{"version":"1.0.0","segments":[{"speaker":"Ayla Wolf","startTime":38.66,"endTime":43.099999999999994,"body":"Most of the patients"},{"speaker":"Ayla Wolf","startTime":38.66,"endTime":43.099999999999994,"body":"that I see are people that are"},{"speaker":"Ayla Wolf","startTime":43.099999999999994,"endTime":46.42999999999999,"body":"coming to me because they've had"},{"speaker":"Ayla Wolf","startTime":43.099999999999994,"endTime":46.42999999999999,"body":"these horrible headaches they"},{"speaker":"Ayla Wolf","startTime":46.42999999999999,"endTime":49.4,"body":"can't get rid of after their"},{"speaker":"Ayla Wolf","startTime":46.42999999999999,"endTime":49.4,"body":"concussion. And the headaches"},{"speaker":"Ayla Wolf","startTime":49.4,"endTime":53.15,"body":"are usually a combination of"},{"speaker":"Ayla Wolf","startTime":49.4,"endTime":53.15,"body":"some kind of tension type,"},{"speaker":"Ayla Wolf","startTime":53.15,"endTime":57.349999999999994,"body":"pressure headache, along with"},{"speaker":"Ayla Wolf","startTime":53.15,"endTime":57.349999999999994,"body":"moments or episodes of these"},{"speaker":"Ayla Wolf","startTime":57.349999999999994,"endTime":60.92,"body":"throbbing headaches that are"},{"speaker":"Ayla Wolf","startTime":57.349999999999994,"endTime":60.92,"body":"sometimes unilateral, sometimes"},{"speaker":"Ayla Wolf","startTime":60.92,"endTime":65.81,"body":"bilateral, but they can't answer"},{"speaker":"Ayla Wolf","startTime":60.92,"endTime":65.81,"body":"yes to those four questions that"},{"speaker":"Ayla Wolf","startTime":65.81,"endTime":66.77,"body":"we just talked about."},{"speaker":"Sophia Bouwens","startTime":67.39999999999999,"endTime":70.64,"body":"Welcome to the"},{"speaker":"Sophia Bouwens","startTime":67.39999999999999,"endTime":70.64,"body":"life after impact podcast where"},{"speaker":"Sophia Bouwens","startTime":70.64,"endTime":74.09,"body":"we do a deep dive into all"},{"speaker":"Sophia Bouwens","startTime":70.64,"endTime":74.09,"body":"things concussion and brain"},{"speaker":"Sophia Bouwens","startTime":74.09,"endTime":77.6,"body":"injury related. We talk about"},{"speaker":"Sophia Bouwens","startTime":74.09,"endTime":77.6,"body":"all the different symptoms that"},{"speaker":"Sophia Bouwens","startTime":77.6,"endTime":80.99,"body":"can follow brain injury,"},{"speaker":"Sophia Bouwens","startTime":77.6,"endTime":80.99,"body":"different testing methods,"},{"speaker":"Sophia Bouwens","startTime":81.11,"endTime":84.71,"body":"conventional and functional, and"},{"speaker":"Sophia Bouwens","startTime":81.11,"endTime":84.71,"body":"different types of specialists"},{"speaker":"Sophia Bouwens","startTime":84.71,"endTime":88.66999999999999,"body":"out there, as well as different"},{"speaker":"Sophia Bouwens","startTime":84.71,"endTime":88.66999999999999,"body":"therapies available. I'm Sophia"},{"speaker":"Sophia Bouwens","startTime":88.66999999999999,"endTime":92.47999999999999,"body":"Bowens, and I'm here with Dr"},{"speaker":"Sophia Bouwens","startTime":88.66999999999999,"endTime":92.47999999999999,"body":"Ayla Wolf, and we will be your"},{"speaker":"Sophia Bouwens","startTime":92.47999999999999,"endTime":95.75,"body":"guides to living your best life"},{"speaker":"Sophia Bouwens","startTime":92.47999999999999,"endTime":95.75,"body":"after impact."},{"speaker":"Ayla Wolf","startTime":98.16,"endTime":100.4,"body":"Well, Sophia, episode"},{"speaker":"Ayla Wolf","startTime":98.16,"endTime":100.4,"body":"number three. We've made it this"},{"speaker":"Ayla Wolf","startTime":100.4,"endTime":100.82,"body":"far."},{"speaker":"Sophia Bouwens","startTime":100.94,"endTime":102.74,"body":"Here we go."},{"speaker":"Sophia Bouwens","startTime":100.94,"endTime":102.74,"body":"We're gonna keep going too."},{"speaker":"Sophia Bouwens","startTime":102.74,"endTime":105.32,"body":"We're just getting started."},{"speaker":"Sophia Bouwens","startTime":102.74,"endTime":105.32,"body":"That's right. How are you doing"},{"speaker":"Sophia Bouwens","startTime":105.32,"endTime":109.94,"body":"today? I'm great, good. I'm"},{"speaker":"Sophia Bouwens","startTime":105.32,"endTime":109.94,"body":"excited for our discussion"},{"speaker":"Sophia Bouwens","startTime":109.94,"endTime":113.0,"body":"today. We're gonna dive into"},{"speaker":"Sophia Bouwens","startTime":109.94,"endTime":113.0,"body":"post traumatic headache,"},{"speaker":"Sophia Bouwens","startTime":113.06,"endTime":117.74,"body":"migraines, migraine like,"},{"speaker":"Sophia Bouwens","startTime":113.06,"endTime":117.74,"body":"headaches, medication overuse"},{"speaker":"Sophia Bouwens","startTime":117.97999999999999,"endTime":122.02,"body":"and kind of deciphering those"},{"speaker":"Sophia Bouwens","startTime":117.97999999999999,"endTime":122.02,"body":"things with post traumatic"},{"speaker":"Sophia Bouwens","startTime":122.02,"endTime":123.52,"body":"headache after an injury,"},{"speaker":"Ayla Wolf","startTime":123.94,"endTime":128.8,"body":"let's just dive right"},{"speaker":"Ayla Wolf","startTime":123.94,"endTime":128.8,"body":"in. Great. There was a paper"},{"speaker":"Ayla Wolf","startTime":128.8,"endTime":133.72,"body":"that was published in 2018 that"},{"speaker":"Ayla Wolf","startTime":128.8,"endTime":133.72,"body":"was looking at athletes with"},{"speaker":"Ayla Wolf","startTime":133.72,"endTime":137.26,"body":"concussions, and it had some"},{"speaker":"Ayla Wolf","startTime":133.72,"endTime":137.26,"body":"interesting findings"},{"speaker":"Ayla Wolf","startTime":137.26,"endTime":143.28,"body":"differentiating people that had"},{"speaker":"Ayla Wolf","startTime":137.26,"endTime":143.28,"body":"a post traumatic migraine versus"},{"speaker":"Ayla Wolf","startTime":143.28,"endTime":147.12,"body":"people who didn't. And one of"},{"speaker":"Ayla Wolf","startTime":143.28,"endTime":147.12,"body":"the things they found was that"},{"speaker":"Ayla Wolf","startTime":147.12,"endTime":151.26,"body":"the concussed athletes with post"},{"speaker":"Ayla Wolf","startTime":147.12,"endTime":151.26,"body":"traumatic migraines were seven"},{"speaker":"Ayla Wolf","startTime":151.26,"endTime":155.22,"body":"times more likely to have a"},{"speaker":"Ayla Wolf","startTime":151.26,"endTime":155.22,"body":"longer recovery time than those"},{"speaker":"Ayla Wolf","startTime":155.22,"endTime":158.84,"body":"without headaches at all, and"},{"speaker":"Ayla Wolf","startTime":155.22,"endTime":158.84,"body":"two times more likely to have a"},{"speaker":"Ayla Wolf","startTime":158.84,"endTime":162.44,"body":"longer recovery than other types"},{"speaker":"Ayla Wolf","startTime":158.84,"endTime":162.44,"body":"of post traumatic headaches."},{"speaker":"Sophia Bouwens","startTime":162.35,"endTime":164.57,"body":"So is that"},{"speaker":"Sophia Bouwens","startTime":162.35,"endTime":164.57,"body":"saying that if you had migraines"},{"speaker":"Sophia Bouwens","startTime":164.6,"endTime":167.51,"body":"before an injury, that you're"},{"speaker":"Sophia Bouwens","startTime":164.6,"endTime":167.51,"body":"going to have a more complicated"},{"speaker":"Sophia Bouwens","startTime":167.51,"endTime":169.37,"body":"recovery, or what they're"},{"speaker":"Sophia Bouwens","startTime":167.51,"endTime":169.37,"body":"finding?"},{"speaker":"Ayla Wolf","startTime":170.01,"endTime":173.76,"body":"So the literature"},{"speaker":"Ayla Wolf","startTime":170.01,"endTime":173.76,"body":"says that people that have a"},{"speaker":"Ayla Wolf","startTime":173.76,"endTime":177.54,"body":"history of migraines before"},{"speaker":"Ayla Wolf","startTime":173.76,"endTime":177.54,"body":"their concussion, it's a risk"},{"speaker":"Ayla Wolf","startTime":177.54,"endTime":182.57999999999998,"body":"factor for poor outcomes or a"},{"speaker":"Ayla Wolf","startTime":177.54,"endTime":182.57999999999998,"body":"more prolonged recovery, and so"},{"speaker":"Ayla Wolf","startTime":182.57999999999998,"endTime":187.62,"body":"I think that is important to"},{"speaker":"Ayla Wolf","startTime":182.57999999999998,"endTime":187.62,"body":"recognize, and that presence of"},{"speaker":"Ayla Wolf","startTime":187.68,"endTime":191.34,"body":"migraines before the concussion"},{"speaker":"Ayla Wolf","startTime":187.68,"endTime":191.34,"body":"is also a key differentiating"},{"speaker":"Ayla Wolf","startTime":191.34,"endTime":195.15,"body":"factor between trying to figure"},{"speaker":"Ayla Wolf","startTime":191.34,"endTime":195.15,"body":"out whether people are indeed"},{"speaker":"Ayla Wolf","startTime":195.15,"endTime":198.32999999999998,"body":"having true migraines or if"},{"speaker":"Ayla Wolf","startTime":195.15,"endTime":198.32999999999998,"body":"they're having a post traumatic"},{"speaker":"Ayla Wolf","startTime":198.32999999999998,"endTime":201.48,"body":"headache That is migraine-like"},{"speaker":"Ayla Wolf","startTime":198.32999999999998,"endTime":201.48,"body":"in nature, it resembles a"},{"speaker":"Ayla Wolf","startTime":201.48,"endTime":203.07,"body":"migraine, but it's actually not."},{"speaker":"Sophia Bouwens","startTime":203.1,"endTime":204.45,"body":"Sounds complex."},{"speaker":"Ayla Wolf","startTime":204.48,"endTime":206.67,"body":"We'll get into that"},{"speaker":"Ayla Wolf","startTime":204.48,"endTime":206.67,"body":"because there's kind of four"},{"speaker":"Ayla Wolf","startTime":206.67,"endTime":210.06,"body":"simple questions that can get to"},{"speaker":"Ayla Wolf","startTime":206.67,"endTime":210.06,"body":"the bottom of that for a lot of"},{"speaker":"Ayla Wolf","startTime":210.06,"endTime":210.48,"body":"people."},{"speaker":"Sophia Bouwens","startTime":210.51,"endTime":213.48,"body":"I'd like to ask"},{"speaker":"Sophia Bouwens","startTime":210.51,"endTime":213.48,"body":"you or find out more about those"},{"speaker":"Sophia Bouwens","startTime":213.48,"endTime":217.47,"body":"questions, but first, I want to"},{"speaker":"Sophia Bouwens","startTime":213.48,"endTime":217.47,"body":"know what is a migraine?"},{"speaker":"Ayla Wolf","startTime":217.79999999999998,"endTime":220.89,"body":"Yeah, so I think"},{"speaker":"Ayla Wolf","startTime":217.79999999999998,"endTime":220.89,"body":"right out of the gate, a lot of"},{"speaker":"Ayla Wolf","startTime":220.89,"endTime":226.44,"body":"people who have never had a"},{"speaker":"Ayla Wolf","startTime":220.89,"endTime":226.44,"body":"migraine don't have a good sense"},{"speaker":"Ayla Wolf","startTime":226.44,"endTime":228.12,"body":"of just how awful they are."},{"speaker":"Sophia Bouwens","startTime":228.54,"endTime":229.79999999999998,"body":"I can attest to"},{"speaker":"Sophia Bouwens","startTime":228.54,"endTime":229.79999999999998,"body":"that."},{"speaker":"Ayla Wolf","startTime":229.79999999999998,"endTime":234.45,"body":"Yeah, and I currently"},{"speaker":"Ayla Wolf","startTime":229.79999999999998,"endTime":234.45,"body":"do not have migraines, but there"},{"speaker":"Ayla Wolf","startTime":234.45,"endTime":237.87,"body":"was a brief period of time that"},{"speaker":"Ayla Wolf","startTime":234.45,"endTime":237.87,"body":"were definitely hormonally"},{"speaker":"Ayla Wolf","startTime":237.87,"endTime":241.44,"body":"triggered. So I had migraines"},{"speaker":"Ayla Wolf","startTime":237.87,"endTime":241.44,"body":"probably between the ages of 13"},{"speaker":"Ayla Wolf","startTime":241.44,"endTime":246.09,"body":"and 15, and I'll never forget"},{"speaker":"Ayla Wolf","startTime":241.44,"endTime":246.09,"body":"the very first migraine I ever"},{"speaker":"Ayla Wolf","startTime":246.09,"endTime":248.79,"body":"had. I went to my best friend's"},{"speaker":"Ayla Wolf","startTime":246.09,"endTime":248.79,"body":"house. This is somebody I've"},{"speaker":"Ayla Wolf","startTime":248.79,"endTime":251.34,"body":"been friends with since they"},{"speaker":"Ayla Wolf","startTime":248.79,"endTime":251.34,"body":"were three years old, and I was"},{"speaker":"Ayla Wolf","startTime":251.34,"endTime":257.07,"body":"at Elsa's house, and her mom had"},{"speaker":"Ayla Wolf","startTime":251.34,"endTime":257.07,"body":"made chocolate chip pancakes for"},{"speaker":"Ayla Wolf","startTime":257.07,"endTime":261.09000000000003,"body":"breakfast, and my mom was, of"},{"speaker":"Ayla Wolf","startTime":257.07,"endTime":261.09000000000003,"body":"course, like this crazy health"},{"speaker":"Ayla Wolf","startTime":261.09000000000003,"endTime":264.63,"body":"nut. So we never got, never"},{"speaker":"Ayla Wolf","startTime":261.09000000000003,"endTime":264.63,"body":"getting chocolate chip pancakes"},{"speaker":"Ayla Wolf","startTime":264.63,"endTime":265.14,"body":"at my house."