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Migraine Triggers - Identifying Culinary Culprits with Audrey Halpern, MD"> <!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="2050"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body bgcolor="#FAFAFA" lang=EN-US link=blue vlink=purple style='tab-interval: .5in;-webkit-text-size-adjust: none' leftmargin=0 marginwidth=0 topmargin=0 marginheight=0 offset=0> <div class=WordSection1> <p class=MsoNormal><o:p>&nbsp;</o:p></p> <div align=center> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;mso-cellspacing:0in;background:#FAFAFA;mso-yfti-tbllook: 1184;mso-padding-alt:0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'> <td valign=top style='padding:0in 0in 0in 0in'> <div align=center> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=600 style='width:6.25in;mso-cellspacing:0in;background:#FAFAFA;mso-yfti-tbllook: 1184;mso-padding-alt:0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'> <td valign=top style='padding:7.5pt 7.5pt 7.5pt 7.5pt'> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;mso-cellspacing:0in;mso-yfti-tbllook: 1184;mso-padding-alt:7.5pt 7.5pt 7.5pt 7.5pt'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'> <td valign=top style='padding:7.5pt 7.5pt 7.5pt 7.5pt'> <p><span style='font-size:7.5pt;font-family:"Arial","sans-serif"; color:#505050'>Dr. Audrey Halpern of The Manhattan Center for Headache &amp; <span class=GramE>Neurology,</span> explains why migraine cases increase during the holiday season and little known triggers lurking in commonly consumed foods and beverages.<o:p></o:p></span></p> </td> <!-- --> <td width=190 valign=top style='width:142.5pt;padding:7.5pt 7.5pt 7.5pt 7.5pt'> <p 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style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes' mc:hideable="hideable_1" mchideable="hideable_1"> <td width=200 valign=top style='width:150.0pt;background:white; padding:0in 0in 0in 0in' id=templateSidebar><!-- // Begin Module: Social Block with Icons \\ --> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=200 style='width:150.0pt;mso-cellspacing:0in;mso-yfti-tbllook: 1184;mso-padding-alt:0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'> <td valign=top style='padding:0in 0in 0in 0in'> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;mso-cellspacing:0in;mso-yfti-tbllook: 1184;mso-padding-alt:0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow: yes'> <td valign=top style='padding:15.0pt 15.0pt 0in 15.0pt'> <table class=MsoNormalTable border=0 cellspacing=4 cellpadding=0 style='mso-cellspacing:3.0pt;mso-yfti-tbllook:1184;mso-padding-alt: 0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'> <td width=16 style='width:12.0pt;padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"; mso-no-proof:yes'><img border=0 width=16 height=16 id="_x0000_i1029" src="http://gallery.mailchimp.com/653153ae841fd11de66ad181a/images/sfs_icon_facebook.png" alt="http://gallery.mailchimp.com/653153ae841fd11de66ad181a/images/sfs_icon_facebook.png"></span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> </td> <td valign=top style='padding:0in 0in 0in 0in'> <p class=MsoNormal style='line-height:150%'><span style='font-size: 9.0pt;line-height:150%;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#505050'><a href="http://www.facebook.com/profile.php?id=1473876389"><span style='color:#336699'>Friend on Facebook</span></a> <o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:1' mc:hideable="hideable_2" mchideable="hideable_2"> <td width=16 style='width:12.0pt;padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"; mso-no-proof:yes'><img border=0 width=16 height=16 id="_x0000_i1028" src="http://gallery.mailchimp.com/653153ae841fd11de66ad181a/images/sfs_icon_twitter.png" alt="http://gallery.mailchimp.com/653153ae841fd11de66ad181a/images/sfs_icon_twitter.png"></span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> </td> <td valign=top style='padding:0in 0in 0in 0in'> <p class=MsoNormal style='line-height:150%'><span style='font-size: 9.0pt;line-height:150%;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#505050'><a href="http://www.twitter.com/AudreyHalpernMD/"><span style='color:#336699'>Follow on Twitter</span></a> <o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:2;mso-yfti-lastrow:yes' mc:hideable="hideable_3" mchideable="hideable_3"> <td width=16 