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Micronutrient Deficiencies in Migraine: What to Know

  • 8 min read

Migraine is a condition that affects millions, and research shows it might be linked to not getting enough micronutrients. 

It's crucial to understand how nutrition affects brain health, energy metabolism and in turn migraine for better management.

We'll look into how not getting enough nutrients might contribute to migraine and how changing our diet might help.

Now, we know micronutrients are key to our health, and they can affect migraine too.

By learning more about vitamins, antioxidants and minerals, we can find new ways address the issue.

Key Micronutrients Involved in Migraine Management

Understanding how micronutrients help manage migraine is key to better health. 

Essential vitamins, antioxidants and minerals like riboflavin, magnesium, Coenzyme Q10, and other B vitamins can play a big role.

They help with metabolic processes, which are essential for our energy demanding brain to work well.

Riboflavin, also known as vitamin B2, helps brain cells make energy. If you don't have enough of this vitamin, your mitochondria might not work properly.

This can lead to an energy deficiency, which might make you more vulnerable to migraine. Magnesium is important for the function of over 300 different enzymes involved in metabolism and neuronal function .

Not having enough magnesium can make you more likely to experience several different issues linked to brain health or metabolism and low levels have been found in migraine as well.

Coenzyme Q10 boosts cell energy and fights oxidative stress, which has been linked to migraine.

Other B vitamins, like B6, B12, and folic acid, are involved in making neurotransmitters. These are key for brain function and keeping your mood stable.

These nutrients are crucial for keeping your brain healthy. Eating foods rich in these vitamins, antioxidants and minerals or their supplementation can help manage migraine.

Below we will expand a bit more on these nutrients and how they affect brain function.

Micronutrient

Role in Migraine Management

Sources

Riboflavin (Vitamin B2)

Energy production in brain cells and antioxidant defense

Dairy products, eggs, leafy greens, nuts

Magnesium

Neurotransmission, metabolism, protective effect on the nervous system

Seeds, nuts, dark chocolate, leafy greens

Coenzyme Q10

Supports cellular energy production, antioxidant properties

Meat, fish

B Vitamins (B6, B12, Folic Acid)

Neurotransmitter synthesis, mood stabilization

Meat, eggs, dairy, beans, leafy greens

Riboflavin (Vitamin B2) Deficiency and Migraine

Riboflavin, also known as Vitamin B2, is crucial for our health. 

It helps with energy production and lowers oxidative stress.

Not having enough of it can make the brain vulnerable, making it a key nutrient for managing migraine.

The Role of Riboflavin in Metabolism

Riboflavin is vital for turning carbs, fats, and proteins into energy. This is key for keeping cells working right, especially brain cells, which are very energy demanding.

Migraine sufferers have been shown to have particularly energy demanding brains and are hence dependent on a constant energy supply. They are even more likely to run into an energy crisis. 

High-Dose Riboflavin

Taking high doses of riboflavin, 400 mg a day has been shown to be safe in randomized controlled migraine trials.

Taking 400 mg a day can prevent migraine, making it a good choice for those who suffer.

Impact of Other B Vitamin Deficiencies on Migraine

Many B vitamins are key for good health and can affect migraine.

Not having enough folic acid, Vitamin B6, and Vitamin B12 is linked to more migraine.

Getting enough of these vitamins can help manage migraine symptoms.

Folic Acid, Vitamin B6, and Vitamin B12

Folic acid, Vitamin B6, and Vitamin B12 are important for making neurotransmitters.

Some studies have shown a potential role of these B vitamins in migraine and hence checking their levels could be helpful.

Niacin 

Niacin, also known as Vitamin B3, is involved in blood flow and nerve health.

It is another vital nutrient for brain health. 

B Vitamin

Function

Folic Acid

Supports neurotransmitter synthesis

Vitamin B6

Important for amino acid metabolism

Vitamin B12

Crucial for nerve health

Niacin

Improves blood flow and circulation

Coenzyme Q10 and Migraine 

Coenzyme Q10 is key for making energy in cells and fighting off free radicals. 