},{"speaker":"Sophia Bouwens","startTime":265.14,"endTime":266.94,"body":"No, that was"},{"speaker":"Sophia Bouwens","startTime":265.14,"endTime":266.94,"body":"that was unheard of my house,"},{"speaker":"Sophia Bouwens","startTime":266.97,"endTime":267.39,"body":"either."},{"speaker":"Ayla Wolf","startTime":268.08,"endTime":270.72,"body":"Yeah, my mom"},{"speaker":"Ayla Wolf","startTime":268.08,"endTime":270.72,"body":"literally made me bring green"},{"speaker":"Ayla Wolf","startTime":270.72,"endTime":273.75,"body":"beans to McDonald's, and I had"},{"speaker":"Ayla Wolf","startTime":270.72,"endTime":273.75,"body":"to eat the green beans before I"},{"speaker":"Ayla Wolf","startTime":273.75,"endTime":277.44,"body":"could have a happy meal. I had a"},{"speaker":"Ayla Wolf","startTime":273.75,"endTime":277.44,"body":"mom child abuse. It was"},{"speaker":"Ayla Wolf","startTime":277.44,"endTime":277.98,"body":"terrible."},{"speaker":"Sophia Bouwens","startTime":278.01,"endTime":280.86,"body":"I thought my mom"},{"speaker":"Sophia Bouwens","startTime":278.01,"endTime":280.86,"body":"was abusive when my most exotic"},{"speaker":"Sophia Bouwens","startTime":280.86,"endTime":283.35,"body":"cereal I was allowed to have"},{"speaker":"Sophia Bouwens","startTime":280.86,"endTime":283.35,"body":"was, like, Raisin Bran."},{"speaker":"Ayla Wolf","startTime":283.95,"endTime":284.88,"body":"Oh, that is bad."},{"speaker":"Sophia Bouwens","startTime":285.12,"endTime":288.0,"body":"Not Raisin Bran"},{"speaker":"Sophia Bouwens","startTime":285.12,"endTime":288.0,"body":"crunch. That was too much sugar."},{"speaker":"Sophia Bouwens","startTime":288.45,"endTime":289.28999999999996,"body":"It was awful."},{"speaker":"Ayla Wolf","startTime":289.46000000000004,"endTime":292.22,"body":"Oh, man, okay, so"},{"speaker":"Ayla Wolf","startTime":289.46000000000004,"endTime":292.22,"body":"more with more things we have in"},{"speaker":"Ayla Wolf","startTime":292.22,"endTime":298.15999999999997,"body":"common. Yeah. So anyway, I'll"},{"speaker":"Ayla Wolf","startTime":292.22,"endTime":298.15999999999997,"body":"never forget I ate the chocolate"},{"speaker":"Ayla Wolf","startTime":298.15999999999997,"endTime":301.17999999999995,"body":"chip pancakes, and then all of a"},{"speaker":"Ayla Wolf","startTime":298.15999999999997,"endTime":301.17999999999995,"body":"sudden I started to get the"},{"speaker":"Ayla Wolf","startTime":301.17999999999995,"endTime":304.24,"body":"migraine aura. And if you've"},{"speaker":"Ayla Wolf","startTime":301.17999999999995,"endTime":304.24,"body":"never had that before, it can be"},{"speaker":"Ayla Wolf","startTime":304.24,"endTime":306.82000000000005,"body":"frightening, because you have no"},{"speaker":"Ayla Wolf","startTime":304.24,"endTime":306.82000000000005,"body":"clue what's happening. And all"},{"speaker":"Ayla Wolf","startTime":306.82000000000005,"endTime":310.36,"body":"of a sudden the whole world"},{"speaker":"Ayla Wolf","startTime":306.82000000000005,"endTime":310.36,"body":"turns into a kaleidoscope, and"},{"speaker":"Ayla Wolf","startTime":310.36,"endTime":313.29999999999995,"body":"you have like tunnel vision, and"},{"speaker":"Ayla Wolf","startTime":310.36,"endTime":313.29999999999995,"body":"there's bright colors moving"},{"speaker":"Ayla Wolf","startTime":313.29999999999995,"endTime":317.67999999999995,"body":"around. And I got very nauseous,"},{"speaker":"Ayla Wolf","startTime":313.29999999999995,"endTime":317.67999999999995,"body":"and then I started vomiting, and"},{"speaker":"Ayla Wolf","startTime":317.67999999999995,"endTime":321.17999999999995,"body":"then I had the horrible"},{"speaker":"Ayla Wolf","startTime":317.67999999999995,"endTime":321.17999999999995,"body":"throbbing headache, and all I"},{"speaker":"Ayla Wolf","startTime":321.17999999999995,"endTime":324.29999999999995,"body":"could do was just lay in bed and"},{"speaker":"Ayla Wolf","startTime":321.17999999999995,"endTime":324.29999999999995,"body":"feel miserable and feel like I"},{"speaker":"Ayla Wolf","startTime":324.29999999999995,"endTime":327.6,"body":"was gonna puke for, you know,"},{"speaker":"Ayla Wolf","startTime":324.29999999999995,"endTime":327.6,"body":"four hours straight, and then"},{"speaker":"Ayla Wolf","startTime":327.6,"endTime":330.29999999999995,"body":"you have the hangover after"},{"speaker":"Ayla Wolf","startTime":327.6,"endTime":330.29999999999995,"body":"that, where you just feel like"},{"speaker":"Ayla Wolf","startTime":330.29999999999995,"endTime":333.12,"body":"crap, awful. So I migraines are"},{"speaker":"Ayla Wolf","startTime":330.29999999999995,"endTime":333.12,"body":"terrible."},{"speaker":"Sophia Bouwens","startTime":333.28999999999996,"endTime":335.78,"body":"I got migraines"},{"speaker":"Sophia Bouwens","startTime":333.28999999999996,"endTime":335.78,"body":"for a while when I was younger,"},{"speaker":"Sophia Bouwens","startTime":335.78,"endTime":339.23,"body":"too, and they would always start"},{"speaker":"Sophia Bouwens","startTime":335.78,"endTime":339.23,"body":"with this, like taste of. Mouth"},{"speaker":"Sophia Bouwens","startTime":339.23,"endTime":343.66999999999996,"body":"and the aura that was hard to"},{"speaker":"Sophia Bouwens","startTime":339.23,"endTime":343.66999999999996,"body":"describe, kind of Kaleidoscope"},{"speaker":"Sophia Bouwens","startTime":343.66999999999996,"endTime":347.05999999999995,"body":"like, but also, just like, the"},{"speaker":"Sophia Bouwens","startTime":343.66999999999996,"endTime":347.05999999999995,"body":"world was different, kind of"},{"speaker":"Sophia Bouwens","startTime":347.05999999999995,"endTime":350.24,"body":"looked smaller, was fuzzy around"},{"speaker":"Sophia Bouwens","startTime":347.05999999999995,"endTime":350.24,"body":"the edges, and when those would"},{"speaker":"Sophia Bouwens","startTime":350.24,"endTime":353.27,"body":"come on, all I could do would be"},{"speaker":"Sophia Bouwens","startTime":350.24,"endTime":353.27,"body":"like, go in a dark room and"},{"speaker":"Sophia Bouwens","startTime":353.27,"endTime":356.9,"body":"sleep. Nothing else would help,"},{"speaker":"Sophia Bouwens","startTime":353.27,"endTime":356.9,"body":"no medication, because I'd get"},{"speaker":"Sophia Bouwens","startTime":356.9,"endTime":359.41999999999996,"body":"nauseous, I'd get light"},{"speaker":"Sophia Bouwens","startTime":356.9,"endTime":359.41999999999996,"body":"sensitive. I didn't want to"},{"speaker":"Sophia Bouwens","startTime":359.41999999999996,"endTime":361.25,"body":"smell anything. It was horrible."},{"speaker":"Ayla Wolf","startTime":361.25,"endTime":363.35,"body":"Yeah, did you have"},{"speaker":"Ayla Wolf","startTime":361.25,"endTime":363.35,"body":"food triggers for your"},{"speaker":"Ayla Wolf","startTime":363.35,"endTime":363.86,"body":"migraines?"},{"speaker":"Sophia Bouwens","startTime":364.18999999999994,"endTime":366.91999999999996,"body":"I did.Cilantro"},{"speaker":"Sophia Bouwens","startTime":364.18999999999994,"endTime":366.91999999999996,"body":"would always trigger migraines"},{"speaker":"Sophia Bouwens","startTime":366.91999999999996,"endTime":371.09000000000003,"body":"for me, and then, like greasy"},{"speaker":"Sophia Bouwens","startTime":366.91999999999996,"endTime":371.09000000000003,"body":"foods would be not good."},{"speaker":"Sophia Bouwens","startTime":371.09000000000003,"endTime":373.58000000000004,"body":"Caffeine would sometimes help."},{"speaker":"Sophia Bouwens","startTime":371.09000000000003,"endTime":373.58000000000004,"body":"Sometimes it would make it"},{"speaker":"Sophia Bouwens","startTime":373.58000000000004,"endTime":376.49,"body":"worse. So it was always hit or"},{"speaker":"Sophia Bouwens","startTime":373.58000000000004,"endTime":376.49,"body":"miss with that,"},{"speaker":"Ayla Wolf","startTime":376.83000000000004,"endTime":379.55999999999995,"body":"my trigger was"},{"speaker":"Ayla Wolf","startTime":376.83000000000004,"endTime":379.55999999999995,"body":"chocolate. I, you know, I"},{"speaker":"Ayla Wolf","startTime":379.55999999999995,"endTime":382.26,"body":"finally figured it out that if I"},{"speaker":"Ayla Wolf","startTime":379.55999999999995,"endTime":382.26,"body":"ever Well, here's the weird"},{"speaker":"Ayla Wolf","startTime":382.26,"endTime":386.82000000000005,"body":"thing, if I ever ate chocolate"},{"speaker":"Ayla Wolf","startTime":382.26,"endTime":386.82000000000005,"body":"before lunch, I it would trigger"},{"speaker":"Ayla Wolf","startTime":386.82000000000005,"endTime":389.90999999999997,"body":"a migraine for me. And so I"},{"speaker":"Ayla Wolf","startTime":386.82000000000005,"endTime":389.90999999999997,"body":"learned from the age of 13 on."},{"speaker":"Ayla Wolf","startTime":389.90999999999997,"endTime":391.38,"body":"And you know me, I'm addicted to"},{"speaker":"Ayla Wolf","startTime":389.90999999999997,"endTime":391.38,"body":"chocolate."},{"speaker":"Sophia Bouwens","startTime":391.38,"endTime":392.01,"body":"You love"},{"speaker":"Sophia Bouwens","startTime":391.38,"endTime":392.01,"body":"chocolate!"},{"speaker":"Ayla Wolf","startTime":393.96000000000004,"endTime":396.65999999999997,"body":"I am addicted to"},{"speaker":"Ayla Wolf","startTime":393.96000000000004,"endTime":396.65999999999997,"body":"chocolate, but chocolate before"},{"speaker":"Ayla Wolf","startTime":396.65999999999997,"endTime":400.38,"body":"lunch, it's like someone's"},{"speaker":"Ayla Wolf","startTime":396.65999999999997,"endTime":400.38,"body":"trying to hand me poison. I do"},{"speaker":"Ayla Wolf","startTime":400.38,"endTime":403.67999999999995,"body":"not want to even look at"},{"speaker":"Ayla Wolf","startTime":400.38,"endTime":403.67999999999995,"body":"chocolate before lunch, even to"},{"speaker":"Ayla Wolf","startTime":403.67999999999995,"endTime":407.03999999999996,"body":"this day and again, I don't have"},{"speaker":"Ayla Wolf","startTime":403.67999999999995,"endTime":407.03999999999996,"body":"I haven't had migraines for a"},{"speaker":"Ayla Wolf","startTime":407.03999999999996,"endTime":411.27,"body":"very long time, but to this day,"},{"speaker":"Ayla Wolf","startTime":407.03999999999996,"endTime":411.27,"body":"chocolate before lunch. I will"},{"speaker":"Ayla Wolf","startTime":411.27,"endTime":411.92999999999995,"body":"not touch it."},{"speaker":"Sophia Bouwens","startTime":412.40999999999997,"endTime":414.57000000000005,"body":"I'll never give"},{"speaker":"Sophia Bouwens","startTime":412.40999999999997,"endTime":414.57000000000005,"body":"you chocolate before lunch. Now"},{"speaker":"Sophia Bouwens","startTime":414.57000000000005,"endTime":418.20000000000005,"body":"I know this. I'm learning this"},{"speaker":"Sophia Bouwens","startTime":414.57000000000005,"endTime":418.20000000000005,"body":"thing. So migraines can be"},{"speaker":"Sophia Bouwens","startTime":418.20000000000005,"endTime":421.71000000000004,"body":"really debilitating and have"},{"speaker":"Sophia Bouwens","startTime":418.20000000000005,"endTime":421.71000000000004,"body":"this aura, like component"},{"speaker":"Sophia Bouwens","startTime":421.74,"endTime":423.92999999999995,"body":"sensitivity, components well."},{"speaker":"Ayla Wolf","startTime":423.65999999999997,"endTime":426.65999999999997,"body":"And actually, the"},{"speaker":"Ayla Wolf","startTime":423.65999999999997,"endTime":426.65999999999997,"body":"research says only about 30% of"},{"speaker":"Ayla Wolf","startTime":426.65999999999997,"endTime":430.47,"body":"migraine sufferers have the"},{"speaker":"Ayla Wolf","startTime":426.65999999999997,"endTime":430.47,"body":"aura, okay? And so even though"},{"speaker":"Ayla Wolf","startTime":430.47,"endTime":434.01,"body":"we both have had this strong"},{"speaker":"Ayla Wolf","startTime":430.47,"endTime":434.01,"body":"aura, 70% of people that get"},{"speaker":"Ayla Wolf","startTime":434.01,"endTime":437.88,"body":"migraines don't actually have"},{"speaker":"Ayla Wolf","startTime":434.01,"endTime":437.88,"body":"the aura. But so when you going"},{"speaker":"Ayla Wolf","startTime":437.88,"endTime":441.65999999999997,"body":"back to your initial question of"},{"speaker":"Ayla Wolf","startTime":437.88,"endTime":441.65999999999997,"body":"like, what is a migraine? So"},{"speaker":"Ayla Wolf","startTime":441.68999999999994,"endTime":446.46000000000004,"body":"there's something called CGRP,"},{"speaker":"Ayla Wolf","startTime":441.68999999999994,"endTime":446.46000000000004,"body":"calcitonin gene related peptide."