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123 Days PF And I Think I know Why (Read 461407 times)
Batch
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Re: 123 Days PF And I Think I know Why
Reply #550 - Jan 6th, 2012 at 9:33pm
 
Hey MM&I,

Great SITREP!  Woo Hoo!!!  I still find it very exciting to hear that this simple regimen of vitamin D3 and mineral supplements has given another CH'er back a quality of life none of us thought possible with CH...

The important thing to remember now before you get cocky like I did and stop taking this regimen... (I did it as a stress test of my 25(OH)D reserves and got nailed 8 days later...) is the anti-inflammatory regimen not a cure...  It's only a preventative and you still have CH.

You'll need to stay on this regimen for life if you're a chronic CH'er...  and there are several episodic CH'ers who are staying on this regimen while out of cycle with the hope it will prevent the next cycle...

Accordingly, if you can swing it, try to have your 25(OH)D tested again after going pain free and staying that way for at least a week...  We're all a little different in the rates that we produce and burn 25(OH)D...  so this lab test should give you the lower boundary of your 25(OH)D therapeutic range for CH...  That will be an important number to remember as will the number of days it took to get there and go pain free at a vitamin D3 dose of 10,000 IU/day.

Take care and please keep us posted.

V/R, Batch
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Re: 123 Days PF And I Think I know Why
Reply #551 - Jan 7th, 2012 at 9:29am
 
Thanks for the kind words Batch,
I was 23.6 ng/ml after three weeks on the therapy.  Using your .444 ng/ml/day as a rough guide I've raised my 25(oh) D level 6.6 ng/ml in three weeks.  That appears, for me, to drive the beast down.  I'm hopeful that another couple of weeks on the regimen those mild hits will disappear. 
Another interesting thing that my pcp suggested in the email that I take vit d (she must have forgotten about me telling the dose I was on) to raise my D level to a minimum of 32 ng/ml. 
I want to throw out a hypothesis that I would love to hear what the group thinks.  What if CH, for some of us, isn't the disease but a symptom?  For those of us that the vit D regimen has been successful, perhaps the CH is the result of an extremely low Vit D level.  Maybe keeping our vit D levels in the 60 to 90 ng/ml will keep the beast at bay.   

ttyl  Smiley
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Re: 123 Days PF And I Think I know Why
Reply #552 - Jan 7th, 2012 at 10:22am
 
MM&I,

Interesting hypothesis... I've had similar thoughts...  On face value, the relationship between 25(OH)D levels and CH appears closely akin to that of rickets where a lack of vitamin D, calcium or phosphates leads to softening and weakening of the bones.

Unfortunately, there are so many factors and interrelated neurochemical processes involved in the pathogenesis of cluster headache, there's no way I can get my head around them, let alone understand how they relate to increased levels of 25(OH)D...  Why 30% of the CH'ers who try this regimen don't respond begs even more questions...

That's why I've opened up a few of the giants in the field of neurology specializing in our disorder with information about this regimen... I've sent them the response data I've collected so far from CH'ers like you who have taken the ant-inflammatory regimen with vitamin D3 and had their 25(OH)D level tested along with my own observations. 

Hopefully we can come up with the funding to buy them the time and facilities needed to answer questions like yours.

Take care and ttfn,

V/R, Batch
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Re: 123 Days PF And I Think I know Why
Reply #553 - Jan 7th, 2012 at 10:33am
 
Thanks for the info on the Calcium Batch. I think I'm understanding it now. I'll keep plugging away on this and remain hopeful. Its actually cheaper for me to get the 25(OH)D test done at the doc. I need to get him to script me some O2 anyways. I definitely wanna try that again as I don't think I gave it a fair shake the first time around.................. On a side note I had to chuckle a little bit when I read how many of us use the "Beer Test" when we think the cycle is over.......... I thought I was the only one. Wink
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Re: 123 Days PF And I Think I know Why
Reply #554 - Jan 8th, 2012 at 8:53am
 
bsic wrote on Jan 5th, 2012 at 8:41am:
15 days in, upped my dosage of D on Sunday and am taking all the supplements.