Increased levels of oxidative stress have been associated with migraine and it seems to be the common denominator among most migraine trigger factors.

Whether it is alcohol, exercise, certain foods, hypoxia, hypoglycemia, stress, not sleeping enough, all of these can be connected to oxidative stress and or energy deficiency.

For people with migraine it seems essential to have proper antioxidant defenses to properly ward of these free radicals known as oxidative stress.

Coenzyme Q10 is a very potent antioxidant that has been examined in several migraine randomized controlled trials and is another key nutrient to manage migraine.

Benefits of CoQ10 Supplementation

CoQ10 does more than just keep you healthy. It has been shown that it can really help with migraine management.

Studies have found that Coenzyme Q10 can:

  • Reduce oxidative stress
  • Improve the health of the powerhouses of our cells, known as mitochondria
  • Increase energy levels

Recommended Dosages for CoQ10

Finding the right amount of Coenzyme Q10 to take is important. Migraine studies have used between 150 mg and 400 mg every day. 

This amount helps to make sure you get enough Coenzyme Q10 to support your health and migraine management.

Magnesium Deficiency and Its Connection to Migraine

Magnesium deficiency is very common and a big problem. It is involved in hundreds of enzyme functions and key for nerve and muscle function.

It also seems to play a role in migraine, some studies show that people with migraine can have less magnesium in their blood than others.

Understanding the Role of Magnesium in the Body

Magnesium is vital for over 300 body reactions. It helps with muscle and nerve work, blood sugar, and blood pressure.

It also aids in making protein and building bones.

Not getting enough magnesium can play a role in migraine. It affects how neurotransmitters work and how the body handles stress.

This can make nerves more vulnerable to migraine.

How Magnesium Supplementation Can Help

Adding magnesium to your diet can help keep our brain more healthy. 

Studies on both pills and IV magnesium have been done on migraine and shown that it can help with migraine management.

Eating foods high in magnesium and taking supplements can be beneficial.

Type of Supplementation

Benefits

Recommended Sources

Intravenous Magnesium

Rapid increase of magnesium in the blood without gastrointestinal issues

Not typically sourced from diet; administered in medical settings

Oral Magnesium

Cheaper long-term solution, but can lead to initial GI distress in some 

High quality supplements or medial foods

Dietary Magnesium

Bioavailable magnesium essential for  maintenance of overall health

Green leafy vegetables, nuts, seeds, dark chocolate or

Bonus Tip: Melatonin and Its Role in Migraine Management

Melatonin is known as the sleep hormone. It's made in the pineal gland and helps control our sleep and wake cycles, but it is involved in so many different other areas, such as keeping our mitochondria (powerhouses of the cells) healthy and fighting oxidative stress. Sounds migraine relevant? Absolutely!

Several randomized controlled trials on migraine and melatonin (3-5mg) have shown its use in migraine management and that with almost no side effects. 

Advantage of Melatonin

Using melatonin as a supplement might help manage migraine. 

Research shows that taking 3 to 5 mg can be beneficial and this method has been shown as effective as some traditional medicines.

Many people like using melatonin because it's natural. It can support migraine management without the bad side effects of other drugs.

Micronutrient Deficiencies in Migraine

Nutrients are involved in so many of our cellular functions and energy metabolism and any shortages can be detrimental for our brain health and in turn can contribute to migraine.

It is important for those suffering from migraine to know about their levels and the key role of nutrients in both metabolism and brain health. 

Certain nutrients are key to brain health. Eating right and supplementing where necessary can help overall health, brain health in particular.

Exploring General Nutrient Deficiency Effects

Not getting enough important nutrients can make health problems worse, including migraine. 

A diet low in vitamins and minerals can make it harder for the body to handle stress, including pain.Antioxidant nutrients like CoQ10, but also vitamins C and E are crucial. 

They fight oxidative stress, which is linked to migraine. Getting enough of these nutrients can help manage migraine better.

