HeadWise HeadWise: Volume 7, Issue 1 | Page 14

and begin noticing what your personal headache trig- gers are. Once you have that information you can begin controlling those triggers you do have control over (e.g. like staying well-hydrated with at least 1.5-2 Liters of non-caffeinated fluid daily, and not going long periods without eating). Sarah Rahal, MD New York, NY MAGNESIUM AND HEADACHES I’m 71 years old and I’ve had migraine with aura for years. Recently, I was told that my migraines may be related to a lack of magnesium. Could using magnesium help? – Ruby to have a blood test or your doctor does not want to order RBC magnesium level, you could just try taking 400 mg of magnesium daily. There are different types of magnesium and one of the better absorbed ones is magnesium glycinate. Some people don’t absorb magnesium well and need more than 400 mg a day or even require monthly infusions. The only side effect that sometimes occurs with oral magnesium is stomach upset or diarrhea and that is why it should be taken with food. The only patients who are at risk of getting too much magnesium, which can be dangerous, are those with serious kidney problems. It is best to check with your doctor before you start taking any supplements. Alexander Mauskop, MD New York, NY Magnesium deficiency is very common in patients with migraines. Additional symptoms of magnesium deficiency include feeling cold or having cold hands and feet, leg muscle cramps, palpitations, and other. Ideally, have your doctor check your red blood cell (RBC) magnesium level and if it is low or at the low end of normal, you could greatly benefit from taking a supplement. RBC magnesium test is available at all laboratories and is much more accurate than the more popular serum magnesium test. If you do not want Join us on social media and send in your questions for our team of experts. Search for: National Headache Foundation https://twitter.com/nhf Search for: nhf1970 14 HeadW ise ® | Volume 7, Issue 1 • 2018