u/CerebralTorque

For those that don't know, the new 2026 AAN/American Headache Society prevention guideline dropped 2 days ago. This means there is potential to make migraine information outdated.

However, here's the thing: because I stay privy to the primary literature, the book was already built on the exact same studies the guideline panel used to reach their conclusions. So when the guideline came out, it didn't overturn anything in the book. It agreed with it. The recommendations were evidence-based from day one, and the guideline just confirmed them. Feels kind of good that an entire panel agreed with my analysis.

With that said, out of the entire guideline, the only things refined:

Candesartan no longer has enough evidence for a firm recommendation and
Nifedipine is now named as a first-choice option for prevention during pregnancy.

I also added the guidelines to references in several spots even though I had the same conclusions written prior.

That's it. Everything else already lined up exactly.

So, if you already own the book, there is no reason to grab the updated copy. Almost all recommendations I already concluded based on the evidence available.

And if you have the Kindle version, it will update automatically.

If you don't have the book, you're genuinely missing out. It's over 820 pages of the best evidence-based migraine information available. This doesn't exist anywhere else and no book comes close. Great gift for your loved one with migraine too.

So, I put that all here.

It has the regular daily logs with start and stop times so duration is recorded instead of guessed, monthly calendars that separate migraine days from other headache days, a summary page you hand your neurologist with room for your ICHD-3 and ICD-10 codes, a failed treatment log with dose and duration and why you stopped (that's what CGRP approvals rely on), a Botox section with the four-hour day count most people have never heard of, MIDAS and HIT-6, and FMLA, ADA and 504 pages already written out so you're filling in blanks.

https://www.cerebraltorque.com/products/the-migraine-record

If you are a student and want a PDF version for free (the reality check here is that you will print over a hundred pages for your physician which will cost more than the book price via Amazon), just email me and I'll send it (give me 7 days before sending out another email). Send from your school e-mail address only. Include your full name in the e-mail as it will be watermarked. cerebraltorque at gmail dot com.

I suggest the 6 month. For example, insurers usually want three to six months of records before approving a preventive, and Botox renewal lands after two 12 week cycles, which is 24 weeks. The 90 day ends right before the appointment that matters.

You are free to retroactively fill it out and show your neurologist/headache specialist.

This is catered to US laws and codes ONLY. I don't know enough about how other places work.

Does everyone know how to navigate to see the latest studies in migraine as it's no longer being posted here (at least for now)?

Hair Loss and CGRP Migraine Drugs: What the Evidence Shows

I made a COMPLETELY FREE (I mean, obviously ;) )one-page migraine summary you can bring to your doctor/headache specialist. It pulls in your MIDAS and HIT-6 scores, and nothing you type or say ever leaves your phone or computer. Stays entirely local.

Sleep Duration and Migraine: What a 6,267-Person Study Found

Cannabis for Migraine: What Randomized Trials Show

LOOKING FOR MODS: If anyone is willing to help the current mods post studies with my summaries, reply here

On PRT's most recent Instagram post on migraine

I have been asked by multiple people if I am associated with this app. I am not. They may be using my likeness to promote their app. Stay safe.

I updated Unraveling Migraine 2nd edition due to the new guidelines, but you DON'T need to repurchase it!

To navigate to the latest studies, either click the "Today in Migraine Science" button on the homepage or click here in the menu under "Hub." A search function has also been added which will be useful as studies begin to accumulate. I will try to port over the last 4 years of my Reddit posts as well

Studies today

For those who make free migraine education possible....

Looking for a mod (or two). Reply below. I'll message you in around 2 weeks when I have some time as I'm currently inundated with work. Only requirement is at least one comment in this subreddit within the past year. This will also require posting studies so a medical or research background is great

Anti-PACAP antibody Bocunebart met primary endpoint in phase 2b migraine prevention trial

This new case series found that after three months of low-dose sodium valproate, 91% of 84 patients with recurrent vertigo or vestibular migraine had monthly vertigo days cut at least in half, though relapse was common after stopping.

This new meta-analysis study found that nearly half of people with migraine (about 48%) are sensitive to smells, and those who are face higher odds of also having light sensitivity, aura, and nausea, with perfume the most common odor trigger.

This new meta-analysis study found that neck strengthening and stabilization exercises produced a moderate improvement in migraine-related disability, but did not significantly reduce how often or how severe the attacks were.

In my book, I wrote about accommodations. What you're entitled to, how to ask, FMLA and ADA and 504. However, what was missing was actually having a way to write it all down that streamlines accommodations, leave, medication pre-authorization, and what you neuro/headache specialist needs to see.

This new cross-sectional study of 500 patients found that, compared to episodic migraine, people with chronic migraine had more frequent and severe attacks and higher rates of conditions like anemia, asthma, sleep apnea, and low mood.

This new review found that non-drug options like acupuncture, aerobic exercise, manual therapy, yoga, and psychological therapy can modestly reduce migraine days and pain intensity, though the overall evidence is still limited and inconsistent.