style='width:12.0pt;padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"; mso-no-proof:yes'><img border=0 width=16 height=16 id="_x0000_i1027" src="http://gallery.mailchimp.com/653153ae841fd11de66ad181a/images/sfs_icon_forward.png" alt="http://gallery.mailchimp.com/653153ae841fd11de66ad181a/images/sfs_icon_forward.png"></span><span style='mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></p> </td> <td valign=top style='padding:0in 0in 0in 0in'> <p class=MsoNormal style='line-height:150%'><span style='font-size: 9.0pt;line-height:150%;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#505050'><a href="http://us2.forward-to-friend.com/forward?u=1e5e506c18cfda638bdd73705&amp;id=db0eaa91bb&amp;e="><span style='color:#336699'>Forward to a Friend</span></a> <o:p></o:p></span></p> </td> </tr> </table> </td> </tr> </table> <!-- // End Module: Social Block with Icons \\ --><!-- // Begin Module: Top Image with Content \\ --> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"; display:none;mso-hide:all'><o:p>&nbsp;</o:p></span></p> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;mso-cellspacing:0in;mso-yfti-tbllook: 1184;mso-padding-alt:15.0pt 15.0pt 15.0pt 15.0pt'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow: yes' mc:repeatable="repeat_1" mc:repeatindex="0" mc:hideable="hideable_repeat_1_1" mchideable="hideable_repeat_1_1"> <td valign=top style='padding:15.0pt 15.0pt 15.0pt 15.0pt'> <p class=MsoNormal style='line-height:150%'><span style='font-size: 9.0pt;line-height:150%;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#505050;mso-no-proof:yes'><img border=0 width=153 height=239 id="_x0000_i1026" src="http://gallery.mailchimp.com/1e5e506c18cfda638bdd73705/images/mhnlogo.gif" alt="http://gallery.mailchimp.com/1e5e506c18cfda638bdd73705/images/mhnlogo.gif"></span><span style='font-size:9.0pt;line-height:150%;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:#505050'><o:p></o:p></span></p> <p class=MsoNormal align=right style='text-align:right;line-height: 150%'><span style='font-size:9.0pt;line-height:150%;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:#505050'><br> Contact:<o:p></o:p></span></p> <p class=MsoNormal align=right style='text-align:right;line-height: 150%'><span style='font-size:9.0pt;line-height:150%;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:#505050'>Heidi Raker<o:p></o:p></span></p> <p class=MsoNormal align=right style='text-align:right;line-height: 150%'><span style='font-size:9.0pt;line-height:150%;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:#505050'>Raker Goldstein &amp; Co.<o:p></o:p></span></p> <p class=MsoNormal align=right style='text-align:right;line-height: 150%'><span style='font-size:9.0pt;line-height:150%;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:#505050'>(201) 784-1818<o:p></o:p></span></p> <p class=MsoNormal align=right style='text-align:right;line-height: 150%'><u><span style='font-size:9.0pt;line-height:150%;font-family: "Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:#505050'><a href="mailto:heidi@rakergoldstein.com"><span style='color:#336699'>heidi@rakergoldstein.com</span></a>&nbsp;</span></u><span style='font-size:9.0pt;line-height:150%;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:#505050'><o:p></o:p></span></p> <p class=MsoNormal align=right style='text-align:right;line-height: 150%'><span style='font-size:9.0pt;line-height:150%;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:#505050'><br> Audrey Halpern, MD<br> The Manhattan Center for<br> Headache &amp; Neurology<br> (626) 648-3793<o:p></o:p></span></p> <p class=MsoNormal align=right style='text-align:right;line-height: 150%'><u><span style='font-size:9.0pt;line-height:150%;font-family: "Arial","sans-serif";mso-fareast-font-family:"Times New Roman"; color:#505050'><a href="http://www.audreyhalpernmd.com/"><span style='color:#336699'><span face="">www.audreyhalpernmd.com</span></span></a></span></u><span style='font-size:9.0pt;line-height:150%;font-family:"Arial","sans-serif"; mso-fareast-font-family:"Times New Roman";color:#505050'><br> <br> <br> <br> <br> <br> <br> <br> <br> <br> <br> <br> <br> <strong><u><span style='font-family:"Arial","sans-serif"'>Dr. Audrey Halpern s Champagne <span class=SpellE>Mocktail</span> Recipe for <span class=SpellE>Migraineurs</span>:</span></u></strong><br> <br> 1 1/3 cups Apple juice<br> 1 tsp. Lemon juice<br> 12 oz. Club soda<br> <br> Blend and serve chilled or over ice<br> <br> <br> <br> &nbsp;<o:p></o:p></span></p> </td> </tr> </table> <!