Taken together, vitamin Ñ and a vitamin B-complex supplement are believed to work synergistically to achieve a level of muscle relaxation that has helped some women reduce the frequency and intensity of classic migraine attacks.
Several clinical ecologists have reported finding consistently low levels of  vitamins in chronic migraine sufferers, especially women. Although low levels of vitamins B1, B2 and Bs can each contribute to headache risk, the key nutrient appears to be vitamin B3, or niacin.
Niacin comes in two forms, niacin, also called nicotinic acid, and niacinamide. The principal difference is that niacin causes a skin flush about 15 minutes after taking while niacinamide usually does not. Both types are freely available in health food stores in 50-milligram tablets. For headache therapy, niacinamide is usually recommended.
Although no studies have confirmed niacinamide’s effectiveness, the literature contains numerous anecdotal reports in which niacinamide has been used successfully, both for long-term migraine prevention, and to abort a classic migraine attack. According to these reports, vitamin therapy seems to be most effective when used by female migraineurs.
For prevention, you can take 500 mg of vitamin Ñ daily, together with the manufacturer’s recommended dosage of a B-complex supplement that contains all the principal  vitamins, including niacin or niacinamide.
Even better results have been obtained by adding two heaping tablespoons of brewer’s yeast to your breakfast cereal each morning; or by stirring it into a glass of orange juice. If, in addition, you eat plenty of other whole grain foods plus fresh fruits and vegetables each day, you should not need to take supplements of either vitamin Ñ or the  vitamins. Brewer’s yeast is an inexpensive nutrient available in every health food store. It is a rich source of  vitamins, including niacin. Naturally, if yeast is a migraine trigger for you, you will prefer to take supplements rather man brewer’s yeast.
Whether you take brewer’s yeast or a B-complex supplement daily it will be at least 15 days before the average migraineur begins replenishing her depleted store of  vitamins. So take it for several weeks before anticipating results.
In addition to using vitamins  and Ñ prophylactically, some women have claimed that by taking a 50 mg tablet of niacinamide at the first hint of an approaching aura, they
have aborted a classic migraine headache. We have also seen several reports in which women were able to abort classic migraine attacks by taking a regular vitamin B-complex supplement at the first sign of aura symptoms.
Niacinamide appears to work by dilating capillaries in the skin about 15 minutes after taking. This dilation, it has been suggested, could break up a migraine sequence in Stage 2.
Many approved stress formulas include 100 mg of daily niacinamide. At the daily amounts mentioned here, 500 mg for vitamin Ñ and 50 mg for niacinamide, both vitamins are considered entirely safe. However, it is generally considered that no one should take more than 100 mg of niacinamide per day without a doctor’s supervision.
If you have any kind of health problem, or are taking any kind of medication, you should see your doctor before taking vitamins or changing your diet. Naturally, should any adverse side effects appear, such as itchy skin, nausea or red patches in the skin, you should immediately discontinue taking niacinamide or other vitamins.
Since  vitamins work more effectively when the entire complex is present, a single B-complex supplement is preferable to taking separate amounts of each  vitamin.
Obviously, vitamin therapy isn’t going to stop migraine in everyone. But expensive and toxic drugs are not always successful either. Taking vitamins prophylactically, especially in the form of food, is a low-cost natural therapy available to everyone without risk or inconvenience.
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