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The Ideal Neurology Clinic Blog

Are you tired of battling weight gain and hormonal imbalances during perimenopause? The struggle is real, but fear not! I just discovered a groundbreaking solution – The Galveston Diet. This revolutionary approach is specifically tailored for women like you, aiming to address the challenges of weight gain/redistribution and hormonal fluctuations that often accompany the transition to menopause.


The Galveston Diet Demystified


What Sets It Apart?


The Galveston Diet stands out because it was developed by a perimenopausal woman herself - and a physician gynecologist, at that. Unlike generic diets, the Galveston Diet is designed specifically with the challenges of perimenopause in mind. It recognizes the unique hormone fluctuations and metabolic changes that women experience during this stage of life and combines various strategies to combat the most notorious perimenopausal symptoms.



Key Principles


  • Intermittent Fasting : Carefully planned periods of fasting are integrated into your daily routine. By doing so, your body enters a state of fat burning, promoting weight loss and metabolic balance.

  • Bye-bye, Inflammatory Foods : This diet emphasizes the elimination of inflammatory foods, which can aggravate hormonal imbalances and contribute to weight gain. Say farewell to processed foods and embrace whole, nutrient-dense alternatives.

  • Hello, Anti-Inflammatory Foods : On the flip side, the Galveston Diet champions the consumption of anti-inflammatory foods. These power-packed ingredients help reduce inflammation in the body, alleviating symptoms and supporting overall health and well-being.

  • Bid Adieu to Sugar and Certain Carbs : Sugar and certain carbohydrates can wreak havoc on your hormones and waistline. The diet encourages breaking free from the addictive grip of these culprits, offering healthier alternatives that won't sabotage your progress.


Want to learn more?

Here's a link to the book and the website/online program.

I do not get any commission from sharing this - I just learned about it and wanted to share!

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Depending on the frequency and severity of migraines, there are a variety of treatment options.


First of all, we like to separate out PREVENTIVE (prophylactic) medications, which take a longer time to work, but typically work to prevent migraines; from RESCUE (abortive) medications, which work rapidly to stop a headache in its tracks. If you have infrequent or episodic migraines, less than twice a week, you may only need an effective rescue medication, which ranges from over-the-counter options such as naproxen, acetaminophen, or ibuprofen, to prescription medications such as a triptan or one of the newer CGRP antagonists - Ubrelvy or Nurtec. Dr. Chalfin has samples of Ubrelvy and Nurtec in her office to share for you to try.


But if you're having at least 1-2 headaches per week, if they last a long time or are very debilitating, or if they don't respond to rescue treatments, I would strongly consider a PREVENTIVE treatment option.


I like to think about preventive treatments for migraine as fitting into one of 3 tiers: the minimally-invasive LIFESTYLE CHANGES tier, the "natural" SUPPLEMENT tier, and the PHARMACEUTICAL tier. Of course, you can pick and choose treatments from more than one tier.


The simplest, though sometimes the hardest, treatment option is to make some lifestyle changes: avoid your triggers, cut out any pain meds to no more than 1-2 times per week, wean off all caffeine for at least 2 months, drink at least 64oz/day of water, eat a diet rich in fruits and vegetables, get at least 150 minutes of moderate-intensity exercise per week, prioritize sleep hygiene and getting at least 7-8 hours of rest per night, and implement relaxation and stress relief strategies. I know, easier said than done. Though these interventions won't cure every migraine sufferer, they are likely to at least help, and they are unlikely to hurt.


In the next tier, we have the supplements. These are less effective and not regulated. Popular options include magnesium oxide 400mg daily, riboflavin (vitamin B2) 400mg daily, and coenzyme Q10 400mg daily. You can also purchase a prepackaged supplement made just for migraine, such as PreventaMigraine, which has been helpful to some people.

Finally, in the pharmaceutical tier, you have the most studied and the most regulated - the prescription medications. We have the classic meds we've used for decades, mainly borrowed from other disease conditions - antihypertensive meds such as propranolol or metoprolol, antidepressants such as amitriptyline or venlafaxine, and anticonvulsants such as topiramate and valproic acid. And then we have the newer medications that were targeted specifically against CGRP, the protein involved in migraines; these include the oral agents Qulipta and Nurtec or the one-monthly injectables Ajovy, Aimovig, or Emgality.


Whatever you do, you have options. Dr. Chalfin can help you tease through these and pick the one(s) that's right for you.

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Dr. Chalfin is looking to grow! Know anyone with extra office space? We are searching for new office space in the West Boca/South Palm Beach County/North Broward area, part time, 2-3 days per week! Send us a message or give us a call if you know of any place!

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