When Words Won’t Come Out: Understanding Triggers Behind Complex Migraine

Added: 2026-05-19

[00:00:00]Common ones, of course, they do show up across many stress. This one of them.

[00:00:05]The emotional load is a big one. This [music] can give sustained cortisol, which can increase that brain excitability, making those nerve cells more likely to fire [music] in that spreading pattern. Also, any hormonal fluctuations, [music] especially around menstrual cycles or even perimenopause.

[00:00:28]If you are a woman who's in perimenopause, you will probably notice more of this. Also, [music] sleep change. You have dietary things such as food tyramine, cured meats, alcohol or caffeine withdrawal. [music] Even MSG can influence blood vessels and nerve signaling. Think about when you went to one of those Chinese buffets that perhaps use MSG in the foods and then you're like, how did you feel after that? And the environmental triggers such as bright lights or flickering screens [music] that overstimulate that visual cortex.