Thank you all so very much for your input !
@BostonHeadacheDoc Yes, O2 aborts efficiently and he is doing the extra inhaling after pain is gone so attacks coming back so fast is puzzling. Yesterday I sent his daughter some videos showing hyperventilation and breathing techniques. Attacks are very classic CH going fast to severe, but untreated duration is unknown since X does not want to know how long they would last without O2. I can relate to that. He has had mostly night attacks previously but in this cycle hits are coming regularly, day or night. I had not asked about alcohol, I sent a question. He has had verapamil but probably not melatonin - thanks for reminding of that ! Will ask about sleep apnea.
I hope they can find someone to take a closer look at the imaging. The age where onset happened is rather peculiar.
Thank you so much !
@spiny Yes, there is sufficient post breathing, that's why it's so odd that frequency is this high. I think he will be able to get a new D3 test soon, with loading doses used he should now be way up higher. I think the Vitamin D3 products used are quite reliable although they are locally purchased. We had headlines around a decade ago about vitamin products sold and tested here containing zero amount of vitamins promised ... so you never know. I guess I have kind of forgot about melatonin, it's dismissed over here quite a lot often with a comment it's lacking scientific proof.
I don't know much about his diet, other that he eats very basic food and has not altered anything between pain free and now. But very cool input from you guys, I forwarded your information to X's daughter. Thanks spiny !
@ThatHurtsMyHead On his previous cycle he had to use many steroid courses with increasing doses and he felt they contributed to CH going more severe and cycle kind of neverending. I have understood they do not consider them again. I have personally had them delivered IV in larger amounts but really hesitate to recommend that (to anyone). I think actually 5 day dosing schedule was not carried out carefully. No tripping, even 3+ gram doses do not seem to do their thing in that sense. There are no blockers present. Busting material should be potent, others have used the same material.
Very beneficial information about diet and completely new things to me ! (Tyramine) I forwarded your messages too to X's daughter, thanks very much THMH !
Keeping my thumbs up and will keep you guys and gals posted