Migraine Headaches and Hormone Imbalance

Dr. Maupin: This is episode 33 of the biobalance Healthcast. I’m Dr. Kathy Maupin.

hormonal migrainesDr. Newcomb: And I’m Brett Newcomb and today we’re going to talk about headaches. We’re going to talk about all different kinds of headaches, but our focus is going to be on migraine headaches and their connection to hormone imbalances. Dr. Maupin: I have a vested interest in this because when I was 35, 36, I began having migraines and they were not timed with periods or anything and they got worse and worse until I had my hysterectomy at 47. They were carrying me out of my office throwing up and nauseated and I had to go home, and cancel patients. It was horrible. I have patients that come to me like that now. But when I got to 47, I thought “Oh I’m going to have my ovaries out, this is going to fix it”. But it didn’t, it made it worse. And I had headaches all the time then. But when I found the pellets and the testosterone, I tried all the different hormones. Nothing worked. All the other bio-identicals didn’t work. But when I tried pellets with testosterone I never had another headache. And I haven’t had another migraine in nine and a half years. That’s a miracle to me. Dr. Newcomb: Wow. Well it’s impressive.

Fortunately i’ve never suffered from headaches. I cause them but I don’t get them. Or seldom get them. But i’ve had lots of clients through the years with severe migraine problems who

Have to go lay down in a dark place, who have to stay very still for hours at a time. I’ve

Even had a couple that literally had to go to the emergency room and there’s some sort of shot that they give them. Dr. Maupin: They give them a narcotic.Dr. Newcomb: Is that what it is? Dr. Maupin: A narcotic is the only thing.It’s really for the symptom for the pain. It doesn’t really fix the headache, they just know the headache is going to go away soon. But really what a migraine is is not a muscle spasm. It is actually a swelling of the vessels in your head. Your head can’t stretch. I mean your head is fixed after you’re a baby and all of the plates of your head fuse; you can’t stretch your head. So when the veins get bigger there’s no space to go, so it aches. As the veins get really big, you get your headache and it causes you to throw up, and it causes you to see an aura sometimes, and have light sensitivity.Dr. Newcomb: That’s what people tell me. And it’s hard if you’ve never experienced anything like that, to really, not to have empathy for it, but to understand it. And you work on things like relaxation, meditation, calming exercises. Sometimes they help and sometimes they don’t. Dr. Maupin: If it’s a [headache caused by a] hormonal reason it’s not going to help that.Dr. Newcomb: People will say I’m trying all these things and they’re not making any difference. I had one client, poor lady, she was almost going to lose her job, her

Marriage was in trouble, because she literally had migraines so excessively and she was so

Limited and the doctors couldn’t find an answer. Dr. Maupin: The medicines didn’t work. Dr. Newcomb: No Dr. Maupin: I have several neurologists who are in St. Louis who now send me their patients that are over 40 who have migraine headaches and they’ve tried everything. They’ve done the work-up, which you should always do. You should always have your headaches worked up. Get an MRI. Make sure you see a neurologist, or a headache specialist and make sure the headache doesn’t mean you have a brain tumor or an abnormality in the vessels in your head, because God forbid we treat that with hormones. That’s not what we’re doing. We wait until someone has had their work-up. Or we send them for a work-up. But we work with the neurologist. And now there are articles in the neurologic literature

That talk about giving testosterone to stop headaches. And of course it was first in men.

Because men have testosterone and they noticed when they did blood tests they had low testosterone.

And they had all these horrible headache, and when they replaced it, they went away.

Dr. Newcomb: They didn’t have it. Dr. Maupin: Then they started looking at women.

And now Dr. Banks here in St. Louis is amazing. He sends me patients. After he’s worked them up and he’s treated them the way he treats them and they can’t get better, he sends them to me and I get them better. And I send my patients to him for the work-up. Dr. Newcomb: Right. Dr. Maupin: So it all works out. But you should have the work-up first if this is one of your problems. And I had the MRI as well, when

I had the headaches to make sure I wasn’t going to have a stroke. That’s very important. Then after you go through the work-up and if it doesn’t work, then hormonal replacement in some cases works for migraines. Dr. Newcomb: I’m not medically gifted soyou have repeat things for me and clarify things for me. Help me understand what the difference is that makes a headache a migraine as opposed to just a bad headache, because you can have a bad headache and not have it be a migraine.

