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Title: Acute Migraine Treatments: Highlighting Qulipta, Nurtec, Ubrelvy, Rizatriptan, and Sumatriptan

Evangeline Lindorf

Triptans Versus Gepants - Rescue Medications for Migraine Headaches

When a migraine hits, finding quick relief is crucial. This week, we're focusing on treatments you can take as soon as you feel a migraine coming on, and we will also briefly discuss Qulipta, which is a newer preventive migraine medication. We’ll highlight Qulipta, Nurtec, Ubrelvy, and also cover the well-known triptans, rizatriptan and sumatriptan. These medications are designed to help you feel better fast. Let's see how they work and what you should know about them.

Qulipta:
Qulipta is a new medication you take by mouth. It works by blocking a specific molecule that causes migraines. This can help make your migraine less severe and shorter. It helps reduce the frequency and duration of migraines someone has. It is taken daily. Some common side effects are feeling nauseous or tired.  To prevent nausea I recommend taking it with food.  I have samples available at my office for the right patient to try.

Nurtec:
Nurtec is another medication that you can take when you have a migraine. It dissolves on your tongue, which means it starts working quickly. It also blocks that pesky molecule responsible for migraines. Side effects might include nausea and a dry mouth.  It has a minty aftertaste.  Nurtec also has a long half life, meaning some people have more relief from the postdrome of the migraine the 2nd day after they take it than the first day.  It is the only rescue medication to come out on the market that worked so well that later the FDA approved it as a preventive migraine medication.  For migraine prevention people dissolve one tablet on their tongue every other day.  Samples are available in my office.

Ubrelvy:
Ubrelvy is similar to Nurtec. You take it by mouth, and it works by blocking the same molecule to reduce your migraine pain and other symptoms. Some people might feel nauseous or sleepy after taking it, but it is generally well tolerated.  You can take a second dose two hours after the first dose is taken if you still have the migraine. Samples available in my office.

Rizatriptan and Sumatriptan:
Rizatriptan and sumatriptan belong to a class of medications known as triptans, which are specifically designed to treat migraines. They work by narrowing blood vessels in the brain and reducing inflammation, which helps relieve migraine symptoms.  Triptans are not safe for use in people who have had strokes, heart attacks, high blood pressure, or a history of hemiplegic migraines. 

Rizatriptan: Taken as a tablet or dissolvable wafer, rizatriptan can start working within 30 minutes. Common side effects include dizziness, drowsiness, and dry mouth.

Sumatriptan: Available as a tablet, nasal spray, or injection, sumatriptan provides flexible options depending on your preference and the severity of your migraine. Side effects can include flushing, feelings of warmth or tingling, and dizziness.

Managing Side Effects
While these medications can help a lot, they might also cause some side effects. I typically like to prescribe an anti-nausea medication to use if needed, and will also design migraine cocktails when appropriate. Here are a few tips to handle the common side effects:

Stay Hydrated: Drinking plenty of water can help if you're feeling nauseous or have a dry mouth.
Rest: Make sure to get enough rest, especially if the medication makes you feel tired.
Track Your Symptoms: Keep a journal of any side effects and talk to me about them so I can adjust your treatment if needed.

Knowing your options for quick migraine relief and how to manage any side effects can help you take control of your migraines. Always talk to your healthcare provider before starting any new medication.