Seems to be fewer and less intense hits.  1-2 hits per night which O2 is handling great but still need imitrex for some.  Prior to that, it was 3-4 hits per night and O2 didnt really touch them. Think Im making progress or just ending my cycle-- either way im happy.

This has been the longest and most brutal of all my years with CH.  I cant WAIT until its over.


About 2.5 weeks in now-- upped my D3 to from 15,000 to 20,000 UI on Thursday.  Friday was my FIRST PAIN FREE NIGHT since early Dec.    And followed by a second last night!!

I did get VERY weak hits shortly after waking up in the AM (fully rested, i might add!).  But they were aborted in 2-3 min with O2, incredibly fast.

Just thought id share-- if you dont see results in a few days dont get discouraged, keep the regimen up and possibly increase your D3!!
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Re: 123 Days PF And I Think I know Why
Reply #555 - Jan 8th, 2012 at 9:29am
 
Great news to start a Sunday with. Keep beasty in full retreat! Wink

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Re: 123 Days PF And I Think I know Why
Reply #556 - Jan 8th, 2012 at 1:47pm
 
Here's some food for thought. When I first started this regime I was only taking 1200 IU of D3 for almost the first week. Yet at day 2 I was PF. I was taking 1200 mg of Calcium Citrate with D3 (200 IU). In 4 pills (300 mg Calcium times 4). I was also taking 4 1000 mg Omega 3 and a multi-vitamin.

Since I realized that it only takes a single missed day to get Pain again, I thought I'd taper each ingredient to find which ingredient(s) were doing me the most CH-free benefit.

Well yesterday I only took 2 Calcium Citrate with D3 pills (600 mg Calcium) and this morning I have a definite shadow/ baby CH.

I've only had pain when I either delayed my daily dose by over 12 hours, or when I took a laxative, so I think its noteworthy.

ATTN Las Vegas, MM&I, and all others not getting relief or complete relief from the regime. I would consider increasing your Calcium Citrate intake to 1200 mg, since for me I suspect its potentially the "Main ingredient" and 600 mg doesn't seem to be enough.

I don't like to go against anything Batch suggests, yet my results seem pretty clear.

Perhaps there are 2 or more ways to be D3 deficient? Since D3 needs Calcium to get absorbed, perhaps being Calcium deficient get you to the same place, D3 deficient. Yet taking more D3 wont eliminate your deficiency.

Either way, I've been taking 1200 mg of Calcium Citrate for almost a month now, and have had no ill effects of doing so.
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Re: 123 Days PF And I Think I know Why
Reply #557 - Jan 8th, 2012 at 3:49pm
 
PlayDoh - I believe the key component, besides D3, is magnesium. It has critical impact om how the body uses the D3.  If your really want to experiment, drop Mg.

Magnesium is best taken i two doses, morning and evening. I've been doing that for more than a month now, and haven't had a single shadow.

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Re: 123 Days PF And I Think I know Why
Reply #558 - Jan 8th, 2012 at 3:59pm
 
At first the only Magnesium I was taking was in the multi-vitamin at 100 mg. That's not a tiny amount I suppose, but its nearly as likely a key-component.

Since then I've upped my Magnesium 500 mg with separate Magnesium supplements, so now I'm at 600 mg.

Thanks for the suggestion, I'll be doing some more experiments, for my own curiosity.
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Re: 123 Days PF And I Think I know Why
Reply #559 - Jan 8th, 2012 at 7:32pm
 
Hi PlayDoh

I have been pain free for 3 years and started my treatment with vitamin-D3 and Magnesium. Later I added Zinc and Boron to my regime.

I havn't taken any Calcium besides what I get from my diet. To much Calcium from suplement and milk, is maybe one of the major factors in a lot of diseases. Vitamin-D3 don't need Calcium to get absorbed, but when taking Vitamin-D3, you will get more Calcium absorbed from your diet.