},{"speaker":"Ayla Wolf","startTime":446.58000000000004,"endTime":451.74,"body":"And when CGRP is released in"},{"speaker":"Ayla Wolf","startTime":446.58000000000004,"endTime":451.74,"body":"large amounts, all of a sudden,"},{"speaker":"Ayla Wolf","startTime":451.77,"endTime":455.97,"body":"it causes vasodilation and blood"},{"speaker":"Ayla Wolf","startTime":451.77,"endTime":455.97,"body":"vessels dilate, and then all of"},{"speaker":"Ayla Wolf","startTime":455.97,"endTime":460.40999999999997,"body":"a sudden, people can get this"},{"speaker":"Ayla Wolf","startTime":455.97,"endTime":460.40999999999997,"body":"throbbing headache. Originally,"},{"speaker":"Ayla Wolf","startTime":460.43999999999994,"endTime":463.86,"body":"they thought that that was just"},{"speaker":"Ayla Wolf","startTime":460.43999999999994,"endTime":463.86,"body":"that, that was kind of like the"},{"speaker":"Ayla Wolf","startTime":463.86,"endTime":467.85,"body":"simplistic mechanism of just,"},{"speaker":"Ayla Wolf","startTime":463.86,"endTime":467.85,"body":"oh, blood vessels dilate, and"},{"speaker":"Ayla Wolf","startTime":467.85,"endTime":470.49,"body":"now all of a sudden the migraine"},{"speaker":"Ayla Wolf","startTime":467.85,"endTime":470.49,"body":"happens. But now they're"},{"speaker":"Ayla Wolf","startTime":470.49,"endTime":473.78999999999996,"body":"recognizing that there's this"},{"speaker":"Ayla Wolf","startTime":470.49,"endTime":473.78999999999996,"body":"whole neural component to that"},{"speaker":"Ayla Wolf","startTime":473.78999999999996,"endTime":477.51,"body":"it's not just blood vessels"},{"speaker":"Ayla Wolf","startTime":473.78999999999996,"endTime":477.51,"body":"dilate, and because if that was"},{"speaker":"Ayla Wolf","startTime":477.51,"endTime":480.48,"body":"the case, if you just"},{"speaker":"Ayla Wolf","startTime":477.51,"endTime":480.48,"body":"constricted the blood vessels,"},{"speaker":"Ayla Wolf","startTime":480.51,"endTime":485.1,"body":"then that would basically fix it"},{"speaker":"Ayla Wolf","startTime":480.51,"endTime":485.1,"body":"in, you know, 100% of cases. And"},{"speaker":"Ayla Wolf","startTime":485.1,"endTime":488.58000000000004,"body":"that's not true. We do know that"},{"speaker":"Ayla Wolf","startTime":485.1,"endTime":488.58000000000004,"body":"for some people, they can take"},{"speaker":"Ayla Wolf","startTime":488.58000000000004,"endTime":492.36,"body":"caffeine, it can constrict the"},{"speaker":"Ayla Wolf","startTime":488.58000000000004,"endTime":492.36,"body":"blood vessels, and it for some"},{"speaker":"Ayla Wolf","startTime":492.36,"endTime":496.47,"body":"people that can help, but it's"},{"speaker":"Ayla Wolf","startTime":492.36,"endTime":496.47,"body":"not like a 100% of the time, all"},{"speaker":"Ayla Wolf","startTime":496.47,"endTime":499.14,"body":"I need to do is take a caffeine"},{"speaker":"Ayla Wolf","startTime":496.47,"endTime":499.14,"body":"pill and my headache goes away,"},{"speaker":"Ayla Wolf","startTime":499.14,"endTime":503.54999999999995,"body":"right?  So there's this"},{"speaker":"Ayla Wolf","startTime":499.14,"endTime":503.54999999999995,"body":"neurological component to it."},{"speaker":"Ayla Wolf","startTime":503.58000000000004,"endTime":506.28,"body":"There's a neurovascular"},{"speaker":"Ayla Wolf","startTime":503.58000000000004,"endTime":506.28,"body":"component. It's the interaction"},{"speaker":"Ayla Wolf","startTime":506.28,"endTime":508.83000000000004,"body":"of the nerves with the blood"},{"speaker":"Ayla Wolf","startTime":506.28,"endTime":508.83000000000004,"body":"vessels that are part of this"},{"speaker":"Ayla Wolf","startTime":508.83000000000004,"endTime":514.65,"body":"migraine pathophysiology.  All"},{"speaker":"Ayla Wolf","startTime":508.83000000000004,"endTime":514.65,"body":"head pain involves the"},{"speaker":"Ayla Wolf","startTime":514.65,"endTime":519.54,"body":"trigeminal system. And I use the"},{"speaker":"Ayla Wolf","startTime":514.65,"endTime":519.54,"body":"word system intentionally,"},{"speaker":"Ayla Wolf","startTime":519.54,"endTime":523.68,"body":"because we have cranial nerve"},{"speaker":"Ayla Wolf","startTime":519.54,"endTime":523.68,"body":"five is our trigeminal nerve,"},{"speaker":"Ayla Wolf","startTime":523.95,"endTime":527.07,"body":"and that has three main"},{"speaker":"Ayla Wolf","startTime":523.95,"endTime":527.07,"body":"branches, and those essentially"},{"speaker":"Ayla Wolf","startTime":527.07,"endTime":529.71,"body":"cover the whole face, all the"},{"speaker":"Ayla Wolf","startTime":527.07,"endTime":529.71,"body":"way up until the top of the"},{"speaker":"Ayla Wolf","startTime":529.71,"endTime":533.7,"body":"head, so it goes into the scalp"},{"speaker":"Ayla Wolf","startTime":529.71,"endTime":533.7,"body":"and even the ear. But all of"},{"speaker":"Ayla Wolf","startTime":533.7,"endTime":537.84,"body":"that information goes into"},{"speaker":"Ayla Wolf","startTime":533.7,"endTime":537.84,"body":"different parts of the brain, so"},{"speaker":"Ayla Wolf","startTime":537.84,"endTime":541.71,"body":"we've got different nuclei in"},{"speaker":"Ayla Wolf","startTime":537.84,"endTime":541.71,"body":"the midbrain and the lower brain"},{"speaker":"Ayla Wolf","startTime":541.71,"endTime":546.12,"body":"stem that all take that"},{"speaker":"Ayla Wolf","startTime":541.71,"endTime":546.12,"body":"information and then converge"},{"speaker":"Ayla Wolf","startTime":546.12,"endTime":549.06,"body":"that information with kind of"},{"speaker":"Ayla Wolf","startTime":546.12,"endTime":549.06,"body":"other nerves from the back of"},{"speaker":"Ayla Wolf","startTime":549.06,"endTime":552.7199999999999,"body":"the head. And so there's a very"},{"speaker":"Ayla Wolf","startTime":549.06,"endTime":552.7199999999999,"body":"specific part of the lower brain"},{"speaker":"Ayla Wolf","startTime":552.7199999999999,"endTime":555.93,"body":"stem and even into the spinal"},{"speaker":"Ayla Wolf","startTime":552.7199999999999,"endTime":555.93,"body":"cord, called the trigeminal"},{"speaker":"Ayla Wolf","startTime":555.93,"endTime":560.52,"body":"cervical complex, and that is"},{"speaker":"Ayla Wolf","startTime":555.93,"endTime":560.52,"body":"just a hub of sensory"},{"speaker":"Ayla Wolf","startTime":560.52,"endTime":564.75,"body":"information about the face and"},{"speaker":"Ayla Wolf","startTime":560.52,"endTime":564.75,"body":"the head that is transferring"},{"speaker":"Ayla Wolf","startTime":564.78,"endTime":569.3399999999999,"body":"pain information to the brain."},{"speaker":"Ayla Wolf","startTime":564.78,"endTime":569.3399999999999,"body":"And so what happens with"},{"speaker":"Ayla Wolf","startTime":569.3399999999999,"endTime":572.5799999999999,"body":"migraines is that this very"},{"speaker":"Ayla Wolf","startTime":569.3399999999999,"endTime":572.5799999999999,"body":"specific part of the brain can"},{"speaker":"Ayla Wolf","startTime":572.5799999999999,"endTime":577.62,"body":"become hyperactive, and that's"},{"speaker":"Ayla Wolf","startTime":572.5799999999999,"endTime":577.62,"body":"where a lot of therapies are"},{"speaker":"Ayla Wolf","startTime":577.62,"endTime":581.1899999999999,"body":"targeted in terms of"},{"speaker":"Ayla Wolf","startTime":577.62,"endTime":581.1899999999999,"body":"neuromodulation is, can we do"},{"speaker":"Ayla Wolf","startTime":581.1899999999999,"endTime":584.9399999999999,"body":"some kind of neuromodulatory"},{"speaker":"Ayla Wolf","startTime":581.1899999999999,"endTime":584.9399999999999,"body":"therapy on the trigeminal nerve"},{"speaker":"Ayla Wolf","startTime":584.9399999999999,"endTime":589.26,"body":"on the face, in order to kind of"},{"speaker":"Ayla Wolf","startTime":584.9399999999999,"endTime":589.26,"body":"modulate that information going"},{"speaker":"Ayla Wolf","startTime":589.26,"endTime":593.04,"body":"into that trigeminal cervical"},{"speaker":"Ayla Wolf","startTime":589.26,"endTime":593.04,"body":"complex in the brain stem, to"},{"speaker":"Ayla Wolf","startTime":593.04,"endTime":595.92,"body":"then change this pain perception"},{"speaker":"Ayla Wolf","startTime":593.04,"endTime":595.92,"body":"happening at these higher"},{"speaker":"Ayla Wolf","startTime":595.92,"endTime":596.3399999999999,"body":"cortical levels?"},{"speaker":"Sophia Bouwens","startTime":597.02,"endTime":598.88,"body":"Or for me, I"},{"speaker":"Sophia Bouwens","startTime":597.02,"endTime":598.88,"body":"would always get pain kind of at"},{"speaker":"Sophia Bouwens","startTime":598.88,"endTime":602.02,"body":"the back of my head, the base of"},{"speaker":"Sophia Bouwens","startTime":598.88,"endTime":602.02,"body":"it almost like it would feel"},{"speaker":"Sophia Bouwens","startTime":602.02,"endTime":606.04,"body":"like kind of throbbing, and I"},{"speaker":"Sophia Bouwens","startTime":602.02,"endTime":606.04,"body":"would know, like, this is where"},{"speaker":"Sophia Bouwens","startTime":606.04,"endTime":610.12,"body":"this headache is kind of coming"},{"speaker":"Sophia Bouwens","startTime":606.04,"endTime":610.12,"body":"from, and working that area"},{"speaker":"Sophia Bouwens","startTime":610.12,"endTime":612.52,"body":"would be helpful. And for a"},{"speaker":"Sophia Bouwens","startTime":610.12,"endTime":612.52,"body":"while, I thought, Oh, it's on my"},{"speaker":"Sophia Bouwens","startTime":612.52,"endTime":617.92,"body":"neck. But it's not just the neck"},{"speaker":"Sophia Bouwens","startTime":612.52,"endTime":617.92,"body":"that's involved there. It comes"},{"speaker":"Sophia Bouwens","startTime":617.92,"endTime":620.8199999999999,"body":"across more systemic,"},{"speaker":"Ayla Wolf","startTime":620.8199999999999,"endTime":622.98,"body":"yeah. And in the back"},{"speaker":"Ayla Wolf","startTime":620.8199999999999,"endTime":622.98,"body":"of the head, we've got the"},{"speaker":"Ayla Wolf","startTime":622.98,"endTime":626.28,"body":"greater occipital nerve and the"},{"speaker":"Ayla Wolf","startTime":622.98,"endTime":626.28,"body":"lesser occipital nerve and the"},{"speaker":"Ayla Wolf","startTime":626.28,"endTime":630.18,"body":"third occipital nerve. And so"},{"speaker":"Ayla Wolf","startTime":626.28,"endTime":630.18,"body":"all of the nerves in the back of"},{"speaker":"Ayla Wolf","startTime":630.18,"endTime":634.14,"body":"the head also have kind of"},{"speaker":"Ayla Wolf","startTime":630.18,"endTime":634.14,"body":"pathways that go into that"},{"speaker":"Ayla Wolf","startTime":634.14,"endTime":639.74,"body":"trigeminal cervical complex. And"},{"speaker":"Ayla Wolf","startTime":634.14,"endTime":639.74,"body":"so the. That's where it's like,"},{"speaker":"Ayla Wolf","startTime":639.74,"endTime":642.8,"body":"wherever the pain is in your"},{"speaker":"Ayla Wolf","startTime":639.74,"endTime":642.8,"body":"head, it's all still kind of"},{"speaker":"Ayla Wolf","startTime":642.8,"endTime":647.24,"body":"going to that same hub. And"},{"speaker":"Ayla Wolf","startTime":642.8,"endTime":647.24,"body":"because that hub of information"},{"speaker":"Ayla Wolf","startTime":647.24,"endTime":652.76,"body":"is in the lower brain stem and"},{"speaker":"Ayla Wolf","startTime":647.24,"endTime":652.76,"body":"the upper spinal cord, that's"},{"speaker":"Ayla Wolf","startTime":652.76,"endTime":656.54,"body":"why different types of, say,"},{"speaker":"Ayla Wolf","startTime":652.76,"endTime":656.54,"body":"like chiropractic adjustments or"},{"speaker":"Ayla Wolf","startTime":656.54,"endTime":661.7199999999999,"body":"manual manipulation, of say, c1"},{"speaker":"Ayla Wolf","startTime":656.54,"endTime":661.7199999999999,"body":"and c2 can have a big impact on"},{"speaker":"Ayla Wolf","startTime":661.7199999999999,"endTime":665.92,"body":"these types of headaches,"},{"speaker":"Ayla Wolf","startTime":661.7199999999999,"endTime":665.92,"body":"because if those are subluxated"},{"speaker":"Ayla Wolf","startTime":665.92,"endTime":668.62,"body":"or there's nerve impingement"},{"speaker":"Ayla Wolf","startTime":665.92,"endTime":668.62,"body":"happening, that can just be a"},{"speaker":"Ayla Wolf","startTime":668.62,"endTime":669.8199999999999,"body":"trigger for all of this."