-- // End Module: Top Image with Content \\ --> <p class=MsoNormal><span style='font-size:10.0pt;mso-fareast-font-family: "Times New Roman"'><o:p></o:p></span></p> </td> </tr> </table> </td> <!-- // End Sidebar \\ --> <td width=400 valign=top style='width:300.0pt;padding:0in 0in 0in 0in'><!-- // Begin Module: Standard Content \\ --> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=400 style='width:300.0pt;mso-cellspacing:0in;mso-yfti-tbllook: 1184;mso-padding-alt:0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'> <td valign=top style='padding:0in 0in 0in 0in'> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=400 style='width:300.0pt;mso-cellspacing:0in;mso-yfti-tbllook: 1184;mso-padding-alt:0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow: yes'> <td valign=top style='background:white;padding:0in 0in 0in 0in'> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;mso-cellspacing:0in;mso-yfti-tbllook: 1184;mso-padding-alt:15.0pt 15.0pt 15.0pt 15.0pt'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow: yes'> <td valign=top style='padding:15.0pt 15.0pt 15.0pt 15.0pt'> <p class=MsoNormal style='line-height:150%'><strong><span style='font-size:9.0pt;line-height:150%;font-family:"Lucida Sans","sans-serif"; mso-fareast-font-family:"Times New Roman";color:#505050'>Migraine Triggers Lurking in Common Holiday Foods; A Mock Champagne Cocktail for <span class=SpellE>Migraneurs</span></span></strong><span style='font-size:9.0pt;line-height:150%;font-family:"Lucida Sans","sans-serif"; mso-fareast-font-family:"Times New Roman";color:#505050'><br> <strong><span style='font-family:"Lucida Sans","sans-serif"'>Expert Insight from Dr. Audrey Halpern, The Manhattan Center For Headache &amp; Neurology</span></strong><br> <br> <u>Women and Men Respond Differently to Triggers Like Cheese and Wine</u><br> &nbsp;<br> (Holiday 2011  New York, NY)&nbsp; Foods and beverages commonly consumed during the holiday season may trigger, and conversely subdue migraine headaches, according to Audrey Halpern, MD, board-certified in headache medicine by the United Council for Neurologic Subspecialties, and board certified in neurology by the American Board of Psychiatry and Neurology.<br> <br> Tops on the food list for triggering migraines, according to Dr. Halpern, particularly amongst women, are:<o:p></o:p></span></p> <ul type=disc> <li class=MsoNormal style='color:#505050;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;line-height:150%;mso-list:l1 level1 lfo3; tab-stops:list .5in'><span style='font-size:9.0pt;line-height: 150%;font-family:"Lucida Sans","sans-serif";mso-fareast-font-family: "Times New Roman"'>Red wine, liquor and beer&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<o:p></o:p></span></li> <li class=MsoNormal style='color:#505050;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;line-height:150%;mso-list:l1 level1 lfo3; tab-stops:list .5in'><span style='font-size:9.0pt;line-height: 150%;font-family:"Lucida Sans","sans-serif";mso-fareast-font-family: "Times New Roman"'>Deli meats and sausage (due to their high sodium and nitrate content)<o:p></o:p></span></li> <li class=MsoNormal style='color:#505050;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;line-height:150%;mso-list:l1 level1 lfo3; tab-stops:list .5in'><span style='font-size:9.0pt;line-height: 150%;font-family:"Lucida Sans","sans-serif";mso-fareast-font-family: "Times New Roman"'>Aged cheese and dairy generally (stick with ricotta or cottage cheese)<o:p></o:p></span></li> <li class=MsoNormal style='color:#505050;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;line-height:150%;mso-list:l1 level1 lfo3; tab-stops:list .5in'><span style='font-size:9.0pt;line-height: 150%;font-family:"Lucida Sans","sans-serif";mso-fareast-font-family: "Times New Roman"'>Nuts, pumpkin seeds, sesame seeds, sunflower seeds<o:p></o:p></span></li> <li class=MsoNormal style='color:#505050;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;line-height:150%;mso-list:l1 level1 lfo3; tab-stops:list .5in'><span style='font-size:9.0pt;line-height: 150%;font-family:"Lucida Sans","sans-serif";mso-fareast-font-family: "Times New Roman"'>Citrus fruits<o:p></o:p></span></li> <li class=MsoNormal style='color:#505050;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;line-height:150%;mso-list:l1 level1 lfo3; tab-stops:list .5in'><span style='font-size:9.0pt;line-height: 150%;font-family:"Lucida Sans","sans-serif";mso-fareast-font-family: "Times New Roman"'>Avocado<o:p></o:p></span></li> <li class=MsoNormal style='color:#505050;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;line-height:150%;mso-list:l1 level1 lfo3; tab-stops:list .5in'><span style='font-size:9.0pt;line-height: 150%;font-family:"Lucida Sans","sans-serif";mso-fareast-font-family: "Times New Roman"'>Figs and raisins<o:p></o:p></span></li> <li class=MsoNormal style='color:#505050;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;line-height:150%;mso-list:l1 level1 lfo3; tab-stops:list .5in'><span style='font-size:9.0pt;line-height: 150%;font-family:"Lucida Sans","sans-serif";mso-fareast-font-family: "Times New Roman"'>Overripe bananas<o:p></o:p></span></li> <li class=MsoNormal style='color:#505050;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;line-height:150%;mso-list:l1 level1 lfo3; tab-stops:list .5in'><span style='font-size:9.0pt;line-height: 150%;font-family:"Lucida Sans","sans-serif";mso-fareast-font-family: "Times New Roman"'>Olives and pickles<o:p></o:p></span></li> <li class=MsoNormal style='color:#505050;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;line-height:150%;mso-list:l1 level1 lfo3; tab-stops:list .5in'><span style='font-size:9.0pt;line-height: 150%;font-family:"Lucida Sans","sans-serif";mso-fareast-font-family: "Times New Roman"'>Yeast, fermented and pickled foods<o:p></o:p></span></li> <li class=MsoNormal style='color:#505050;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;line-height:150%;mso-list:l1 level1 lfo3; tab-stops:list .5in'><span style='font-size:9.0pt;line-height: 150%;font-family:"Lucida Sans","sans-serif";mso-fareast-font-family: "Times New Roman"'>Processed and sugar-laden foods<o:p></o:p></span></li> <li class=MsoNormal style='color:#505050;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;line-height:150%;mso-list:l1 level1 lfo3; tab-stops:list .5in'><span style='font-size:9.0pt;line-height: 150%;font-family:"Lucida Sans","sans-serif";mso-fareast-font-family: "Times New Roman"'>Anchovies<o:p></o:p></span></li> <li class=MsoNormal style='color:#505050;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;line-height:150%;mso-list:l1 level1 lfo3; tab-stops:list .5in'><span style='font-size:9.0pt;line-height: 150%;font-family:"Lucida Sans","sans-serif";mso-fareast-font-family: "Times New Roman"'>Soups made with bouillon<o:p></o:p></span></li> <li class=MsoNormal style='color:#505050;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;line-height:150%;mso-list:l1 level1 lfo3; tab-stops:list .5in'><span style='font-size:9.0pt;line-height: 150%;font-family:"Lucida Sans","sans-serif";mso-fareast-font-family: "Times New Roman"'>Meat tenderizer<o:p></o:p></span></li> <li class=MsoNormal style='color:#505050;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;line-height:150%;mso-list:l1 level1 lfo3; tab-stops:list .5in'><span style='font-size:9.0pt;line-height: 150%;font-family:"Lucida Sans","sans-serif";mso-fareast-font-family: "Times New Roman"'>Soy sauce<o:p></o:p></span></li> <li class=MsoNormal style='color:#505050;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;line-height:150%;mso-list:l1 level1 lfo3; tab-stops:list .5in'><span style='font-size:9.0pt;line-height: 150%;font-family:"Lucida Sans","sans-serif";mso-fareast-font-family: "Times New Roman"'>Pate<o:p></o:p></span></li> <li class=MsoNormal style='color:#505050;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;line-height:150%;mso-list:l1 level1 lfo3; tab-stops:list .5in'><span style='font-size:9.0pt;line-height: 150%;font-family:"Lucida Sans","sans-serif";mso-fareast-font-family: "Times New Roman"'>Caviar<o:p></o:p></span></li> <li class=MsoNormal style='color:#505050;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;line-height:150%;mso-list:l1 level1 lfo3; tab-stops:list .5in'><span class=SpellE><span style='font-size:9.0pt;line-height:150%;font-family:"Lucida Sans","sans-serif"; mso-fareast-font-family:"Times New Roman"'>Nutrasweet</span></span><span style='font-size:9.0pt;line-height:150%;font-family:"Lucida Sans","sans-serif"; mso-fareast-font-family:"Times New Roman"'><o:p></o:p></span></li> <li class=MsoNormal style='color:#505050;mso-margin-top-alt:auto; mso-margin-bottom-alt:auto;line-height:150%;mso-list:l1 level1 lfo3; tab-stops:list .5in'><span style='font-size:9.0pt;line-height: 150%;font-family:"Lucida Sans","sans-serif";mso-fareast-font-family: "Times New Roman"'>Monosodium glutamate<o:p></o:p></span></li> </ul> <p class=MsoNormal style='line-height:150%'><strong><i><span style='font-size:9.0pt;line-height:150%;font-family:"Lucida Sans","sans-serif"; mso-fareast-font-family:"Times New Roman";color:#505050'>Contrary to popular thinking, Dr. Halpern strongly believes that chocolate and caffeine can provide great health benefits, rather than act as migraine headache triggers.