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In the tradition of the old “Almanac” makers, I thought it might be nice to create a “Medical Almanac” that looks at the sensitive times for (cluster)headaches. As a first publication, it starts modestly, and covers only the second half of 2025 (July-December). It shares the research and the theory behind it and marks the collective dates when one may - or may not - experience peaks in intensity. If you’re interested, whether to check if there’s any corresondence with your own CH peaks, or just curious to see what the hell this is all about, get in touch by pm and I’ll send you a pdf copy (free).

ArthroMD Plus: A Comprehensive Joint Health Supplement Joint pain and stiffness are common problems that affect millions of people worldwide, especially as they age. Whether caused by arthritis, injury, or simply the wear and tear of daily life, joint discomfort can severely impact mobility and quality of life. ArthroMD Plus is a dietary supplement marketed as a comprehensive solution for joint health. Combining natural ingredients backed by scientific research, ArthroMD Plus aims to reduce joint pain, improve mobility, and support overall joint function. But how effective is it? This article takes a deep dive into ArthroMD Plus—its ingredients, benefits, how it works, and what users should know before trying it. What Is ArthroMD Plus? ArthroMD Plus is a nutritional supplement formulated to promote joint health, flexibility, and comfort. It is designed for individuals experiencing joint pain, stiffness, inflammation, or limited mobility. Unlike prescription medications that often target symptoms, ArthroMD Plus aims to support the underlying health of cartilage, synovial fluid, and joint tissue. What sets ArthroMD Plus apart from many over-the-counter joint supplements is its multi-faceted approach: it combines several clinically studied compounds that not only help manage inflammation but also provide structural support to joint tissues. Key Ingredients in ArthroMD Plus The effectiveness of any supplement depends on the quality and combination of its ingredients. ArthroMD Plus includes a blend of natural substances that work synergistically to support joint health: Glucosamine Sulfate Glucosamine is a naturally occurring compound found in cartilage. It plays a vital role in building and maintaining joint tissue. Supplementation may help slow cartilage degradation and reduce joint pain, especially in people with osteoarthritis. Chondroitin Sulfate Often paired with glucosamine, chondroitin helps retain water in the cartilage, improving its elasticity and shock-absorbing capabilities. It may also slow the breakdown of cartilage and reduce joint space narrowing. MSM (Methylsulfonylmethane) MSM is a sulfur-containing compound known for its anti-inflammatory properties. It may reduce joint pain, swelling, and stiffness, and has been shown to improve physical function in people with arthritis. Turmeric (Curcumin Extract) Curcumin, the active compound in turmeric, is a potent anti-inflammatory and antioxidant. It helps reduce inflammation at the cellular level and may relieve pain similarly to non-steroidal anti-inflammatory drugs (NSAIDs), but with fewer side effects. Boswellia Serrata Extract This herbal extract is known for its anti-inflammatory effects, particularly in reducing symptoms of osteoarthritis and rheumatoid arthritis. It works by blocking 5-lipoxygenase, an enzyme involved in the production of inflammatory leukotrienes. How ArthroMD Plus Works ArthroMD Plus works through several mechanisms: Reduces Inflammation: Ingredients like MSM, turmeric, and Boswellia help decrease the production of inflammatory compounds that cause joint pain and swelling. Rebuilds Cartilage: Glucosamine, chondroitin, and collagen support the repair and maintenance of cartilage, slowing joint degeneration. Lubricates Joints: Hyaluronic acid enhances joint lubrication, reducing friction and pain during movement. Protects Against Oxidative Stress: Antioxidants in turmeric and vitamins help neutralize free radicals that contribute to joint damage. Supports Mobility and Flexibility: With improved cushioning, reduced inflammation, and less pain, users may experience greater range of motion and ease of movement. Potential Benefits People who take ArthroMD Plus as directed may experience several benefits, including: Reduced joint pain and stiffness Improved flexibility and range of motion Enhanced joint lubrication Slowed cartilage breakdown Better quality of life with less discomfort during daily activities Reduced reliance on pain medications It's important to note that individual results can vary depending on factors like age, lifestyle, severity of joint issues, and how consistently the supplement is used. Dosage and Usage ArthroMD Plus is typically taken in capsule form, with recommended dosages ranging from 1 to 3 capsules per day, depending on the formulation and severity of symptoms. For optimal results, it should be taken consistently over several weeks, as joint repair and inflammation reduction are gradual processes. Customer Reviews and Testimonials Many users report positive outcomes after using ArthroMD Plus, including noticeable improvements in joint mobility, less morning stiffness, and a reduction in chronic pain. Athletes, seniors, and individuals with arthritis often mention regaining confidence in physical activities they had previously avoided. However, as with any supplement, there are some mixed reviews. A small number of users report minimal improvement, often citing unrealistic expectations or short usage durations. Since supplements typically require several weeks to show full effects, patience and consistency are key. Final Thoughts: Is ArthroMD Plus Worth It? ArthroMD Plus appears to be a well-formulated joint supplement that addresses the major aspects of joint health: inflammation, cartilage repair, lubrication, and mobility. With a combination of widely studied ingredients, it offers a promising alternative or complement to conventional treatments for joint pain. While it is not a miracle cure, ArthroMD Plus can be a valuable part of a joint health regimen when combined with regular exercise, a healthy diet, and weight management. For those seeking relief from chronic joint issues without the side effects of long-term medication use, it may be worth considering. https://arthromdplus.ca/

