Shin Beh, MD FAAN FAHS

a little girl wearing pink sunglasses and a hat ALT: a little girl wearing pink sunglasses and a hat

Anyone else notice a weird increase in nonsensical health information on their Twitter feeds? Latest nonsense to pop up for me was sunglasses cause cancer…

And valproate can cause a lot of problems and drug interactions

While these guidelines can be helpful for non-neurologists, insurance companies always use them to justify denying medications to patients who need to be on them.

Prevention of Episodic Migraine Headache Using Pharmacologic Treatments in Outpatient Settings: A Clinical Guideline From the American College of Physicians | Annals of Internal Medicine Description: The American College of Physicians (ACP) developed this clinical guideline for clinicians caring for adults with episodic migraine headache (defined as 1 to 14 headache days per month) in...

The idea of tiered migraine prevention medications (first, second, third line, etc) is outdated. Physicians should discuss options with their patients to select the best possible candidate. I would never use Valproate as a “first line” med. www.acpjournals.org/doi/10.7326/...

Moderate-to-Vigorous Physical Activity at any Dose Reduces All-Cause Dementia Risk Regardless of Frailty Status Reaching the moderate-to-vigorous physical activity (MVPA) recommendations of 150 min/wk is difficult for older adults, particularly among those living with frailty and its associated risk of dementia...

www.jamda.com/article/S152...

A study has shown that 5 minutes of exercise a day lowers your risk of dementia. As little as 35 mins of moderate to vigorous physical activity per week lowered dementia risk by 41%. For every additional 30 mins of exercise per week, dementia risk is reduced by 4%.

Coffee consumption is associated with intestinal Lawsonibacter asaccharolyticus abundance and prevalence across multiple cohorts - Nature Microbiology Coffee consumption is associated with the presence and abundance of a specific member of the human gut microbiome, Lawsonibacter asaccharolyticus, and changes to the plasma metabolome.

The health benefits of coffee (even decaf) is linked to higher levels of healthy gut bacteria, according to a large US and UK epidemiologic study of coffee drinker.

www.nature.com/articles/s41...

I rather just prescribe rizatriptan and meloxicam separately 😬

Is it really a "new" migraine drug if it combines two older, generic medications?

I usually have my patients take it with B2, B12, L-carnitine and alpha lipoic acid for fatigue

People Who Have Never Had a Headache: What Explains It? A Conversation with Isa Amalie Olofsson and Thomas Folkmann Hansen - Migraine Science Collaborative Isa Amalie Olofsson and Thomas Folkmann Hansen discuss their research on headache-free individuals.

One of our most popular articles of all time is our recent joint interview with Isa Amalie Olofsson and Thomas Folkmann Hansen, two researchers who have studied people who have NEVER had a #headache. Read more about this work and what we can learn from it.
migrainecollaborative.org/people-who-h...

PPPD is a common disorder but is often missed and misunderstood. Living with PPPD feels like your sense of balance and confidence is constantly challenged. This book is for you - the person with PPPD, the caregiver, and anyone seeking to understand it.

www.amazon.com/PREVAIL-Over...

However, too much nutmeg can cause problems. Nutmeg intoxication can cause hallucinations, anxiety, confusion, dry mouth, and memory loss.

Nutmeg has many health benefits, including:
Pain relief
Anti-inflammatory effects
Antioxidant effects
Libido enhancement
Mood boosting
Blood glucose regulation

Nutmeg is inseparable from the holidays. Originating in Indonesia, nutmeg was one of the spices that compelled the Portuguese and the Dutch to colonize Southeast Asia. In the 16th century, nutmeg was worth more than gold by weight. What are the health benefits of nutmeg?

I’m not an MECFS expert but I find that SNRIs seem to help fatigue in my vestibular migraine patients. Definitely not 100% of course (nothing in medicine is) and a small number feel more fatigued on them

Targeting the CGRP System: A New Treatment Option for Medication Overuse Headache - Migraine Science Collaborative A recent phase 4 trial shows that erenumab, an anti-CGRP receptor antibody, led to MOH remission in patients with chronic migraine and MOH.

Researchers are studying a new treatment approach for alleviating medication overuse headache. Read more about a recent clinical trial in this area. #painresearch #migraineresearch #headacheresearch

migrainecollaborative.org/targeting-th...

Recreational cannabis use may lower your risk of cognitive decline, study says Previous research suggests people with subjective cognitive decline are 2.5 times more likely to develop dementia.

A popular image of cannabis users is the slow-to-respond stoner. However, cannabis use (even recreational) has been linked to a 96% lower risk of cognitive decline. I wonder if the anti-inflammatory properties may be responsible for this interesting observation. fortune.com/well/2024/04...

Check it out here: www.amazon.com/Trutyna-MVI-...

And so, I formulated Trutyna MVI for people with migraine and vestibular migraine. It contains all 11 of these supplements at doses used for migraine prevention. Trutyna MVI is a more convenient and cost-effective option for those looking for natural migraine relief.

A huge frustration for many people (including myself) is that this would mean taking 11 separate supplements a day. Buying and taking 11 separate supplements a day is not only inconvenient but is also expensive.

There are a few studies that suggest that vitamin E, vitamin C, tryptophan, and zinc may be useful migraine prophylactics.

Vitamin B2 and magnesium have the most studies to support their use in migraine prevention. A smaller number of studies have shown that vitamin D3, coenzyme Q10, vitamin B12, vitamin B6, and folic acid are also potentially effective.

I am often asked about if supplements are useful for vestibular migraine and if so, which ones. Yes, supplements can be effective for preventing vestibular migraine. Much of what we know and use come from studies of people with migraine.