&nbsp; Caffeine, in fact, is known to treat migraine pain, but not if it is being used on a daily basis.&nbsp; Eating dark chocolate in moderate&nbsp;amounts&nbsp;may have numerous health benefits, including feeling happy.</span></i></strong><span style='font-size:9.0pt;line-height:150%;font-family:"Lucida Sans","sans-serif"; mso-fareast-font-family:"Times New Roman";color:#505050'><br> <br>  Additional triggers include weather changes (changes in temperature or barometric pressure), lack of sleep or too much sleep, stress, skipped meals, hormonal fluctuations and strong odors, including potpourri and perfume, said Dr. Halpern.<br> &nbsp;<br> Conversely, studies have shown that peppermint oil,  when rubbed onto the temples can reduce migraine and pain generally, said Dr. Halpern in relation to a 1994 German study by H. Gobel<sup>1</sup>.&nbsp;  I recommend drinking relaxing herbal teas such as peppermint, valerian root, kava <span class=SpellE>kava</span> and chamomile to allay the pain associated with migraine and headache as well.&nbsp; The essential oils in peppermint and these other herbs help muscles relax and relaxation is a large factor in our experience of pain. <br> <u>It s a Gender Thing</u><br> It is a fact that women suffer migraines more than men.&nbsp; According to the UCLA Department of Neurology, women are three times more likely to have migraines than men and that 18-25% of the female population suffers from migraines<sup>1</sup>. These are widely known and accepted statements, but the question is, why are women more susceptible to migraine than men?&nbsp;<br> &nbsp;<br> Processed foods, cheese and alcohol are all common triggers for migraine in both men and women, but the way they are metabolized in the body differs greatly in men and women.  For dietary and pharmacologic triggers (such as alcohol), the same dose will affect men and women differently,&quot; says Dr. Kevin <span class=SpellE>Sperber</span>, assistant professor of Clinical Rehabilitation Medicine at Columbia University College of Physicians and Surgeons.<br> &nbsp;<br> Dr. Desiree Thomas, a neurologist at Kelsey-Seybold Clinic in Houston, Texas points out that the way male brain processes pain information is different than the way a female brain processes the same pain. Near identical symptoms can be present in a male and female, but it is the distinct way the brain perceives and reacts to pain that results in an awful migraine or fleeting headache. Social norms as well as biology may account for differences in the way men and women think about and talk about pain. &nbsp;<br> &nbsp;<br> Studies have shown that women are more likely than men to seek care for pain, and that culturally it is more accepted for women to have pain complaints. Men are more likely to have a severe and disabling headache condition before seeking care from a physician. Studies show that when experiencing pain, the activity in women s brains is very strong in the emotional areas of the brain, and men s brains show more activity in the area that is responsible for personality expression, decision making and moderating correct social behavior.<br> <br> A large portion of migraines are caused by brain excitability, and a brain reaction called cortical spreading depression (CSD). CSD is a dramatic wave of activity that spreads across the surface of the brain causing inflammation and pain. During this wave, blood flow increases and then decreases, and changes in the brain occur. These changes in the brain and in blood vessels are what cause not only migraine pain, but the other physical aspects of migraine including nausea, sensitivity to light and noise, and dizziness. In a lab study, it was found that females have a significantly lower threshold to CSD when compared to males in the study, meaning that if CSD brain excitability occurs, women are more likely to suffer the effects than men.