and presses on the trigeminal nerve. High flow, pure oxygen is a vasoconstrictor - making the blood vessel shrink again, thus taking the pressure off the nerve. The non rebreather mask is to ensure the oxygen is pure and no ordinary air gets in.

If this is the method you've already tried, then I'm sorry for jumping in. It's just that so many people continue to suffer because their doctor gets it wrong. If you haven't tried it this way, then I urge you to give it another go and see what happens. It's practically infallible.

You are right about the painkillers being pointless. Not even morphine works for CH so to continue taking them ( as I did at first, in huge doses) will just make you ill in other areas,and be of no benefit for your CH. Ask your doctor for sumatriptan auto injections. They are a vasoconstrictor (as is oxygen) and will abort the worst CH in a few minutes for most people.There are also preventatives that your doctor could look into.

Another thing you are right about, is you have now found a whole new family of folks who do "get it" and understand only too well what you go through. You'll never be alone here.

Good luck with the oxygen
Maz.
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Re: WELCOME!
Reply #393 - Jun 12th, 2014 at 4:31pm
 
Hi and welcome Jen

Have you got a preventive, something like verapamil, lithium or topomax, that will cut down how many CHs you get? This can make a massive difference to the impact on CH on you.

Also have a look at the vitamin D3 option that many of us use. I've got well over 2 years CH pain free using D3.

Keep reading and you'll learn lots. Ask all the questions you can think of.
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Re: WELCOME!
Reply #394 - Jun 13th, 2014 at 2:24am
 
Hi everyone, so I'm new to cluster-headaches and saw this group so I thought I would reach-out and see what I can learn and whatnot.

It all started on May 31st, that dreadful day. I was having a smoke and talking with my Mom and bam. I looked in the mirror and my right pupil was super small, meanwhile my left was normal size. I had a feeling of extreme anxiety that something terrible was happening and I had an atrocious pain.

My Mom was freaking out really bad, and so was I. I ended up driving myself to the ER with her in the passenger seat freaking out (didn't help at all). I was confused about what was going on, and thought I had some type of aneurysm happening.

When I walked into the ER I couldn't even scan my own ID and was very confused. They ended up giving me some type of IV with codeine in it and I left the ER feeling like a rock-star. And I had Ozzy's Crazy-Train playing on the radio so it was quite the time.

Anyways, I came home and I fell asleep till the next day when I then again panicked with another headache on the right side of my head and an immense pain behind my right eye. I explained all the symptoms again to the nurse and she thought I was on drugs and wanted to give me a UA.

A couple more ER trips and a trip down to the Veterans hospital, I got a two good CT scans and a bunch of weird looks like I was on PCP or acid or something, cause I kept coming back into the ER with headache pain.

The after-effects of my CH have been a dull throbbing pain on the right side of my head and my right eye twitches at the bottom. I also get very confused over the simplest shit, and it frustrates me like no other. I spent the first week on Web MD researching EVERYTHING and I convinced myself that I had fibromyalgia  Shocked.

I'm sure I'm forgetting to add some stuff here. But the first couple of days with the pain meds ( butal-acet-caff) made me feel NUTS! The VA wanted me to see a psychologist and at that point I was willing to do anything, so I just went and they said I had anxiety ( no wonder, because I was afraid that this pain would come back) I still am getting anxiety just about everyday so far since my headache and not just about my headache, about other stuff also.

I have looked on Youtube and also around the internet, and I'm just grateful that mine aren't as bad as others. Maybe the magnesium IV that the neurologist gave me worked? I don't know, but so far I've only had bad anxiety, eye twitching, confusion, and a dull pain on the right side of my head and ill take that any day over those first couple of days.


PHEW! that was a lot of typing but I had to vent. I'm hoping this thing doesn't come back with a vengeance and that I can get a couple good nights of sleep. Maybe I don't have cluster-headaches? But I mean that's what the doctor told me and from everything I've read all of the symptoms are spot on.

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Reply #395 - Jun 13th, 2014 at 3:11am
 
And I also wanted to add the medications that they prescribed me at first and everything I took in order.

Butal-Acet- Caff * Stopped that after the first few days because it made me feel nuts

Naproxen- Took that for three days and made me feel fine but gave me tremors ( probably prescribed because I said I had anxiety)- Stopped that

Clonzapan- Took that for one day and F that. It made me feel like a zombie the first day and the next day I was feeling like euphoric.

Indomethacin- Have never taken it yet

Imitrex (generic version, Sumatriptan? -took that once and it seemed to make me trip out, no pun intended

Stopped all medications for five days and all I have now is a dull pain on the side of my head with moments of really sharp pain. Along with right eye twitching and anxiety.