Dr. Maupin: I always have my patients describe their migraines or headaches because they

Sometimes think they have a migraine headache because it comes on all the time. But a migraine is specifically a throbbing headache that has an aura or some kind of light flashes or kind of an aura around whatever you’re looking at. Dr. Newcomb: You see those externally or you experience them internally?

Dr. Maupin: Well, they happen inside your brain but you see them as if they were in front of you and these little lights that happen. Dr. Newcomb: So pressure on the optic nerve. Dr. Maupin: That’s exactly right – from the pressure of the swelling vessels. Dr. Newcomb: So pressure from the brain swells.

Dr. Maupin: So you get that first. You may not have pain yet. Some people say they have pain immediately. Then there’s a nausea and a there’s a light sensitivity. You see people walking around the office with their sunglasses on and a horrible look on their face. Dr. Newcomb: Or they’re just trying to be

Cool, i’ll wear my sunglasses at night. Dr. Maupin: If they look like they’re going to throw up, they’re not trying to be cool and they’re ready to go home. Those are the symptoms. Usually it is here. People say “this is my migraine. It’s right here every time”. It’s usually in one place, one space. Or it’s one sided.

Dr. Newcomb: So it’s not just sinus cavities. Dr. Maupin: No. The sinus cavities are both sides in general. If I want to know if someone has a sinus headache I go like this. If that hurts, that’s a sinus headache. If they have, (these are the non-migraine headaches), if they have a tension headache they say ‘oh it’s right here and it goes all the way down and I have a neck pain and then my headache starts up here and it’s both sides and it feels tight’. That’s the muscles of their head, the outside of their skull tensing up and causing them to have pain from muscle tension. Dr. Newcomb: Those are the headaches, the few that i’ve had. They all start right back here at the top of the neck and the shoulders where all those muscles tighten up. I talk to patients about it because when, if you have a stressful situation at work and you

Have a long drive home you can actually feel your arms get longer as you drive, as that

Stress calms, and you relax. Dr. Maupin: As you’re calming down. But if you’ve noticed that your shoulders have reached your ears before the end of the day and you have a headache that’s generally a muscle spasm headache, a tension headache. Dr. Newcomb: All that’s knotted up. And then it comes over the top and they feel it here. Dr. Maupin: Right. And so they think sometimes that’s a migraine. They sometimes have nausea with that. However, I suggest massages, acupuncture, any kind of muscle relaxation. Sometimes just exercises and biofeedback help. But in general, patients are so bad by the time they come to me about that that I have to send them to a pain specialist to have them injected and then their headache is gone and they realize what it is. Dr. Newcomb: Once it’s gotten that severe.

I talk about a technique in my practice called “thought stopping”. If stress is magnified in your life and you’re obsessing about certain things and worrying about certain things, you have to learn how to do thought stopping. Tell yourself no; tell yourself  stop. Dr. Maupin: Stop obsessing over something.

Dr. Newcomb: Yes stop even thinking about it. Make yourself think about something else.

And if you can do guided imagery, you can imagine a walk along a brook in the woods

Or sitting in a hay barn watching a storm go across the valley. Whatever might be relaxing

For you. Dr. Maupin: That’s really difficult for a lot of people. And it takes a lot of training. Dr. Newcomb: It is for a lot of people but you can train them to do it. But then they have to choose to do it. It’s like we were

Talking about earlier. Dr. Maupin: Or yoga. Yoga is a great way to relieve tension headaches. There is another kind of tension headaches. Patients go “oh, it hurts right here”. And they’re gritting their teeth.

Dr. Newcomb: Ice cream, brain freeze. Dr. Maupin: No that’s brain freeze. That’s from your sinuses and this is from your TMJ joint. And that kind of headache is usually from grinding your teeth all night, which is bad for your teeth but it is also bad for your headaches. Those patients I send to their dentists for a mouth guard to wear at night and that usually helps. Sometimes chiropractors or other pain specialists can inject it or manipulate it so that they don’t have that, but that’s another type of headache. But I have to rule out all of these different headaches before I say “Yep you’ve got  a migraine and hormones will help”. Then I look at their labs. If their testosterone is low, that’s the key to migraines, and there’s no other kind of testosterone that works on migraines that crosses the blood brain barrier and stops a migraine or prevents it other than pellets or IM shots, shots in the muscle. Something that’s not oral that

