Dr. Alexander Mauskop

Well, I do it on the first visit.

I will not just tell the patient, get some sleep and exercise and diet and goodbye, because they usually know that already.

It's not something that they didn't think about.

Some people are not aware of that, that lowering your carbs can definitely help.

One reason is that three out of four migraine sufferers suffer from reactive hypoglycemia, which means you eat something sweet or carbs, sugar goes up and then plummets.

So three out of four, it's pretty high.

Well, it's one study, but I see it in my practice.

And that's why one drug that I prescribe that's very unusual for a neurologist to prescribe is metformin.

And that's what you said.

The low carb diet helps you a lot.

But tough to stay on.

I know.

I'm a sugar addict, too.

But if I stay away for two weeks, I can handle it better.

Well, I tried the typical years ago.

First of all, I should say that my headaches started when my kids were born.

I used to get the visual aura without the headache in my 20s, which occurs to people with migraines.

About 20% of people with migraines get the visual warning before the headache starts.

And then the kids, you know, lack less sleep and stress.

So my migraines started and I would take over the counter stuff, didn't work.