Iron-Related Issues in Migraine Patients

Studies show that too much iron in the brain can contribute to migraine. Free iron is very pro-oxidative, which means it increases the aforementioned free radicals.

The link betweeniron and migraine and in turn oxidative stress and migraine means keeping iron levels in check is vital. 

While some patients profit from iron supplementation, it can be an issue for some for the aforementioned reasons.

People with migraine should ideally eat foods high in iron and watch their reaction to iron supplements to avoid making things worse.

Mechanisms Linking Micronutrient Deficiencies to Migraines

Exploring the link between micronutrient shortages and migraine reveals several key factors. 

Mitochondrial dysfunction (how our energy factories work), oxidative stress, and inflammation play big roles in migraine.

These elements work together, affecting how often and how severe migraine attacks are.

Mitochondrial Dysfunction and Migraine Attacks

Mitochondrial issues can lead to less energy in the brain, which is detrimental for neurons.

Without enough energy, migraine attacks are more likely. A migraine attack might even be trying to protect us from the negative consequences of energy deficiency in the brain, by trying to force us to withdraw, stop moving, stop sensory inputs and lie down still in a dark room, until energy homeostasis has been restored. 

An energy shortage in the brain makes neurons more excitable, as filtering out information is very energy demanding, which in turn can lead to hypersensitivities to light, noise, smell and touch, common symptoms of a migraine.

Oxidative Stress’s Role in Migraine Pathophysiology

Oxidative stress happens when free radicals outnumber antioxidants in the body. This imbalance can harm cells, especially in the brain. 

This harm is linked to migraine and most migraine triggers. Antioxidants help neutralize this stress, which can be beneficial in migraine.

Inflammation in Migraine 

Inflammation has also been shown to play a role in migraine.

High levels of certain inflammatory chemicals can turn on or make certain brain pain pathways more sensitive. 

Without enough nutrients that help keep inflammation in check, the chance of more inflammation goes up.

Fixing these nutrient gaps could help manage migraine-related inflammation.

Dietary Approaches to Prevent Micronutrient Deficiencies

To prevent micronutrient deficiencies, it's key to focus on eatingnutrient-dense foods

A diet full of colorful veggies, fruits, nuts, seeds, and healthy, ideally organic animal sourced proteins is crucial. This diet helps improve nutrient levels overall.

Colorful vegetables and fruits like leafy greens, carrots, berries, and bell peppers are packed with vitamins and minerals. 

These foods are vital for staying healthy. They also help fight oxidative stress with their antioxidants.

Here are some tips for getting enough micronutrients:

  • Focus on whole foods as primary sources of nutrition.
  • Variety in meals promotes a broader range of nutrients.
  • Plan meals around seasonal produce to maximize nutrient intake.
  • Include healthy fats, like avocados and olive oil, which aid in nutrient absorption.
  • Limit processed foods that often lack adequate nutrients.

A well-thought-out diet can prevent nutrient shortages and boost overall health. This might help manage migraine. 

Eatingnutrient-dense foods every day can make your body stronger against deficiencies that might contribute to migraine.

Nutrient

Food Sources

Health Benefits

Vitamin B2

Green leafy vegetables, eggs, nuts

Supports energy metabolism, , fights oxidative stress

Magnesium

Dark chocolate,, leafy greens, nuts, seeds

Helps with energy metabolism and many other body functions

Q10

Fish, meat, 

Boosts energy production, , fights oxidative stress

Melatonin

Cherries, pistachios, tomatoes

Regulates sleep, fights oxidative stress

Conclusion

Understanding and fixing micronutrient shortages is key to managing migraine well. 

This article looked at the important role of nutrients like riboflavin, magnesium, and Coenzyme Q10 in migraine.

It showed how not getting enough nutrients can affect our health.

While several studies on certain nutrients in migraine have already been conducted, more research is needed on other nutrients or their combination, in particular when it comes to migraine. 

This will help us find the best ways to manage migraine and improve life quality.

As we learn more about how nutrients and migraine are linked, doctors and patients should think about changing their diets and taking additional nutrients as needed. 

 

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