Doesn’t go under the skin or vagina or under the tongue. None of those fix migraines, sadly. We have to put the testosterone directly under the skin. Dr. Newcomb: Why? I mean I know we’ve had this conversation multiple times for other issues and you talk about the metabolic interference of the digestive process or the absorption process that are different with sublinguals or skin creams or oral pills. Is it the same kind of thing? Is it a metabolic adaptive? Dr. Maupin: It’s a change. They’re transformed

As they go through the skin or the vagina or under the tongue. That hormone gets changed just to be absorbed. And then, it’s usually changed into an estrogen which makes headaches

Worse. You have to get pure testosterone, just like you had when you were younger, to the brain. To cross the blood brain barrier it has to be pure testosterone not one of the lesser androgens, which are other kind of testosterone like hormones. It has to be pure to get to your brain. And obviously the problem is in your brain. The testosterone  relaxes all those vessels and allows them to shrink and let the blood out of the skull. Dr. Newcomb: When you say pure testosterone you are talking about bioidentical products not plant derivative products. Dr. Maupin: Well plant derivative. I mean bioidenticals are plant derivative. However, they’re just made from a plant, chemically the same, exactly as our hormones. So they have to be that, but they also have to be non-oral, non-transdermal, no other delivery system. They have to be under the skin. Dr. Newcomb: That’s the testosterone issue with migraine headaches. And when we were talking before you said something about a menstrual cycle issue as well.

Dr. Maupin: Right. This is very common. If you have migraines that happen mid-cycle, or if you have migraines that happen right before your period and during your period if you’re a female. (I’m not accusing you of having migraines. This is just for the girls.) If you have that type of headache generally, that’s from a drop of your estrogen right before your period or a sharp rise of your estrogen at ovulation. Those are a change in your estrogen level. We usually put people on the pill if they’re not menopausal or

We put them on constant estrodial. A natural estrodial works best. And usually, same hormone

Everyday is how we do it. Pellets work great for that because they don’t go up and down every day. And we don’t use oral because that just doesn’t tend to work very well except in a birth control pill. Dr. Newcomb: So if you’re suffering from migraines and you have gone to your doctor and you have described your symptomology and they don’t identify that it’s something like a muscle tension, or sinus or TMJ issue,then you have to consider is it possibly a hormonal issue. And as you said they discovered

This by working with men because when the blood tests came back on the men they noticed

The testosterone was low. They gave them testosterone and the migraines stopped. And so now they

Extrapolate that to women as well. And what they’ve discovered is that helps. We’ll talk in other podcasts about andropause which is a word that’s generally applied to and understood to be an issue for men and concerning men, because of the testosterone issue. But women also have to have testosterone and women also have andropause issues and one of those is related to migraines with the testosterone. Dr. Maupin: They’re always very surprised when they come in for another reason for andropause, fatigue, or loss of sex drive or loss of muscle mass, or gaining weight, fatigue, irritability, depression.

Dr. Newcomb: All those cluster symptoms, irritability. Dr. Maupin: They come in for all of those symptoms that haven’t been helped by other methods. And all of a sudden their migraines  are gone too. To them it’s like “oh I didn’t even come in for this, and it’s gone.” Dr. Newcomb: It’s kind of like you notice it by its absence. Dr. Maupin: Right. You notice that you haven’t had a headache in 4 months or 5 months. And “oh that’s amazing I don’t know how that happened”. Dr. Newcomb: I haven’t had a headache since


My mother came to visit. Well that might not be a migraine.

Dr. Maupin: That’s right. That may be tension. Dr. Newcomb: If you have questions about headaches.

If you have questions about hormones or any of the things we’ve talked about in our 33 podcasts. You can ask us those questions directly at. You can also, if you have time and you’re interested, read my blog at brettnewcomb.com. Dr. Maupin: And if you’d like to know more about biobalance health or bioidentical hormones visit our website