Bruno Male Enhancement: The Natural Path to Confidence and Vitality In a world where health and performance matter more than ever, men are seeking effective and reliable ways to support their vitality and confidence. Enter Bruno Male Enhancement, a cutting-edge dietary supplement designed to address common male concerns such as stamina, libido, and performance—using a natural, science-backed approach. But what exactly is Bruno Male Enhancement, and why is it gaining traction in the world of men’s health? Let’s explore everything you need to know about this supplement and whether it’s the right solution for you. What is Bruno Male Enhancement? Bruno Male Enhancement is a natural dietary supplement formulated to support male sexual health and overall wellness. Developed using a blend of herbal extracts, amino acids, and vitamins, Bruno is designed to: Increase sexual drive and stamina Improve blood flow and erection quality Enhance performance and endurance Support testosterone levels naturally Promote energy and mood balance Unlike synthetic pills or risky pharmaceuticals, Bruno Male Enhancement focuses on using natural ingredients to address the root causes of low libido, poor stamina, and decreased performance—making it a safer alternative for long-term use. Key Ingredients and Their Benefits Bruno Male Enhancement is made with a thoughtful combination of powerful herbal and natural extracts. Here’s a closer look at some of the star ingredients: 1. L-Arginine This amino acid is known for improving blood flow by boosting nitric oxide levels in the body. Enhanced circulation leads to firmer, longer-lasting erections and better physical performance. 2. Tongkat Ali A popular herb in traditional medicine, Tongkat Ali helps naturally increase testosterone levels, boost libido, and improve energy levels. It may also support lean muscle mass and reduce stress. 3. Maca Root Native to the Andes, Maca Root is well-regarded for enhancing sexual drive and fertility. It also supports mental clarity and stamina. 4. Saw Palmetto This plant extract is widely used to support prostate health and regulate hormone levels, especially testosterone. It also contributes to sexual wellness by reducing performance anxiety. 5. Ginseng Panax Ginseng has adaptogenic properties that combat stress and fatigue. It’s known to increase sexual arousal, improve stamina, and boost overall energy. How Does Bruno Work? Bruno Male Enhancement works through a multi-pathway approach: Improved Blood Flow – With ingredients like L-Arginine, Bruno enhances nitric oxide production, promoting better circulation to the penile area. This results in firmer, more sustained erections. Hormonal Support – Testosterone plays a vital role in sexual performance, muscle growth, and energy. Bruno’s herbal formula helps naturally stimulate the body’s testosterone production. Libido Enhancement – Aphrodisiac herbs like Maca and Tongkat Ali boost sexual desire and responsiveness, reigniting intimacy and satisfaction. Stress and Mood Regulation – Stress is a major cause of performance issues. Bruno helps balance mood and reduces anxiety, which can indirectly improve sexual performance. Benefits of Using Bruno Male Enhancement Here are some reported benefits by users of Bruno: Increased stamina: Men report being able to perform longer without fatigue. Stronger libido: Many notice a renewed interest in intimacy, often within the first few weeks. Better erections: With improved blood flow, erection quality often improves—firmer and longer-lasting. Confidence boost: Feeling more in control of one’s performance naturally leads to greater self-assurance. Energy and focus: Bruno supports not just sexual health but also mental clarity and physical energy. Who Can Use Bruno? Bruno Male Enhancement is ideal for men aged 25 and older who are experiencing: Low libido or sexual desire Poor stamina or premature ejaculation Difficulty achieving or maintaining erections General fatigue, stress, or low confidence in the bedroom However, it is always recommended to consult with a healthcare provider before starting any supplement, especially if you have underlying medical conditions or are on medication. How to Use Bruno Male Enhancement Each bottle of Bruno contains 60 capsules—a one-month supply. The recommended dosage is two capsules per day, ideally taken with water before a meal. For best results: Stay consistent with daily use Combine with a healthy lifestyle and regular exercise Avoid smoking or excessive alcohol consumption Some users report noticeable changes within the first 7-10 days, but optimal results typically take 4–6 weeks of regular use. Where to Buy Bruno Male Enhancement Bruno Male Enhancement is available exclusively online through the official website. This ensures that you’re getting the genuine product and not a counterfeit. Most retailers offer different packages: 1-month supply – For new users wanting to test the product 3-month supply – For those committed to the full cycle 6-month supply – Best value and long-term results Purchasing directly from the official website often comes with perks such as free shipping, discreet packaging, and a money-back guarantee. Final Verdict In today’s fast-paced and stressful world, male sexual performance can easily be affected by age, lifestyle, and mental well-being. Bruno Male Enhancement offers a promising, natural solution to help men restore their confidence, performance, and vitality. With its powerful herbal formula and growing base of satisfied customers, Bruno may be worth considering for anyone looking to boost their bedroom confidence naturally and safely. https://brunomale.com/

