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.....excessive use of caffeine (and i would suspect that "excessive" is user dependent) is a known cause of rebounds..... .....inconsistent use is a known cause of headache (that i know not the proper term for)....consider the well reported "weekend headache" where the worker drone abstains or greatly reduces typical weekday consumption...and the body cries out and objects to lack of the normal with a "reminder" headache.... ....personal....anecdotal...talkin about me.....over years of dancing with the devil practice.....I found that abstaining from caffeine at ALL times, other than when hit, resulted in fewer hits and improved efficacy when used FOR a hit. the body is a marvel at maintaining stasis...it'll get used to and regulate for all kinds of differing factors. if one regularly ingests caffeine there becomes an amount that is "normal" and effects are dampened.....abstaining and then introducing a large bolus of caffeine as an abortive at least temporarily overwhelms the dampening effect, and the desired vasoconstriction aids in CH suppression (always hit the O2 concurrently, if possible). works for me.....YMMV ....triple strength, HOT coffee used to be my go to...a little inconvenient and hard to get down but effective. energy drinks, kept really cold and pounded FAST became an effective replacement, i think the additional ingredients (taurine, et al?) improved effect...but DAYUM what an awful taste, and SO MUCH sugar or the dreaded trigger, aspartame. the 2 oz 5-hr energy types became my go to.....LOTS of caffeine+, minimal sugar, and easily carried everywhere............ best jonathan

I don't think many (if any) people think of caffeine as a preventive, but it works great for many to stop an attack that has begun. I would consider drinking some as you start your breathing routine when you have an attack. There was a research study once showing that breathing cold air was just about as effective as O2. Maybe you want to consider doing some of your breathing by an air conditioning vent, if you have one, or even at an open freezer. Or not -- not sure you want to mess with what's working okay now. Hope this new doc is responsive! And glad to see you getting the D3 in order. Regarding your mother's observation, I sometimes speculate that significant overuse of caffeine might worsen some aspects of CH. This is just fuzzy speculation, based on my daughter's experience. The "energy drinks" that are recommended, particularly the smaller energy shots like 5-Hour Energy, can have a lot of caffeine, and that can be kind of jangly if overused. I don't think that some coffee in the morning and some as you abort an attack will have any counterproductive effects.