Hey Glo,
Thank you for the feedback and great news your husband is responding well to the anti-inflammatory regimen. After 24 years with CH, chronic since 2004, I know the wonderful feeling the first time you wake up and realize you haven't had a CH in 24 hours... I've been CH pain free since I developed and started this regimen in October of 2010. The best course of action at this point is for your husband to stay on the anti-inflammatory regimen. A few days of a vitamin D3 loading dose of 50,000 IU/day vitamin D3 should take care of the shadows. After that, a vitamin D3 maintenance dose of 10,000 IU/day plus all the cofactors should keep him CH pain free.
I'm not a fan of psychotropic drugs like Depakote, a.k.a., "Dopeycoat" as they have little efficacy in preventing CH and only cause other adverse side effects so would discontinue. Have your husband discuss this decision with his PCP/neurologist and to ask for the lab test of his serum 25(OH)D. This is the serum level metabolite of vitamin D3 that's used to measure its status. The normal reference range for this lab test is 30 to 100 ng/mL (75 to 250 nmol/L). As CHers, we need to maintain a 25(OH)D serum concentration around 80 ng/mL (200 nmol/L) or higher in order to remain CH pain free. Doing this will get two birds with one stone... On one hand, your husband will know the therapeutic level of 25(OH)D that keeps him CH pain free and on the other hand, it will help educate his doctor about the benefits of taking vitamin D3 and the cofactors as an effective CH preventative.
Great questions.
1. It's best to take this regimen (all of it) with the largest meal of the day. This helps vitamin D3 absorption and lowers the probability of GI tract disturbances.
2 and 3. The anti-inflammatory regimen is not a cure for CH, but rather a way of life (a long and healthy way of life) that should be taken daily, until the body reaches room temperature, to prevent a return of CH and many other medical conditions. At roughly 50 cents a day, I look at this regimen as the most effective, safest, and least expensive form of health insurance we can buy. On that note, you should be taking this regimen too!. If your husband will have a long and healthy life while taking this regimen, I'm guessing you want to be right there with him...
I started my wife on this regimen in December of 2010. She was a 20 year episodic migraineur at the time with migraine headaches hitting like clockwork for 3 to 5 days a month. She hasn't had a migraine headache since. She is now 82, in great health (she takes no Rx medications), has more energy than I've seen in over 20 years and she runs my backside off.
This regimen has so many health benefits I have my entire family taking it and none of them have CH or migraines. That also includes two grand kids, a grand niece and grand nephew who have been bathed in maternal vitamin D3 since conception and while breast feeding (their mothers have been taking this regimen with 10,000 IU/day vitamin D3 for many years). After that, these incredibly healthy kids take 50 IU of vitamin D3 per pound of body weight per day. They're all young Einsteins.
If your husband has been on this regimen for at least 30 days, now is also a good time for your him to take the survey for CHers taking the anti-inflammatory regimen to prevent their CH. To start this survey, click on the following link: http://www.esurveyspro.com/Survey.aspx?id=fb8a2415-629f-4ebc-907c-c5ce971022f6
This online survey of CHers taking the anti-inflammatory regimen has been running continuously since 11 December of 2011 so we are rapidly approaching seven full years of data collection. As of last week there were 283 completed surveys. The near term goal is 300 completed and submitted surveys. I will be using this survey data in early 2019 to publish the results. A survey population of 300 adds strength to reported results. The serum 25(OH)D data is also very important as it provides the clinical data and medical evidence neurologists, headache specialists and GPs need in order to suggest this very effective and safe CH preventative treatment protocol to their CH and migraine patients.
Take care and please keep us posted.
V/R, Batch