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Hi everyone. Thanks for checking up on me @spiny, that's really kind. Latest update is that I'm fortunately feeling quite improved on the mental side. I don't feel like I'm living out a 24/7 panic attack! I think I found a reason for why I hit a really low point anxiety wise. I think I mentioned I've started up the ketogenic diet? That was mid last week, and, with the benefit of hindsight, I realise I was being clobbered pretty hard by "keto flu" on Friday and Saturday especially. At the time I'd put the way I felt physically and mentally down to anxiety. However, the fog seemed to little suddenly on Sunday and I've just felt much more chilled since - my mind's ability to catastrophise has noticeably mellowed. It's certainly not unknown for the keto adaptation process to press hard on mental health buttons. I have an appointment with my neurologist today to discuss where things are at. My CH symptoms remain fairly muted but it's obviously difficult to know whether that's because I'm reaching the end of the cycle or whether the interventions I'm making (d3 regimen, keto, melatonin, nerve block) are keeping it at bay. In a perverse way, I sort of see the benefit of having not used any preventative treatments in my first two cycles (2009, 2016) because at least I could follow the natural course of each cycle! As things currently stand, it's just really hard to know, although there is some sense building in my mind that MAYBE the beast is retreating. It's 4 weeks since this ramped up and that's historically been a rough indicator of cycle length, at least the length of period during which I'd experience full attacks. @spiny i was thinking of mentioning TGN to my neurologist. The reason being that I noticed at the beginning of this cycle that the attacks of pain could be triggered by eating - I could almost instantaneously trigger it by something cold striking my lower teeth (on the right hand side). I just think the length of time the pain lasts is not indicative of TGN. I have been massively conscious the last 4 weeks to avoid chewing any food using my right hand side teeth.