#Botox health risks

[nancykhemchandani]

Botox Health Risks: What You Need to Know

Learn about potential negative effects of Botox on health. Discover alternatives & make informed decisions. Stay safe while enhancing your appearance.

[facts1590]

Botox Health Risks: What You Need to Know

Learn about potential negative effects of Botox on health. Discover alternatives & make informed decisions. Stay safe while enhancing your appearance.

[dontwantthenextcommanderiwantyou]

If anyone has done botox for migraines, did it help?I've been on preventative medications which didn't work, also abortive medications that work well for a few years before becoming less effective 💊 They've offered botox migraine treatment, but I'm not tryna put that shit in me... especially since each treatment requires 31 injections 💉 I have 7 tattoos, including down my ribcage, the most painful area... and all of them combined aren't as painful as a migraine 😣

i think everyone who's ever had migraines should be financially compensated forever btw

[marzipanandminutiae]

I saw another post comparing regular sunscreen use (eg reapplying every two hours when outdoors) to sleeping on your back “so your face will be symmetrical” or trying to erase your skin texture with expensive creams. so I feel this bears repeating:

sunscreen is a health tool. and you have to use it as directed for it to work properly.

yes, it also has anti-aging benefits, and beauty influencer types seem to only mention that when they talk about it. but like. it’s FOR preventing skin cancer

and how miraculous is that? that we can- to some degree, albeit not perfectly -prevent a form of cancer? something that’s been a scourge of humanity for centuries, even when we didn’t really understand it? it’s incredible!

your sunscreen doesn’t even have to be whatever $100 French or Korean sunscreen aforesaid influencers are shilling, either. as long as it’s been approved by a reputable regulatory body, it can be the cheapo Banana Boat Sport stuff you get at the drugstore. and you don’t have to go to the insane lengths some people do either, like reapplying regularly indoors (unless you work in a glass box building with windows everywhere, I suppose) or wearing it at night

but by spending a mininal amount of money and expending the tiniest bit of effort, you can SIGNIFICANTLY REDUCE YOUR CANCER RISK. how is that the same as trying to not have pores, or the “preventative Botox” trend?

if not smoking had been touted only for its aesthetic benefits, would we still all be puffing away like it’s 1955 and dismissing nonsmokers as Just Wannabe Lifestyle Influencers?

[spiderfreedom]

my suffering is profound and legitimate, yours is frivolous nonsense

Just reading a blogger I like but I had to laugh because she was talking about how beauty practices are bad for women's mental health, and she left a note saying "unlike gender affirming care! gender affirming care improves people's mental health and it's nothing at all like cosmetic practices."

TIL, when an older woman gets botox to remove her wrinkles and avoid facing the inevitability of decline and death, her problem is spiritual/structural and she needs to Do The Work to deprogram her ageism, unlike people with dysphoria, who of course have legitimate claims to cosmetic alteration.

And it is cosmetic - no part of the body that is altered by HRT or SRS or any of the feminization/masculinization surgeries is failing to function or functioning poorly. The problem is with the brain, which perceives the body parts as foreign or undesirable. We may sympathize with someone struggling with such a condition, but that does not change that the body parts being altered were already healthy and the alterations are cosmetic, and the relief being brought about is mental.

But plenty of trans people openly admit that separating body dysmorphia and gender dysphoria is a losing game. Contrapoints's video on "Beauty" (transcript) has the observation that she feels least dysphoric when she is meeting feminine beauty norms:

But I also think that trans people often talk like gender dysphoria is this intrinsic, personal experience that's always 100% valid and never has anything at all to do with the external pressure of beauty standards. But in fact, gender dysphoria is not sealed away in a vacuum away from the influence of societal ideals and norms.  [...] When I try to psychoanalyze myself, I find that my desires to look female, to look feminine, and to look beautiful are not exactly the same, but they're woven together so tightly that it's kind of difficult to untangle them. And the opposite is also true, that for me feeling mannish or dysphoric usually goes along with feeling ugly. I don't have a lot of days where I walk out the house thinking "well, I'm giving femme queen realness, but apart from that I look like absolute shit". 

Max Robinson's book "Detransition," from an FTM perspective, points out how the prospective trans man views his suffering as unique from and distinct from women's, even as the surgeries they seek are not especially different:

The stereotypical cosmetic surgery patient is seeking to become closer to being perfectly feminine - she wants to be beautiful. Transitional cosmetic surgery, on the other hand, is widely understood to mark the patient as ex-female and therefore unfemale; this is part of the meaning FTMs seek to create through surgery. FTM desire for cosmetic surgery is positioned as something totally different than the stereotype of a woman who 'merely' seeks beauty at her frivolous leisure. FTMs are deemed to have a rare affliction that needs urgent, life-saving treatment. Conversely, there is nothing more common than for a woman to become obsessed with her socially-deemed 'unsatisfactory' looks and desperately seek to change them, believing that such a change is the only thing that can restore her quality of life. This comparison will feel like an insult to the FTM. It will feel that way because we believe other women's suffering doesn't matter, and recognize how much ours does. Women's suffering is ordinary but ours is extraordinary. For us to matter, we must be differentiated from the silly little woman who wants to be pretty so badly she'll pay thousands of dollars (now billable to credit cards and loan programs designed to pay for elective surgeries!) to risk her life and health. These women don't need to be fixed; we do. FTMs know that we don't deserve a woman's fate but have not yet realized that no woman does.

