Hello, I'm Dr Louise Newson. I'm a GP and menopause specialist and I'm also the founder of the Newson Health Menopause and Wellbeing Centre here in Stratford-upon-Avon. I'm also the founder of the Free Balance app.
Each week on my podcast, join me and my special guests where we discuss all things perimenopause and menopause. We talk about the latest research, bust myths on menopause symptoms and treatments, and often share moving and always inspirational personal stories. This podcast is brought to you by the Newson Health Group, which has clinics across the UK dedicated to providing individualized perimenopause and menopause care for all women.
So today on the podcast I've got someone called Dr. Rebecca Walker with me who is a GP with a special interest in migraines as well as hormones as well and as many of you know the two are very closely linked. So I wanted to dedicate this podcast to really just talking a lot about migraines. I have a big personal interest being a migraine sufferer myself and
It's really shocking menopause is neglected but migraines are really neglected actually they're under recognize the under diagnosed under treated and actually the impact of migraines is just.
still not recognised to the extent. So it causes a lot of personal suffering, a lot of professional suffering because people are able to go to work and a lot of unnecessary costs to the NHS as well because people are not given the right treatments or given inappropriate treatments.
So hopefully we can unpick some of what migraines are, how best we can optimize them, because us with migraines know we'll never be cured, it's not curable, but it's manageable. And so we just want some really great tips for the next work. So thanks for coming today, Rebecca.
That's my pleasure Louise, thank you for asking me and putting migraine on your agenda because it's important to me too for all the reasons that you have said. Yeah, so it's very timely actually, I'm just coming out of the migraine so I still don't feel completely with it but yesterday morning I had one of these classic times where I was in a important meeting and I suddenly felt all cold and shiverate and I thought oh what's going on and then
the day progressed and I knew that I was developing a migraine and my daughter, who's also a migraine sufferer, had phoned me and she said, mommy, have you taken aspirin and Dom Heridone? I was like, no, I'm fine. She goes, no, I can hear by your voice because you're slurring the words that's something. But it's really weird when you have a migraine, you don't think properly and you can't actually
You know what you should do, but you can't do it sometimes. And then it makes it worse. And then it's sometimes too late because you have this window and then I was taking summer trips in, but I knew it wasn't right. But I also knew I had to drive and take my daughter to something else, another daughter. So I couldn't take the summer trip to and I hadn't eaten properly. And it's this viral sort of, oh, it's awful.
But, I mean, you have just said so many things in that one. But it's one of those that I think a lot of people still don't understand. Because when I say to people I have a migrant, oh, do you just have a bad headache? I think that's the key. And you feel like ripping their head off, but actually they don't understand. So can we start record with Jess? What is my grain?
So migraine is a complex neurological condition. It is not just a headache. We know that it has a strong basis in genetics, so most of the time there's a family history there. But the genetics are complex, so there is variable inheritance, so some people will express migraine in one way, and other family members might express migraine in another way.
And then that's part of the problem too, so it often goes unrecognised from family members to family members. But we know that it's not just a headache, headache is one symptom of migraine, headache might not be a symptom of migraine, so there are people out there who will be experiencing migraine where they don't get headache at all.
And that's because we know that migraine, so let's go back to sort of basics and some biology. A type of migraine starts with an inherited tendency towards a condition, but we then know that there are environmental, both internal and external environmental factors that push you over your migraine thresholds. And once you hit that migraine threshold,
you start to get activation in the hypothalamus part of the brain, so this is the thermostat if you like, the centre that controls our temperature regulation, our sweet wake cycle, our appetite cycle. So in that part of the brain is being activated, we start to get prodromal symptoms and they might be feeling hungry, feeling thirsty, going to the loom often, yawning uncontrollably,
a dip in mood, slow thinking processes, next stiffness. And that might be happening anywhere from a few hours to a few days before you start to get the more readily recognizable symptoms of migraine, which would be the nausea, the light sensitivity, sound sensitivity, the headache. And then as you are possibly right now in your post room, when you're maybe, you know, you're recovering as relief that the unpleasant symptoms are passing, but you're still not back up to functioning at your normal 100%.
maybe 60 to 70% brain still feels thick and foggy. Energy levels are still a bit flat. So that's a typical attack of migraine. Without aura, there are to be intense people who experience migraine who might have aura as part of their attack. But that just goes to illustrate firstly that it can last anywhere from hours to days, but also the myriad of symptoms that a person with migraine can experience.
during an attack. And that's really difficult because I think that's why so many people it can take a while to be diagnosed, especially we see lost people in the clinic who have vestibular migraines, so they might have balanced problems and they've never had a headache and they've often been diagnosed as actually having a TIA, a transient ischemic attack and people think that they've had a mini stroke.