At the moment I take:

7000 IU Vitamin-D3 (Vitamin-D level = 60 ng/ml)
600 mg Magnesium Citrate (Don't take Magnesium Oxide)
30 mg Zinc Citrate
3 mg Boron
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« Last Edit: Jan 8th, 2012 at 7:33pm by nhs »  
 
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Re: 123 Days PF And I Think I know Why
Reply #560 - Jan 9th, 2012 at 8:45am
 
Don't know if its because I changed from Calcium Carbonate to Calcium Citrate or because I upped my D3 dose from  10,000 IU to 15,000 IU or because I met another Cluster head for the first time but I had a real good day/night yesterday. Only 1 five minute k2 last night. Hopefully this is really starting to work for me................ Really enjoyed meeting Las Vegas Gregg and his girlfriend yesterday.

Rick
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Re: 123 Days PF And I Think I know Why
Reply #561 - Jan 9th, 2012 at 4:38pm
 
Awesome Rick. Calcium Citrate is a lot better from what I read, as its gets absorbed much easier. I read if you put a pill in some sider-vineger (which is similar to stomach acid) and check it in an hour to see if its dissolved, you can see how Calcium Citrate is better then Carbonate.

Was only 2 days till I went PF, so fingers crossed for ya.
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Re: 123 Days PF And I Think I know Why
Reply #562 - Jan 9th, 2012 at 10:18pm
 
PlayDoh wrote on Jan 8th, 2012 at 1:47pm:


ATTN Las Vegas, MM&I, and all others not getting relief or complete relief from the regime. I would consider increasing your Calcium Citrate intake to 1200 mg, since for me I suspect its potentially the "Main ingredient" and 600 mg doesn't seem to be enough.

I don't like to go against anything Batch suggests, yet my results seem pretty clear.

Perhaps there are 2 or more ways to be D3 deficient? Since D3 needs Calcium to get absorbed, perhaps being Calcium deficient get you to the same place, D3 deficient. Yet taking more D3 wont eliminate your deficiency.


That is a very interesting observation you have found.  I've found over the last few days that the vit d regimen has been very effective.  I've been pf for the last three days.  As I mentioned to Batch in a previous post perhaps CH for some of us isn't the disease but a symptom.  In your case it could be low calcium.  I've had a full blood workup from my doctor at the start of January (including 25(OH)D and free testosterone) and the only item to come back low was the Vit D. 
I think it's important to try and look at all aspects of our health and eliminate any issues.  After suffering with CH for 10 years I finally got off my butt a couple of years ago and utilized my health care system to get to the bottom of a couple of issues.  After years of nagging I finally allowed my wife (a nurse) to book me a sleep study and talk to a sleep specialist.  The results from the sleep doctor were crazy.  It turned out that while I slept my O2 levels were dropping into the very low 70's when I slept and I had an upper airway restriction that prevented me from breathing through my nose while I slept.  After surgery to repair the upper airway restriction and CPAP to control the night time airflow I had knocked the CH down to two major episodic hits per year.  Talking with my sleep doctor a couple of weeks ago there is some early studies looking into the link between sleep apnea and CH.  I was told that 1 in 7 people usually need CPAP to prevent OSA and some of those could be triggering CH.  If we are using O2 to hyperventilate to abort perhaps lack of O2 is causing. 
I've looked into the upper airway restriction a little bit and my information shows that mouth breathing can cause a change in the blood gas levels.  As Batch has shown earlier in the thread a small change in the PH of the body can have a dramatic effect on CH. 
I'm not trying to imply that this will work for everyone but the OSA, airway issue and low Vit D level all seemed to be contributing factors for CH for me.  Hopefully with these issues out of the way I may have finally gained an upper hand on the beast. 
I am excited to see the prospects of what the next year will bring.  Hopefully many more pain free days ahead.
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Re: 123 Days PF And I Think I know Why
Reply #563 - Jan 10th, 2012 at 10:55am
 
Its almost like I'm afraid to post my progress with the vitamins for fear of jinxing it but I feel like it just might be having some effect. I do feel like the Calcium citrate is having a much better effect than the carbonate. In any case after having only a short K2 the day before, yesterday was a short lived K3 during the day and a 5 minute K2 in the early evening before bed. Slept good all night which is what is starting to make me a believer. ........ Fingers crossed

Rick Wink
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Re: 123 Days PF And I Think I know Why
Reply #564 - Jan 10th, 2012 at 11:11am
 
Hey Rick,

The news from you just keeps getting better...  I wouldn't worry about jinxing your present CH pattern...  as long as you continue with the vitamin D3 and the rest of the cofactor mineral supplements.