I have more to write on the topic of the relationship between gender identity and beauty culture, but I'll end this one here. It makes sense that somebody who is identified with the opposite sex would also be affected by the standards of beauty expected of that sex. (Non-binary identification is more complicated and requires separate treatment.)

[thebibliosphere]

Last I heard your migranes were kinda in remission, so this is just in the awful event they ever come back, but have you ever tried sumatriptan? I was prescribed it a few weeks back, after I woke up with the worst migrane of my life (like I legit thought I had meningitis it was that bad). I've been using it as my go to since for migrane attacks, and it basically nukes my headaches in about an hour. I'm not sure if it can be taken continously though, until recently, my migranes were like a once a month thing, and I've only been given 6 tablets of which I've already used 3, but I hope that's some help to you

Also like, sorry for another migrane ask, but I wanted to ask if you've ever tried anything that sorta forces your eyebrows up? I find that raising my brows during a migrane, when I can, takes the edge off (my migranes p much always hit my forehead and top of my head the hardest), so im considering asking for botox from my gp, as I've heard that paralysing the forehead muscles can help, but idk if it's worth it.

——

I tried sumatriptan and it didn’t stop my migraines. I also suffered from speech problems when taking it, which can be a dangerous side effect that may indicate a stroke, (and I’m already a high stroke risk) so I was taken off it very quickly. I’m not allowed any other triptans because of it.

I also do eyebrow massage (there’s an acupressure point there) which sometimes helps depending on the cause of migraine, but I am not a good candidate for Botox injections due to my other health issues.

When I tell people I tried everything available to me, I mean it.

I’m glad you’re finding relief though! And I wish you well pursuing Botox. It’s really helpful for some people.

[old-school-butch]

Age identity

I have found that racial identity is highly political concept that many people hesitate to argue around when they are making argument about gender identity. I’ve made more progress using age as a foundational argument and thought I'd share some of the parallels that can be made.

I begin with the request that my birth certificate should be amended to reflect my trans-age and not chrono-age. My reasons:

I have extreme dysphoria about growing old. It gives me panic attacks, it creates a morbid obsession about my impending mortality and I need emotional relief. I might kill myself if my aging continues. Many, many studies demonstrate that suicide rates jump in middle age. Age dysphoria a significant mental health risk. Discrimination against older people in the workforce is also systemic and significant. It hurts my employment prospects to force me to continue conforming to an oppressive and arbitrary system of temporal measurement.

I’m not alone in my views. Our movement has been ignored in order to exploit our oppression. Rates of age dysphoria among the chrono-elderly are near universal and increase with chrono-age. The vast market of botox, anti-aging creams, surgeries and other treatments are witness to the pain and suffering of age dysphoria, but we are forced to bear the costs out of our own pockets, harming every trans-age person and creating barriers to those unable to access age-euphoric treatment. It’s time that we recognize ageism and age dysphoria as the next important social movement, and you should be on the right side of history.

The mere existence of adult babies is not a fetish, but part of age identity has existed for centuries. It is a severe form of age dysphoria that is accommodated only during the extremes of chrono-age (the very young and very old), but diaper-wearing may be a source of age-euphoria at any chrono-age. Other trans-aged people might feel more comfortable in a post-toddler range, and there’s no reason to prevent them from enrolling in elementary schools or competing in those sports teams. Again, once we acknowledge that ‘age identity’ is an arbitrary measurement, you will agree that some chrono-aged 8 year olds can run faster than trans-aged 8 year olds and therefore there’s no conclusive evidence that so-called ‘adults’ differ in any systemic way from ‘children’ and that age-identity is more of a spectrum than scientific reality.

Age identity is a culturally determined construct, where in reality one day merges into the next with no clear universal progression or timeline for development. Progeria, ‘old souls’ and emotional ‘immaturity’ co-exist without regard to commonly-held age identities. Widely held beliefs like  ‘middle-age’ persist even through it’s impossible to identity without knowing your ultimate time of death. Even my doctor says I have the heart of a 30 year old . In fact, I’m more fit than many people younger than me. I’m healthier than I was at 45 now that I’ve fully recovered from cancer. Why can’t I return to the age of 39, which I feel best expresses how I feel on the inside? Sports competitions grouped by chrono-age should be inclusive of the trans-aged since there is no clear definition of the impact of age-identity on the human body.

Additionally, it should be obvious that ‘age of consent’ laws are discriminatory and not inclusive of trans-aged individuals. They should be repealed.

I’d also like to point out that trans-aged people do not all skew in a reductive temporal direction. There are many chrono-young but trans-aged people who feel they would be treated more in line with their age identity that is older than their chrono-years would imply. Again, workplace discrimination, dating discrimination and even fundamental civic rights are denied to many trans-aged individuals.