},{"speaker":"Sophia Bouwens","startTime":669.66,"endTime":672.12,"body":"I think Atlas"},{"speaker":"Sophia Bouwens","startTime":669.66,"endTime":672.12,"body":"orthogonal or this upper"},{"speaker":"Sophia Bouwens","startTime":672.12,"endTime":677.6999999999999,"body":"cervical work for me has been"},{"speaker":"Sophia Bouwens","startTime":672.12,"endTime":677.6999999999999,"body":"helpful. I also noticed hormone"},{"speaker":"Sophia Bouwens","startTime":677.6999999999999,"endTime":680.79,"body":"changes would trigger them for"},{"speaker":"Sophia Bouwens","startTime":677.6999999999999,"endTime":680.79,"body":"me. So I think that there's a"},{"speaker":"Sophia Bouwens","startTime":680.79,"endTime":684.81,"body":"metabolic component with"},{"speaker":"Sophia Bouwens","startTime":680.79,"endTime":684.81,"body":"hormones and diet and food. Do"},{"speaker":"Sophia Bouwens","startTime":684.81,"endTime":685.8299999999999,"body":"you find that?"},{"speaker":"Ayla Wolf","startTime":686.2199999999999,"endTime":689.6999999999999,"body":"All the time? And"},{"speaker":"Ayla Wolf","startTime":686.2199999999999,"endTime":689.6999999999999,"body":"that's where I think that when"},{"speaker":"Ayla Wolf","startTime":689.6999999999999,"endTime":694.02,"body":"people have migraines, we have"},{"speaker":"Ayla Wolf","startTime":689.6999999999999,"endTime":694.02,"body":"to look at it as we can't just"},{"speaker":"Ayla Wolf","startTime":694.05,"endTime":696.6,"body":"approach it from one angle. We"},{"speaker":"Ayla Wolf","startTime":694.05,"endTime":696.6,"body":"have to approach it from like,"},{"speaker":"Ayla Wolf","startTime":696.6,"endTime":698.91,"body":"12 different angles. And right,"},{"speaker":"Sophia Bouwens","startTime":698.91,"endTime":700.38,"body":"like, your"},{"speaker":"Sophia Bouwens","startTime":698.91,"endTime":700.38,"body":"initial question of, like, Did"},{"speaker":"Sophia Bouwens","startTime":700.38,"endTime":703.3199999999999,"body":"you have food triggers? Like, it"},{"speaker":"Sophia Bouwens","startTime":700.38,"endTime":703.3199999999999,"body":"dives right into that,"},{"speaker":"Ayla Wolf","startTime":703.4399999999999,"endTime":705.6899999999999,"body":"yeah. And the food"},{"speaker":"Ayla Wolf","startTime":703.4399999999999,"endTime":705.6899999999999,"body":"trigger thing is interesting,"},{"speaker":"Ayla Wolf","startTime":762.2099999999999,"endTime":766.29,"body":"because it kind of goes back to"},{"speaker":"Ayla Wolf","startTime":762.2099999999999,"endTime":766.29,"body":"more of this bucket theory of,"},{"speaker":"Ayla Wolf","startTime":766.62,"endTime":771.12,"body":"if your bucket is already full,"},{"speaker":"Ayla Wolf","startTime":766.62,"endTime":771.12,"body":"the food trigger is just like"},{"speaker":"Ayla Wolf","startTime":771.12,"endTime":775.26,"body":"that one extra drop that kind of"},{"speaker":"Ayla Wolf","startTime":771.12,"endTime":775.26,"body":"tips you into the migraine. And"},{"speaker":"Ayla Wolf","startTime":775.26,"endTime":779.43,"body":"so when it comes to kind of"},{"speaker":"Ayla Wolf","startTime":775.26,"endTime":779.43,"body":"neuromodulation and neuro"},{"speaker":"Ayla Wolf","startTime":779.43,"endTime":782.04,"body":"rehabilitation for people with"},{"speaker":"Ayla Wolf","startTime":779.43,"endTime":782.04,"body":"migraines, what you're really"},{"speaker":"Ayla Wolf","startTime":782.04,"endTime":787.29,"body":"trying to do is get that bucket"},{"speaker":"Ayla Wolf","startTime":782.04,"endTime":787.29,"body":"a lot emptier so that the"},{"speaker":"Ayla Wolf","startTime":787.29,"endTime":789.75,"body":"triggers aren't so triggering."},{"speaker":"Sophia Bouwens","startTime":789.93,"endTime":792.2099999999999,"body":"So do you find"},{"speaker":"Sophia Bouwens","startTime":789.93,"endTime":792.2099999999999,"body":"different diets or different"},{"speaker":"Sophia Bouwens","startTime":792.2099999999999,"endTime":795.0899999999999,"body":"foods are better for people who"},{"speaker":"Sophia Bouwens","startTime":792.2099999999999,"endTime":795.0899999999999,"body":"suffer with migraines, like"},{"speaker":"Sophia Bouwens","startTime":795.0899999999999,"endTime":799.53,"body":"should they follow a specific"},{"speaker":"Sophia Bouwens","startTime":795.0899999999999,"endTime":799.53,"body":"type of thinking around eating"},{"speaker":"Sophia Bouwens","startTime":799.53,"endTime":800.0999999999999,"body":"and food."},{"speaker":"Ayla Wolf","startTime":800.88,"endTime":803.76,"body":"A lot of times, you"},{"speaker":"Ayla Wolf","startTime":800.88,"endTime":803.76,"body":"can make faster progress with"},{"speaker":"Ayla Wolf","startTime":803.76,"endTime":808.62,"body":"people if they are willing to"},{"speaker":"Ayla Wolf","startTime":803.76,"endTime":808.62,"body":"give up dairy and gluten and"},{"speaker":"Ayla Wolf","startTime":808.62,"endTime":815.0699999999999,"body":"sugar and alcohol and caffeine."},{"speaker":"Ayla Wolf","startTime":808.62,"endTime":815.0699999999999,"body":"So a lot of people, you know you"},{"speaker":"Ayla Wolf","startTime":815.0699999999999,"endTime":818.2199999999999,"body":"can't use caffeine"},{"speaker":"Ayla Wolf","startTime":815.0699999999999,"endTime":818.2199999999999,"body":"therapeutically to abort a"},{"speaker":"Ayla Wolf","startTime":818.2199999999999,"endTime":821.0699999999999,"body":"migraine, if you're drinking a"},{"speaker":"Ayla Wolf","startTime":818.2199999999999,"endTime":821.0699999999999,"body":"lot of it every single day,"},{"speaker":"Ayla Wolf","startTime":821.0999999999999,"endTime":824.01,"body":"sure, and so for a lot of"},{"speaker":"Ayla Wolf","startTime":821.0999999999999,"endTime":824.01,"body":"people, when we're talking about"},{"speaker":"Ayla Wolf","startTime":824.01,"endTime":826.92,"body":"people that have migraines, like"},{"speaker":"Ayla Wolf","startTime":824.01,"endTime":826.92,"body":"more than 15 days out of the"},{"speaker":"Ayla Wolf","startTime":826.92,"endTime":830.25,"body":"month, like when people have"},{"speaker":"Ayla Wolf","startTime":826.92,"endTime":830.25,"body":"lots of chronic migraines,"},{"speaker":"Ayla Wolf","startTime":830.6099999999999,"endTime":834.39,"body":"that's when you have to really"},{"speaker":"Ayla Wolf","startTime":830.6099999999999,"endTime":834.39,"body":"kind of pull all the stops and"},{"speaker":"Ayla Wolf","startTime":834.39,"endTime":837.5699999999999,"body":"kind of remove a lot of things"},{"speaker":"Ayla Wolf","startTime":834.39,"endTime":837.5699999999999,"body":"from the diet and the lifestyle"},{"speaker":"Ayla Wolf","startTime":837.5699999999999,"endTime":840.5699999999999,"body":"and approach this from all the"},{"speaker":"Ayla Wolf","startTime":837.5699999999999,"endTime":840.5699999999999,"body":"different angles. But if people"},{"speaker":"Ayla Wolf","startTime":840.5699999999999,"endTime":844.89,"body":"can actually go caffeine free,"},{"speaker":"Ayla Wolf","startTime":840.5699999999999,"endTime":844.89,"body":"they're going to have three to"},{"speaker":"Ayla Wolf","startTime":844.89,"endTime":848.3399999999999,"body":"five days of horrible caffeine"},{"speaker":"Ayla Wolf","startTime":844.89,"endTime":848.3399999999999,"body":"withdrawal headaches. But"},{"speaker":"Ayla Wolf","startTime":848.37,"endTime":852.18,"body":"usually, if they can get through"},{"speaker":"Ayla Wolf","startTime":848.37,"endTime":852.18,"body":"those five days, you know, then"},{"speaker":"Ayla Wolf","startTime":852.2399999999999,"endTime":856.8,"body":"they are through the worst of"},{"speaker":"Ayla Wolf","startTime":852.2399999999999,"endTime":856.8,"body":"it. And in many cases, going"},{"speaker":"Ayla Wolf","startTime":856.8,"endTime":860.3399999999999,"body":"caffeine free is actually an"},{"speaker":"Ayla Wolf","startTime":856.8,"endTime":860.3399999999999,"body":"important part of addressing the"},{"speaker":"Ayla Wolf","startTime":860.3399999999999,"endTime":861.03,"body":"migraines."},{"speaker":"Sophia Bouwens","startTime":862.25,"endTime":866.3299999999999,"body":"I found that for"},{"speaker":"Sophia Bouwens","startTime":862.25,"endTime":866.3299999999999,"body":"me, hormones and food were"},{"speaker":"Sophia Bouwens","startTime":866.3299999999999,"endTime":871.1899999999999,"body":"important, movement and activity"},{"speaker":"Sophia Bouwens","startTime":866.3299999999999,"endTime":871.1899999999999,"body":"was important. I love caffeine,"},{"speaker":"Sophia Bouwens","startTime":871.2199999999999,"endTime":875.15,"body":"so I have withdrawn from it"},{"speaker":"Sophia Bouwens","startTime":871.2199999999999,"endTime":875.15,"body":"before and had it out of my"},{"speaker":"Sophia Bouwens","startTime":875.15,"endTime":878.2399999999999,"body":"system for a while, and that did"},{"speaker":"Sophia Bouwens","startTime":875.15,"endTime":878.2399999999999,"body":"help, but after I kind of"},{"speaker":"Sophia Bouwens","startTime":878.2399999999999,"endTime":881.78,"body":"cleaned up things, I noticed the"},{"speaker":"Sophia Bouwens","startTime":878.2399999999999,"endTime":881.78,"body":"migraines also got much better"},{"speaker":"Sophia Bouwens","startTime":881.78,"endTime":886.16,"body":"and didn't come back so much. So"},{"speaker":"Sophia Bouwens","startTime":881.78,"endTime":886.16,"body":"when you live with migraines in"},{"speaker":"Sophia Bouwens","startTime":886.16,"endTime":890.66,"body":"a debilitating way, changing"},{"speaker":"Sophia Bouwens","startTime":886.16,"endTime":890.66,"body":"your food, sometimes it's the"},{"speaker":"Sophia Bouwens","startTime":890.66,"endTime":893.78,"body":"comfort, like all I can have is"},{"speaker":"Sophia Bouwens","startTime":890.66,"endTime":893.78,"body":"the food that I like. But if you"},{"speaker":"Sophia Bouwens","startTime":894.02,"endTime":897.56,"body":"know that freedom is on the"},{"speaker":"Sophia Bouwens","startTime":894.02,"endTime":897.56,"body":"other side, it can really be"},{"speaker":"Sophia Bouwens","startTime":897.56,"endTime":899.2099999999999,"body":"life changing for that."},{"speaker":"Ayla Wolf","startTime":899.9,"endTime":903.9799999999999,"body":"Yeah, I mean, when I"},{"speaker":"Ayla Wolf","startTime":899.9,"endTime":903.9799999999999,"body":"took a course, it was 150 hour"},{"speaker":"Ayla Wolf","startTime":903.9799999999999,"endTime":909.17,"body":"course on migraines, taught by"},{"speaker":"Ayla Wolf","startTime":903.9799999999999,"endTime":909.17,"body":"Dr Adam Harcourt, who has a"},{"speaker":"Ayla Wolf","startTime":909.4699999999999,"endTime":912.9499999999999,"body":"clinic specifically in Santa"},{"speaker":"Ayla Wolf","startTime":909.4699999999999,"endTime":912.9499999999999,"body":"Barbara, where he specializes in"},{"speaker":"Ayla Wolf","startTime":913.04,"endTime":915.9799999999999,"body":"people who have serious,"},{"speaker":"Ayla Wolf","startTime":913.04,"endTime":915.9799999999999,"body":"debilitating migraines. People"},{"speaker":"Ayla Wolf","startTime":915.9799999999999,"endTime":919.37,"body":"from all over the world fly"},{"speaker":"Ayla Wolf","startTime":915.9799999999999,"endTime":919.37,"body":"there to his clinic to get"},{"speaker":"Ayla Wolf","startTime":919.37,"endTime":922.9399999999999,"body":"treated. And if I hope I'm"},{"speaker":"Ayla Wolf","startTime":919.37,"endTime":922.9399999999999,"body":"saying this correctly, but I"},{"speaker":"Ayla Wolf","startTime":922.9399999999999,"endTime":926.75,"body":"thought that he said that many"},{"speaker":"Ayla Wolf","startTime":922.9399999999999,"endTime":926.75,"body":"times before he even has people"},{"speaker":"Ayla Wolf","startTime":926.75,"endTime":930.29,"body":"come and do like, a week long"},{"speaker":"Ayla Wolf","startTime":926.75,"endTime":930.29,"body":"intensive with him, he will ask"},{"speaker":"Ayla Wolf","startTime":930.29,"endTime":934.9699999999999,"body":"them to basically cut out gluten"},{"speaker":"Ayla Wolf","startTime":930.29,"endTime":934.9699999999999,"body":"and caffeine and a lot of foods"},{"speaker":"Ayla Wolf","startTime":934.9699999999999,"endTime":938.03,"body":"out of their diet completely"},{"speaker":"Ayla Wolf","startTime":934.9699999999999,"endTime":938.03,"body":"before they even show up to work"},{"speaker":"Ayla Wolf","startTime":938.03,"endTime":941.3,"body":"with him, so that he's not"},{"speaker":"Ayla Wolf","startTime":938.03,"endTime":941.3,"body":"fighting against some of these"},{"speaker":"Ayla Wolf","startTime":941.3,"endTime":943.79,"body":"inflammatory things that are"},{"speaker":"Ayla Wolf","startTime":941.3,"endTime":943.79,"body":"keeping them in that"},{"speaker":"Ayla Wolf","startTime":949.5799999999999,"endTime":957.56,"body":"state,right? what he's doing is"},{"speaker":"Ayla Wolf","startTime":949.5799999999999,"endTime":957.56,"body":"he's setting himself and the"},{"speaker":"Ayla Wolf","startTime":957.56,"endTime":959.12,"body":"patient up for success."