What brand of calcium citrate are you taking?  If it's the Kirkland brand of calcium citrate, two tablets (500 mg. calcium) also contain 800 I.U. vitamin D3.  If another brand, check the assay for vitamin D3.

I suspect the improvement in your CH pattern with the drop in frequency and severity of your CH is due to the extra vitamin D3 in the calcium citrate tablets.

If I'm correct, you should be able to go completely PF by adding another 5,000 IU/day vitamin D3 to your present intake of this supplement.

Please let me know.

And for the rest of the readers, if you've been using this regimen and haven't taken the Anti-Inflammatory Survey at the following link, please do so...

Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register

I figure there are at least another 75 to 80 of you out there who haven't taken this survey.
Take care,

V/R, Batch
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« Last Edit: Jan 10th, 2012 at 11:13am by Batch »  

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Re: 123 Days PF And I Think I know Why
Reply #565 - Jan 10th, 2012 at 11:26am
 
Okay Batch, now I'm getting confused again. I thought you said only 500 mg Calcium citrate a day? That we can't absorb more than that. I should be taking 2 day? Like a morning and evening thing? Also I'm at 15000 IU D3 now. You suggest an additional 5000 IU a day? And yes it is the Kirkland brand Calcium citrate.

Thanks again Batch
Rick
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Re: 123 Days PF And I Think I know Why
Reply #566 - Jan 10th, 2012 at 11:29am
 
RTD wrote on Jan 9th, 2012 at 8:45am:
Don't know if its because I changed from Calcium Carbonate to Calcium Citrate or because I upped my D3 dose from  10,000 IU to 15,000 IU or because I met another Cluster head for the first time but I had a real good day/night yesterday. Only 1 five minute k2 last night. Hopefully this is really starting to work for me................ Really enjoyed meeting Las Vegas Gregg and his girlfriend yesterday.

Rick



RTD,
Good to meet you too brother.  Hopefully this vitamin regimen works for you.
-GTD Grin
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Re: 123 Days PF And I Think I know Why
Reply #567 - Jan 10th, 2012 at 11:39am
 
Gregg,

I have a feeling we'll be bro's for life. We're too much alike. Plus wifey wants to meet you two.

Rick
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Re: 123 Days PF And I Think I know Why
Reply #568 - Jan 10th, 2012 at 1:26pm
 
RTD wrote on Jan 10th, 2012 at 11:26am:
Okay Batch, now I'm getting confused again. I thought you said only 500 mg Calcium citrate a day? That we can't absorb more than that. I should be taking 2 day? Like a morning and evening thing? Also I'm at 15000 IU D3 now. You suggest an additional 5000 IU a day? And yes it is the Kirkland brand Calcium citrate.

Thanks again Batch
Rick


2 a day (500mg of Calcium) is the recommendation. spreading them out is probably a good tactic. And I'm pretty sure he's suggesting 20,000 IU of D3.

Yet check your Calcium Citrate bottle to see how much Vitamin D(3) is in them. then subtract 20,000 from how much is in your Calcium Citrate total, and then take the resulting numbers worth of D3 supplement.

I.E   Calcium Citrate pill contains  250 mg Calcium and 400 IU of Vitamin D(3) then 2 pills are 500 mg Calcium Citrate and 800 IU Vitamin D(3)

20,000 IU recommended intake, minus 800 from Calcium pills = 14,000 IU D(3) you need to supplement with D3 pills.


If it's the Kirkland brand of calcium citrate, two tablets (500 mg. calcium) also contain 800 I.U. vitamin D3.

If I'm correct, you should be able to go completely PF by adding another 5,000 IU/day vitamin D3 to your present intake of this supplement.
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Re: 123 Days PF And I Think I know Why
Reply #569 - Jan 10th, 2012 at 1:43pm
 
Well I did another experiment yesterday/today. I took only 900 mg of Calcium Citrate yesterday, and again this morning I had a Kip 1.

