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It is very nice to hear that this method starts working for after only 11 days. I wouldn't get through with this diet so my deepest respect! Regarding the long-term effects one of the problems is that your body will loose the ability to process carbs. Not only because of this reason it is advisable to consider keto as a diet only! But as long as you are painfree it serves the purpose. The problem seems to be the point when returning to normal food. In the first paper of C. Di Lorenzo et al. [1] he wrote: One of patients that responded in the first month of diet decided to revert to SD and CH recurred after 7 weeks. It would be interesting to know if the were stopping the diet abruptly from one of the other day. Does a neurologist supervise you during the diet? However, I myself would stay on this diet a couple of month as long as it keeps me painfree. After that I would VERY slowly increase the amount of carbs week by week. I am thinking of desensitization like it works for people suffering from allergy reactions. Maybe this would have a similar effect. If this worked, I would add slow carbs like oats to my meal plan step-by-step. As a already mentioned above, on a slow carb diet you can stay for a long period of time. Please consider that these are only my thoughts and I am not an expert! I just want to share my ideas about this topic. Have you considered to ask the authors of the papers for advise? It sounds like they are really interested to help. Please keep us updated! Best regards, M [1] Cluster headache improvement during Ketogenic Diet, 2015

I would not say the only people are type 1, it can happen in type 2, but it is rarer. Anytime your insulin runs very low, which in some can be caused simply by biology. They do not produce a lot of natural insulin. As in everything, there are studies and who knows if they will be proved cause and effect, I mean eggs, good, bad, good, bad, good, maybe. as one example, but it does not take more than 3 minutes to find credible articles. https://www.acc.org/about-acc/press-releases/2019/03/06/10/29/low-carb-diet-tied-to-common-heart-rhythm-disorder that is a study by the America College of Cardiology. I am not saying "Omg no, bad" just for anyone who is desperate, like some of us are, to look not only at benefit but risk, I weigh every single treatment I do in terms of "If it works, great, is it sustainable? Will it fit my life? Do I have a family history of something that this could make worse?" etc etc. I suppose, I am cautious by nature and while I would love to see this as an effective long term answer for all, also feel people should know to look at the other side of the coin. Even Batch strongly suggests/cautions to go over all of the Vitamin D regimen with a doctor.

Group Hug... J

Sorry, if I came across harshly. I was only offering some other information on a keto diet, it is a form of ketoacidosis, being in a state of ketosis and not recommended in the long term, because of the effects it has on the body, for an episodic, who could use it to mitigate their period, would be ideal in my mind, but long term effects have issues up to and including heart damage from the studies I have read since replying. I was only adding caution, before someone jumped on this because we all want something to work for these fucking things. As to the whole 'attack' angle. Someone got offended when they got called lame after calling another lame then saying the initial thing was said badly after responding badly, pretty sure there is enough blame to go around for bad manners. On my part, I apologize. Also my user name is in reference to my cat, a Devon Rex, who is the only thing that has been able to calm me or even get a smile during high number attacks, simply because she is happiness you can cuddle and so damn empathic her skin crawls if my hand comes near her when I am mid attack, but she will still come to be near me. Because of this I can occasionally, 'set aside' the pain for her sake. Its...disassociation, something something, but it can give me an eye in the hurricane of the pain for a few moments.

The following may help address availability and cost. Approval for episodic cluster headache should be only a few months away. http://thehill.com/policy/healthcare/388250-fda-approves-drug-to-combat-migraines The Food and Drug Administration (FDA) approved a new medication on Thursday designed to prevent migraines. The drug, called Aimovig, produced by pharmaceutical giants Amgen and Novartis, is intended to be administered through a monthly injection, and would cost patients $6,900 annually, Amgen said. The drug blocks a protein fragment called CGRP, which is believed to play a critical role in migraines, the company said. Amgen said it expects to make the drug available to patients in the U.S. within a week. Aimovig is the first drug designed to treat the severe headaches experienced by millions of Americans. Trials of the medication showed many patients experiencing at least a 50 percent reduction in the number of days they experienced a migraine. The condition can be debilitating for those who suffer from it. It not only causes severe headaches, but is often accompanied by nausea, vomiting and aversion to light, and can last for days. "The FDA approval of Aimovig represents a long-awaited and important therapeutic development for patients and their physicians who are in need of additional treatment options for the prevention of migraine," Sean Harper, Amgen's executive vice president of research and development, said in a statement.