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Migraines: The Best Treatment is Prevention

Posted By Dr. Steven Zodkoy DC, CNS, DACBN, Wednesday, June 12, 2019
Updated: Tuesday, June 25, 2019

Dr. Zodkoy is the author of the popular book: Misdiagnosed: The Adrenal Fatigue Link talks about how prevention is the key to avoiding migraines.

I have been treating migraine patients from around the world for 25 years, and long ago realized that it was much easier to prevent my patients' migraines than relieve them. Utilizing a combination of clinical nutrition, state-of-the-art therapies, and hands-on techniques, I have been able to help thousands of patients relieve, and more importantly, prevent even the most severe and chronic migraines. While each patient may require personalization of their migraine prevention care, the basic is the same.

Migraines are a type of headache that refers to the location, symptoms, and cause, NOT the intensity. Migraines are usually located on one side of the face, and behind the eyes, a prodrome of symptoms often precedes them; a dramatic fluctuation causes flashing lights, nausea, hypersensitivity to smell and are caused by a dramatic fluctuation of blood flow to the head. Migraines are usually found in women, worse with menstrual cycles and triggered by food: alcohol, cheese, and nitrates. Migraines are among the easiest headaches to prevent because the underlying mechanism for their triggers is well known.

It is estimated that 40% of migraine sufferers have a genetic mutation at C677T, which means it is difficult for these people to utilize Folate. Folate is a crucial vitamin used by the vascular system for stability and by the liver to detoxify their body. I believe that the decreased liver detoxification causes toxins to increase in the blood and eventually leads to irritation of the compromised vascular vessels, which over-react and trigger a migraine. This premise would explain why menstrual cycles which increase hormone production by 400% and thus the need for liver detoxification are linked to migraines. The idea that the liver cannot handle the toxic burden would also explain why alcohol, chemical exposure, and food with nitrates also trigger migraines. The liver's burden is exacerbated by the OTC and prescription medications utilized to relieve migraines, all of which need to be detoxified by the liver. The chronic toxic load that medications cause is the reason for rebound headaches and their eventual loss of effectiveness. Strengthening the liver's ability and speed to detoxify the body is a key step to preventing migraines.

There are several steps to reduce the amount of endo- and exotoxins in the body. Lifestyle changes include increasing pure and alkaline water intake, exercise, meditation, and adopting a diet that reduces artificial coloring, flavoring, and preservatives. Avoiding concentrated chemicals in perfumes, cleaning products, body products, candles, and other household items will also relieve the detoxification burden on the liver. Lifestyles changes for migraines means living a more natural, active, and clean lifestyle.

Several vital nutritional supplements can also help improve liver function. Essential herbal supplements include: Milk Thistle, Artichoke, and Curcumin to accelerate liver detoxification. Vitamin B11 or Folic acid in the form of 5-MTHF (5-Methyltetrahydrofolate) is vital to help circumvent the genetic mutation common to migraine sufferers. Other nutritional supplements that have been proven helpful in liver detoxification are: N-acetyl cysteine (NAC), Glutathione, Magnesium, CoQ10, and Omega oils. I strongly recommend using an all-natural, multi-nutrient as a base for your nutritional supplementation and adding in the liver detox supplements because the liver requires dozens of cofactors to function correctly.

The hidden reason why chronic migraine sufferers never fully heal has to do with the prolonged burden the mind-body has suffered. When I meet or speak with migraine sufferers from around the world, most of them have been suffering for decades, are toxic from their medications and emotionally and physically exhausted from their condition. Each migraine sufferer I have treated also needed to strengthen their adrenal glands to help with their energy, mood, and recovery. Often weakened adrenals are significant triggers. When in a weak state, adrenals exhibit symptoms including dizziness with rising quickly, fatigue, poor sleep, and decreased motivation. Weakened adrenals or adrenal fatigue makes it difficult for sufferers to deal with stress and is why stressful situations trigger many migraines. Nutritional supplementation with adrenal glandular and adaptogens are essential to rebuilding the migraine sufferer and providing long-lasting relief.

The hottest nutritional supplement on the market to help with the pain associated with migraines is CBD oil. While CBD oil will not prevent migraines like the suggestions above, it does have some unique benefits. It is a natural anti-inflammatory, so it will reduce the irritation in the blood vessels to minimize the migraines. It also helps people deal better with stress and anxiety, which are primary triggers. I recommend a full spectrum of CBD oil from an organic source that is tested for purity, and all CBDs are not the same.
Detoxifying and rebuilding the body to prevent migraines takes time. Most of phone-consult patients from around the world can dramatically reduce the severity and frequency of their migraines by the 8th week of care. By the 12th week of care, most patients are ready to speak to their doctor about stopping their medications if they haven't already. There are several treatments I use in my office to speed up this process and offer immediate relief.


  • LiteCure laser therapy uses the power and speed of light to relieve migraine pain nearly immediately. LiteCure laser therapy is unlike other laser therapies in the fact that you feel relief quickly, it is long lasting and promotes cellular healing to prevent future episodes
  • Applied Kinesiology is a hands-on technique that gently relieves muscle tension and strengthens the body's ability to detoxify and heal
  • Alpha-Stim uses a gentle electrical current to promote the relief of endorphins from the brain. Endorphins are the most potent pain relief mechanism known to man and Alpha-Stim has been proven in hundreds of studies to raise endorphin levels and keep levels higher over time immediately
  • Chiropractic care is also beneficial for migraines. Chiropractic care can help relieve muscle tension that triggers migraines and improve the biomechanics of the neck to enhance normal function. Chiropractic care has also been shown to stimulate the Endocannabinoid System, like CBD oil, which helps promote pain relief and reduce inflammation.
    Migraines can be a lifetime sentence of pain, BUT they do not have to be.

Dr. Zodkoy has 30 years of treating Migraines successfully at Monmouth Advanced Medicine in Freehold, New Jersey. You can contact him at szodkoy@hotmail or 732–308–0099



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