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Triptans can send you down the rabbit hole of hit after hit. For me using nasel sprays 10 mg Zomig works great to stop an attack but it will cause rebound hits. I found that the 2.5 mg ZMT work fairly well and unless I use them for more than 2 days I am good. It seems like the higher dose along with the faster absorption of the nasel sprays causes problems.

Well, that wasn't too fun. He had difficulty getting into the joints due to the underlying arthritis so I got extra needles and it took longer. I think all that added up to irritating things A LOT. After the systemic effect of the steroids wore off (about 4 days), then I had a severe nerve pain on the side/back of my neck that just wouldn't quit. I tried everything. Finally topical lidocaine (which usually doesn't do anything for any pain I have) worked well.They told me all of this is not unexpected.....thanks a lot. Anyway, about 10 days after the injections I had a couple days of CH. That was only 2 days but the migraine continues to be worse than before the injections. The nerve pain is much less now also. All-in-all, I won't be having any more needles in my neck anytime soon......

June is Migraine and Headache Awareness Month Our patient conferences are so important - there's no other place where you will see over 100 people gathered in a room who are affected by cluster headache. This is vital to those who experience cluster attacks but also to the Care Partners as well. There are clinicians who not only come to share their knowledge, but it's a time for them to sit with our community and learn as well. We have it all in Grapevine, TX September 11-14th. Whether this is your first conference or your 20th, we want to welcome you! More information and register here: https://cbdallas2025.planningpod.com/. IF you aren't sure - comment, message, email us and we can chat about it. It can be difficult to walk into a place and not know anyone, especially when you experience a disease that has you running to hide. We have a ClusterBuddies program and one way that program can help is we can pair you up with a longtime attendee so that you already know someone before you arrive. Clinicians, we will be offering CME/CEUs! We are excited to have you with us as well. We want to get to know you and be able to help you feel better equipped to help your patients with cluster headache. Pain free wishes to all From the Board of Clusterbusters and our Founder/Executive Director Bob Wold

Thanks to all who have responded! I thought that it only had dilative effect, but apparently some research suggests that it's more complicated. I'll copy a few lines from a NIH link, and share the link. Oh and I am not looking to use it for CH, I'm wondering if there are strains less likely to add to my overall headache burden, so I can consider it's use for arthritis-related issues. Experimental studies specifically targeting cannabinoids' effects on the cerebral vasculature are rare. There is evidence for transient vasoconstrictive effects of cannabinoids in the peripheral and cerebral vasculature in a complex interplay of vasodilation and vasoconstriction. https://pmc.ncbi.nlm.nih.gov/articles/PMC5986896/#:~:text=Experimental studies specifically targeting cannabinoids,interplay of vasodilation and vasoconstriction.

Many apologies for the late notice! Jefferson Cluster Center Symposium: https://Jefferson.zoom.us/webinar/register/WN_pF0E7o9oQUqHJ-E5QnzJzg We will be starting at 8PM on June 24 (Tuesday) at 8PM. Dr. Michael Marmura will lead the discussion. This will be recorded- register to get updates on the recording.

Only reason I smoke it is because of PTSD, WORK FOR THAT,

cannabis has dilative effects, nomatter the strain (sativa, indica, hybrid). it has never helped me get rid of any headache, ever.

INDICA IS BEST STRAIN FOR PAIN RELIEF, DOSEN't do anything for CH

Greetings! As I have become more aware of the positive impact of vasoconstrictors on my clusters, I've begun to wonder about the use of cannabis, it's constrictive or dilative effects. Some time back I attempted to use cannabis to help with body pain, and it did help but also seemed to create other headache pain. I ask not to find out about cannabis use for CH, but wondering if there are strains of cannabis that have a more vasoconstrictive effect, and if that might help reduce additional headache burden while trying to manage osteoarthritic joint pain.