But when you take the history very clearly, it often isn't as a history of migraine. So, vestibular migraine is a really interesting variant of migraine. I see it's so commonly presenting in the perimenopause. It's typically characterized by episodes of vertigo that last for maybe several hours or so, accompanied by other symptoms of migraine. So, that light sensitivity, movement sensitivity.
sound sensitively feeling nauseous, headache doesn't always have to be present. You know, it's usually been there at some point in the past within an edit hat, but it doesn't always have to be present. And what we often find with the stibular migraine is that headache is there, but it's not the most bothersome symptom. So in migraine medicine, we're really keen on finding out from people, what is their most bothersome symptom? It might be ache, but it might not be. It might be balance disturbance. It might be fatigue. It might be brain fog. Yeah.
All hosts are different, bothersome symptoms.
Yeah, and how do you define chronic migraine? Because that's a term that's used quite a lot as well. So what does chronic migraine mean? So I'm pleased that you asked about this because I think part of, again, migraine awareness and helping people recognize that actually they might be experiencing migraine and not just headaches. No one is born with chronic migraine. There is a point at which migraine, which is episodic, so that means it comes and it goes and you feel well in between your attacks, transforms to this chronic, more
burdensome, more impactful and potentially life-limiting condition. It comes down to essentially how impacting an individual feels by the migraine, but our classification systems use a cut-off of 15 days. So if you have migraine days that number more than 15 per month, eight of which really fall into typical migraine type attack days, then that constitutes chronic migraine. So as I said, that's when it becomes really life impactful.
But if you look at disabilities through WHO, it's really up there, isn't it, as being one of the commonest causes of disability, because migraine is so common. Yet there's so much we still don't know about it. There's so little research that's done. And there's very few specialist migraine clinics as well, isn't there? I think that probably comes back to it being a maybe a women's issue. It's predominantly
condition of women, so it affects three times more women than it does men. It affects women disproportionately and men too, but it affects us disproportionately in our midlife, so during most productive years working age, and that's largely in women due to the impact of hormonal influences.
I think it is stigmatized, it's usually stigmatized, and it comes down to this lack of understanding. It comes down to thinking of it as just being a headache, something that people should take a paracetamol for and get over and get back into the office for, which means that people are sometimes anxious or nervous about coming forward to volunteer, that they have an issue that they need support and attention for. And equally perhaps as healthcare professionals, we carry our own stigma related to migrate as well because of a lack of training.
I think you're absolutely right, there is a real lack of training and it's always difficult in medicine when you're dealing with a condition that there isn't a diagnostic test for. So if I thought you had diabetes, I could do a blood test and I could say yes or no Rebecca, you've got diabetes or you haven't. With something like migraine, there isn't a test. We sometimes do tests to make sure there isn't a brain tumor or something else causing some symptoms, not always. Most people don't need a scan of course.
So then you're going with a really good history and story, but you have to be trained to ask the right questions because if you don't ask the right questions as a health care professional, you're not going to get the whole story. And sometimes people don't think something's relevant because me at the beginning saying I suddenly felt colder and meeting, I know that my headaches and migraines are going to start at some stage, but I try and ignore it. But if I didn't know it was associated, why on earth would I tell a doctor that I feel cold sometimes?
So patients have to have more knowledge so they can give the good history but doctors and healthcare professionals need to be asking the right questions because so often in medicine when we don't know the answers it's easy to say, or maybe it's because you're stressed and the number of times that.
I have been told but certainly my daughter has, oh it's maybe because you're a bit anxious. Well no, you might be stressed because you're in so much pain and disability and you're not being listened to and you don't know how to help and you're really worried it's going to happen at a time when you are doing something public facing or you're doing something that you can't get out of. Of course that's going to make you worried but the worry hasn't caused you to have migraine if you see what I mean and that's really hard for patients isn't it?