As a tiny ask, I would like to be referred to as ‘young miss’ in my interactions. That’s how I was addressed when I was chrono-young and I’d like to return to those happier days. I might kill myself if this request is ignored, so please check your age-privileged attitudes. Once age dysphoria is fully acknowledged, hate speech against the trans-aged will constitute a hate crime.

[louisa-gc]

de-influencing you

from someone who gets overwhelmed any time she opens a social media application.

expensive cosmetics. keep it simple and stick to skincare, makeup and hair products you know and trust. i've tried it all from salon shampoos and high-end concealers to ridiculously priced face oils and praised nail polishes, only to realise my favourites are the affordable drugstore products i can easily repurchase. it's the ingredients that matter, not the prestige or popularity of a brand or the amount of products in your routine.

new clothes. of course you can and should replace your holey socks and the jeans you've grown out of, but i'm certain most of us have more clothes than we need. what if we tried to use up (and, when possible, mend) our existing pieces instead of getting new trousers and sneakers just because there's now a trendier option out there?

dietary supplements. unless you have a deficiency and have been told by a healthcare professional to take a supplement, you probably don't need one. with a healthy, varied diet, you can skip all those green powders, probiotics and multivitamins, that weirdly enough have become part of some internet aesthetics. if, however, you do need to supplement (as i need to with iron), make sure you know what is in the product you're buying and how it works best — iron, for example, should be taken on an empty stomach and with vitamin c.

internet aesthetics. your style, your whole lifestyle, doesn't need to fit an "aesthetic". it's tiresome to try and classify your tastes and attempt to stuff them into the narrow confines of these artificial ideals. do things you enjoy, decorate and dress according to what appeals to your eye and forget about the rest.

regular beauty treatments. if your skin is healthy, a normal at-home skincare routine should be enough to make sure your face is glowing. a (fake) tan, hair removal and manicured nails aren't and shouldn't be necessities either, but if your beauty routines are important to you, just do the things at home and save your resources for more valuable pursuits than the ever-expanding requirements of modern womanhood.

cosmetic injections or surgeries. i've always been of the opinion that we should all be allowed to do as we please with our bodies, without shame or judgement from others. however, the more i learn about the risks of cosmetics procedures and the rates of patients' dissatisfaction with their results, the more negatively i've started to view it all. with more and more people walking around with filler, botox and surgically enchanced or erased features, i worry about our ability to accept ourselves as we are. i worry about the class divide these procedures are creating (who can afford it at all? who can afford a good result?) and i worry about people spending massive amounts of money and time on what are essentially unnecessary health risks. so i say: don't do it.

anything designer. as we all know, price and quality don't always go hand in hand. while i'm all for choosing great quality lasting products, popular designer brands might not necessarily be the way to go. people haven't ditched designer goods just because the go-to style is now "old money"; they've just moved from gucci to céline. i personally don't think any designer brand is really worth it, but wherever you buy, at least pay attention to materials and construction, and stay away from counterfeit goods.

trying to look "expensive". while i have always had a more classic style and was raised never to show logos ("you're not a free advertisement, dear"), i find the "looking expensive" thing such a strange trend, one that returns whenever times are financially unstable. even though i wholeheartedly approve of buying timeless quality pieces (if that is a style you actually enjoy), i don't think anyone should do so in order to look wealthy. nobody will think you're the trust fund offspring of a centuries-old family if you aren't, and most of all, nobody really cares whether you are one or not. the thing is, you really cannot tell whether someone is wealthy based on their looks, so why spend time and money trying to look the part?

clothes that don't fit your lifestyle. it's difficult to resist cute athleisure, but as someone who only wears workout clothes to actually exercise three times a week, i know i only need two or three sets. buy pieces that fit your everyday life, not the life you wish you had. no amount of cocktail dresses will make your life a flurry of parties, if these events are already few and far between.

most stationery products. i love stationery as much as the next person: i love a good notebook, beautiful pens and all the related little knick-knacks, but frankly, i only use one mechanical pencil, a specific type of black gel pens, and three notebooks at a time. no matter how cute some highlighters, letter papers or pastel page markers may be, i have zero reason to buy them.

trending books. i know this might be a controversial one, but buying piles of books on the recommendation of social media influencers isn't a smart use of space and money. just last year i got myself half a dozen popular titles from a cute bookshop, but ended up regretting the purchases because i only liked one of them. borrow the trendy new books from your local public library, and if you really want to collect books, only buy ones that you really love.

[mishkakagehishka]

To be honest i really don't care about "maybe some women want to do [insert dangerous, expensive and/or time-consuming beauty practice]" and instead of telling that to feminists who criticise the beauty industry, ask yourself why women "want to" do that. Even if you're the woman. Would you want to go through the physical and financial pain of waxing your legs monthly or spending a small fortune on make-up or risking your health by injecting botox, if it wasn't pushed on you by society? However subtle it may have been, would you actually want to live your life thinking you have to alter your natural appearance just to look "acceptable" never mind beautiful if you weren't bombarded by advertisements and societal expectations since infancy.