},{"speaker":"Sophia Bouwens","startTime":959.54,"endTime":962.6899999999999,"body":"Absolutely. How"},{"speaker":"Sophia Bouwens","startTime":959.54,"endTime":962.6899999999999,"body":"do you see hormones playing a"},{"speaker":"Sophia Bouwens","startTime":962.6899999999999,"endTime":965.03,"body":"role in migraines?"},{"speaker":"Ayla Wolf","startTime":965.18,"endTime":968.0,"body":"A lot of times,"},{"speaker":"Ayla Wolf","startTime":965.18,"endTime":968.0,"body":"excessive amounts of estrogen"},{"speaker":"Ayla Wolf","startTime":968.0,"endTime":971.51,"body":"can be a trigger for migraines,"},{"speaker":"Ayla Wolf","startTime":968.0,"endTime":971.51,"body":"and there is very often a"},{"speaker":"Ayla Wolf","startTime":971.51,"endTime":975.0799999999999,"body":"hormonal component to them,"},{"speaker":"Ayla Wolf","startTime":971.51,"endTime":975.0799999999999,"body":"especially with women, but even"},{"speaker":"Ayla Wolf","startTime":975.0799999999999,"endTime":980.42,"body":"with men to hormonal imbalances"},{"speaker":"Ayla Wolf","startTime":975.0799999999999,"endTime":980.42,"body":"can cause migraines, and I like"},{"speaker":"Ayla Wolf","startTime":980.54,"endTime":984.7099999999999,"body":"for any migraine sufferer,"},{"speaker":"Ayla Wolf","startTime":980.54,"endTime":984.7099999999999,"body":"patient that I work with to do a"},{"speaker":"Ayla Wolf","startTime":984.7099999999999,"endTime":987.8,"body":"Dutch test, or some kind of"},{"speaker":"Ayla Wolf","startTime":984.7099999999999,"endTime":987.8,"body":"hormone test where we can really"},{"speaker":"Ayla Wolf","startTime":987.8,"endTime":991.37,"body":"look at the breakdown between"},{"speaker":"Ayla Wolf","startTime":987.8,"endTime":991.37,"body":"the different types of estrogen"},{"speaker":"Ayla Wolf","startTime":991.37,"endTime":993.92,"body":"and how that relates to their"},{"speaker":"Ayla Wolf","startTime":991.37,"endTime":993.92,"body":"progesterone levels, their"},{"speaker":"Ayla Wolf","startTime":993.92,"endTime":998.42,"body":"testosterone levels. Is their"},{"speaker":"Ayla Wolf","startTime":993.92,"endTime":998.42,"body":"DHEA, their cortisol, and just"},{"speaker":"Ayla Wolf","startTime":998.42,"endTime":1003.04,"body":"get all that information to say,"},{"speaker":"Ayla Wolf","startTime":998.42,"endTime":1003.04,"body":"Okay, what hormonal imbalances"},{"speaker":"Ayla Wolf","startTime":1003.04,"endTime":1007.3599999999999,"body":"might be driving these"},{"speaker":"Ayla Wolf","startTime":1003.04,"endTime":1007.3599999999999,"body":"headaches? I had a woman who was"},{"speaker":"Ayla Wolf","startTime":1007.3599999999999,"endTime":1012.2199999999999,"body":"in her 60s who developed"},{"speaker":"Ayla Wolf","startTime":1007.3599999999999,"endTime":1012.2199999999999,"body":"migraines, and when we got her"},{"speaker":"Ayla Wolf","startTime":1012.2199999999999,"endTime":1016.93,"body":"Dutch test results back, she was"},{"speaker":"Ayla Wolf","startTime":1012.2199999999999,"endTime":1016.93,"body":"low across the board. So I mean,"},{"speaker":"Ayla Wolf","startTime":1017.05,"endTime":1021.6999999999999,"body":"I mean below the post menopausal"},{"speaker":"Ayla Wolf","startTime":1017.05,"endTime":1021.6999999999999,"body":"range of where she should be,"},{"speaker":"Ayla Wolf","startTime":1021.9399999999999,"endTime":1025.45,"body":"and by and because she was low"},{"speaker":"Ayla Wolf","startTime":1021.9399999999999,"endTime":1025.45,"body":"across the board in everything"},{"speaker":"Ayla Wolf","startTime":1025.66,"endTime":1029.95,"body":"by simply just having her take"},{"speaker":"Ayla Wolf","startTime":1025.66,"endTime":1029.95,"body":"DHEA and pregnenolone, which are"},{"speaker":"Ayla Wolf","startTime":1029.95,"endTime":1033.13,"body":"kind of the building blocks for"},{"speaker":"Ayla Wolf","startTime":1029.95,"endTime":1033.13,"body":"creating testosterone and"},{"speaker":"Ayla Wolf","startTime":1033.13,"endTime":1037.1200000000001,"body":"progesterone and estrogen, we"},{"speaker":"Ayla Wolf","startTime":1033.13,"endTime":1037.1200000000001,"body":"got rid of her migraines just by"},{"speaker":"Ayla Wolf","startTime":1037.1200000000001,"endTime":1040.9,"body":"actually getting her hormones"},{"speaker":"Ayla Wolf","startTime":1037.1200000000001,"endTime":1040.9,"body":"into the correct post menopausal"},{"speaker":"Ayla Wolf","startTime":1040.9,"endTime":1045.49,"body":"level. Whereas many people who"},{"speaker":"Ayla Wolf","startTime":1040.9,"endTime":1045.49,"body":"are still cycling, many women"},{"speaker":"Ayla Wolf","startTime":1045.52,"endTime":1049.0,"body":"that have excessive amounts of"},{"speaker":"Ayla Wolf","startTime":1045.52,"endTime":1049.0,"body":"estrogen, by getting those"},{"speaker":"Ayla Wolf","startTime":1049.0,"endTime":1052.24,"body":"levels down into a normal,"},{"speaker":"Ayla Wolf","startTime":1049.0,"endTime":1052.24,"body":"healthy range, you can reduce"},{"speaker":"Ayla Wolf","startTime":1052.24,"endTime":1053.6200000000001,"body":"the frequency of migraines too."},{"speaker":"Sophia Bouwens","startTime":1053.18,"endTime":1055.4,"body":"I remember,"},{"speaker":"Sophia Bouwens","startTime":1053.18,"endTime":1055.4,"body":"Dutch test is your favorite"},{"speaker":"Sophia Bouwens","startTime":1055.4,"endTime":1058.82,"body":"hormone panel to do that kind of"},{"speaker":"Sophia Bouwens","startTime":1055.4,"endTime":1058.82,"body":"analysis. Why is it your"},{"speaker":"Sophia Bouwens","startTime":1058.82,"endTime":1059.3,"body":"favorite?"},{"speaker":"Ayla Wolf","startTime":1059.3,"endTime":1062.84,"body":"Because it gives you"},{"speaker":"Ayla Wolf","startTime":1059.3,"endTime":1062.84,"body":"all of that information. Whereas"},{"speaker":"Ayla Wolf","startTime":1063.35,"endTime":1067.01,"body":"many people, if they just go in"},{"speaker":"Ayla Wolf","startTime":1063.35,"endTime":1067.01,"body":"and have their blood drawn, all"},{"speaker":"Ayla Wolf","startTime":1067.01,"endTime":1071.09,"body":"you get is just basic numbers"},{"speaker":"Ayla Wolf","startTime":1067.01,"endTime":1071.09,"body":"for where their levels were at"},{"speaker":"Ayla Wolf","startTime":1071.09,"endTime":1074.93,"body":"in terms of their e2 but it"},{"speaker":"Ayla Wolf","startTime":1071.09,"endTime":1074.93,"body":"doesn't give, oftentimes, it"},{"speaker":"Ayla Wolf","startTime":1074.93,"endTime":1079.55,"body":"doesn't give the breakdown of e1"},{"speaker":"Ayla Wolf","startTime":1074.93,"endTime":1079.55,"body":"e2 and e3 and so what I like"},{"speaker":"Ayla Wolf","startTime":1079.55,"endTime":1083.03,"body":"about the Dutch test is it gives"},{"speaker":"Ayla Wolf","startTime":1079.55,"endTime":1083.03,"body":"you the ratios between the e1"},{"speaker":"Ayla Wolf","startTime":1083.06,"endTime":1086.3,"body":"two and three, to see if they're"},{"speaker":"Ayla Wolf","startTime":1083.06,"endTime":1086.3,"body":"in the correct ratios. And then"},{"speaker":"Ayla Wolf","startTime":1086.3,"endTime":1090.26,"body":"you can also really easily see"},{"speaker":"Ayla Wolf","startTime":1086.3,"endTime":1090.26,"body":"if the metabolites of"},{"speaker":"Ayla Wolf","startTime":1090.26,"endTime":1093.56,"body":"progesterone are approximately"},{"speaker":"Ayla Wolf","startTime":1090.26,"endTime":1093.56,"body":"the same as the metabolites of"},{"speaker":"Ayla Wolf","startTime":1093.59,"endTime":1097.1,"body":"testosterone. And so you can"},{"speaker":"Ayla Wolf","startTime":1093.59,"endTime":1097.1,"body":"look at how the body is breaking"},{"speaker":"Ayla Wolf","startTime":1097.1,"endTime":1101.21,"body":"down different hormones and"},{"speaker":"Ayla Wolf","startTime":1097.1,"endTime":1101.21,"body":"their metabolites, because that"},{"speaker":"Ayla Wolf","startTime":1101.21,"endTime":1104.78,"body":"highlights very specific"},{"speaker":"Ayla Wolf","startTime":1101.21,"endTime":1104.78,"body":"enzymatic pathways that might"},{"speaker":"Ayla Wolf","startTime":1104.81,"endTime":1108.32,"body":"not be functioning or be"},{"speaker":"Ayla Wolf","startTime":1104.81,"endTime":1108.32,"body":"functioning too high. And so the"},{"speaker":"Ayla Wolf","startTime":1108.32,"endTime":1111.5,"body":"Dutch test just gives you so"},{"speaker":"Ayla Wolf","startTime":1108.32,"endTime":1111.5,"body":"much more information than a"},{"speaker":"Ayla Wolf","startTime":1111.5,"endTime":1115.34,"body":"general blood test does. That"},{"speaker":"Ayla Wolf","startTime":1111.5,"endTime":1115.34,"body":"can help to figure out okay, if"},{"speaker":"Ayla Wolf","startTime":1115.34,"endTime":1119.27,"body":"this one enzymatic pathway is"},{"speaker":"Ayla Wolf","startTime":1115.34,"endTime":1119.27,"body":"out of balance, I know the"},{"speaker":"Ayla Wolf","startTime":1119.27,"endTime":1121.8200000000002,"body":"different kind of natural"},{"speaker":"Ayla Wolf","startTime":1119.27,"endTime":1121.8200000000002,"body":"therapies that can help to bring"},{"speaker":"Ayla Wolf","startTime":1121.8200000000002,"endTime":1122.75,"body":"it back in balance."},{"speaker":"Sophia Bouwens","startTime":1122.8590000000002,"endTime":1125.6190000000001,"body":"And what's it?"},{"speaker":"Sophia Bouwens","startTime":1122.8590000000002,"endTime":1125.6190000000001,"body":"What do you do for a Dutch test?"},{"speaker":"Sophia Bouwens","startTime":1125.6190000000001,"endTime":1128.319,"body":"What's it? How is it different?"},{"speaker":"Sophia Bouwens","startTime":1125.6190000000001,"endTime":1128.319,"body":"Where do you find it, or what"},{"speaker":"Sophia Bouwens","startTime":1128.319,"endTime":1131.559,"body":"kind of provider would you go to"},{"speaker":"Sophia Bouwens","startTime":1128.319,"endTime":1131.559,"body":"to get a Dutch test?"},{"speaker":"Ayla Wolf","startTime":1131.8400000000001,"endTime":1134.9,"body":"Usually a"},{"speaker":"Ayla Wolf","startTime":1131.8400000000001,"endTime":1134.9,"body":"naturopathic doctor, a"},{"speaker":"Ayla Wolf","startTime":1134.93,"endTime":1137.27,"body":"functional medicine"},{"speaker":"Ayla Wolf","startTime":1134.93,"endTime":1137.27,"body":"practitioner, an integrative"},{"speaker":"Ayla Wolf","startTime":1137.27,"endTime":1140.99,"body":"medicine doctor or different"},{"speaker":"Ayla Wolf","startTime":1137.27,"endTime":1140.99,"body":"acupuncturist based on kind of"},{"speaker":"Ayla Wolf","startTime":1140.99,"endTime":1144.23,"body":"where they're practicing, or"},{"speaker":"Ayla Wolf","startTime":1140.99,"endTime":1144.23,"body":"what their backgrounds are. And"},{"speaker":"Ayla Wolf","startTime":1144.23,"endTime":1146.63,"body":"chiropractors, too. A lot of"},{"speaker":"Ayla Wolf","startTime":1144.23,"endTime":1146.63,"body":"chiropractors order the Dutch"},{"speaker":"Ayla Wolf","startTime":1146.63,"endTime":1150.02,"body":"test. So a lot of kind of"},{"speaker":"Ayla Wolf","startTime":1146.63,"endTime":1150.02,"body":"holistic practitioners and"},{"speaker":"Ayla Wolf","startTime":1150.02,"endTime":1152.5700000000002,"body":"people practicing Functional"},{"speaker":"Ayla Wolf","startTime":1150.02,"endTime":1152.5700000000002,"body":"Medicine and integrative"},{"speaker":"Ayla Wolf","startTime":1152.5700000000002,"endTime":1157.01,"body":"medicine tend to rely more on"},{"speaker":"Ayla Wolf","startTime":1152.5700000000002,"endTime":1157.01,"body":"tests like the Dutch test, and"},{"speaker":"Ayla Wolf","startTime":1157.01,"endTime":1161.9,"body":"one similar to that, and it's a"},{"speaker":"Ayla Wolf","startTime":1157.01,"endTime":1161.9,"body":"combination of taking some"},{"speaker":"Ayla Wolf","startTime":1161.9,"endTime":1165.5600000000002,"body":"saliva samples for measuring"},{"speaker":"Ayla Wolf","startTime":1161.9,"endTime":1165.5600000000002,"body":"cortisol throughout the day, as"},{"speaker":"Ayla Wolf","startTime":1165.5600000000002,"endTime":1168.89,"body":"well as taking urine samples."},{"speaker":"Ayla Wolf","startTime":1165.5600000000002,"endTime":1168.89,"body":"And so it's actually measuring"},{"speaker":"Ayla Wolf","startTime":1168.89,"endTime":1172.28,"body":"these hormone metabolites that"},{"speaker":"Ayla Wolf","startTime":1168.89,"endTime":1172.28,"body":"are in the urine, to give you a"},{"speaker":"Ayla Wolf","startTime":1172.28,"endTime":1174.8,"body":"sense of kind of the levels in"},{"speaker":"Ayla Wolf","startTime":1172.28,"endTime":1174.8,"body":"the body."