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...yup ...they call him MISTER Tibbs...or rather "Master Member" for a reason.....

You know... You @CHfather have helped so many (my self included) on here, I think you get a full pass with PJ wearing, a bit of weight gaining and aging to boot as well! I couldn't re-pay you for all the words I have had the chance to noodle on. Good Man indeed you are. Thanks for being you!

For full accuracy: remove the hair, add about 50 years and 50 (or 60) pounds, insert computer, and replace vest and tie with ripped pajama top. But back in the day, I did get to do some fun things.

@Bb008 thanks for asking! No I haven’t - still on medication and still in cycle with no end in sight. This has been the longest cycle I’ve ever had. Interesting data point here - I’ve never been so sick with “normal” stuff in my life. I’ve had COVID, strep and the flu this year (little kids…). 3 weeks ago I went to an ENT, who diagnosed me with a pretty significant sinus infection including inflammation in my sphenoid sinus. I’m now trying to treat that, but I don’t know how long it has been there and it’s entirely possible that it’s aggravating my clusters. So, your husband should consider seeing an ENT to see if COVID caused any inflammation in his sinuses. The sphenoid specifically is way back there next to the pituitary gland and hypothalamus, and symptoms of infection include deep seated headache and pain around the eyes. It’s too early to say whether treating this infection is going to end this cycle, but it sure feels good to be doing something more than just waiting. good luck.

What!!?? The things we learn about CHfather.

Interesting Miilos. Of course many of us use coffee or an Energy Drink for a Cluster, so I do get the point that sometimes too much coffee is required. It just leaves one feeling jittery and 'not right'. How many times a day are you needing caffeine? Can you tell us where you are located? Are you getting the pain only on one side or are you getting both? Did the tests include a MRI? How did your doctor come to the diagnosis of Vasodilation Headache? I normally see that with reference to a particular medication, not a stand alone disease. Not that it isn't there! It very well could be and I just have not heard of it. Here are some medications associated with Vascular Dilation Headaches: Many drugs can cause vascular headaches by inducing vasodilation. These include antihistamines, sympathomimetic agents, amyl nitrate, nitroglycerin, nicotinic acid, hydralazine, prazosin, pentoxifylline, cyclandelate, nifedipine, perhexiline, theophylline, aminophylline, terbutaline, and dipyridamole. This is the D3 Regimen. The original and it contains fewer vitamins to take, as it is not so focused on anti-inflammatory and histamine. https://vitamindwiki.com/tiki-download_wiki_attachment.php?attId=7708 It has helped many a cluster-head get out of pain and stay there for extended times. There is a more extensive one as well if this does not work. Are you taking any other medication that would affect your head? Like for heart issues or similar?? Next question: If you are only getting them a 'few times' a month, then why the concern over the caffeine? Does each headache require several cups of coffee to keep it at bay?

Yup. Lots of discussion about this on the forum earlier in the pandemic. Definitely seems like a relation. That said, people that have found it happened to them are probably more likely to reply in those threads. So, it may not be as statistically common as it seems when reading the replies. I can say that for me, my last cycle started only a few days after recovering from COVID. And that cycle ended up being three times longer than any cycle I had previously. As snafu noted, the belief is that vitamin d levels get low in the body while fighting covid (or other), so, I guess that can trigger a cycle.