Migraine Headache Relief Treatments Philadelphia

migraine headache reliefHi under K. Eternal suffering from migraines the entire multiple doctors tell me that they can help you with your headaches all the fun yeah nothing really works. Regardless if you mention. Many of my migraine patients better fifteen other doctors before they came to me never had a migraine patients that they will help and let me tell you why. My grades are caused by the expansion and contraction blood vessels this expansion contraction blood vessels causes nerves this around the blood vessels for you to make this is Amanda P. You’ll surely like to know what causes expansion and contraction both you stop it. Speech in contraction of the blood vessels caused by an imbalance nervous system. You see your nervous system needs two things for her work at its peak capacity in these oxygen each looters. Yes you’re not in done bed you getting enough sleep first through the every day. However as we get older our ability to utilize oxygen decreases if you combine that with the fact that the majority of people are shallow freezers then you could see how our bodies Kenny fashion to function at its peak capacity. Yelster me suffocating it just means that’s the difference between putting are 83 hockey brain guess your Corvette ants cohost putting 93 our team raise gets a little cooler that to professional work much better its peak capacity he 93 great adopting as opposed to 8387. That’s why in my office we see my bring peace option and I also use no mutilation acupuncture that works extremely well balancing the track space blood vessels. For more information please cue say paying release 611 dot com. Thank you.

Migraine Treatment | How To Treat A Migraine Naturally

natural remedies for migrainesMigraines can be an extremely debilitating and painful problem. However they’re planning a relatively simple remedies that can be done at home which may lessen or completely remove your migraine onslaught. Everyone get a good night’s sleep. Changes in sleep patterns changing work schedules and jet lag can affect the quality of sleep cycles and trigger migrates. Try to maintain a regular sleep schedule get up go to bed at the same time everyday a possible. Keep the room dark be sure to rest in a dark room light sometimes aggravates migraine symptoms. Ever three tried to sleep late. Though it might seem like a reward relax and sleep n getting yourself that letdown after stress is a common trigger because it affects your sleep patterns and finally take f ing it’s a paradox headaches. And just too much caffeine you may get a headache but take a little bit and it can help make the pain disappear. At the migraine does not disappear after trying different remedies you may need advanced treatment. And although very few doctors will know or tell you about it you can permit read a migraine. Click the link in the description below this video to find the secret to treat migraine naturally.

Optical Migraine Aura: A Personal Case Study

Optical MigraineThe  the No the the the more hello my name is Peter and I suffer from migraines. I never knew it RI never knew it until recently. My history and it started since it started about 12 years ago. I was in hospital. I with another completely different condition. I went a.m. Experience the symptoms of migraine. I’m and when trying to explain to the doctors and the hospital and subsequently when I left hospital and you know as I got better over the years with it so the condition. Because it was unable to use the correct terminology the correct words. I am no one was home ever able to tell me what it lost some that I was suffering from.

Was centers across the and that state the same throughout the twelve years. The first symptom that I get is a little being that seems to go off in my life for once a better place eyes possibly. I’m so mad be on the I being I get blind spots again not associated with 100 the other closing my eyes doesn’t make any difference a 100 makes no difference whatsoever. I have these blind spots. That would last me for about five minutes. Eventually the blind spot loans it lose to the side satellites of my life. A and forms like a six ACK patton around my life the semicircle I’m in my life. I feel nauseous I feel dizzy I’m feel really that’s i cant focus properly on things around me. I’m so much the focus on something I need to look away from it which seems ridiculous his mitts and of course I wouldn’t focus properly that way but a now is the by other companies. Sup that zig-zagging would last want crescendo would grow grow grow grow grow and then the be a walk through walls behind my eyes somewhere within my brain possibly and reaches a climax and then the lines away.

Wanted to cope with it when it when the attack happens. Is if at all possible I’m I would lie down. Are going down and try and sleep. I’m sometimes it’s not possible to do that announce driving whatever all I’m you know I mean and shopping you know I’m outside how some available fourth

Going to head to lying on that. In which case its case and just basically sitting down I’m waiting for it to pass. The matter like this twenty minutes I am 25 minutes possibly. Sometimes I fall asleep when I’m lying down I’m gonna wake up has passed.

Well I don’t know what causes it. I suspect what brings in on which is slightly different to the cools.

What brings on something seems to be a sense of frustration. I’m it’s not stress because our do too stressful things which I yes I enjoy enjoy being stressed on occasions and doing new things.

Am quite often the sense of frustration may be over silly little things. I feel totally frustrated uncertain coping with its something goes pain and that is the offset. I don’t know if that’s coincidence I’m I don’t know if and his what brings it on but busty only hunt likens to comment the only label I can say is frustration for me seems to bring.