(And this is not counting the minority of youse who remove body hair because of sensory reasons and the like, that's beside the point. I'm talking you who say shaving is hygiene and make-up (not colourful, but concealer foundation contour) is an artistic expression. You know it's not, you were simply convinced it is. You are not immune to propaganda, it doesn't mean women are stupid, it just goes to show that it's really easy to internalise things when you spend your entire life being told them. I also cannot believe i have to put this long a disclaimer on here, but alas. I am on piss on the poor dot com)

[wilmavasquez82619-blog]

Let's talk non-surgical treatments for under-eye rejuvenation! As a board-certified cosmetic dermatologist with nearly 20 years of experience, I'll cover:

The unique characteristics of under-eye skin and why it's prone to aging.

Various under-eye issues: fine lines, wrinkles, volume loss, dark circles, and fat pad herniation.

Laser treatments: Fraxel for collagen stimulation, CO2 for more intensive resurfacing, and vBeam for addressing vascular-related dark circles

Fillers and alternatives: traditional hyaluronic acid fillers and ewer options like "easy gel" and biostimulatory products

Energy-based devices: Thermage for skin tightening using radiofrequency and combination treatments like "Thermofax" (Thermage + Fraxel)

Neuromodulators (Botox, etc.)

Treating crow's feet and "bunny lines"

Potential risks and the importance of an experienced provider

The benefits of early intervention and ongoing maintenance for long-term results.

🩵 Visit https://www.mdaire.com/ to shop my SCIENCE-BASED COLLAGEN BOOSTING Skincare Line

CHAPTERS 0:00 Intro 1:57 Signs of Aging Under Eyes 3:57 How to Treat Under Eye Fine Lines and Wrinkles 5:38 Fraxel for Under Eye Rejuvenation 7:42 How to Treat Under Eye Volume Loss 10:55 How to Treat Dark Circles 12:57 Thermage for Under Eye Rejuvenation 14:30 Botox for Under Eyes

undereyedarkcircle #undereyewrinkles #antiagingtreatment

Disclaimer: The videos on this Youtube channel are for informational purposes only and are not intended for medical advice or management. Information on this channel should not be used to treat, diagnose or manage medical and/or dermatologic conditions. Please consult with a physician or other medical professional regarding the diagnosis and management for any skin or health related issues.

[hologramcowboy]

Ackles fans slamming Gen for her surgery story while stanning the botched Botox twins is WILD. The absolute lack of self awareness you have to have to bring up plastic surgery like it’s a bad thing while ignoring the way your fav couple has a new face every month.

Gen stands on her own AND she deeply loves Jared. Danneel is a soul sucking leech who came into a career by manipulating her ex fiancè and his mom, she then cheated on him and left him for Jensen (also cheated on jensen judging by her oth days elevator comment during the divas life) and continues to leech off of Jensen's fame and image without even remotely contributing in any way. Gen is cultured and empathic, Danneel is functionally illiterate and virtue signals. I could go on but I'm going to stop. Gen has been key in Jared's happiness. If they truly loved Jared that should be more than enough. I deeply admire her precisely because she is balanced and caring and not necessarily because she's the best actress or best looking woman.

I have plenty of friends who went under the knife, I know what insecurities and mental issues led them down that path so I could never judge. I just feel sorry they ruined their natural beauty and put their health at risk. Same goes for Gen, I hope she finds a balance and doesn't end up going overboard because that comes with a lot of health risks.

What I'm trying to say is some people get surgery due to deeper reasons and, even so, might still lose balance. Danneel and Jensen seems to be into the superficial side of things yet no one ever acknowledges that, they won't even acknowledge Jensen is botching his face with botox much like Danneel heavily damaged hers. Yet they take issue with Gen being authentic in sharing a story. That's just sad and shows how vapid people can be.

[headpainmigraine]

Migraine isn’t a Headache Part Six: make it stop

We looked at medication and treatment for acute attacks of migraines. Things that you can do to treat the pain when you're having it.

This is also probably the first line of help you'll get from a GP or pharmacist or whoever you approach for help.

Some people have success with acute treatments. Maybe the migraine was a one-off, or is a rare occurrence, maybe it was just really responsive to acute meds.

Some people have migraines that don't respond to acute meds, or don't respond well enough to be considered effective treatment.

When you get to this stage, you need to start looking at stopping the migraines before they start, instead of constantly taking acute meds that a) don't work and b) can cause rebound headaches and other problems.

It sucks, because you want to reach for the painkillers when you have pain, but doing so is not sustainable.

Getting into preventative meds ties in a lot with how you go about getting a diagnosis, but I'm going to try to speak about the meds and complimentary treatments AROUND being under a neurologist. On that note, GPs are rarely going to work with you on preventative meds.

There are a few they can prescribe, but you'll probably get better treatment under a neurologist or headache specialist. Sorry.

GPs are useless.

Sorry, bit of my bias there, but I don't use GP's unless I need a referral or quick acute treatment, and EVEN THEN.

It's worth noting as well that you'll usually only get to this stage if your migraines have become chronic, that is:

for over 3 months

you've had 15 headache days a month minimum

of which 8 have migraine features

Some of the treatments aren't indicated for episodic migraines.

