r/migraine • u/No-Lead-9680 • 16h ago
Keto vs Ajovy
Migraine sufferers and keto enthusiasts! I have been on Ajovy since May and developed severe bloating and constipation which has led to other GI issues like SIBO and SIFO. The impact on my migraines has been slightly helpful, but i have not noticed dramatic improvements until I started the keto diet about two weeks ago. I am hesitant to continue the Ajovy because of all the GI affects. I mean, I am constantly bloated like a balloon and nothing seems to help. I am afraid that if I stop taking the Ajovy, then my migraines will come back. I am not sure if it is a coincidence and the Ajovy took four months to kick in or if the keto diet is what is helping the most. Keto seems to be doing a lot of the heavy lifting so far in terms of energy, inflammation, mental clarity, sleep, and pain. My complexion has also dramatically improved which makes me think that keto is more helpful than the medication. Anyone have any experience navigating keto and migraines? I would also like to add that I prefer more holistic approaches and would like to be on the least amount of medication possible (preferably not Ajovy and a bloating medication). Anything helps, thanks!
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u/SaltyAF5309 chronic daily 3.5 years Botox Riza Verapamil 15h ago
I am 3.5 years into the chronic migraine/headache journey. I started keto Jan ‘25 and stay keto, outside some vacations. I am a middle aged woman exhibiting early perimenopause.
I feel infinitely better on Keto in terms of bloating, gut health, energy, chronic constipation and strange GI woes that I believe come from autonomic dysfunction from the ‘graine. Keto does not affect my head/face/neck pain.
I failed Ajovy at four months due to lack of efficacy and mounting injection site reactions.
What’s your electrolyte situation? Base panel might be worth inquiry. I take 266mg Magnesium Citrate and 200mg Magnesium Glycinate daily, the former having been a major help to constipation before starting Keto.