It home it was only actually two days ago. I’m when I’m decides to Google my symptoms my hit upon the correct and four wheeler all the correct words to use to sell to bring up the whole. I’m in an explanation of what some suffering from. I was stoned to think that it was migraine because i’ve always associated migraine with severe headaches and type in very fortunate obviously the on some people have what I suffer from and then subsequent it develops. And swish a huge headache and that knocks them out for you know day two days three days even. And so on extremely fortunate thats my sense was my order mime migraine or meet rainwater does not subsequently go into headache and the vomiting and nausea. I’m obviously I’m just touched fine this helms on unfortunate but yes just two days ago I’m I am describe my symptoms like I put the was vision zigzag into Google. I’m and I was stoned to see thats are a millions of others suffering just like south with its. I’m many people suffering horrendously with its a I’m so please that’s a I found out. What his. Because I saliva something wrong with my brain got a brain tumor on going blind or something wrong with my own eyes. I misses can’t let little laid out lots along because home you know closing my eyes does make to make any difference whatsoever. I’m to how I deal with the illness also I was really so really you know was pleased about that

But also to get a diagnosis to know exactly what’s. I’m what i’ve got and that’s why I can now I feel uncomfortable lot better and you know I no its group and find out with tips and hints on how people I’m help get rid of it by then attacked as come. Others wanna say that’s a it just fit in really with my lifestyle

And that is I’m on when people have attacked the Sri contracts drink power you know his pamphlets to rehydrate bodies and that’s something that may be of mist. You know that’s awesome aspects of mind

Looking at myself I have full down with. So therefore and that will be nyse: you know for example as Mon huge tip that have received from having the correct diagnosis. So thanks to Google thanks to everyone is open to the public about these migraines migrant border and all the words associated that we should use from going to the doctor fortification. I’m it’s cold in the sex act around the lines they will possibly know i’m talking about. Next time I go. I’m but they didn’t have a clue I thought it was so stressful whatever. I’m didn’t quite understand what I was getting at but they do now them why went that.

Migraine 1: The Experience

Migraine 1This video is about the experience migraine. Hello my name is Craig black women of the mildest in Santa Cruz California. In this video we will look at how you experience migrate. For example what you may see or feel and what are common triggers. In the second video we discuss the medical aspect and give an overview a treatment strategy and in the third video we take a careful look at the mechanism a migraine what is going on in your head to make all that happen. Is important to understand that this is for your information does not replace consultation with your doctor. We are starting with this portrait of Thomas Jefferson because he was probably the most famous person with migraine. The following quote is from biographer Charles Ellis. In April 1776 Jefferson was struck with a mysterious malady that left him incapacitated for more than a month. Film it turned out to be a migraine headache. The first recorded occurrence in what proved to be a lifelong affliction it flared up whenever he felt unduly pressured. As a story that many with migraine would identify with. Well we know a lot more about it now we are still a long way from a full understanding. Let’s start off by recognizing that migraine is not defined by the headache. Is best to pick up my green as a group various neurological symptoms that occur in episodes and that all come from a common cause. There is usually a headache but not always and my green appears to be inherited speaking %uh various neurological symptoms. This is the full International Headache Society list have different types of migrant. There are too many to discuss them all so we will limit this discussion to the three most common types. These three types are different ways of combining two things headache Andorra. Aura is a particular visual display or sent through the fact that comes just before the headache if there is one. The three types are one common migraine which is the headache alone with no or. Classic migraine witches or a followed by a headache and the aura alone visual or otherwise but with no following. Kelly the International Headache Society has different terms but i’ll stick with these historic names because they are familiar an easy to remember. The features that identify a headache is being a migraine are the headache is one-sided usually throbbing particularly with motion or straining. Usually is moderate to severe intensity there is not a gf possibly bombing their sensitivity to light and sound. Pain is made worse by physical activity and had a class from for 72 hours. People with the headache usually prefer to be in a quiet darkroom sleep of a headache is gone on waking. The aura is a sensory disturbance that occurs with a migraine episodes. It can involve vision sensation for movement. 30 percent of the people with migraine have the aura. Here is beginning a bit typical visual display. On the left there’s a little missing area which over a few minutes grows into a crescent a six-day flashing lights like on the right. Some describe it is like a kaleidoscope others use the term sent relations. At full development it may cover half of the field division. Within the Crescent there is an area vision that goes missing. That is called the scotoma. Not that the visual display is present in both eyes occupying the same have a vision. Evolves over 15 to 30 minutes sometimes longer. The flickering lights gradually fade away and vision returns like in the picture on the right. Other descriptions a visual symptoms include a sensation watery movement blurred area or star shaped figure. Really there can be a black out a vision that must be distinguished from other worrisome causes like stroke. Surprisingly some people take artistic inspiration from there or a pattern. This is 10 at least two web sites that collect peoples artistic interpretation and there or experiences. There’s a gallery including even big-name artists like salvador dali. If you are a migraine person looking at other peoples our experiences both interesting and disturbing. Some people haven’t or that is not visual instead it involves sensations have numbness and tingling march down the arm or numbness in the hand or around the mouth. For some there’s a feeling of heaviness weakness civil them we may be difficulty speaking. To recap the features of the or are it contains positive features such as it the flickering light and negative features such as the missing area the scotoma. Visual symptoms occur on ½ a vision affecting both eyes well sensory symptoms occur only on one side. All the pictures are reversible that is they usually return to normal. Symptoms usually last from five to sixty minutes. Looking at the whole migraine process. It may have four stages. One is the program this is a set up odd feeling starting in the head of the actual migraine. There maybe feelings of fatigue difficulty concentrating feelings have increased sensitivity or big discomfort. These are not the same as the aura. The order is the visual or sensory disturbance described above. As the or a result the headache if there is one usually starts. 3 than the headache and four after the headache has resolved there may still be vague feeling some dysfunction like difficulty speaking or recognizing objects. In the mechanism video we go into detail about what is going on in the brain with migraine. In this one we will summarize briefly. The old theory of migraine was based on a vascular cars.