((As previously mentioned, this definition might be changing to take into account the impact migraines are having on your life, and not a somewhat arbitrary number; fingers crossed this happens soon))

My list of attempted treatments includes:

amitriptyline (this is one the GP might prescribe for you) (also prescribed for abdominal discomfort and major depressive disorder, although it's fallen out of favour due to increased risk of fatality in overdose)

propranalol (and this) - beta blocker

flunarizine (calcium channel blocker, used to treat high blood pressure and certain heart conditions)

lamotrigine (usually prescribed for epilepsy and bipolar disorder)

topiramate (usually prescribed for seizures)

candesartan (usually prescribed for hypertension)

pregabalin (usually prescribed for seizures and anxiety)

gabapentin (usually prescribed as an anticonvulsant and for nerve pain)

Botox injections

greater occipital nerve blocks

Magnesium/CoenzymeQ10/Vitamin B trio

Aimovig (erenumab, CGRP injection, one of the first migraine-only treatments)

Ajovy (fremanezumab, another CGRP injection, one of the first migraine-only treatments)

sTMS machine (single pulse transcranial magnetic stimulation)

Vyepti (eptinezumab-jjmr IV infusion, another CGRP drug)

I don't think I've had EVERY drug available for migraine prophylaxis, but judging by the increasingly surrendering tone of the letters from my neurologist, I'm just about there.

As you can see, apart from the last CGRP drugs, almost every drug listed is used off licence for migraines, and none of them were developed to treat migraine at all.

You can group most of these drugs into treatment for blood pressure, epilepsy and mental health issues.

The idea that migraines are mainly caused by blood pressure has kind of aged out with advances in research, but the fact remains that some medication that acts on blood pressure still helps migraines.

I think, bearing in mind that a migraine is a neurological storm, that it makes sense that meds that act on activity in the brain (mental health meds/epilepsy meds) can help migraine. Makes logical sense, right?

The usual procedure for taking these medications for migraine (at least in the UK) is to titrate up to the correct dose, and then (assuming you tolerate it and don't get floored by adverse reactions or the side effects) remain on that dose for 3 months before concluding if the medication is successful or not.

If you're seeing some improvement but not a lot, they might keep you on it for longer, or increase the dose.

Otherwise, 3 months and no improvement means you move onto the next drug and/or treatment.

A lot of these drugs have some really heavy side effects. I've experienced worsened tremors, awful dizziness, change in sense of taste, changes in appetite, terrible brain fog.

For migraineurs it comes down to a balancing act.

How bad are the side effects vs how much is this med helping my migraines, and which of the two am I best able to handle.

Maybe you can manage dizziness or not being able to drink Coke anymore over the migraines.

Maybe the awful tremors and inability to think clearly is worse than bearing with the migraines.

This is usually something you discuss with your specialist.

Just saying again, some of these meds are a little hardcore. Don't try treating your own migraines on your own with these meds if you can get your hands on them somehow. Apart from the side effects, the dose if really important too.

In the UK, if you've failed at least three preventative treatments, and have been managed for medication overuse headaches, you can try botox.

BOTOX

The reason botox works for migraines isn't well known, but doctors think it blocks pain transmitters in your brain.

Botox, or botulinum toxin, is a nerve toxin that paralyses muscles.

It's used for cosmetics treatments, but also medically for hemifacial spasm, cervical dystonia, cerebral palsy, bladder pain, lower back pain, neuropathic pain and stroke.

When used for migraine, it's delivered in a series of 31 to 39 small injections, mostly around the forehead, but also on the temples and at the base of the skull.

If you've ever had acupuncture, the needles are a lot like that. I thought they'd hurt more than they did. They were just little stings, not even as bad as plucking an eyebrow hair. Of course, everyone's different with different pain thresholds (especially if you're oversensitised migraine pain leaves you with allodynia) but it's truly not that bad.

You get three sessions 12 weeks apart, just like taking the meds, and if you've had improvement you can continue. If you don't, its on to the next med or treatment.

It feels weird when it settles in. Your forehead tends to freeze, so you can raise your eyebrows and have no lines there. This might unsettle some people, but it does wear off over time.

Side effects include neck pain, muscular weakness and a drooping eyelid, but these improve as the botox wears off. I had a little neck pain, but nothing else. One of them in my forehead bled only a little, none of the rest did.

You can have an allergic reaction, but they will keep you in the treatment or waiting room for some time after your first treatment to check that.

Getting botox for migraine sounds worse than the experience is, but it is about 75% successful for reducing migraine.

Not for meeee

GREATER OCCIPITAL NERVE BLOCKS (GONB)

If your migraines have been resistant to drug treatments and botox, your specialist might decide to try GONB. This is usually a treatment for cluster headache or headaches that originate from pain in the neck, so it may not be applicable to your specific situation.

This treatment involves injecting an anesthetic and a steroid (not always both) into the back of your head/top of your neck around the greater occipital nerve (GON).

The GON runs from the top of the spine to the scalp, and feeds into an area of the brainstem called the trigeminal nucleus.

A nerve block reduces traffic in this nerve, so reduces the amplification of pain and other sensory information that might be overloading this area.

In simple terms, the nerve block stops the pain signals going into the nerves that make you feel the headache.