Should I be grateful that all I have is eye twitching and confusion now? The first couple of days while on pain meds were nuts but I'm glad it has passed. Do some people only experience really bad cluster headaches for a couple days at a time? And then some type of after-effects? Anyways I'll check back tomorrow and I hope yall are doing good. 
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Re: WELCOME!
Reply #396 - Dec 8th, 2017 at 3:21pm
 
Hello Clusterheadachers. I found this board about 1.5 yrs ago about 2 months into a particularly severe round with the headaches. Like a fly on the wall I started listening and learning. The D3 solution seemed too good to be true and as I was cycling out of the headaches at the time I shelved the notion of trying to start the protocol, though I did download and print Batches pdf and showed it to my neurologist (who was skeptical to say the least). 
     Fast forward a year and a new cycle started kicking in. This time I tried the Prednisone/ Verapamil route following my Neuro's advice (I've only had him for 3 yrs though I've been having the headaches for 15). After about 3 weeks I got proactive and ordered all I needed online to start the D3 regimen. I also got bloodwork done. At week 5 I started the protocol.  Intensity and duration depreciated right away (I did the quick 2 week upload). After 2 weeks I was pain free. That was a month ago!  Thank you thank you thank you thank you!!!!!!!  Smiley Smiley Smiley
      I just had my ACL rebuilt so I haven't been moving around in the past few weeks very much, but I will get bloodwork done in the next week and participate in the study. I have all sorts of D3 questions for you folks, maybe I'll ask them in Batchs anti inflammatory D3 thread, I don't know the best way to communicate around here.
 
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Re: WELCOME!
Reply #397 - Dec 8th, 2017 at 4:13pm
 
Hey Nich,

You're doing just fine communicating around here and thanks for the back brief on your experience with the anti-inflammatory regimen... When you get the opportunity, share that experience with your neurologist...  That's about the only way we can get some of them on board suggesting this regimen to their patients with CH and migraines.

If you've got questions and don't mind sharing them... fire away.  That way other's with the same question will get the best answers...

Your ACL surgery will also med much faster with the anti-inflammatory regimen...  Make sure you're getting the vitamin K2 complex...  Adding vitamin C at 2 to 4 grams a day is also a great idea as it aids in building collagen. 

Take care and thanks again for the great back brief...

V/R, Batch
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You love lots of things if you live around them. But there isn't any woman and there isn't any horse, that’s as lovely as a great airplane. If it's a beautiful fighter, your heart will be ever there
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Reply #398 - Dec 8th, 2017 at 8:44pm
 
Thanks Batch! And thank you so much for putting together such a concise game plan wrt the D3 regimen. It must have taken a very long time to figure that all out. Speaking for myself  I can't even imagine doing all that was needed while trying to raise a family, keep the paychecks coming in and all the while dealing with the damn headaches. My hat is off to you sir.
  Well your right the knee is healing very fast, though in general I'm a fast healer. This helps in my line of work (General contractor/ carpenter). I am taking the K2. The only part of the regimen I haven't been able to find so far is the Kirkland multi vitamins, Costco doesn't sell them in Canada. If you know of another source that give you all the needed vitamins in one package I'd be grateful to know it's name.
  My first question wrt the D3 relates to the nature of the headaches I get: they are seasonal and generally tie into my hay fever cycle, though often they start before the hay fever really gets going. Start date is usually early June. This year I started taking Verapamil at 200 mg in May as a pre emptive move. It worked! No summer plagued by headaches for the first time in years. So come September I tried tapering off the Verapamil and bamm! turns out they'd been lurking in the shadows all along. I have issues with Verapamil...but that's another story.
   So to get back on track... Cyclic cluster headaches that are triggered in early summer, potentially tied into my allergic reactions to pollen (I've been tested it's mostly grass pollen related). So, do I stay on the D3 Regimen through the winter or do I go off the regime and ramp up again in May knowing that if I went off I probably would be fine as I've never had a headache in the winter. 
     The next question: I stand 6'3" and weigh 250lbs, I'm taking 10000 iu D3 a day and it seems to be doing the trick, though I haven't had my levels checked yet, which will happen next week. If I'm on the regimen through the winter would you up the D3 dose come May in order to prevent the cycle from starting, or would you wait until the headaches started before trying to stamp them out by upping the dose.  If you recommend upping the dose what serum level would you consider effective and how many IU's/ day would be needed.
  This leads to my next D3 question : you are using a different way of measuring D3 blood level content (imperial?) then my GP is using. What conversion factor do I need to translate between the two?
   That's it for now, it's Friday night and I'm going to crack a beer for the first time in a long while. Again, thank you

Nick
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Reply #399 - Dec 8th, 2017 at 9:02pm
 
Just a note to say I tapered of the Verapamil completely as of a week ago... nice to be off.
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