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Metabolic Abnormalities in Migraine

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College of Physicians and Surgeons, Columbia University; and Headache Unit, Montefiore Hospital; New York, N.Y.

Ann Intern Med. 1971;75(5):801-802. doi:10.7326/0003-4819-75-5-801
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Excessive or sustained emotional reactions are well known as precipitants of migraine in susceptible persons. Other attack-provoking factors include fatigue, bright or flickering light, mild transient hypoglycemic states, high altitude, meteorological changes, drugs (reserpine and vasodilators), and hormonal imbalance during the menstrual cycle. For many years migraine attacks have been attributed, in medical and lay literature, to the ingestion of foods. These observations have lacked a scientific basis with proper controls. Clinical experience has indicated that in most cases headache from these foods is caused by a psychological conditioning in these patients rather than by a specific chemical influence.



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