},{"speaker":"Sophia Bouwens","startTime":1174.8300000000002,"endTime":1176.78,"body":"And different"},{"speaker":"Sophia Bouwens","startTime":1174.8300000000002,"endTime":1176.78,"body":"parts of the system and how"},{"speaker":"Sophia Bouwens","startTime":1176.78,"endTime":1180.68,"body":"they're being utilized or"},{"speaker":"Sophia Bouwens","startTime":1176.78,"endTime":1180.68,"body":"disposed of too. Yeah?"},{"speaker":"Ayla Wolf","startTime":1181.0700000000002,"endTime":1181.76,"body":"What do you mean by"},{"speaker":"Ayla Wolf","startTime":1181.0700000000002,"endTime":1181.76,"body":"that?"},{"speaker":"Sophia Bouwens","startTime":1181.91,"endTime":1184.3400000000001,"body":"Like, if you're"},{"speaker":"Sophia Bouwens","startTime":1181.91,"endTime":1184.3400000000001,"body":"catching what's in the urine"},{"speaker":"Sophia Bouwens","startTime":1184.3400000000001,"endTime":1187.04,"body":"you're catching, kind of like"},{"speaker":"Sophia Bouwens","startTime":1184.3400000000001,"endTime":1187.04,"body":"the waste products of things,"},{"speaker":"Sophia Bouwens","startTime":1187.04,"endTime":1189.8600000000001,"body":"and how much is there, and then"},{"speaker":"Sophia Bouwens","startTime":1187.04,"endTime":1189.8600000000001,"body":"in the saliva? Is that more"},{"speaker":"Sophia Bouwens","startTime":1189.8600000000001,"endTime":1191.39,"body":"active in the system?"},{"speaker":"Ayla Wolf","startTime":1192.53,"endTime":1194.78,"body":"They are pulling"},{"speaker":"Ayla Wolf","startTime":1192.53,"endTime":1194.78,"body":"different information from the"},{"speaker":"Ayla Wolf","startTime":1194.78,"endTime":1198.47,"body":"saliva versus the urine, and so"},{"speaker":"Ayla Wolf","startTime":1194.78,"endTime":1198.47,"body":"they're pulling different"},{"speaker":"Ayla Wolf","startTime":1198.47,"endTime":1201.6200000000001,"body":"cortisol levels from the saliva,"},{"speaker":"Ayla Wolf","startTime":1198.47,"endTime":1201.6200000000001,"body":"but then they're looking at"},{"speaker":"Ayla Wolf","startTime":1201.6200000000001,"endTime":1205.43,"body":"cortisol metabolites in the"},{"speaker":"Ayla Wolf","startTime":1201.6200000000001,"endTime":1205.43,"body":"urine, sure, and so they're kind"},{"speaker":"Ayla Wolf","startTime":1205.43,"endTime":1208.0700000000002,"body":"of getting two different"},{"speaker":"Ayla Wolf","startTime":1205.43,"endTime":1208.0700000000002,"body":"pictures.  Exactly."},{"speaker":"Sophia Bouwens","startTime":1208.13,"endTime":1212.1200000000001,"body":"Cool. So what"},{"speaker":"Sophia Bouwens","startTime":1208.13,"endTime":1212.1200000000001,"body":"about stress? Can stress play an"},{"speaker":"Sophia Bouwens","startTime":1212.1200000000001,"endTime":1215.3600000000001,"body":"impact on the I know stress can"},{"speaker":"Sophia Bouwens","startTime":1212.1200000000001,"endTime":1215.3600000000001,"body":"impact hormone regulation. It"},{"speaker":"Sophia Bouwens","startTime":1215.3600000000001,"endTime":1218.75,"body":"can impact cortisol in"},{"speaker":"Sophia Bouwens","startTime":1215.3600000000001,"endTime":1218.75,"body":"particular. What do you see for"},{"speaker":"Sophia Bouwens","startTime":1218.75,"endTime":1220.43,"body":"stress and migraines?"},{"speaker":"Ayla Wolf","startTime":1220.8500000000001,"endTime":1223.6100000000001,"body":"Well, quite simply,"},{"speaker":"Ayla Wolf","startTime":1220.8500000000001,"endTime":1223.6100000000001,"body":"Stress makes everything worse!"},{"speaker":"Sophia Bouwens","startTime":1223.73,"endTime":1224.6000000000001,"body":"Oh, really!"},{"speaker":"Ayla Wolf","startTime":1225.5600000000002,"endTime":1228.65,"body":"yes. And you know,"},{"speaker":"Ayla Wolf","startTime":1225.5600000000002,"endTime":1228.65,"body":"it's so easy to say to somebody,"},{"speaker":"Ayla Wolf","startTime":1228.65,"endTime":1231.5600000000002,"body":"oh, you just need to reduce your"},{"speaker":"Ayla Wolf","startTime":1228.65,"endTime":1231.5600000000002,"body":"stress levels, but it's so much"},{"speaker":"Ayla Wolf","startTime":1231.5600000000002,"endTime":1236.6000000000001,"body":"harder, in reality, to to make"},{"speaker":"Ayla Wolf","startTime":1231.5600000000002,"endTime":1236.6000000000001,"body":"that change. Because the I think"},{"speaker":"Ayla Wolf","startTime":1236.6000000000001,"endTime":1240.2,"body":"the truth is that we have some"},{"speaker":"Ayla Wolf","startTime":1236.6000000000001,"endTime":1240.2,"body":"things that we have control"},{"speaker":"Ayla Wolf","startTime":1240.2,"endTime":1242.3,"body":"over, and we have many, many"},{"speaker":"Ayla Wolf","startTime":1240.2,"endTime":1242.3,"body":"things that we don't have"},{"speaker":"Ayla Wolf","startTime":1242.3,"endTime":1246.68,"body":"control over in our lives. And"},{"speaker":"Ayla Wolf","startTime":1242.3,"endTime":1246.68,"body":"so our stress, you know, can"},{"speaker":"Ayla Wolf","startTime":1246.68,"endTime":1250.73,"body":"come from both places. Sometimes"},{"speaker":"Ayla Wolf","startTime":1246.68,"endTime":1250.73,"body":"people's mindset, you know, is"},{"speaker":"Ayla Wolf","startTime":1250.91,"endTime":1253.49,"body":"set up so that they're"},{"speaker":"Ayla Wolf","startTime":1250.91,"endTime":1253.49,"body":"perceiving many things to be"},{"speaker":"Ayla Wolf","startTime":1253.49,"endTime":1254.3,"body":"stressful, right"},{"speaker":"Sophia Bouwens","startTime":1254.3,"endTime":1255.47,"body":"Way of thinking,"},{"speaker":"Sophia Bouwens","startTime":1254.3,"endTime":1255.47,"body":"right!"},{"speaker":"Ayla Wolf","startTime":1255.18,"endTime":1258.0900000000001,"body":"Sometimes it's a"},{"speaker":"Ayla Wolf","startTime":1255.18,"endTime":1258.0900000000001,"body":"process of just being more aware"},{"speaker":"Ayla Wolf","startTime":1258.0900000000001,"endTime":1261.0900000000001,"body":"of your own thoughts and your"},{"speaker":"Ayla Wolf","startTime":1258.0900000000001,"endTime":1261.0900000000001,"body":"own thought patterns and how you"},{"speaker":"Ayla Wolf","startTime":1261.0900000000001,"endTime":1264.15,"body":"might actually be creating"},{"speaker":"Ayla Wolf","startTime":1261.0900000000001,"endTime":1264.15,"body":"stress in your life by how you"},{"speaker":"Ayla Wolf","startTime":1264.15,"endTime":1268.17,"body":"choose to react to things,"},{"speaker":"Ayla Wolf","startTime":1264.15,"endTime":1268.17,"body":"versus, you know, being really"},{"speaker":"Ayla Wolf","startTime":1268.17,"endTime":1271.38,"body":"aware of what you have the"},{"speaker":"Ayla Wolf","startTime":1268.17,"endTime":1271.38,"body":"ability to control and then"},{"speaker":"Ayla Wolf","startTime":1271.41,"endTime":1275.49,"body":"letting go of the things that"},{"speaker":"Ayla Wolf","startTime":1271.41,"endTime":1275.49,"body":"you don't. And so, you know,"},{"speaker":"Ayla Wolf","startTime":1275.49,"endTime":1277.95,"body":"when it comes to stress"},{"speaker":"Ayla Wolf","startTime":1275.49,"endTime":1277.95,"body":"management, I think that"},{"speaker":"Ayla Wolf","startTime":1277.95,"endTime":1281.6100000000001,"body":"counseling can play a huge role"},{"speaker":"Ayla Wolf","startTime":1277.95,"endTime":1281.6100000000001,"body":"in helping people to just be"},{"speaker":"Ayla Wolf","startTime":1281.6100000000001,"endTime":1286.71,"body":"more aware of their habits and"},{"speaker":"Ayla Wolf","startTime":1281.6100000000001,"endTime":1286.71,"body":"their thinking patterns and the"},{"speaker":"Ayla Wolf","startTime":1286.74,"endTime":1291.24,"body":"role that they may be playing in"},{"speaker":"Ayla Wolf","startTime":1286.74,"endTime":1291.24,"body":"the stress in their lives."},{"speaker":"Sophia Bouwens","startTime":1291.27,"endTime":1294.45,"body":"Perception is"},{"speaker":"Sophia Bouwens","startTime":1291.27,"endTime":1294.45,"body":"everything. So much of it is,"},{"speaker":"Sophia Bouwens","startTime":1294.45,"endTime":1295.05,"body":"yeah."},{"speaker":"Ayla Wolf","startTime":1295.1100000000001,"endTime":1299.01,"body":"And I think that, you"},{"speaker":"Ayla Wolf","startTime":1295.1100000000001,"endTime":1299.01,"body":"know, we live in a we live in a"},{"speaker":"Ayla Wolf","startTime":1299.01,"endTime":1303.0600000000002,"body":"world now where there's so many"},{"speaker":"Ayla Wolf","startTime":1299.01,"endTime":1303.0600000000002,"body":"internet trolls and so many"},{"speaker":"Ayla Wolf","startTime":1303.0600000000002,"endTime":1308.01,"body":"people making hateful, mean"},{"speaker":"Ayla Wolf","startTime":1303.0600000000002,"endTime":1308.01,"body":"comments on social media, and"},{"speaker":"Ayla Wolf","startTime":1308.04,"endTime":1311.6100000000001,"body":"so, I mean, there's a reason why"},{"speaker":"Ayla Wolf","startTime":1308.04,"endTime":1311.6100000000001,"body":"I don't like social media and"},{"speaker":"Ayla Wolf","startTime":1311.6100000000001,"endTime":1315.3,"body":"why I don't like being on it is"},{"speaker":"Ayla Wolf","startTime":1311.6100000000001,"endTime":1315.3,"body":"because I just don't,"},{"speaker":"Ayla Wolf","startTime":1315.3300000000002,"endTime":1318.24,"body":"personally, don't like being"},{"speaker":"Ayla Wolf","startTime":1315.3300000000002,"endTime":1318.24,"body":"attacked, and I don't like"},{"speaker":"Ayla Wolf","startTime":1318.24,"endTime":1322.89,"body":"people who don't know me making"},{"speaker":"Ayla Wolf","startTime":1318.24,"endTime":1322.89,"body":"these weird statements about"},{"speaker":"Ayla Wolf","startTime":1322.92,"endTime":1325.26,"body":"like that don't even make sense,"},{"speaker":"Ayla Wolf","startTime":1322.92,"endTime":1325.26,"body":"but they're just clearly trying"},{"speaker":"Ayla Wolf","startTime":1325.26,"endTime":1328.3200000000002,"body":"to be negative or hateful or"},{"speaker":"Ayla Wolf","startTime":1325.26,"endTime":1328.3200000000002,"body":"mean, and I just don't"},{"speaker":"Ayla Wolf","startTime":1328.3200000000002,"endTime":1331.17,"body":"understand it. It's like, I, you"},{"speaker":"Ayla Wolf","startTime":1328.3200000000002,"endTime":1331.17,"body":"know, I feel like I have to be"},{"speaker":"Ayla Wolf","startTime":1331.17,"endTime":1333.51,"body":"on social media because I own"},{"speaker":"Ayla Wolf","startTime":1331.17,"endTime":1333.51,"body":"different companies and"},{"speaker":"Ayla Wolf","startTime":1333.51,"endTime":1338.46,"body":"businesses, but I don't want to"},{"speaker":"Ayla Wolf","startTime":1333.51,"endTime":1338.46,"body":"because of all the strange stuff"},{"speaker":"Ayla Wolf","startTime":1338.46,"endTime":1340.3500000000001,"body":"that goes on that I just don't"},{"speaker":"Ayla Wolf","startTime":1338.46,"endTime":1340.3500000000001,"body":"want to be part of."