<br> &nbsp;<br> Menstruation is a notorious migraine trigger. Research shows that the primary trigger for migraine during menstruation may be the withdrawal of estrogen.  Just before your period, estrogen levels drop and this affects the brain s neurotransmitters and the sensitivity of the receptors that pick up their messages, says Dr. Judith <span class=SpellE>Reichman</span>, MD of Obstetrics and Gynecology at Cedars-Sinai Medical Center in Los Angeles, CA.  Blood vessels dilate, nerves are sensitized and muscles go into spasm, thus causing the headache.<br> 1.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <span class=SpellE>Gobel</span>, H.&nbsp;  Effect of peppermint and eucalyptus oil preparations on <span class=SpellE>neurophysiological</span> and experimental <span class=SpellE>algesimetric</span> headache parameters .&nbsp;&nbsp; <span class=SpellE>Cephalalgia</span> 1994; 14: 228-34. <o:p></o:p></span></p> <p class=MsoNormal align=center style='text-align:center; line-height:150%'><span style='font-size:9.0pt;line-height:150%; font-family:"Lucida Sans","sans-serif";mso-fareast-font-family: "Times New Roman";color:#505050'>&nbsp;<br> <strong><span style='font-family:"Lucida Sans","sans-serif"'>About Dr. Halpern and Manhattan Headache and Neurology</span></strong><o:p></o:p></span></p> <p class=MsoNormal style='line-height:150%'><span style='font-size: 9.0pt;line-height:150%;font-family:"Lucida Sans","sans-serif"; mso-fareast-font-family:"Times New Roman";color:#505050'>After graduating from the University of Pittsburgh School of Medicine with her MD, Dr. Audrey Halpern completed an internship in internal medicine at Yale University, along with her neurology residency training at Yale. &nbsp;Following her stay at Yale, she completed fellowship training in headache medicine at the Jefferson Headache Center at the Thomas Jefferson University Hospital in Philadelphia.&nbsp; Dr. Halpern is board-certified in headache medicine by the United Council for Neurologic Subspecialties, and board certified in neurology by the American Board of Psychiatry and Neurology.&nbsp; Dr. Halpern, who is also a Clinical Assistant Professor of Neurology at New York University School of Medicine, diagnoses and treats a variety of neurological disorders, including headache, concussion, back pain, neck pain, pinched nerves, neuropathy, seizures, stroke, multiple sclerosis, Parkinson s disease, and other conditions.&nbsp; Dr. Halpern is a member of the American Headache Society, the American Academy of Neurology, and the International Headache Society.<br> &nbsp;<br> With a belief in a combination of treatments for migraines such as behavior modification, conventional medication and holistic approaches, Dr. Halpern offers unique, advanced methods to treating and preventing migraines.&nbsp; She has co-authored a book chapter on migraine and epilepsy, has written numerous articles on the subject of migraine, frequently lectures on headache and other neurology topics, and is an expert in the field of concussion and sports related head injury.&nbsp; <em><span style='font-family: "Lucida Sans","sans-serif"'>Dr. Halpern has appeared on The Dr. Oz Show, Good Housekeeping TV, Good Day NY, Fox 5 NY and has been featured in Real Simple, Family Circle, Woman s Day, Town &amp; Country, Health magazine, My Family Doctor, Big Apple Parent and the NFL radio network.&nbsp; Dr. Halpern is a health contributor to PositivelyParenting.com.</span></em><br> &nbsp;<br> The Manhattan Center for Headache and Neurology is located at 15 East 40th Street, Suite 201, New York, NY 10016.&nbsp; Dr. Halpern can be reached at 646-648-3793, or through her website, <a href="http://www.audreyhalpernmd.com/" target="_blank"><span style='color:#336699'>www.audreyhalpernmd.com</span></a>. <o:p></o:p></span></p> <p class=MsoNormal style='line-height:150%'><span style='font-size: 9.0pt;line-height:150%;font-family:"Arial","sans-serif";mso-fareast-font-family: "Times New Roman";color:#505050'>&nbsp;<br> <em><span style='font-family:"Arial","sans-serif"'>For a complete list of common migraine triggers, visit:&nbsp;<a href="http://www.audreyhalpernmd.com/"><span style='color:#336699'>www.audreyhalpernmd.com</span></a>.&nbsp;</span></em>&nbsp;</span><span style='font-size:9.0pt;line-height:150%;font-family:"Lucida Sans","sans-serif"; 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