A lot of people have had success with this treatment, but I'm not one of them.

I don't want to scare anyone!

The reaction I had is (apparently) pretty rare.

After the neurologist injected the first lot of lidocaine into one side of my head, then the other, I almost immediately felt dizzy and sick.

He let me lay down for a moment, but I felt that I was going to puke, so I had to get up. What followed was tunnel vision, greying out, nearly full syncope (fainting) and then vomiting.

I was having a reaction to the lidocaine, which suddenly made my nausea and faintness when I had my lumbar punction (spinal tap) make sense.

I wasn't able to get to the stage where I had the steroid injection, and whatever there was of the anesthetic after my body tried to purge it made no change to my migraines.

I can't speak for the efficacy of the GONB because my body failed it, but if it's offered, I'd encourage you to try it. Apparently it has helped a lot of people.

CGRPs

After trying 3 meds, then botox, then the GONB and failing all of them, I was put on the next med to see if I'd respond to any of them.

You don't need to have exhausted every pill before trying injection treatments. You can also mix and match treatments, especially a pill or a CGRP with botox.

With the knowledge that you spend a minimum of 3 months per med (and assuming you don't come off it immediately due to adverse reactions) you can only go through 4 meds in one year. It takes two years on this schedule to go through the meds I've worked through, not including the botox and GONB, and the extra time taken to titrate to the correct dose.

Finding a medication that works to prevent your migraines is a long and exhausting process.

Thankfully, recent research into migraine has come out with the biggest breakthrough in migraine management, I'm going to say ever, because we now have the first medication created directly for the prevention of migraines.

CGRP stands for Calcitonin Gene-Related Peptide

It's a chemical involved in transmitting pain signals through the nervous system – and it’s also associated with the triggering of migraine attacks (among others).

CGRP medications are actually ANTI-CGRP drugs, designed to stop the action of the chemical.

The ones currently available in the UK fall into two groups.

Aimovig (erenumab) that works by binding to the receptor.

Ajoy (fremanezumab), Emgality (galcanezumab) and Vyepti (eptinezumab) which bind to the protein.

Because of that, if you don't have success with Aimovig, try one of the others (and vice versa) as you might see some improvement.

These are adminstered by self-injection (although the first one will be done under nurse supervision) every month with something like an epipen that's injected into your thigh.

The injections hurt me and ached afterwards, but I had no other side effects than that.

I actually had one migraine day where my pain was a 3, which hadn't happened since I started having migraines, but unfortunately, NHS guidelines state that you need to have a reduction in pain days or a significiant reduction in pain in order to stay on them, so I was taken off.

We've just had Vyepti (eptinezumab-jjmr) approved for some people with migraine in the UK.

Vyepti is a CGRP administered via IV infusion over 30 minutes at a clinic, and it's still such a new drug that they're still collecting information on side effects, etc.

I've had my first dose (they're given every 3 months) and while I didn't see a reduction in pain days, I saw maybe a slight reduction in pain, but more than that, my brain fog and pain cloudiness really cleared up, at least for the first month and a half that the effect lasted.

I was actually present in my body for once, instead of half-checked out, even if I was still in pain.

I don't know what the review will bring, but I hope they let me stay on it.

In the US, they've also got a new group of drugs called -gepants (Ubrogepant, Atogepant and Rimegepant for now) which are being used preventatively, but also like triptans, acutely.

Like the injections, they also work on the CGRP receptors by blocking their effect.

I don't know very much about them, but they're also some of the first drugs made specifically for migraine, and there's a lot of excitement about them.

They're safer than triptans for people with heart issues to take, and they DON'T CAUSE REBOUND HEADACHES!

This is huge in the world of migraine treatment, as there are no other acute treatments that do this.

NON MEDICINAL

A large chunk of preventative non-medicinal treatments for migraine involve making lifestyle changes (I know)

The migraine brain is oversensitive and overreactive creature, and ANYTHING can push it into a tantrum. Weather changes, temperature changes, lights, sounds, smells, so many things that we can't control in our environment.

Our migraine brains love routine, and even though it's annoying and removes some chunk of flexibility in our lives, it annoyingly does help.

Sleep routines are helpful, as much as you can fit yourself into one. Setting sleep and wake alarms with x amount of hours in between (7 or 8?) and then sticking to them rigidly means that you'll be getting up when you're still sleepy and going to bed when you're not, but your body will eventually fall into a rhythm and you'll find yourself sleeping and waking at those times automatically.

Issues: daytime naps are no good for sleep routines, and sometimes you just HAVE to sleep when a migraine hits. What if you want to stay up on the weekend? It's difficult, but keeping to a schedule as much as possible is better than leaving it in the wind.

Eating regularly, small meals often is the best. I'm not going to spend a lot of time on this because diet is a huge and sensitive subject, and comorbidities can make this even more difficult, but as far as migraines on their own are concerned, they like the body to be kept as stable as possible, which means a level blood sugar level, etc, and avoiding hunger.

Exercise? I know, I'm not going there, apart from, gentle stretches for your neck, maybe your back, can help. Even if neck problems have nothing to do with your migraines, you're going to end up all crunched up and tense from being in constant pain. Look at stretches for post-operative, for the elderly, for anything you can do in bed. It doesn't have to be high impact or intense, just something you can do now and again to keep your muscles loose.

