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Acan', the D3 regimen is ultimately a healthier, and better, preventive strategy than any med. It will take effect as quickly as verapamil, if you need high doses of verapamil to be successful and have to be titrated up to those levels (that is to say, the D3 regimen might not be effective right away, but verap won't be, either). I can't say whether that same kind of time period before effectiveness is true of topirimate or other meds, and I'm not saying not to try any of them -- just saying that D3 is a better solution for most people.

I had horrible neck pain some years ago. Every day a misery, wearing a cervical collar all day, unable to do anything comfortably. I was in the hospital for a week just because I was going nuts from the stress. The first day I was there a doc came in and said he had looked at my MRI and he was ready to do surgery whenever I wanted (fecking ambulance chaser). Nothing they gave me, even morphine or steroids, helped at all, and when they kicked me out they gave me giant bottles of things to take daily (neurontin, oxycontin, oxyIR . . . ). I flushed them down the toilet on the third day (too bad -- street value was probably pretty high). It happened that we had a connection with a top neurosurgeon, and I counted the days until my appointment with him, thinking he surely was going to rush me into surgery and finally fix the pain. Instead, he said to come back in two months after doing physical therapy regularly. I was crushed. I wanted it over, and I was terrified of doing anything to make it worse. Turned out that waiting was the right thing to do, and I never did need that surgery (and I never miss a day of doing my neck exercises). There are those famous studies where they would look at people's spines and try to predict who was having back pain. Turned out that except in extreme cases there was no connection between spinal condition and back pain. One person could have three herniated disks and be suffering, and another person could have something that looked just the same and be having no pain. And the other way around -- no structural issues but serious pain for some and no pain for others. So maybe, like me, you were just having some kind of awful episode and it's going to get back to normal or normalish and just become a memory. Or, of course, maybe not, but it sounds like they're ready for you if surgery is what you need. Love you, Denny, and sorry you're going through this now, too.

Here is the initial treatment referred to as the D3 Regimen. https://vitamindwiki.com/tiki-download_wiki_attachment.php?attId=7708 This is will show you what you need to take daily for CH reduction or prevention. Many add Benadryl at night - either one or two at bedtime. It helps get rid of histamine and that helps a good bit. You can take the benadryl during the day as well if it does not make you too sleepy.

The basics are covered if you click on the blue "NEW USERS ..." banner at the top of each page. Beyond that, there are terrific people here who can help you. Strongly recommend that you also start the "Vitamin D3 regimen." It really helps a lot of people. I don't know where the latest info on that is, but someone will connect you to it.

Hi Twisted . Yes you really do need to start the clock again 5 full days off triptans. Then you can start your bust . I'm no expert but have busted with L twice know I use 200ug tabs first dose is 1 full tab then 5 days later another full tab then again 5 days later . I've just finished my 3rd dose and have been 9 days total pain free . I don't think their is a certain IF level you need to use but the higher the UG the bigger the trip if that's what you want . You may Adele enjoy it if your gonna do it . But be careful as you can have a bad trip have a sitter with you that can bring you out of any bad trip you have is the best thing you can do . If you have commitments that doesn't allow you to spread the for see to 5 days you can do it on the 4th day or 6th day . Hope that helps

2.5hr car ride later saw a worthless NP and again they don’t use ketamine and wanted to push Emgality and get this “physical therapy “!!!! Mom threw a fit and they at least refunded us the money for the appointment. The Pratice manager wanted to refer us to a friend that has ketamine clinics but I’m staying away from any crooks these people know.