},{"speaker":"Sophia Bouwens","startTime":1340.3500000000001,"endTime":1342.93,"body":"It's not even a"},{"speaker":"Sophia Bouwens","startTime":1340.3500000000001,"endTime":1342.93,"body":"real world. It's all electronic,"},{"speaker":"Sophia Bouwens","startTime":1342.93,"endTime":1347.97,"body":"which is so some something so"},{"speaker":"Sophia Bouwens","startTime":1342.93,"endTime":1347.97,"body":"mind blowing to think about in"},{"speaker":"Sophia Bouwens","startTime":1347.97,"endTime":1352.8600000000001,"body":"our generation has grown up now"},{"speaker":"Sophia Bouwens","startTime":1347.97,"endTime":1352.8600000000001,"body":"with, like, pre social media,"},{"speaker":"Sophia Bouwens","startTime":1352.8600000000001,"endTime":1356.28,"body":"and now social media, and then"},{"speaker":"Sophia Bouwens","startTime":1352.8600000000001,"endTime":1356.28,"body":"these kids out there who are"},{"speaker":"Sophia Bouwens","startTime":1356.46,"endTime":1359.94,"body":"inheriting a world that has"},{"speaker":"Sophia Bouwens","startTime":1356.46,"endTime":1359.94,"body":"always had social media, and"},{"speaker":"Sophia Bouwens","startTime":1360.5700000000002,"endTime":1363.8100000000002,"body":"it's a lot so there's a lot of"},{"speaker":"Sophia Bouwens","startTime":1360.5700000000002,"endTime":1363.8100000000002,"body":"things about how you're"},{"speaker":"Sophia Bouwens","startTime":1363.8100000000002,"endTime":1366.21,"body":"structuring your life, or what"},{"speaker":"Sophia Bouwens","startTime":1363.8100000000002,"endTime":1366.21,"body":"you're engaging with that could"},{"speaker":"Sophia Bouwens","startTime":1366.21,"endTime":1370.47,"body":"impact this as well. Migraines"},{"speaker":"Sophia Bouwens","startTime":1366.21,"endTime":1370.47,"body":"are complex, as we are learning"},{"speaker":"Sophia Bouwens","startTime":1370.47,"endTime":1373.95,"body":"headaches altogether are"},{"speaker":"Sophia Bouwens","startTime":1370.47,"endTime":1373.95,"body":"complex. What about headaches"},{"speaker":"Sophia Bouwens","startTime":1373.95,"endTime":1377.04,"body":"that are similar to migraines,"},{"speaker":"Sophia Bouwens","startTime":1373.95,"endTime":1377.04,"body":"but not true migraines,"},{"speaker":"Sophia Bouwens","startTime":1377.0700000000002,"endTime":1379.44,"body":"migraine-like headache. Maybe"},{"speaker":"Sophia Bouwens","startTime":1377.0700000000002,"endTime":1379.44,"body":"you could talk about the"},{"speaker":"Sophia Bouwens","startTime":1379.44,"endTime":1383.43,"body":"questions you would ask if you"},{"speaker":"Sophia Bouwens","startTime":1379.44,"endTime":1383.43,"body":"were trying to have a clarity"},{"speaker":"Sophia Bouwens","startTime":1383.43,"endTime":1386.04,"body":"with experiencing a true"},{"speaker":"Sophia Bouwens","startTime":1383.43,"endTime":1386.04,"body":"migraine. You said there was"},{"speaker":"Sophia Bouwens","startTime":1386.04,"endTime":1387.24,"body":"four questions,"},{"speaker":"Ayla Wolf","startTime":1387.48,"endTime":1390.24,"body":"yeah, and again this,"},{"speaker":"Ayla Wolf","startTime":1387.48,"endTime":1390.24,"body":"I like to give credit where"},{"speaker":"Ayla Wolf","startTime":1390.24,"endTime":1394.26,"body":"credit's due. So this came out"},{"speaker":"Ayla Wolf","startTime":1390.24,"endTime":1394.26,"body":"of the teachings that Dr"},{"speaker":"Ayla Wolf","startTime":1394.26,"endTime":1398.0600000000002,"body":"Harcourt taught in his course on"},{"speaker":"Ayla Wolf","startTime":1394.26,"endTime":1398.0600000000002,"body":"on migraines that was offered"},{"speaker":"Ayla Wolf","startTime":1398.6000000000001,"endTime":1401.48,"body":"through the Carrick Institute,"},{"speaker":"Ayla Wolf","startTime":1398.6000000000001,"endTime":1401.48,"body":"which offers kind of post"},{"speaker":"Ayla Wolf","startTime":1401.48,"endTime":1405.5600000000002,"body":"doctoral training in applied"},{"speaker":"Ayla Wolf","startTime":1401.48,"endTime":1405.5600000000002,"body":"clinical neuroscience. And so he"},{"speaker":"Ayla Wolf","startTime":1405.5600000000002,"endTime":1411.14,"body":"taught a 150 hour course on"},{"speaker":"Ayla Wolf","startTime":1405.5600000000002,"endTime":1411.14,"body":"migraines, and did a great job"},{"speaker":"Ayla Wolf","startTime":1411.2,"endTime":1416.6200000000001,"body":"of getting into migraine"},{"speaker":"Ayla Wolf","startTime":1411.2,"endTime":1416.6200000000001,"body":"pathophysiology, as well as"},{"speaker":"Ayla Wolf","startTime":1416.8,"endTime":1419.6200000000001,"body":"addressing all these different"},{"speaker":"Ayla Wolf","startTime":1416.8,"endTime":1419.6200000000001,"body":"lifestyle factors, the stress,"},{"speaker":"Ayla Wolf","startTime":1419.6200000000001,"endTime":1422.8600000000001,"body":"the hormones, the diet, the"},{"speaker":"Ayla Wolf","startTime":1419.6200000000001,"endTime":1422.8600000000001,"body":"sleep, I mean, all of that is"},{"speaker":"Sophia Bouwens","startTime":1422.18,"endTime":1428.24,"body":"150 hours of"},{"speaker":"Sophia Bouwens","startTime":1422.18,"endTime":1428.24,"body":"that yes, yes. So much That's"},{"speaker":"Sophia Bouwens","startTime":1422.8600000000001,"endTime":1423.5800000000002,"body":"important."},{"speaker":"Sophia Bouwens","startTime":1428.45,"endTime":1429.14,"body":"amazing."},{"speaker":"Ayla Wolf","startTime":1429.14,"endTime":1432.95,"body":"Yeah, so there are"},{"speaker":"Ayla Wolf","startTime":1429.14,"endTime":1432.95,"body":"three questions that, if people"},{"speaker":"Ayla Wolf","startTime":1432.95,"endTime":1436.97,"body":"answer yes to all, sorry, four"},{"speaker":"Ayla Wolf","startTime":1432.95,"endTime":1436.97,"body":"questions, where, if people"},{"speaker":"Ayla Wolf","startTime":1436.97,"endTime":1441.17,"body":"answer yes to all four"},{"speaker":"Ayla Wolf","startTime":1436.97,"endTime":1441.17,"body":"questions, then it's highly"},{"speaker":"Ayla Wolf","startTime":1441.17,"endTime":1444.47,"body":"likely that what they're"},{"speaker":"Ayla Wolf","startTime":1441.17,"endTime":1444.47,"body":"experiencing is a true migraine."},{"speaker":"Ayla Wolf","startTime":1444.8300000000002,"endTime":1448.22,"body":"And the first question is, are"},{"speaker":"Ayla Wolf","startTime":1444.8300000000002,"endTime":1448.22,"body":"your headaches on only one side"},{"speaker":"Ayla Wolf","startTime":1448.22,"endTime":1452.66,"body":"of the head? Or at least at the"},{"speaker":"Ayla Wolf","startTime":1448.22,"endTime":1452.66,"body":"onset of these headaches, were"},{"speaker":"Ayla Wolf","startTime":1452.66,"endTime":1457.3700000000001,"body":"they one sided? Because that is"},{"speaker":"Ayla Wolf","startTime":1452.66,"endTime":1457.3700000000001,"body":"a, what a kind of classic"},{"speaker":"Ayla Wolf","startTime":1457.3700000000001,"endTime":1461.15,"body":"migraine presentation is? It is"},{"speaker":"Ayla Wolf","startTime":1457.3700000000001,"endTime":1461.15,"body":"a, you know, throbbing, one"},{"speaker":"Ayla Wolf","startTime":1461.15,"endTime":1466.01,"body":"sided headache. When people do"},{"speaker":"Ayla Wolf","startTime":1461.15,"endTime":1466.01,"body":"develop migraines that go on to"},{"speaker":"Ayla Wolf","startTime":1466.01,"endTime":1468.98,"body":"just become kind of these"},{"speaker":"Ayla Wolf","startTime":1466.01,"endTime":1468.98,"body":"intractable headaches that are"},{"speaker":"Ayla Wolf","startTime":1468.98,"endTime":1472.19,"body":"there all the time, then they"},{"speaker":"Ayla Wolf","startTime":1468.98,"endTime":1472.19,"body":"can start to kind of be"},{"speaker":"Ayla Wolf","startTime":1472.19,"endTime":1475.01,"body":"bilateral, but at least in the"},{"speaker":"Ayla Wolf","startTime":1472.19,"endTime":1475.01,"body":"beginning, traditionally,"},{"speaker":"Ayla Wolf","startTime":1475.01,"endTime":1478.1000000000001,"body":"classically, these migraines are"},{"speaker":"Ayla Wolf","startTime":1475.01,"endTime":1478.1000000000001,"body":"one sided, right? So are your"},{"speaker":"Ayla Wolf","startTime":1478.1000000000001,"endTime":1481.55,"body":"headaches on only one side of"},{"speaker":"Ayla Wolf","startTime":1478.1000000000001,"endTime":1481.55,"body":"the head? So if people answer"},{"speaker":"Ayla Wolf","startTime":1481.55,"endTime":1484.67,"body":"yes to that, you know that's"},{"speaker":"Ayla Wolf","startTime":1481.55,"endTime":1484.67,"body":"kind of one clue. The second one"},{"speaker":"Ayla Wolf","startTime":1484.67,"endTime":1488.21,"body":"is, do you have a history of"},{"speaker":"Ayla Wolf","startTime":1484.67,"endTime":1488.21,"body":"migraines? So if we're talking"},{"speaker":"Ayla Wolf","startTime":1488.21,"endTime":1491.3,"body":"specifically about people who"},{"speaker":"Ayla Wolf","startTime":1488.21,"endTime":1491.3,"body":"have had a concussion and then"},{"speaker":"Ayla Wolf","startTime":1491.3,"endTime":1496.43,"body":"go on to develop headaches, did"},{"speaker":"Ayla Wolf","startTime":1491.3,"endTime":1496.43,"body":"they have a history of"},{"speaker":"Ayla Wolf","startTime":1496.43,"endTime":1499.46,"body":"migraines, because usually"},{"speaker":"Ayla Wolf","startTime":1496.43,"endTime":1499.46,"body":"migraines come on when people"},{"speaker":"Ayla Wolf","startTime":1499.46,"endTime":1503.8700000000001,"body":"are, you know, teenager or early"},{"speaker":"Ayla Wolf","startTime":1499.46,"endTime":1503.8700000000001,"body":"adult. And so it is much less"},{"speaker":"Ayla Wolf","startTime":1503.8700000000001,"endTime":1507.38,"body":"likely for somebody to just"},{"speaker":"Ayla Wolf","startTime":1503.8700000000001,"endTime":1507.38,"body":"suddenly develop migraines in"},{"speaker":"Ayla Wolf","startTime":1507.38,"endTime":1513.0800000000002,"body":"their 50s, 60s, 70s, after a"},{"speaker":"Ayla Wolf","startTime":1507.38,"endTime":1513.0800000000002,"body":"head injury. Yeah. And so if you"},{"speaker":"Ayla Wolf","startTime":1513.0800000000002,"endTime":1516.8,"body":"answer yes to that that you you"},{"speaker":"Ayla Wolf","startTime":1513.0800000000002,"endTime":1516.8,"body":"yourself have a history of"},{"speaker":"Ayla Wolf","startTime":1516.8,"endTime":1520.5800000000002,"body":"migraines, and then you get a"},{"speaker":"Ayla Wolf","startTime":1516.8,"endTime":1520.5800000000002,"body":"concussion, and now these"},{"speaker":"Ayla Wolf","startTime":1520.5800000000002,"endTime":1523.0700000000002,"body":"throbbing headaches are worse,"},{"speaker":"Ayla Wolf","startTime":1520.5800000000002,"endTime":1523.0700000000002,"body":"right? That can be an"},{"speaker":"Ayla Wolf","startTime":1523.0700000000002,"endTime":1526.49,"body":"indication, yes, this is indeed"},{"speaker":"Ayla Wolf","startTime":1523.0700000000002,"endTime":1526.49,"body":"a migraine. And then also, is"},{"speaker":"Ayla Wolf","startTime":1526.49,"endTime":1530.3300000000002,"body":"there a family history of"},{"speaker":"Ayla Wolf","startTime":1526.49,"endTime":1530.3300000000002,"body":"migraines? Because migraines are"},{"speaker":"Ayla Wolf","startTime":1530.3600000000001,"endTime":1533.72,"body":"there's a genetic component to"},{"speaker":"Ayla Wolf","startTime":1530.3600000000001,"endTime":1533.72,"body":"it. They do run in families."},{"speaker":"Ayla Wolf","startTime":1534.29,"endTime":1538.8200000000002,"body":"Over 70% of migraine sufferers"},{"speaker":"Ayla Wolf","startTime":1534.29,"endTime":1538.8200000000002,"body":"are women, and so it's usually"},{"speaker":"Ayla Wolf","startTime":1538.8200000000002,"endTime":1542.42,"body":"if somebody's suffering from"},{"speaker":"Ayla Wolf","startTime":1538.8200000000002,"endTime":1542.42,"body":"migraines they also have a"},{"speaker":"Ayla Wolf","startTime":1542.42,"endTime":1546.74,"body":"sister, a mother, an aunt, a"},{"speaker":"Ayla Wolf","startTime":1542.42,"endTime":1546.74,"body":"grandma, other people in their"},{"speaker":"Ayla Wolf","startTime":1546.74,"endTime":1551.45,"body":"family that likely also have"},{"speaker":"Ayla Wolf","startTime":1546.74,"endTime":1551.45,"body":"migraines. And then the fourth"},{"speaker":"Ayla Wolf","startTime":1551.45,"endTime":1555.14,"body":"question is, if you take"},{"speaker":"Ayla Wolf","startTime":1551.45,"endTime":1555.14,"body":"migraine aboard of medications,"},{"speaker":"Ayla Wolf","startTime":1555.17,"endTime":1560.1200000000001,"body":"do they help? And so somebody"},{"speaker":"Ayla Wolf","startTime":1555.17,"endTime":1560.1200000000001,"body":"says yes. Then again, it's very"},{"speaker":"Ayla Wolf","startTime":1560.1200000000001,"endTime":1562.91,"body":"likely that what they're dealing"},{"speaker":"Ayla Wolf","startTime":1560.1200000000001,"endTime":1562.91,"body":"with is a true migraine."},{"speaker":"Sophia Bouwens","startTime":1563.3,"endTime":1565.97,"body":"So, if, after a"},{"speaker":"Sophia Bouwens","startTime":1563.3,"endTime":1565.97,"body":"head injury, you have a history"},{"speaker":"Sophia Bouwens","startTime":1565.97,"endTime":1570.17,"body":"of migraines, you have a family"},{"speaker":"Sophia Bouwens","startTime":1565.97,"endTime":1570.17,"body":"history of migraines, it"},{"speaker":"Sophia Bouwens","startTime":1570.17,"endTime":1573.53,"body":"responds well to migraine"},{"speaker":"Sophia Bouwens","startTime":1570.17,"endTime":1573.53,"body":"medication, and it is only on"},{"speaker":"Sophia Bouwens","startTime":1573.53,"endTime":1577.25,"body":"one side, or at least at the"},{"speaker":"Sophia Bouwens","startTime":1573.53,"endTime":1577.25,"body":"onset, then it's likely you're"},{"speaker":"Sophia Bouwens","startTime":1577.25,"endTime":1579.41,"body":"having a true migraine."},{"speaker":"Ayla Wolf","startTime":1579.47,"endTime":1580.8500000000001,"body":"A true migraine, yes."},{"speaker":"Sophia Bouwens","startTime":1581.0600000000002,"endTime":1582.8300000000002,"body":"And what about"},{"speaker":"Sophia Bouwens","startTime":1581.0600000000002,"endTime":1582.8300000000002,"body":"the other group of people who"},{"speaker":"Sophia Bouwens","startTime":1582.8300000000002,"endTime":1585.68,"body":"might say no to one of those"},{"speaker":"Sophia Bouwens","startTime":1582.8300000000002,"endTime":1585.68,"body":"questions, or all four of those"},{"speaker":"Sophia Bouwens","startTime":1585.68,"endTime":1588.2,"body":"questions, but they're still"},{"speaker":"Sophia Bouwens","startTime":1585.68,"endTime":1588.2,"body":"diagnosed with migraines. What"},{"speaker":"Sophia Bouwens","startTime":1588.2,"endTime":1591.71,"body":"do those headaches look like? Or"},{"speaker":"Sophia Bouwens","startTime":1588.2,"endTime":1591.71,"body":"what might decipher that? Yeah."