Eight moths ago, while things looked more positive, symptoms and challenges remained and quickly plateaued. The neurologist confirmed the symptom diagnosis of migraines, gave me Imitirex (which works as a patch), and didn't have any advice regarding the causative agent (although she did point to some potential triggers). The sleep specialist didn't have anything to add except a book recommendation with was a quick read but did not change anything. The hearing specialist said I didn't have any significant hearing issues. So, I was stuck again and decided to seek assistance from a new practitioner.
Two months ago, I consulted with Chris Kresser. I have been listening to his podcasts and reading his articles for several years. I like how he's constantly integrating the latest, scholarly literature and trying to help a growing population of medical patients. He had both clinical expertise and a focus on the latest science that I hoped would help me get at more root causes. He also had success with migraine treatment specifically. While his website is more anti conventional medicine than I am, I have found him not adverse to recommending conventional approaches when he finds them clinically appropriate.
To start, I completed multiple, detailed questionnaires and got a set of required blood work. The first consult resulted in multiple supplements targeted at migraine prevention and a highly restrictive diet. The supplements have been awesome for minimizing migraines. I have still had several instances over the last month, but they have been much more mild and not required medication. The diet eliminates / minimizes three substances that can trigger migraines and eliminates anything that is not a lean meat or a non-startchy vegetable. The diet, a protein sparing modified fast, is designed to spare my muscle by ensuring that I eat adequate protein while allowing me to burn the extra body fat that I have. The goal is to reset what my body defends as its "normal" weight to what is my ideal weight. So far, it's been working beautifully! I have lost 15 lbs easily! It's been two years since I've been at this weight and it means I'm down to 30 lbs left to lose.
I had a second consult yesterday in which I found out that my thyroid function is still low and may be contributing to the remaining migraine / illness issues. So, I have several more supplements on the way that are supposed to support thyroid function. These last two months have been wild with all the moving prep and changes, but it is really exciting to be seeing progress! Here's more positive steps toward optimal health over the upcoming year :)