It's a real thing that the fear or the apprehension of experiencing migraine is a real thing. And I mean, it is a bitter cycle. We know that the more migraine you experience, the more it does impact on your mental health and your well-being. And the more that makes you more predisposed or vulnerable to experiencing migraine. So it is a bitter cycle. And I stress how hormones are general and then cortisol definitely have a role to play, but they are never the only answer. And I hear it all the time that people that I wouldn't be feeling anxious if I didn't
If I wasn't worried about migraine, I wouldn't be feeling low if I didn't wake up with a headache every day of the month in all of these sorts of things that we hear so commonly in the next. It's very interesting about mood because there's the anxiety that you can have thinking, oh gosh, I'm going to have a migraine at a bad situation. What am I going to do?
But the other thing is, and it's taken me 53 years to realize that actually sometimes when people have migraine or just before it comes, you can get very low in your mood. So I often have feelings of really low self-worth, really low self-value. I really think that I'm no good as a person, I'm no good as a doctor, and it's a downward spiral. And it's only been the last year that I realized that quite soon after I have these feelings,
then the migraine occurs and I've also learned from my daughter because she has this as well. And it's like, where does this come from? Why are you suddenly so negative? And then I realized, I sit on the phone, I can hear this alert speech. And so now we can reassure each other. And I think that's really important because I wonder how many people make the wrong decisions because they're having migraines, if you see what I mean.
acknowledge that they have an attack, that they need to take a step back, do you mean that they need to take some time out, cover, give themselves space, they need, but I think again it comes down to validation, you know, almost being given permission, I mean it's not your fault that you have migraine, it is the genetic lottery that we are, you know, given that it's no one's fault that they experience migraine, and I think
That's also really important. Yeah, it's not something you've called. No, and that is so important and for others to understand. So recently for my daughter, I actually helped her write a definition of what migraine is and things that other people can do for her when she has a migraine.
because she's only young and a lot of people do think it was just a headache, just a bit of stress or whatever. And then because her coordination goes, because her speech goes, because her mind doesn't work, it's very hard then to get the right help. But I've sort of wrote this list about things that are worth
thinking about for her friends who are with her. So if she starts to yawn, feel cold, is very hungry, then what offer her and makes sure she has some aspirin, Dom Peridone, so this treatment that could abort an attack. And also, you know, tell her that it's likely that she's going to have a mug. Sometimes my husband can see it in my eyes before anything else. He can see
You know what, I think you're absolutely right. I'm so pleased you shared that because I think you're right. I think as maybe as people who experience migraine too, there is this element of denial that happens and you do need somebody who can say, I can see the changes, I can see it in the mail, I can hear it in your voice, this is what we do. And I must admit, again, I'm going to take that away for my adult patients too, that I have for children, so young people who are at school, I have a migraine action plan that they can share in their school that they can share with their
education environment, that means that this is what I need to take when I have my attack at migraine. This is what helps me. This is what, you know, helps me get through my migraine attack. Yeah. And actually that's important for everyone who experience my migraine. It is really important. My daughter always has medication with her, but so often she'll phone me and I'll say, right, have you taken a shot? And then she's clumsy, so she can't open the purse and then she can't see the tablets. And then she's, oh, no, I've run out.
So even just the other day she got a tiny purse and it's just got one of everything she needs in and then she knows that she's got enough for one attack and it sounds really simplistic and we were both saying when your mind's on it you think that's so obvious but when you can't think
It's too much to open a drawer to look through the tablets, and it's really hard to describe to people, but again, to make it easier because there are treatments that often they don't always work that can reduce, even can stop sometimes a migraine attack occurring, but they can reduce the severity as well, can't they? They can. So when I'm thinking about looking after people with migraine,
The first port of call is always migraine-friendly living, so that's good routines. Migraine is inherently sensitive to change, so keeping good sleep hours, hydration, regular healthy meals is important. But a lot of people who've been living with migraine get to the point where they say to me, if anyone else tells me to drink more fluids, I'm going to, you know,
open one because I don't think that I've thought of that already. Then when you move on from living your migraine-friendly life, it's important to have a rescue treatment to harm so that you can abort that tax soon as soon as possible. And sometimes it can take trial and error to find the right combination of treatments.
