And valproate can cause a lot of problems and drug interactions

While these guidelines can be helpful for non-neurologists, insurance companies always use them to justify denying medications to patients who need to be on them.

www.jamda.com/article/S152...

I rather just prescribe rizatriptan and meloxicam separately 😬

I usually have my patients take it with B2, B12, L-carnitine and alpha lipoic acid for fatigue

However, too much nutmeg can cause problems. Nutmeg intoxication can cause hallucinations, anxiety, confusion, dry mouth, and memory loss.

Nutmeg has many health benefits, including:
Pain relief
Anti-inflammatory effects
Antioxidant effects
Libido enhancement
Mood boosting
Blood glucose regulation

I’m not an MECFS expert but I find that SNRIs seem to help fatigue in my vestibular migraine patients. Definitely not 100% of course (nothing in medicine is) and a small number feel more fatigued on them

Check it out here: www.amazon.com/Trutyna-MVI-...

And so, I formulated Trutyna MVI for people with migraine and vestibular migraine. It contains all 11 of these supplements at doses used for migraine prevention. Trutyna MVI is a more convenient and cost-effective option for those looking for natural migraine relief.

A huge frustration for many people (including myself) is that this would mean taking 11 separate supplements a day. Buying and taking 11 separate supplements a day is not only inconvenient but is also expensive.

There are a few studies that suggest that vitamin E, vitamin C, tryptophan, and zinc may be useful migraine prophylactics.

Vitamin B2 and magnesium have the most studies to support their use in migraine prevention. A smaller number of studies have shown that vitamin D3, coenzyme Q10, vitamin B12, vitamin B6, and folic acid are also potentially effective.