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Hi Dima. 1. For me, stress has always been huge trigger (finals, 30 years ago, in college; birth of kids; job transitions; etc.). 2. Most folks do get hit most often at night I find that, early in a cycle, there's not much pattern; but over time the evening becomes a ritual (up at 11; 12:30; 2; 3:30;5;give up and make coffee). 3. I can't overstate how important oxygen is. I tried it multiple times over many cycles (and multiple years) before I figured out how to do it successfully. Search the forum and find the right regulator (15 lpm minimum), non-rebreather mask, and proper technique. Most docs will shy away from prescribing O2; and even when they do, the medical supply company will bring the wrong thing (small tanks; concentrarors). Bypass all that; find a local welding supply. I shied away from doing this for years; it was a mistake. 4. I hope you find a great neuro. In my experience, the best you can hope for is an empathic ear who's willing to work with you and will listen to your ideas. Good luck with your journey. Craig

Hi All, This cycle, I was finally able to get my doc to prescribe Imitrex in vials. It is much simpler and a lot cleaner compared to taking apart and "splitting" the cartridge injectors. Additionally, I find that .2ml is perfectly sufficient to abort most attacks under Kip8. And while the vials are labeled as .5ml, I'm able to get three separate .2ml injections from each vial. 1ml "insulin" syringes with thin 33-gauge needles work great. Don't let your doc or pharmacist try to convince you that you need a larger gauge for "draw up." It took some persistence to get prescribed - and a bit of searching to find a pharmacy that stocked them (my Rite Aid was able to do so with a generic sumatriptan - but I highly recommend vials if you have to use Imitrex. Craig

there are many treatments on here and many have worked for me, vitamin d, Topamax, Elavil, imitrex injections and o2. the imitrex injections were a god send for me but they create their own problems, if you are seeing a Dr anytime soon I would try to get those as ive heard they work for migraines also but as I said don't use those as the only treatment or on a regular basis. caffeine may be a good way to tell as it usually helps clusters but I hear it makes migraines worse. I would start with melatonin and Benadryl at night and caffeine in the day along with the vitamin d treatment on here. the o2 is going the most recommended but its a bit of a pain to get started and I would hate to recommend going through that trouble if you don't have clusters

Welcome Dima....glad you found us...some good folks will be by shortly to reply...in the meantime.. It's strange.....for some...like myself...stress is protective...relief FROM stress is a trigger......

B1 back to is suppressing the ch, fantastic day yesterday, slept all night .