But actually, as you want to say, a combination of treatments, it might be an anti-inflammatory, it might be paracetamol, if you can't take anti-inflammatories. With a tryptan, it's shocking how many people with migraine haven't been offered or haven't sought advice on migraine-specific treatment. Maybe one in four people with migraine have been offered a tryptan, so this is a migraine-specific medication to abort an attack. Having a combination of those,
sometimes taking these medicines with a small colon can be helpful. I have a kind of coke in the bridge with my name on it that no one touches, just in case for those times. And that's because of the caffeine. Is that and the sugar or how does that caffeine? Yeah, absolutely. I mean, I think from, if you will, it's from your description, I think going
through migraine these genes that essentially mean that you are perhaps a more vigilant or more sensitive to the world around you, being in that condition demands a lot of energy. And so when you're entering a migraine attack, actually, that's what your brain is craving, it's craving restoration of good energy levels. And so the caffeine and the sugar boost
the migraine rescue treatment can be helpful. Obviously, we need to be mindful that it's not too much. Too much colo is a bad thing, but it can be helpful now and again. Yes, and you can get painkillers that contain caffeine as well. I can't do that. Sometimes people find and taking an anti sickness can sometimes help to contact with the medication.
Yeah, absolutely. The stomach goes into a state of paralysis in migraine. So taking medicine into your stomach, sometimes it just sits there and a lot of people feel that and describe that. They feel like my system just stops. Some people who do vomit feel like actually they're the action of vomiting in some ways goes to relieve or bring respite from their migraine attack. But taking an anti sickness tablet that also works to move medicine into the intestine can also be very helpful to
It's all about getting that medication into the system as quickly as you can. We use an analogy at the National Migraine Centre likening an attack to a fire starting in the waste paper bin in your office room. You don't want to go with it with a plant spritzer, you want to go with it with a great big bucket of water, put it out quickly, but it doesn't take hold and burn everything down.
Yeah, it's really good analogy, isn't it? And there's also some of the tryptons who can have as a nasal spray or they can melt in the mouth, which again is really good if people buying that they're feeling sick or they're not absorbing properly. And there are different tryptons as well. So what suits one isn't going to suit someone else. Sometimes people have side effects with one and not with others.
And it's like anything in medicine, isn't it? You just try something else. So it's really important that people are suffering not to feel bad, know that you can go back and ask for an alternative treatment. Well, it doesn't agree with me. This isn't the right thing for me. We were listening to a professor of neurology talking about
how we define Trypton intolerance. And he said, well, you know, perhaps we shouldn't be defining it. Our patients should be defining it for us. That's how it's people coming back to us saying, this isn't working for me. Is there anything else I can try? Yeah. I think knowing that we're all individuals, because, you know, how I manage or try and reduce my migraine frequency, I have a very routiney life because I know my brain dikes homeostasis. So if I skip a meal, I'm guaranteed to have a migraine.
Yeah. If I eat processed foods, I'm guaranteed to have a migraine. So if I had a can of coke and a Mars bar, I know I'd get a migraine, so I don't have it. And I don't have caffeine at all. I don't have alcohol. I'm really regimented the way I exercise. If I know if I do more than 20 minutes a year ago in a morning before I've had breakfast, I'll get a migraine, 20 minutes is enough, but that's fine. 20 minutes, most warnings is good enough for me. But if I did go for a long cycle ride, I'll get a migraine. I'm really
it's really restrictive to the way that i live but it's actually quite good because it means i have to be healthier because i otherwise would be probably far worse i probably would drink alcohol i probably would go to bed far too late and try and have a line at the weekends but i can't because the last thing i want is migraines because they affect me so badly.
Some people makes no difference. So if it doesn't make a difference, what you don't want to do is restrict your lifestyle. But I do know also, and I hopefully you'll agree that any changes in lifestyle, you have to wait a good sort of three to six months to see if it's made a difference. So giving up drinking for one day and then getting a migraine two days later doesn't mean that alcohol is something that you can continue drinking. So you've got to try changing things and waiting. Yeah.
Absolutely. I think you're totally right. And it's the same with medical interventions too. So if the treatments that we use seems to take that amount of time for the brain to recalibrate and to adjust to a new way of being, as it were. So yes, give any intervention long enough and that usually is about three months.
Yeah, I agree with you. It can feel very restrictive. But I think as you've experienced, for most people, the benefits outweigh the restrictions that are imposed on life. Often people find that once you've got good migraine control, it affords you a little bit more flexibility. So you can push the boat a little bit. You can feel that, enjoy that concert or that meal out. It just might mean that you pay a bit of catch up the next day. Or I think another thing about migraine is
I don't know how you feel about the word trigger, but the more I do migraine medicine, the more I'm becoming less keen on using the word trigger, I think trigger. Sort of invokes avoidance behavior and actually what we find with migraine is that people retreat from their lives and stop living the lives that they want to leave because they're avoiding triggers.