H~y~d~r~a~t~i~o~n. I'd say use a pretty bottle, but honestly, using whatever will make it easier for you to fill and keep drinking from is better than something that fits your aesthetic. You can always decorate a plastic bottle, or use a favourite glass.

Apart from all those irritating things that abled people always recommend (yoga anyone?) there are also non-drug but prescribed treatments.

One category is DEVICES

I've only tried the sTMS device, so I'll address that first.

sTMS stands for single pulse transcranial magnetic stimulation

You press the button to charge the thing. When it beeps you place the bean-shaped device at the back of your head so it cradles your skull, and then press both buttons at the same time.

There's a ka-chonk, and a sensation like someone's smacked you in the back of the head a little, which is actually the small magnetic pulse.

It works by generating mild electrical currents in the brain that are supposed to disrupt the brain activity linked to your migraines. You can use it acutely, but also daily (2 or 3 times a day, 1 or more than 1 pulse at a time) to prevent migraines.

The machine didn't do anything for me, and made my scalp feel a little sore, although that doesn't appear to be common.

You may also have heard of the Cefaly, a device otherwise called a 'external trigeminal nerve stimulator'

There's that trigeminal nerve again, running around the side of your face and your eye, playing up and causing pain.

You place an electrode on your forehead, and the Cefaly generates micro-impulses to stimulate the trigeminal nerve's nerve endings.

Be aware that the efficacy of the Cefaly device is debated, but it does help some people.

ACUPUNCTURE has been used to help migraine

I had many courses via my GP (the only good one I had) who was trained in acupuncture and went above and beyond to give me as many treatments as possible. I think I had 12. I felt something from them, but they didn't have any effect on my migraines.

Finally, not a drug per se, but VITAMIN SUPPLEMENTS

The best are a trio as follows:

Riboflavin 400mg once daily

Co-enzyme Q10 100mg three times a day and Magnesium (there are two/three types and the doses are different)

Citrate 600mg OD

Tricylicate 250mg twice a day

or Phosphate 400mg once daily

There is also therapy that is prescribed for management of migraine, not so much prevention as just giving you tools to learn to live with being in pain.

I haven't gotten to that stage yet, and have mixed feelings about it.

Some people have said it's helped, some said it hasn't.

It -feels- a lot like being told 'we can't do anything to help you, you just have to deal with being in pain now'

I haven't tried it, I probably will end up doing so, and maybe I can write a little about it then. For now, I can see why it could be useful, but it does feel a little bit like being abandoned.

And that's all I've got for preventative treatments.

I don't know when I'll be able to start writing about my diagnosis journey, but that should be the next part.

please excuse any typos!

i hope this is still helpful for some people.

[glambyridhimathukral]

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[uncloseted]

I'm not body shaming when I ask this but do you think ariana grande is suffering from some form of eating disorder? She's clapped back last year saying she's at the healthiest she's ever been but it's hard to deny her weight loss has visually aged her and she has signs of someone suffering an ed (e.g. how the skin sits around her mouth and neck). Again no hate and good for her if she really is at her healthiest but visually it's showing the opposite

So first things first I want to say that I have a really soft spot for Ariana. I don't really listen to her music or anything, and I know she's been ✨problematic✨, but I've liked her ever since her Victorious days and I think she's really talented. So nothing I'm about to say is coming from the position of being a hater. I also want to be clear that I think other people's health statuses aren't really our business, whether that's neurological/"mental" health or something else, and I don't think artists are obligated to tell their fans about their health struggles. Health is something that's so personal and so emotionally complicated, and I think if people do talk about it, it should be on their own terms when they're ready to do so.

In terms of her appearance, I think that the bleach blonde hair with no eyebrows that she has for her role as Glinda in Wicked probably isn't helping the perception that she looks old. She also (reportedly) stopped getting Botox and fillers around 2018, which may be contributing to her looking older than other celebrities who get those kinds of treatments.

All that said- and I'm trying to tread carefully now- I think it's apparent that she's lost weight over the past year or so, whether intentionally or not, and I wouldn't be surprised if an eating disorder is the cause of her weight loss. I think the insistence that she's the "healthiest she's ever been" suggests that the weight loss she experienced isn't caused by another health issue (like hyperthyroidism or cancer), so it seems like a neurological health issue like an eating disorder would be the most likely cause.

And that kind of makes sense. Ariana Grande has a collection of traits that are common risk factors for developing an eating disorder. She's incredibly driven and probably a bit of a perfectionist, she's been in the public eye since she was 16 and has constantly heard comments on her body throughout that time, being petite is part of her brand, she has hypoglycemia, she's vegan, and she's been through quite a bit of trauma. It makes sense to me that all those things combined could lead someone to develop a restrictive eating disorder. I think very few women who are in the public eye like that have a normal relationship with food. In the video where she's addressing the concerns about her weight, she even has a little pop up that says, "you have talked a lot about [my body] over the past decade or longer so I'd like to join in this time." Plus, the whole donut licking, "I hate Americans" controversy she had has always seemed to me like a product of disordered eating, although that's pure speculation.

