​
Track headaches, visual symptoms, dizziness, light sensitivity on a calendar and look for these associations:
Diet (avoid as many from the list for > 6 weeks)
Stress, or soon after sudden end of stress (use yoga, meditation, biofeedback, cognitive-behavioral therapy, exercise)
Sleep: too little, also too much (ex. weekends)
Weather patterns
Heat
Light (esp. fluorescent)
Loud noises
Odors (perfume, scents, gasoline, new carpet, paint)
Menstrual cycle and/or ovulation (or a change in birth control)
Caffeine (daily use causes rebound/withdrawal headaches, max use 3 days/week)
Dehydration
High altitude
TMJ (temporomandibular joint)/teeth grinding
Over-the-counter preventative treatments:
If no GI issues/allergy, take 81-325 mg coated aspirin daily
Magnesium (any form) 200-400 mg/day
Vitamin B2 (riboflavin), not just a B vitamin, 100-400 mg/day
Coenzyme Q10 >400 mg/day
​
Migraine Food List
Food Type ALLOWED NOT ALLOWED
Beverages Max 6 oz/day decaff coffee. Non-citric Red wine, port, coffee, champagne,
fruit juices, Max 4 oz/day white wine. Nutrasweet (aspartame) and saccharine
Herbal tea, club soda, non-cola sodas Hot tea, iced tea, caffeinated sodas
(ex. 7UP, ginger ale). Splenda, Truvia
Max 2 oz/day vodka
White chocolate Chocolate or cocoa. Carob
Breads and Commercial breads: white, whole Yeast breads, gluten,
Cereals wheat, rye, French, Italian, English crackers with cheese, croutons
muffins, melba toast, crackers, rye
crisp, bagel Fresh yeast coffeecake, doughnuts,
sour dough bread
Dry cereals, Cream of
Wheat, oatmeal, cornflakes, Any bread containing chocolate or
puffed rice and wheat, etc nuts
Dairy Cheese: American, cottage, farmers, Cultured dairy such as buttermilk,
ricotta, cream cheese sour cream, chocolate milk
Yogurt: 4 ounces/day Cheese: blue, boursoult, brie,
camembert, cheddar,
swiss, gouda, roquefort, stilton,
mozzarella, parmesan, provolone,
romano and emmenthaler
Desserts Sherbets, ice cream Chocolate ice cream, pudding,
cakes and cookies without cookies, cakes
chocolate or yeast, Jell-O
​
Fruits Any fruit juice such as prune, apple, Avocados, banana (1/2 a day max)
cherry, apricot, peach, lemon, lime
pear and fruit cocktail
Limit intake to ½ cup orange, All nuts, peanut butter
grapefruit, tangerine, pineapple, raspberry,
plums, raisins, papaya, passion fruit
Meat, Fish and Turkey, chicken, Aged/canned/cured/tenderized/processed meats,
Poultry fish, lamb, veal, pork, eggs, tuna canned or aged ham, pickled herring,
salted dried fish, chicken liver, aged
game, hot dogs, sausage, bologna,
salami, pepperoni, beef jerky, liver,
any meal prepared with marinade,
meat tenderizer, soy sauce
Potato White potato, sweet potato, rice,
macaroni, spaghetti and noodles.
Soups Cream soups, Canned soups, bouillon
homemade broths cubes, yeast, MSG (read labels ), vinegar
Sweets Sugar, jelly, jam, honey and hard Chocolate candy and chocolate syrup
candy
Vegetables Asparagus, string beans, beets, Pole or broad beans, humus, lima beans, Italian
carrots, spinach, pumpkin, tomatoes, beans, lentils, snow peas, fava beans, navy
squash, corn, zucchini, broccoli, leeks, beans, pinto beans, pea pods, sauerkraut,
scallions, shallots, garlic, lettuce garbonzo beans, onions, olives, pickles
Miscellaneous Salt in moderation, Pizza, cheese sauces, soy sauce, mono-
butter or margarine, cooking oil, sodium glutamate (MSG),
whipped cream yeast, yeast extract, brewer’s
yeast, meat tenderizers, Accent, A1 and
White vinegar seasoning salt
Mixed dishes: Macaroni and cheese, beef
stroganoff, cheese blintzes, lasagna and
frozen TV dinners
Many snack items (spice, vinegar, MSG)
Any pickled, preserved or marinated
food
*Caffeine has no tyramine per se, but aggravates headaches and hypertension.
One of the most important steps in the treatment and management of migraines is to determine your migraine triggers –
What causes your migraines? This is something you need to determine, the best way is to keep a detailed diary. Write down what you have done, taken or eaten within 24 hours of the onset of a headache/migraine.
Initially, eliminate all foods that may cause migraines from your diet. Then, introduce one at a time every week and determine whether they cause headaches.
The process may be complicated, very often it is a combination of factors. For example, many women find that certain triggers such as alcohol have no negative affect except just before menstrual period or at ovulation. If you are a premenopausal woman, be sure to make note of your menstrual cycle on your headache diary and avoid estrogen if possible (estrogen BCP, Mirena IUD, Nuvaring, patches, etc). Check to see if headaches occur just before you begin to menstruate or when you ovulate, and note any triggers during these times. If you are postmenopausal, avoid estrogen therapy (ex. Premarin).
As always, if you have any questions regarding your medical care, contact your physician.
12/5/22
​