I think it's perhaps kinder to ourselves to think of these things as conditions that make us more vulnerable to migraine and we can prepare conditions. We need to sort of create a more proactive approach where we have some autonomy over migraine rather than dictating how we
Live our lives. I think that's really important. Yeah. And you do have to be prepared and you do have to, I think you're right, think about alternatives. So even some of the tube lines, my daughter can't go on because the noise of the tube, some of them are really noisy and trigger, whereas some of the other, like the Elizabeth line, she said, it's beautiful because it's really quiet, but she's got.
And it's really interesting, but once you're aware of it, you think, OK, so she plans her journey differently and looking at what noise protection you can wear. But you've got to be one step ahead all the time. But you can only get that step ahead. You recognize that to start with, I think, again, that's why it's so lovely to be here to say, please, if you're having recurrent headaches and you're heading for the symptom, it's not a diagnosis. Do seek advice.
It's really important. I totally agree. And I think that's where using other people to recognize what did you do differently? Was there anything that sort of brought it on? But sometimes it can just happen. And so like you say, these triggers, sometimes you do feel like, oh, I shouldn't have gone to that concert or I shouldn't have done whatever, but actually could have happened anyway. And so we really need to be careful that we're not just blaming everything that we do because they will happen regardless. And sometimes we don't know why.
I think you're right, and different things at different times, so often people come in to see me, and they're really frustrated that they haven't found that one single trigger that flicks their migraine switch. And that's because migraine is complex, and it's rarely one thing. It's usually a combination of things, and that combination of things might be hormones and a mist meal one month, and it might be a late night and a work deadline the next month. It's just really one of those kind of conditions.
And so, well, obviously, you can't come onto a podcast about menopause and not talk about hormones. So we said at the beginning, it's more common in women. And there are people who, definitely, we know it can be triggered by changing hormones. There are some people that have migraines just before their periods, which is when their hormone levels are lower.
But especially in the perimenopause when hormone levels really fluctuate that can be quite a difficult time for some people yourself with migraines because again the brain is exposed to changing levels of hormones isn't that. So I think the combination of perimenopause migraine and midlife is just a recipe for
You know, turmoil for some women. I mean, it's a really, really awfully challenging time due to the reasons that you're, many of your listeners will be familiar with already. So we have menstrual migraine, which is essentially our thinking is that it's driven to a large extent and it's complex. This is unlikely to be the only thing, but to a large extent by the drop in estrogen levels coming up to the period after a period of relatively sustained levels of estrogen. So it's the brain, again, adjusting to a changing environment predisposes to migraine.
But then we see these biological changes happening to the cycle, to the menstrual cycle cycles, and the early perminable start to get shorter. So you have these long-lasting attacks. Menstrual attacks, of mine, tend to be these longer-lasting, more intense, more disabling, more painful, more nausea, less treatment-responsive attacks.
And because the cycle length is changing, they're coming thick and fast. And the recovery phase in between attacks is getting less. And that drives medication use up. So lots and lots of things are happening to lean to my brain becoming a really big.
issue during the primary menopause, on top of which you have all the other symptoms of menopause to deal with potentially low mood, sleeplessness, hot flush it, anxiety, which can then make migraines worse as well, of course. So it is important that yes, that we're helping women spot these things so that we can put together really comprehensive, holistic, individualised care plan
that support some of these symptoms. Yeah, and I still, most days I have somebody who messages me through my social media to say, I have migraine, I've been told I cannot have HRT, what can I do? So we can still have HRT when we have migraines, can't we? Or some types of HRT? Yes, because that's a big myth, so yes, of course, women with migraine and women with migraine with aura can also have hormone replacement therapy.
I think making the distinction about whether women have migraine with or without aura is important. Women with migraine with aura have an elevated background risk of stroke. It's still very small, but it's higher than women who don't experience migraine or who don't experience migraine with aura. For those women, then estrogen is still okay to give. It should be given through the skin because that means that it doesn't lead to the risk of stroke or blood clots.
Women without my brain with aura potentially have more options in terms of their hormone therapy or the regimens of hormone therapy they could use but again that's going to be something that's decided on an individual basis with the clinician who's looking after you looking at your wider lifestyle factors so body mass index, smoking or that stuff.