I'm afraid to miss a day of Calcium all together, but I suppose I should later. I know a couple times in the past month I took only 600 mg of Calcium, and a couple times I got small hits, but I didn't keep a diary (never have), so maybe I just didn't connect the dots earlier.

I've been looking at my diet to see how much Calcium I'm getting and its not a lot. I certainly don't eat my "5-6 fruits and veggie servings a day", plus I usually don't eat until dinner time, which also isn't good.

Too much calcium can be harmful, so please don't think I'm suggesting everyone take 1200 mg, and although some sources I've read concur with Batch's "500 mg is all the body can absorb at once", my head seems to disagree.

A good source (JAMA) suggested "no more than 1.2 to 1.5 grams per day" (1200 mg to 1500 mg).

So it seems my 1200 with little diet intake, is safe and withing guidelines.

If your not PF with the 500 mg Calcium, within a month or so, I think its worth a try. It seems to be immediate results for me, as in the pills I take today effect me completely tomorrow. So if you did give 1200 mg Calcium a try and didn't see results right away, I wouldn't suggest you continue for more then a week.

And again, I'm not a Dr or have any medical education. It would be best to discuss it with someone who is educated, like a Dr or Pharmacist.

I'm also basing this on 2 separate days of "conclusion", which isn't definitive by any standard. Yet if your head is splitting, I think trying safe, but unproven therapies is worthwhile. I know I'd try it in a heart beat.
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Re: 123 Days PF And I Think I know Why
Reply #570 - Jan 10th, 2012 at 1:52pm
 
Just to add my own 2 cents worth....

I am on the D3 regimen at 30,000 IU/day in order to get my levels up before my Pred taper runs out.  I was having some pretty good shadows and other minor HA's.  I increased my calcium dosage from 500 mg/day to 1000 mg/day and the shadows stopped.

So there may indeed be a connection....

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Re: 123 Days PF And I Think I know Why
Reply #571 - Jan 10th, 2012 at 2:02pm
 
MemyselfandI wrote on Jan 9th, 2012 at 10:18pm:
That is a very interesting observation you have found.  I've found over the last few days that the vit d regimen has been very effective.  I've been pf for the last three days.  As I mentioned to Batch in a previous post perhaps CH for some of us isn't the disease but a symptom.  In your case it could be low calcium.  I've had a full blood workup from my doctor at the start of January (including 25(OH)D and free testosterone) and the only item to come back low was the Vit D. 
I think it's important to try and look at all aspects of our health and eliminate any issues.  After suffering with CH for 10 years I finally got off my butt a couple of years ago and utilized my health care system to get to the bottom of a couple of issues.  After years of nagging I finally allowed my wife (a nurse) to book me a sleep study and talk to a sleep specialist.  The results from the sleep doctor were crazy.  It turned out that while I slept my O2 levels were dropping into the very low 70's when I slept and I had an upper airway restriction that prevented me from breathing through my nose while I slept.  After surgery to repair the upper airway restriction and CPAP to control the night time airflow I had knocked the CH down to two major episodic hits per year.  Talking with my sleep doctor a couple of weeks ago there is some early studies looking into the link between sleep apnea and CH.  I was told that 1 in 7 people usually need CPAP to prevent OSA and some of those could be triggering CH.  If we are using O2 to hyperventilate to abort perhaps lack of O2 is causing. 
I've looked into the upper airway restriction a little bit and my information shows that mouth breathing can cause a change in the blood gas levels.  As Batch has shown earlier in the thread a small change in the PH of the body can have a dramatic effect on CH. 
I'm not trying to imply that this will work for everyone but the OSA, airway issue and low Vit D level all seemed to be contributing factors for CH for me.  Hopefully with these issues out of the way I may have finally gained an upper hand on the beast. 
I am excited to see the prospects of what the next year will bring.  Hopefully many more pain free days ahead.


Very, Very interesting! I've thought about sleep issues for a long time. I posted a survey on sleep positions, as I figured my stomach sleeping could be a culprit.