Really interesting insights! I've come across similar discussions on personality and coping styles over at www.themigrainenetwork.com, which might be helpful for anyone exploring the connection between headache disorders and psychology.

Thank you for posting this!! Very interesting!!

Microdosing is not really something that does anything for us I think. You need to take more and leave 4 days in between or take it every fifth day. BUT I took a full trip in December 24 and it started a very atypical cluster for me. but you never know what started it. And in the past when I was on verapmil. MY cluster also never stopped. It stopped when I quit the verap. And went through the usual cluster cycle. I never took verapamil again. My unusual cycle last December was on the wrong side of my head and it stopped free I took one mushroom bonbon. And my current cluster started 14 April.and went on till two days ago. I hope. good luck!

Thanks for sharing friend. Will have a read. I'm using a smart watch in conjunction with the health app on my phone. I must say that it measures almost everything like sleep patterns, sp02, breathing, heart rate. All to the "T" I had many of these things in the past, however the one I'm using now works excellent. It would be nice if everyone could invest in one as it will give us all a sense of tracking this beast. I know some are expensive and some of us can't afford it. I got one couldn't, however I saved to get this particular one and it's totally awesome. It is an Huawei GT2 watch and I'm using a 2014 model Huawei Mate 20 Pro with its OEM health app. Goodluck buddy.

Sleeps an interesting thing! Sorry if it was mentioned but how are you measuring, a smart watch or such? Good on you for tracking, super cool what tech can do. This article was published, I’ve only glimpsed the review but based on above you may find it interesting. Not a specific CH sleep study but CH is reviewed in the context of arousal & CGRP. It also looks at microbiome research and sleep. I had this set aside for this weekend to read, will come back and share further thoughts once I’ve digested it. Orofacial pain/headache interlaced to insomnia, sleep apnea and periodic limb movement during sleep/restless leg syndrome: a critical and comprehensive review with insights into social determinants https://files.jofph.com/files/article/20250612-403/pdf/OFPH20241219001.pdf

Hello everyone, I’m reaching out because I’m going through a very difficult time with my current cluster cycle, and I would really appreciate your insights or similar experiences. I’ve been diagnosed with episodic cluster headaches for several years, and my cycles usually last around 3 to 4 months. This current cycle started on November 23, 2024, and now, in mid-June 2025, it’s still not over – which is the longest I’ve ever experienced. Here’s some background: I’ve been taking Verapamil regularly, most recently 240 mg × 3/day since June 7, 2025. Before that, I was on 180 mg × 3/day, and at times I even lowered the dose during the cycle when symptoms improved. During this cycle, I also started microdosing with psilocybin (approx. every 2–3 days) for several weeks – not busting, just very low doses. I noticed that after starting the microdosing, the cycle didn’t improve, and possibly even worsened or extended. I’m still using oxygen as an abortive (which usually works quickly), and I’ve also tried adjusting my diet, sleep, and supplements (D3 regimen, magnesium, etc.). My question is: Has anyone here experienced a significant extension of their cycle (past 6 months) after starting microdosing? Could it be that the low doses kept the hypothalamus “awake” and prolonged the cycle? I’m not sure if this is just a coincidence, or if the microdosing actually interfered. I’m now afraid that this may have caused a switch toward a more chronic pattern. Any feedback, personal stories, or insights from others who went through something similar would mean a lot to me. Thank you for your time and support, Mike

Thanks @CHfatherand @Bejeeber. I'm on Day 18 since my first headache post-op and it's definitely a normal cluster episode....ugh! Appreciate your insights, you both are always a wealth of knowledge and support. I was unaware that epinephrine was a trigger but good to know for future.

Batch has made this recommendation: I buy the bulk powdered vitamin C in 2 lb jar as shown below and stir two level teaspoon measures (8 grams) in 12 oz of water. I drink a gulp of this solution every two hours throughout the day until it is gone by bedtime. This is the least expensive form of vitamin C at 3 to 4 cents/gram. The liposomal vitamin C costs 8 to 9 cents/gram.

I was just considering this actually! After all CH is so bizarre as it seems to just come whenever it wants and go whenever it wants. Has always made me feel like it has a mind of its own or is being possessed by some living thing inside of us....after 19 years of dealing with this I'm open to any possibilities! Lol

Anyone have a recommendation on vitamin C supplements? Most supplements are max 1,000mg and to get 3-5g per day that's quite a bit more. Open to suggestions!

Not sure about TRT but I have read here that people had bad experiences with Cialis and Viagra type medications.