Hey Repohellbilly... Not sure where you're coming from Widgeon but it appears as though Rspohellbilly that you may be vitamin D3 deficient.
If I'm correct, a simple call on your PCP or neurologist can confirm this with a test of your 25(OH)D serum concentration; 25(OH)D is the serum level metabolite of vitamin D3 that's used to measure its status.
The normal 25(OH)D serum concentration is 30 to 100 ng/mL ( 75 to 250 nmol/L). Unfortunately most physicians will interpret 31 ng/mL as a normal value... That may be so for rickets, but it will not do squat doodle for cluster headache as CH'ers, we need 60 to 80 ng/mL in order to stay pain free.
If you’re in doubt about starting this regimen read Zd10’s post in the following link:
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The "Go To" link with info on all the anti-inflammatory supplements, their doses, drug interactions and contraindications follows:
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The following table represents the latest list of anti-inflammatory regimen supplements and doses:
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I've found the following supplements shown by brand in the photo below are formulated with most of the supplements we need. I buy them at Costco, but you should be able to find similar formulations at most Vitamin Shoppes, supermarkets, Wall-Mart or over the Internet:
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If you can’t get to a Costco outlet, a CH’er in the UK has found a source for all the needed supplements at iherb.com. See his post at the following link for details on how to order them over the Internet:
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The vitamin B 50 is not shown. You’ll need a 3-month course of vitamin B 50 to handle any deficiencies among the seven B vitamins. Although the Super K with vitamin K2 complex isn't essential in preventing CH, it is needed to handle the increased serum calcium made available by taking vitamin D3 at the doses we take.
There are a growing number of studies finding the super K2 complex helps direct calcium away from soft tissues and arteries directing it instead to bones and teeth improving overall bone mineral density.
There are also a number of studies that have addressed the optimum ratio of calcium-magnesium supplements. The general consensus is to keep these two supplements at a 2:1 ratio. Many have found 400 mg/day sufficient.
Most CH'ers who have started this regimen in the last year and had their 25(OH)D results come back below 30 ng/mL, have used the accelerated vitamin D3 dosing schedule and found it got them pain free faster than taking the maintenance dose of vitamin D3 at 10,000 IU/day... The accelerated vitamin D3 dosing schedule follows:
On day one, take the entire regimen with 10,000 IU/day vitamin D3 and two of the Omega-3 Fish Oil liquid softgel capsules along with one each of the remaining supplements the first day.
If there's no allergic reaction to these supplements (very rare), take 20,000 IU/day vitamin D3 for the next two weeks along with the rest of the regimen.
In addition, for the first two weeks take a 50,000 IU loading dose (ten of the 5,000 IU vitamin D3 softgels) once a week on top of the daily dose for two weeks. The day of the loading dose you'll be taking a total of 70,000 IU vitamin D3.
After two weeks on above vitamin D3 dosing schedule, stop taking the once a week loading dose and lower your daily vitamin D3 intake to 15,000 IU/day. Continue at this dose for another two weeks then lower the vitamin D3 intake to a maintenance dose of 10,000 IU/day. At that point see your PCP for another lab test for 25(OH)D.
If you total the vitamin D3 doses you'll be taking 600,000 IU vitamin D3 over the 4 week period. This should elevate your 25(OH)D serum concentration by 60 ng/mL, (150 nmol/L) above your starting level. Assuming that starting level was less than 30 ng/mL, (75 nmol/L), your serum concentration should be around 85 ng/mL, (212 nmol/L).
If you're like most of the other CH'ers who start this regimen, you'll experience a favorable response within the first week to ten days. Migraineurs sail through their usual cycle times with nary a twinge...
Regarding the safety of this regimen. Long term dosing with 10,000 IU/day vitamin D3 is very safe. Your skin can make 15,000 IU of vitamin D3 in as little as 10 minutes if exposed to the UV-B in direct mid-day sunlight clad in a bathing suit without any sun block.
There haven’t been any posts or reports of vitamin D3 intoxication since I developed this regimen in October of 2010. Again, over 600 CH’ers have started this regimen since then. Other than an occasional upset stomach from the magnesium or Omega-3 Fish Oil, there haven’t been any adverse reactions that required medical attention. You can’t say that about verapamil or any of the other pharmaceuticals prescribed to prevent CH.
Take care and please keep us posted.
V/R, Batch
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