At first, 12 years ago, I only got a CH when I either drank alcohol, or took a nap at lunchtime. I would nap on this couch at work, and later suspected my neck position could be responsible.

Now a days I snore, and often wake up with a dry-stuffed nose, and I also get night hits almost exclusively. Coincidence?

I like your train of thought, that perhaps CH'ers have a trigeminal nerve that's constricted or something, that causes it to be irritated when inflamed by blood pressure or CO2 levels. From multiple sources.

I read about a woman who had part of her trigeminal nerve severed via surgery and part of her face is numb. She's been CH pain free for over 5 years.

Now perhaps our trigeminal nerve, or its surroundings is the factor that makes a CH possible. And if conditions cause pressure on it, the result is a CH. Maybe for some there are multiple "conditions" that cause pressure/CH. Maybe for some its a form of sleep apnea or poor breathing while sleeping?

Like you said, CH is the symptom, not the condition. That might offend some people, who feel it belittles their pain, yet really its semantics.

Its likely, IMO, a symphony of conditions that precipitate a CH.

I hope I'm not 'Hi-Jacking' this tread, yet at 22 pages I think its too late to worry about that. lol
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Re: 123 Days PF And I Think I know Why
Reply #572 - Jan 10th, 2012 at 2:08pm
 
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2 a day (500mg of Calcium) is the recommendation. spreading them out is probably a good tactic. And I'm pretty sure he's suggesting 20,000 IU of D3.

Yet check your Calcium Citrate bottle to see how much Vitamin D(3) is in them. then subtract 20,000 from how much is in your Calcium Citrate total, and then take the resulting numbers worth of D3 supplement.

I.E   Calcium Citrate pill contains  250 mg Calcium and 400 IU of Vitamin D(3) then 2 pills are 500 mg Calcium Citrate and 800 IU Vitamin D(3)

20,000 IU recommended intake, minus 800 from Calcium pills = 14,000 IU D(3) you need to supplement with D3 pills.


If it's the Kirkland brand of calcium citrate, two tablets (500 mg. calcium) also contain 800 I.U. vitamin D3.

If I'm correct, you should be able to go completely PF by adding another 5,000 IU/day vitamin D3 to your present intake of this supplement.





Thanks for your imput. Yes it is the Kirkland brand which says 500 mg on the bottle but of course I didn't read the serving size say's 2 pills a day so I'll give that a go. I'm going to wait 1 more day on the D3 because I just upped it too 15000 IU   (3 5000 IU)2 days ago and want to give that one more day. So in actuality I'm on 16600 a day because of the 800 IU in the calcium.

Thanks again
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Re: 123 Days PF And I Think I know Why
Reply #573 - Jan 11th, 2012 at 9:51am
 
Unfortunately yesterday wasn't so good. 2 daytime K 3-4's and 2 nighttime K6-7's. The only thing I did different was taking 2 of the Calcium citrate instead of one. I'm gonna try going back to the 1 CC see if that changes things and also increase to 20.000 IU D3............... Still hopeful.

Rick
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Chad
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Posts: 738
Emmaus, PA
Gender: male
Re: 123 Days PF And I Think I know Why
Reply #574 - Jan 11th, 2012 at 2:03pm
 
When I first started this regimen at the very beginning of my cycle 4 weeks ago, it seemed to work almost immediately, however I'm still in cycle getting hit 3-4x/day.  Mainly though the night.  I am also dosing with rc seeds every 5 days.  My vitamin D3 intake is now 15,000 iu, 500 mg calcium citrate and 500 mg magnesium.  I took Batches survey 3 days after the start of the regimen and I should have waited because I am not getting relief up to this point.  I got the usual dandy hits after dosing, but a great nights sleep.  Usually by day 3 the seeds bog down the cycle.  I think I will try increasing the calcium citrate to 1000mg spread out over the day to see what happens.  I got nothing to lose.  This is always an experiment with hope Smiley
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« Last Edit: Jan 11th, 2012 at 2:05pm by Chad »  

When the PAIN starts, I FIGHT back!

Rivea Corymbosa seeds were my KO punch, now D3 is the front runner!
 
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