Stay tuned for more tips and information on managing migraines effectively!
By eklindorf March 28, 2025
Is Mold Making Me Sick? Common Symptoms & What to Watch For Mold exposure is more than just an allergy trigger—it can be a root cause of chronic illness that is often overlooked. If you’ve been experiencing persistent symptoms without a clear diagnosis, mold might be the missing piece of the puzzle. Let’s explore the most common signs of mold illness and how to determine if your environment is making you sick. Common Symptoms of Mold Illness Mold illness, also known as Chronic Inflammatory Response Syndrome (CIRS), can affect multiple systems in the body. Here are some of the most frequently reported symptoms: 1. Respiratory Issues– Chronic sinus congestion, shortness of breath, wheezing, or a persistent cough can indicate mold exposure. 2. Brain Fog & Cognitive Issues – Difficulty concentrating, memory problems, and confusion are common in mold toxicity. 3. Fatigue & Weakness – If you feel exhausted despite adequate rest, mold-related inflammation may be depleting your energy. 4. Skin Reactions – Unexplained rashes, itching, or increased sensitivity to chemicals could be linked to mold exposure. 5. Digestive Problems – Nausea, bloating, diarrhea, or irritable bowel syndrome (IBS) symptoms can be triggered by mold. 6. Muscle & Joint Pain – Widespread body aches, stiffness, and inflammation may indicate mold-induced toxicity. 7. Mood Changes – Anxiety, depression, or increased irritability can result from mold-related neuroinflammation. 8. Increased Sensitivity to Light, Sound, and Smells – Mold can affect the nervous system, making you more sensitive to stimuli. How to Determine If Mold is Making You Sick - Evaluate Your Environment – Have you noticed symptoms worsen at home, work, or school? Musty odors, water damage, or visible mold growth are red flags. - Track Your Symptoms – If symptoms improve when you leave a certain space for an extended period, mold may be a contributing factor. - Consider Testing – Mold illness isn’t always obvious on standard medical tests. Specialized urine mycotoxin tests and inflammatory marker panels can help confirm exposure. Next Steps: What You Can Do If you suspect mold is impacting your health, here’s what you can do: - Schedule a consultation for mold illness testing and a personalized treatment plan. - Take steps to assess and remediate mold in your environment. - Begin supporting your body’s detox pathways with proper nutrition, binders, and lifestyle changes. Ready to Get Answers? At Your Inspired Vitality, we specialize in identifying and treating mold-related illnesses. If you suspect mold exposure is affecting your health, contact us today to schedule a consultation and start your healing journey.
By eklindorf August 20, 2024
Natural Treatments for Hashimoto’s Thyroiditis: A Holistic Approach Hashimoto's thyroiditis, also known as autoimmune thyroiditis, is a condition where the immune system mistakenly attacks the thyroid gland, leading to chronic inflammation and, over time, impaired thyroid function. Practicing as a holistic, integrative nurse practitioner in Provo, Utah, I often encounter patients seeking natural treatments for Hashimoto’s to complement conventional care. Individualized treatment is crucial. Several natural protocols have shown promise in managing this condition. Below, I outline some of the most effective holistic approaches, including iodine protocols, castor oil packs, essential nutrients and supplements, treating underlying infections, and the importance of a gluten-free diet. 1. Iodine Protocols Iodine is essential for thyroid function, as it plays a critical role in the synthesis of thyroid hormones. While iodine deficiency contributes to thyroid dysfunction, excessive iodine intake may, in very rare cases, exacerbate autoimmune activity in the thyroid. Therefore, it’s important to approach iodine supplementation cautiously. For patients with Hashimoto’s, I offer and recommend an iodine loading test to determine baseline levels before starting supplementation. If deficiency is confirmed, low-dose iodine supplementation can be considered, typically in combination with selenium. Selenium is crucial because it helps mitigate the inflammatory detoxing effects from iodine supplementation. We carefully titrate based on the patient’s response and lab results. 2. Castor Oil Packs Castor oil packs are a time-honored remedy in holistic medicine, valued for their anti-inflammatory and detoxifying properties. When applied over the thyroid gland, castor oil packs can help reduce inflammation and support lymphatic drainage, which can be very beneficial for patients with Hashimoto’s. The castor oil packs and castor oil I have found to be of the highest quality are available at the following link: https://www.shopqueenofthethrones.com/ Many patients report reduced neck pain and swelling, as well as an overall sense of well-being with regular use. 3. Essential Vitamins and Nutrients Several vitamins and minerals play a pivotal role in supporting thyroid health and modulating the immune system. Key nutrients to consider include: Vitamin D : Low levels of vitamin D have been linked to an increased risk of autoimmune diseases, including Hashimoto’s. Supplementation with vitamin D3 can help modulate immune function and reduce autoimmune activity. A typical dose ranges from 2,000 to 5,000 IU daily, depending on the patient’s blood levels. The best way to get Vitamin D is through your skin from the sun. In Utah, we are so far north of the equator that many people are deficient year round, and may need sun exposure + supplementation. I test all of my patients' Vitamin D levels routinely. B Vitamins : B vitamins, particularly B12, are essential for energy production and neurological function. Many patients with Hashimoto’s are found to be deficient in B12, which can contribute to fatigue and cognitive symptoms. Supplementation with a high-quality B-complex can support overall thyroid function and energy levels. I also test for the MTHFR gene to see if you need methylated B vitamins. Magnesium : Magnesium is involved in hundreds of biochemical reactions in the body, including those related to thyroid hormone production and utilization. It also supports adrenal health, which is often compromised in patients with chronic autoimmune conditions. Magnesium glycinate or citrate are well-absorbed forms that can be taken daily. Zinc and Selenium : Both of these minerals are crucial for thyroid hormone synthesis and immune regulation. Selenium, as mentioned earlier, is particularly important when supplementing with iodine, while zinc supports immune function and may help reduce thyroid antibody levels. 4. Treating Underlying Infections Chronic infections, such as Epstein-Barr virus (EBV), Lyme disease, and intestinal dysbiosis, have been implicated in the onset and exacerbation of autoimmune thyroiditis. Identifying and addressing these underlying infections is a critical component of a holistic treatment plan. For example, if EBV is suspected, antiviral herbs in combination with generalized immune system support may be beneficial. In cases of intestinal dysbiosis, a comprehensive gut-healing protocol, including probiotics, prebiotics, and digestive enzymes, can help restore balance to the microbiome and reduce systemic inflammation. Functional medicine testing can be useful in identifying these hidden infections, allowing for targeted treatment that addresses the root cause of the autoimmune response. 5. Gluten-Free Diet A gluten-free diet is often recommended for patients with Hashimoto’s thyroiditis, as gluten has been shown to trigger autoimmune responses in susceptible individuals. This is particularly true for those with celiac disease or non-celiac gluten sensitivity, both of which are more prevalent in people with Hashimoto’s. Eliminating gluten from the diet can reduce inflammation, improve gut health, and lower thyroid antibody levels. Many patients report significant improvements in symptoms such as fatigue, brain fog, and digestive issues after adopting a gluten-free diet. In addition to avoiding gluten, it’s beneficial to focus on a nutrient-dense diet rich in anti-inflammatory foods, such as leafy greens, fatty fish, nuts, seeds, and berries. Reducing the intake of processed foods, refined sugars, soy, caffeine, and dairy can also support thyroid health and overall well-being. Conclusion Managing Hashimoto’s thyroiditis requires a comprehensive and individualized approach. By integrating the use of castor oil packs, essential vitamins, minerals, and supplements, going on a gluten free diet, and treating underlying infections, patients can significantly improve their thyroid function and overall quality of life. My goal is to empower my patients with the tools and knowledge they need to take control of their health, addressing not just the symptoms but the root causes of their condition.
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