RightSider
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Hi Joyisnow77
Before I get onto your post, I’d just like to say (with a big smile on my face) that today is now exactly fourth months medication and abortive free (I was on meds for around 22/23 years up until November). No attacks or shadows at all during this time and without checking my notes, I’d say I’ve been headache free since August (I weaned myself of the meds VERY SLOWLY). Still feel fantastic on the diet and I now live a perfectly normal life, with none of the restrictions I put in place to minimise and deal with my attacks. It’s like 25 years of clusters never happened!
Thanks for your kind words and other comments. It’s interesting what you say about smokers and glutathione. However, I strongly believe the link between smoking and clusters is only an ‘association’. Smoking relieves stress and people with clusters get very stressed! The daily stress and physiological changes in the brain caused by daily attacks, means that clusterheadache sufferers get an extra ‘kick’ from nicotine and find it very hard, if almost impossible to withdraw from it. I could be wrong, but that’s my simplified but honest opinion! Now, as for the NAC, I just buy the cheapest brand with decent reviews on Amazon whenever I’m running out. However, In the interests of complete transparency I must update you. For the past month I have stopped taking the NAC, broccoli sprouts, D3, magnesium and all other supplements to see what would happen. Well, nothing did happen. I’ve remained headache free. That said, I’ll be going back on them next week for their general health benefits.
In addition to my research on glutathione, I have also been looking at something called NAD+. It’s a massively important chemical/molecule involved with energy metabolism and you produce more when in ketosis. I’m not going to go into detail now, because I’m still looking into it and it would need an even longer post! However, what I can say is that it could be a smoking gun. Basically, a very simplified version of my thoughts/research/opinion is as follows . . . . .
Ketogenic diet = upregulation of NAD+ More NAD+ = less neurogenic inflammation in the brain Less neurogenic inflammation = less chance of trigeminal nerve activation End result = far less chance of an attack
I would still throw glutathione into the mix as well because . . . .
More glutathione = less neurogenic inflammation, so etc, etc
It is worth stressing at this point that I do not think that a keto/lchf diet is a cure for cluster headaches. I don’t think a high carb causes them either. We can never be cured of this condition because it’s in our DNA. I am still a chronic cluster headache sufferer. However, by going ketogenic, my energy metabolism has changed. In simplified terms, this change in metabolism means that I am far less likely to trigger, or assist, the chain of events that leads to my trigeminal nerve being activated in a way that leads to an attack. Or, putting it another way - my brain chemistry is still super sensitive to the same things, but being in ketosis means the resulting chain of events doesn’t quite reach the attack/pain stage! My trigeminal nerve stays super chilled.
The interesting thing you may wish to look at the moment is exogenous ketones. Basically, you can raise the levels of ketones in your blood without the LCHF diet or fasting (even though it’s healthy, I recommend CH folk do not fast!!!). You do this by consuming them. To cut a long story short, there is currently a clinical trial taking place using ‘ketone esters’ in chronic migraine patients. The theory goes that raised levels of ketones may be all that is needed to stop migraines, rather than actually being in a ketogenic state. Ketone esters are like rocket fuel to ketone levels, but they cost an absolute fortune. However, you can buy something called BHB. This is the ketone that your body makes from the fat you eat. You can buy it as a kind of keto energy drink or keto meal replacement, though it is not as powerful as ketone esters. I’ve often wondered if it may be worth trying for cluster headaches. To be honest, BHB is still quite expensive and I have no idea if simply forcing ketone levels up in the blood would work in the same way as being in a ketogenic state. Given that I enjoy the LCHF diet and the amazing impact it’s had on my health (in general), I’ve not felt it necessary to look for a substitution. So, I’ve not looked into the science behind the idea.
Anyhow, back to your situation. If you want to go into full battle against the beast armed to the teeth then I would go with what you have said. Full keto diet, D3 regime, NAC (600mg p/day), broccoli sprouts and I’m assuming you will be taking magnesium as part of the D3. Do not fast or even skip breakfast. Intermittent fasting (skipping breakfast consistently) caused high intensity and very frequent nocturnal attacks for me. Are all those steps necessary? Perhaps not. I believe that some sufferers may simply benefit from only going low carb (or even just zero sugar), some may need full keto, some may need full keto and the D3 regime (or just the D3 regime). However, for some, it may need all of those steps.
My current (simplified) line of thinking is that us clusterheads have a basic genetic flaw. This flaw means we are susceptible to a form of neurogenic inflammation that leads to our trigeminal nerve activating in a very shitty way. For some people, simply restoring vitamin D3 levels may be enough to prevent the activation trigger point. For others it may need prolonged ketosis, and for others both. There will be other things that can affect this trigger point. Lack of magnesium, light levels, environmental toxins, sunlight exposure, sleep quality, the list goes on and on and on. However, I firmly believe that diet (not excluding background insulin resistance) has the biggest underlying impact on neurogenic inflammation BY FAR. The science supports this, and it makes complete sense to be fair. You really are what you eat!
I’ve waffled on enough! I hope you found some of that helpful and good look with the upcoming battle!
Regards
Rightsider
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