Yeah, and it's really important with hormones, because as I've said many times before, there's the three main hormones that we consider estrogen, which is in Easter dial, the body identical, estrogen that's anti-inflammatory, progesterone and testosterone. And actually, we work really hard often to
individualised decision types because some people, even if they're on a site to call regime so they're having periods they have two weeks of progesterone and two weeks without that can sometimes trigger their migraines so then we give progesterone all the time because again it's about the brain having the same.
And that can be a lot better, or sometimes we change oral progesterone to fagine, or if it gets absorbed differently and they feel better. And testosterone, again, some people find when they're on testosterone, they have less migraines as well. And there's some small data to show that probably has an effect, but certainly clinically we see that it does for some women.
Some women, if they're not on the right dose of estrogen, it's too high or too low, depending on where else they are, that can even. Some people say, well, I can't take HRT because I felt so awful when I was on it. Then you see what they were on and maybe it was a synthetic progesterone or maybe it was a really low dose of estrogen and they needed slightly more or different progesterone. Again, in the perimenopause, we often have to change it as well because their own hormones are changing, aren't they?
So I think when we're thinking about hormones and the perimenopause, there will be plenty of women out there who have migraine, but it isn't hugely impactful and they will wafer perfectly well with standard regimens of hormone replacement therapy.
making a diagnosis of menstruated migraine. So you're having really good diary evidence that shows that there is this real link between periods and attacks of migraine can be really a really helpful tool in terms of working out who's going to benefit from what type of hormone replacement therapy. So women with that type of menstrual migraine sometimes benefit from measures that essentially switch off background ovulation. So you get rid of all those crazy hormonal fluctuations. You have nice constant levels of hormones. That can be really helpful.
Looking at diaries again if you've got a woman with really disabling chronic migraine, she may well be having attacks of migraine around her periods too, but actually when migraine is that burdensome.
sometimes hormones aren't the answer and we really do need to be thinking about adding in a digital migraine care and I think that again it's about managing expectations and knowing when we need to depth things up. Totally and like we said it's often a combination of treatments there's not going to be usually one single treatment whether it's a hormone or non-hormonal that's going to do it for you and you might just think great I've got the right balance and then something happens and
Sometimes people find that having a good quality magnesium supplement can help other people find it makes no difference. Some people find having, there are other treatments that are available, some on the NHS and some not or in certain areas or by certain specialists that can help reduce frequency of migraines. So it's really important that everything is explored if someone's struggling. Yeah. And that people feel that they can come back
And that I think diaries can feel like just an additional admin task, but actually then really helpful. They are a really key tool for helping guide treatment response, but also working out what the right treatment is worthwhile to give a go. So I would
strongly recommend diaries too. I often, I said to a patient recently that I think living with migraine and perhaps it's the same with living with menopause as well, managing migraine in the perimenopause. It's like raising a baby or raising a toddler. You know, once you think you've got it cracked, they change, although it's changed. And it's because this is constantly changing environment.
Absolutely, and there's still so much that we don't know. We certainly need to do more research and have more evidence and really look so that it is a condition that is managed more appropriately with less suffering. Yeah, so there's lots more. I think I'm going to have to invite you back for another podcast Rebecca, because we've
still so much more that we can talk about about other treatments but we will share some resources with the podcast notes so I'm very grateful for your time but before we finish I always ask for three take home tips so three things that you think people could do if they are migraine sufferers and just want to be more empowered about treatment choices what are the three things that they could do? I think
So recognition is the first thing. So I'm going to take it back just a step and say, because I think there are so many women out there who are living with headaches, who haven't had a diagnosis of migraine, and who actually could do with recognizing they have migraine. So that would be the first thing. I think going to diagnose this headache is a symptom. It's not a diagnosis. What's driving those headaches? I think
Keeping a diary is key because I think again that shows us what's going on, recognising that headache is a symptom that warrants or is worthwhile the time and attention of your healthcare professional and then getting advice from reliable resources. So my top resources, obviously I'm going to say the National Migraine Centre is a good resource, Katie Monroe's book managing your migraine is fantastic.
These are all resources for empowering yourself to know more about your condition and what treatment options are available. Great advice. So thank you so much for your time and sharing so much of your fantastic knowledge. So thank you. Thank you for asking me. You can find out more about Newson Health Group by visiting www.newsonhealth.co.uk.
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