In terms of claiming that she's the "healthiest [she's] ever been" I know I've heard that same kind of defense of weight loss from people whose eating disorders manifest as being obsessive about eating healthily- a lot of the time for people who are vegan. She mentions in the TikTok that at her previous weight, she was "on antidepressants and eating poorly", so she may truly believe that she's the healthiest she's ever been due to her diet being the "cleanest" it's ever been and no longer taking medication. She may not be able to see that her weight loss is potentially dangerous to her health. In that same TikTok, she says that, "you never know what someone is going through, so even if you're coming from a loving or caring place, that person is probably working on it or has a support system that they're working on it with," which makes me think that maybe she does know her weight is a problem and has a team who are helping her with her recovery.

All that said, at the end of the day, I think she's right. We don't know what other people are going through, and speculating isn't helpful, even when it's under the guise of expressing concern. I think talking as much as we do about celebrities' bodies, especially the bodies of celebrities who are minors, causes a lot of harm to their perceptions of themselves. If she does have an eating disorder, thousands of people commenting on her body isn't going to convince her to seek treatment. It's just going to make the problem worse, and so I feel a little weird even answering this question and contributing to the conversation. And you never really know what a person's health status is just by looking at them. A lot of people who "look" healthy have invisible illnesses, and a lot of people who "look sick" are perfectly healthy. But equally, I think it's important that people understand that that kind of thinness isn't just a body type that some people have, and it's not healthy to be underweight for your height and bone structure. I think this idea that some people are just naturally super underweight and healthy feeds disordered eating behaviors in its own right and makes it harder for people to acknowledge that they need help because their health is in danger.

[cannabiscomrade]

Ok firstly- I'm horrified that they waited until you were in gastric failure to place your tube. Especially considering it sounds like you met the criteria for consideration far before that, according to the criteria you listed. I know you've talked a little about how traumatic this whole experience was, but I failed to realize just how bad it was. Secondly- thank you so much for that information and for continuously sharing your chronic health journey. I always find you to be informative and helpful, both anecdotally and more. Scientifically? You do both. I appreciate it. Thank you. Thirdly- I was dx with gastroparesis 8 years ago, but it has gone untreated since. Now I am in a POTS clinic, and they want me to see an in-house gastroenterolgist so that I see somebody who knows POTS and common gi complications. So I'm hoping he will call me back soon. I haven't been losing weight, but the morning nausea/vomitting multiples times a week and occasionally waking up to vomit... Well, that sounds exactly what I deal with. And I historically don't tolerate medications well In General. So thank you for the information. It will help me make a more informed decision when I'm able to see the specialist. And good luck, with everything you're dealing with right now health-wise.

You’re welcome! I’m so glad that I’m helping people by sharing my story. That’s why I do it. It makes such a huge impact and I learned what I have through the chronic illness community and a lot of research.

I hope you can find some treatments that work for you! There are a lot of options out there that could hopefully help with gastroparesis, especially with the POTS comorbidity. I’m only just beginning to learn more about POTS since having my diagnosis confirmed.

I’ve tried pyloric Botox since having my tube placed and while it didn’t help me because I have intestinal dysmotility, it is pretty low risk and temporary, and can help indicate if you’re a better candidate for G-POEM or pyloroplasty.

Thank you for your kind words, it really has been a hell of a journey over the past year and I’m stunned that I have a port and a tube in less than a year

[thebreakfastgenie]

Do you "consider" musculo-skeletal damage and restructuring as a result of intense athletic training "acceptable"? Do you "consider" tattoos, piercings, gauging, and other cosmetic body mods "acceptable"? Do you "consider" breast augmentation, lip fillers, and botox "acceptable"? Do you "consider" hormonal and surgical gender confirmation procedures "acceptable"? Do you "consider" permanent changes to feet and ankles due to intense dance training "acceptable"? I'm just not sure why you think what you "consider acceptable" should be the defining feature of whether corsetry is dangerous.

It's complicated, yes, no, yes, not particularly.

Intense athletic training, which I consider intense dance training a part of, is something there's a whole debate around because of the longterm health effects! Particularly when the training starts in early childhood! There are some real ethical questions there! I don't feel entirely great about it!

Tattoos and piercings generally do not negatively affect the body's ability to function. Please go to a safe parlor though to reduce the risk of infection.

It's me, hi, I'm the problematic cosmetic plastic surgery critical feminist. Adults can do whatever they want with their body but it's naive to pretend cosmetic plastic surgery exists outside the forces of patriarchy and capitalism.

Gender-affirming care is good. It is extremely beneficial to the mental health of trans people and there is no evidence that it is harmful to physical health in any way. There are risks associated with regular, longterm chest binding, but there are also serious mental health benefits, and binding can be practiced safely to minimize risk.

Show me where I argued "corsetry" is "dangerous" 'cause I'm pretty sure I was arguing that regular, mandatory corset-wearing was restrictive and uncomfortable and did in some documented cases lead to deformed ribs as a corollary to pointing out that OOP used a wildly misogynistic argument to defend corsets.