Headaches and Migraines

The National Health and Nutrition Examination Survey reported a prevalence rate of headaches was 22.7% in the U.S. Headaches were the fifth leading cause of visits to the emergency room and accounted for 1.2% of outpatient office visits. The majority of headaches were experienced by women ages 18-44.¹

Symptoms of migraines usually include a pulsating, throbbing, unilateral headache, worsening with movement that can be associated with nausea, vomiting, photophobia (difficulty looking at light), phonophobia (difficulty with hearing sounds), and even stroke-like symptoms. Tension headaches cause a dull ache with the sensation of tightness or pressure around the forehead, sides, and back of head, like a band around the head. This may be accompanied by tenderness of scalp, neck, and shoulders.

Often times, headaches are the symptoms we feel when the brain mobilizes toxins accumulated as a result of earlier stress. As the body tries to mobilize ingested toxins or those made by the body as a result of metabolism, feelings of weakness, fatigue, spasms, abdominal pain, and headaches can ensue causing he/she to either eat food or ingest a medication. This contributes to the toxic load preventing complete detoxification and resolution of the headaches. When people treat their headaches with medications, they are halting the body’s detoxification and cause a vicious cycle of recurring headaches. If the body is deficient in antioxidants and phytochemicals, the body can be unable to adequately remove the toxic products of metabolism. Medications are not the answer and are often part of the problem. I have seen hundreds of cases of severe chronic headaches resolve with a Nutritarian diet. Occasionally, an elimination diet is necessary to see which foods are potential triggers.

Diet

• A Nutritarian diet without modification can most often resolve chronic headaches. It is helpful to avoid the most allergenic foods, like eggs, dairy, chocolate, sweets, soy, meats, protein powders, caffeinated beverages, food additives, alcohol, and salted foods.
• If headache is persistent and not significantly improving after a month, follow an elimination diet for 2-4 weeks, further avoiding nuts, vinegar, and even in some rare cases, beans. If that helped, then begin reintroduction of all types of beans again individually; each type of nut individually; then vinegar, tofu, and tempeh (in any order). For example, after avoiding the above foods and noticing improvement, introduce almonds and monitor for symptoms over the next 48 hours. If tolerated (no headaches), then reintroduce each of the other nuts and monitor separately. Later, reintroduce each type of bean, tofu, tempeh, and vinegar to see if these are triggers.
• All other foods eliminated should not be reintroduced. If there are any other known triggers, then they should be eliminated from the beginning.
• Avoid caffeine. Patient will initially suffer withdrawal symptoms.
• Avoid alcohol.

Medication withdrawal

Continued use of headache medication, such as anti-inflammatories, triptans (e.g. Imitrex), caffeine, etc., will perpetuate reoccurrence at regular intervals due to the need for detoxification. Stopping medications will cause rebound headaches but this will slowly resolve while on the Nutritarian diet. Work with your physician to reduce and then eliminate medications, especially because some medications, such as narcotics, beta blockers, and others, require a gradual weaning and should not be suddenly discontinued.

Stress relief

• Meditation and other stress relieving techniques can decrease migraine frequency.
• Exercise and physical therapy are effective for those with migraines and tension headaches.¹