Blood vessel constriction causing the horror and vessel dilation causing the pain. As accurate methods for measuring blood flow became available the vascular mechanism was proven wrong. It was replaced by a

Neuronal cause which works like this. There is still a trigger event then the aura is caused by a disturbance in electrical activity on the surface the brain cock cortical spreading depression. Cortical refers to the cortex the outer layer the brain where the nerve cells are located because it is made of nerve cells that is constantly abuzz with electrical activity. Cortical spreading depression is a disturbance above the normal electrical activity. It is like the passage a thunderstorm the way love increased Electric Lightwave activity starts out at a particular spot usually in the visual cortex. It spreads gradually forward over the surface of

The brain at about two to three millimeters per minute. After the wave passes electrical activity in the area behind is significantly depressed. The speed and spread the electrical excitation exactly matches the progression the shimmering part for the visual aura. The following area depressed activity is responsible for the missing area the scotoma. The next big question is where does the pain come from. Currently there are two theories the leading theory is that the cortical spreading depression causes inflammation in the menu. That inflammation pickers pain impulses which are sent along the tragedy Milner label TGN through the brainstem and then to the pain sense in part to the brain. Several investigators suspect that brain stem is the origin the migraine specifically there are nerve centers here that when activated concern pain signals directly to the brain and send signals that cause the cortical spreading depression but they remember details yet to be filled in here. There is a third critical pathway to the that is also important.

Migrant people have been found to have abnormal sensory processing a pain signals. Some researchers think abnormal pain perception may end up being a key factor in migraine pain. If you have migraines you are not alone. Migraine is surprisingly common affecting about 8 percent of men over 25 percent of women. This graph shows a peak currents have migraine comes roughly between ages 30 in fifty. It is an interesting feature that the severity the headache usually decreases with age sometimes going away entirely leaving only the aura. Use one survey how long migraine episodes left varying from minute to hours. Here’s a survey showing the most common triggers a migraine. At 1200 people in the survey with migraines seventy-six percent reported having some identifiable clear event. Stress is the most common cause. Interestingly for some the migraine comes after relief stressed. Also very common are hormonal changes particularly surrounding menstruation. Diet about a quarter of people with migraine can identify a particular food or chemical which can reliably trigger an attack. Coming samples are foods that contain a chemical called tyramine which is an aged cheese sour cream chopped liver sausage and Chianti wine and other things. Others include family aloni MSG nitrates and aspartame. Here’s the frequency of symptoms people report. Notice about a third have the aura which leads us to the next question how do you distinguish various migraine symptoms from other worrisome things like a stroke or retinal detachment. Sometimes this is a difficult question to answer even for you doctor. That is the subject to the next video covering the medical aspects have migraine. The third video we will discuss the mechanism of my great. What is going on in your head to produce other symptoms.