Step 1: Schedule 30-minute Consultation with Dr. Harcourt to go over hormonal and nutritional history.
Step 2: We ship hormonal lab testing and any needed nutritional supplements to you.
Step 3: You complete DUTCH Laboratory Testing in your home and mail to lab via prepaid shipping label. Begin any nutritional edits recommended by Dr. Harcourt.
Step 4: Dr. Harcourt receives results of lab testing and calls you with interpretation and hormonal protocols. We ship you any needed hormonal supplements.
Step 5: Begin hormonal supplements as recommended by Dr. Harcourt.
1. The Hormonal Factor
The hormonal correlation with migraine has been pretty well known for awhile, but what to do about hormones in migraine is still an ongoing area of debate. Many of our patients had been prescribed birth control or hormone replacement therapies (HRT) by other doctors, which can be helpful in some cases. Unfortunately, there is also research about the long-term effects of some of these treatments which indicate they may lead to other health complications down the line. Many female patients report that they have a flare up in symptoms around the beginning of their cycle, which is why estrogen is often prescribed. I find that estrogen being low or needing to be supplemented is usually part of a bigger problem. Many migraine patients seem to have an increased response to stress and the estrogen changes are more as a consequence of sex hormonal resources being shunted over to stress hormones. This is why we prefer to take a ‘top down’ approach when looking at hormones and also run a comprehensive hormonal panel to see what might be causing the issues. While hormones don’t cause migraine, they play a big role and will make someone much more likely to have a migraine if they are dysfunctional.
A healthy diet and removal of common ‘triggers’ is essential for proper migraine treatment. However, many of my patients have tried just about every diet for migraine and will report that they didn’t help out. This is much more common than you would expect. This is why it’s important to understand that nutritional changes won’t cause or cure migraine, but they are a piece of the puzzle. Some patients have an extreme response to certain foods, histamine responses and/or cross-reactivities, so making these seemingly simple changes may drastically improve their migraine days and intensity. However, if dietary triggers aren’t a big contributor to another patient, they can try every diet and supplement under the sun without seeing much of a change. This is why we focus on not only looking at the current research on migraine and diet, but also blood sugar and other common factors that make people more likely to avoid migraine. The nutritional edits are never meant as a cure-all, but as a baseline so we don’t miss something simple that is slowing down or impeding progress. So if you’re one of those people that has tried every diet, just remember it’s only one piece of the puzzle and there is much more to migraine that needs to addressed.
Dr. Harcourt's Bucket Theory
Picture the part of your brain that allows migraine to occur as a bucket. All migraine patients have different size buckets - some very small and some larger. The smaller the bucket, the faster it will fill up with stress and triggers and overflow into a migraine. One of the goals of our migraine program is to make your bucket as big as possible, while decreasing the amount that each factor fills up your bucket. This will allow you to be able to handle a lot more stressors without your bucket overflowing and causing a migraine. If you suspect that the hormonal and/or nutritional factors may be your most weighted, the remote program would be an excellent option for you.
Affordability of the Program
Did you know that for those who have tried more than two preventative migraine medications, the mean all cost is $18,394 per year??? The vast majority of the patients we work with have tried AT LEAST two medications, so this means that you probably fall into this category as well.
All add up to an average spend of over $18,000 per year per patient!
For example, the new CGRP-blocking medications like Aimovig or Emgality cost $6000-9000 per year, and only give a 50% reduction of migraine days for less than half of patients. People all over the world are shooting in the dark, spending money on anything they can find that might help.
With my program, you'll be:
$2500 for Entire Remote Program*
Total Length of Program is approximately 3-4 months, depending on the results of hormonal testing and amount of treatment needed.
Most PPO insurance plans will reimburse you for the laboratory fees and consultation codes we will be using during your program. We will provide you with a ledger/superbill to submit to your insurance. Actual reimbursement depends on your plan coverage. We are happy to help with this as much as we can, but any coverage question will need to be directed to your insurance company.
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