},{"speaker":"Ayla Wolf","startTime":1592.16,"endTime":1595.3600000000001,"body":"So that brings us to,"},{"speaker":"Ayla Wolf","startTime":1592.16,"endTime":1595.3600000000001,"body":"I think, a very important. One"},{"speaker":"Ayla Wolf","startTime":1596.02,"endTime":1601.0,"body":"group of people who have had"},{"speaker":"Ayla Wolf","startTime":1596.02,"endTime":1601.0,"body":"concussions, they develop post"},{"speaker":"Ayla Wolf","startTime":1601.0,"endTime":1604.24,"body":"traumatic headaches after the"},{"speaker":"Ayla Wolf","startTime":1601.0,"endTime":1604.24,"body":"concussion, and those headaches"},{"speaker":"Ayla Wolf","startTime":1604.24,"endTime":1607.96,"body":"are often throbbing. They're"},{"speaker":"Ayla Wolf","startTime":1604.24,"endTime":1607.96,"body":"pulsing and you know, they're a"},{"speaker":"Ayla Wolf","startTime":1607.96,"endTime":1611.38,"body":"throbbing, pulsing headache."},{"speaker":"Ayla Wolf","startTime":1607.96,"endTime":1611.38,"body":"They often have light"},{"speaker":"Ayla Wolf","startTime":1611.38,"endTime":1616.8600000000001,"body":"sensitivity, sound sensitivity,"},{"speaker":"Ayla Wolf","startTime":1611.38,"endTime":1616.8600000000001,"body":"nausea, but many times in that"},{"speaker":"Ayla Wolf","startTime":1616.8600000000001,"endTime":1620.76,"body":"case, if it's not a cervicogenic"},{"speaker":"Ayla Wolf","startTime":1616.8600000000001,"endTime":1620.76,"body":"headache, if it's not coming"},{"speaker":"Ayla Wolf","startTime":1620.76,"endTime":1625.26,"body":"from the neck, if it is more of"},{"speaker":"Ayla Wolf","startTime":1620.76,"endTime":1625.26,"body":"just a migraine like headache,"},{"speaker":"Ayla Wolf","startTime":1625.38,"endTime":1629.88,"body":"then it is often bilateral. And"},{"speaker":"Ayla Wolf","startTime":1625.38,"endTime":1629.88,"body":"that's most of the patients that"},{"speaker":"Ayla Wolf","startTime":1629.88,"endTime":1633.9,"body":"I see. Are people that are"},{"speaker":"Ayla Wolf","startTime":1629.88,"endTime":1633.9,"body":"coming to me because they've had"},{"speaker":"Ayla Wolf","startTime":1633.9,"endTime":1636.92,"body":"these horrible headaches they"},{"speaker":"Ayla Wolf","startTime":1633.9,"endTime":1636.92,"body":"can't get rid of after their"},{"speaker":"Ayla Wolf","startTime":1636.92,"endTime":1640.8200000000002,"body":"concussion. And the headaches"},{"speaker":"Ayla Wolf","startTime":1636.92,"endTime":1640.8200000000002,"body":"are usually a combination of"},{"speaker":"Ayla Wolf","startTime":1640.88,"endTime":1644.3600000000001,"body":"some kind of tension type,"},{"speaker":"Ayla Wolf","startTime":1640.88,"endTime":1644.3600000000001,"body":"pressure headache, along with"},{"speaker":"Ayla Wolf","startTime":1644.3600000000001,"endTime":1648.8,"body":"moments or episodes of these"},{"speaker":"Ayla Wolf","startTime":1644.3600000000001,"endTime":1648.8,"body":"throbbing headaches that are"},{"speaker":"Ayla Wolf","startTime":1648.8,"endTime":1652.94,"body":"sometimes unilateral, sometimes"},{"speaker":"Ayla Wolf","startTime":1648.8,"endTime":1652.94,"body":"bilateral, but they can't answer"},{"speaker":"Ayla Wolf","startTime":1652.94,"endTime":1656.74,"body":"yes to those four questions that"},{"speaker":"Ayla Wolf","startTime":1652.94,"endTime":1656.74,"body":"we just talked about they didn't"},{"speaker":"Ayla Wolf","startTime":1656.74,"endTime":1660.16,"body":"have a history of migraines"},{"speaker":"Ayla Wolf","startTime":1656.74,"endTime":1660.16,"body":"before their concussion. They"},{"speaker":"Ayla Wolf","startTime":1660.16,"endTime":1664.42,"body":"don't have a family history of"},{"speaker":"Ayla Wolf","startTime":1660.16,"endTime":1664.42,"body":"migraines. And many times when"},{"speaker":"Ayla Wolf","startTime":1664.48,"endTime":1668.6200000000001,"body":"these people have been given"},{"speaker":"Ayla Wolf","startTime":1664.48,"endTime":1668.6200000000001,"body":"migraine medications, they are"},{"speaker":"Ayla Wolf","startTime":1668.6200000000001,"endTime":1670.72,"body":"telling me that they don't work."},{"speaker":"Sophia Bouwens","startTime":1670.8400000000001,"endTime":1672.7,"body":"So let's talk"},{"speaker":"Sophia Bouwens","startTime":1670.8400000000001,"endTime":1672.7,"body":"about that, because that's"},{"speaker":"Sophia Bouwens","startTime":1672.7,"endTime":1676.14,"body":"interesting. Oftentimes I have"},{"speaker":"Sophia Bouwens","startTime":1672.7,"endTime":1676.14,"body":"patients that come in that have"},{"speaker":"Sophia Bouwens","startTime":1676.14,"endTime":1678.72,"body":"tried different migraine"},{"speaker":"Sophia Bouwens","startTime":1676.14,"endTime":1678.72,"body":"medications and have been on"},{"speaker":"Sophia Bouwens","startTime":1678.72,"endTime":1681.48,"body":"them for a long time, or"},{"speaker":"Sophia Bouwens","startTime":1678.72,"endTime":1681.48,"body":"different ones in different"},{"speaker":"Sophia Bouwens","startTime":1681.48,"endTime":1685.5600000000002,"body":"periods, and they're not super"},{"speaker":"Sophia Bouwens","startTime":1681.48,"endTime":1685.5600000000002,"body":"helpful. They can actually get"},{"speaker":"Sophia Bouwens","startTime":1685.5600000000002,"endTime":1690.3,"body":"headaches from the medication"},{"speaker":"Sophia Bouwens","startTime":1685.5600000000002,"endTime":1690.3,"body":"use even, yeah,"},{"speaker":"Ayla Wolf","startTime":1691.02,"endTime":1694.5,"body":"so there's it is a"},{"speaker":"Ayla Wolf","startTime":1691.02,"endTime":1694.5,"body":"whole other ball of wax, and I"},{"speaker":"Ayla Wolf","startTime":1694.5,"endTime":1698.0,"body":"think it is happening more"},{"speaker":"Ayla Wolf","startTime":1694.5,"endTime":1698.0,"body":"frequently than people realize,"},{"speaker":"Ayla Wolf","startTime":1698.3,"endTime":1704.9,"body":"because people can get a"},{"speaker":"Ayla Wolf","startTime":1698.3,"endTime":1704.9,"body":"medication overuse headache from"},{"speaker":"Ayla Wolf","startTime":1705.0800000000002,"endTime":1709.4,"body":"not that much medication. And so"},{"speaker":"Ayla Wolf","startTime":1705.0800000000002,"endTime":1709.4,"body":"I think it would be probably"},{"speaker":"Ayla Wolf","startTime":1709.4,"endTime":1713.3600000000001,"body":"helpful for our listeners if we"},{"speaker":"Ayla Wolf","startTime":1709.4,"endTime":1713.3600000000001,"body":"dive we, if we did a deep dive"},{"speaker":"Ayla Wolf","startTime":1713.3600000000001,"endTime":1717.52,"body":"into this idea of medication"},{"speaker":"Ayla Wolf","startTime":1713.3600000000001,"endTime":1717.52,"body":"overuse headaches, because they"},{"speaker":"Ayla Wolf","startTime":1717.52,"endTime":1720.7,"body":"can happen not only from certain"},{"speaker":"Ayla Wolf","startTime":1717.52,"endTime":1720.7,"body":"prescription medications, but"},{"speaker":"Ayla Wolf","startTime":1720.7,"endTime":1722.92,"body":"also from over the counter"},{"speaker":"Ayla Wolf","startTime":1720.7,"endTime":1722.92,"body":"medications, sure."},{"speaker":"Sophia Bouwens","startTime":1722.54,"endTime":1725.0600000000002,"body":"So let's talk"},{"speaker":"Sophia Bouwens","startTime":1722.54,"endTime":1725.0600000000002,"body":"about the windows of time like"},{"speaker":"Sophia Bouwens","startTime":1725.0600000000002,"endTime":1726.8,"body":"and what are some of the"},{"speaker":"Sophia Bouwens","startTime":1725.0600000000002,"endTime":1726.8,"body":"medications that are commonly"},{"speaker":"Sophia Bouwens","startTime":1726.8,"endTime":1730.76,"body":"used prescriptions? I know lots"},{"speaker":"Sophia Bouwens","startTime":1726.8,"endTime":1730.76,"body":"of triptans are used. What are"},{"speaker":"Sophia Bouwens","startTime":1731.1200000000001,"endTime":1734.21,"body":"some drug names that people"},{"speaker":"Sophia Bouwens","startTime":1731.1200000000001,"endTime":1734.21,"body":"might recognize with this class,"},{"speaker":"Sophia Bouwens","startTime":1734.21,"endTime":1735.5900000000001,"body":"the triptan class?"},{"speaker":"Ayla Wolf","startTime":1736.04,"endTime":1738.95,"body":"So I would say most"},{"speaker":"Ayla Wolf","startTime":1736.04,"endTime":1738.95,"body":"of my patients that have been"},{"speaker":"Ayla Wolf","startTime":1738.95,"endTime":1742.73,"body":"prescribed triptans are either"},{"speaker":"Ayla Wolf","startTime":1738.95,"endTime":1742.73,"body":"on Imitrex, that's probably the"},{"speaker":"Ayla Wolf","startTime":1742.73,"endTime":1747.05,"body":"most popular Maxalt, Relpax and"},{"speaker":"Ayla Wolf","startTime":1742.73,"endTime":1747.05,"body":"Zomig."},{"speaker":"Sophia Bouwens","startTime":1747.0800000000002,"endTime":1750.44,"body":"Something like"},{"speaker":"Sophia Bouwens","startTime":1747.0800000000002,"endTime":1750.44,"body":"that. And how many days a month"},{"speaker":"Sophia Bouwens","startTime":1750.47,"endTime":1753.98,"body":"do you use those to be"},{"speaker":"Sophia Bouwens","startTime":1750.47,"endTime":1753.98,"body":"considered kind of that overuse"},{"speaker":"Sophia Bouwens","startTime":1754.0700000000002,"endTime":1754.5800000000002,"body":"time?"},{"speaker":"Ayla Wolf","startTime":1755.03,"endTime":1758.1200000000001,"body":"Yeah. So if people"},{"speaker":"Ayla Wolf","startTime":1755.03,"endTime":1758.1200000000001,"body":"are taking a triptan more than"},{"speaker":"Ayla Wolf","startTime":1758.1200000000001,"endTime":1762.71,"body":"10 days a month for more than"},{"speaker":"Ayla Wolf","startTime":1758.1200000000001,"endTime":1762.71,"body":"three months, they can develop a"},{"speaker":"Ayla Wolf","startTime":1762.71,"endTime":1767.9,"body":"medication overuse headache. And"},{"speaker":"Ayla Wolf","startTime":1762.71,"endTime":1767.9,"body":"because doctors know this a lot"},{"speaker":"Ayla Wolf","startTime":1767.9,"endTime":1772.3700000000001,"body":"of times, they only give people"},{"speaker":"Ayla Wolf","startTime":1767.9,"endTime":1772.3700000000001,"body":"a 10 day supply per month of"},{"speaker":"Ayla Wolf","startTime":1772.3700000000001,"endTime":1776.24,"body":"triptans. But then what happens"},{"speaker":"Ayla Wolf","startTime":1772.3700000000001,"endTime":1776.24,"body":"is that people run out of their"},{"speaker":"Ayla Wolf","startTime":1776.24,"endTime":1780.77,"body":"triptans, and so then they start"},{"speaker":"Ayla Wolf","startTime":1776.24,"endTime":1780.77,"body":"taking either ibuprofen or Aleve"},{"speaker":"Ayla Wolf","startTime":1780.98,"endTime":1785.69,"body":"or these other things. And what"},{"speaker":"Ayla Wolf","startTime":1780.98,"endTime":1785.69,"body":"the research is also showing is"},{"speaker":"Ayla Wolf","startTime":1785.69,"endTime":1790.22,"body":"that if you take, say, like"},{"speaker":"Ayla Wolf","startTime":1785.69,"endTime":1790.22,"body":"Tylenol, more than 15 days per"},{"speaker":"Ayla Wolf","startTime":1790.22,"endTime":1794.78,"body":"month for more than three"},{"speaker":"Ayla Wolf","startTime":1790.22,"endTime":1794.78,"body":"months, or ibuprofen or some of"},{"speaker":"Ayla Wolf","startTime":1794.78,"endTime":1798.5900000000001,"body":"these non steroidal, anti"},{"speaker":"Ayla Wolf","startTime":1794.78,"endTime":1798.5900000000001,"body":"inflammatory drugs 15 days per"},{"speaker":"Ayla Wolf","startTime":1798.5900000000001,"endTime":1804.1100000000001,"body":"month for three months. Or if"},{"speaker":"Ayla Wolf","startTime":1798.5900000000001,"endTime":1804.1100000000001,"body":"you take a combination analgesic"},{"speaker":"Ayla Wolf","startTime":1804.1100000000001,"endTime":1808.55,"body":"like Excedrin migraine, which"},{"speaker":"Ayla Wolf","startTime":1804.1100000000001,"endTime":1808.55,"body":"has caffeine in it as well, if"},{"speaker":"Ayla Wolf","startTime":1808.55,"endTime":1812.63,"body":"you take that for greater than"},{"speaker":"Ayla Wolf","startTime":1808.55,"endTime":1812.63,"body":"10 days per month for more than"},{"speaker":"Ayla Wolf","startTime":1812.63,"endTime":1817.19,"body":"three months. Or if you take"},{"speaker":"Ayla Wolf","startTime":1812.63,"endTime":1817.19,"body":"multiple drug classes, right? So"},{"speaker":"Ayla Wolf","startTime":1817.19,"endTime":1820.49,"body":"if you're now mixing and"},{"speaker":"Ayla Wolf","startTime":1817.19,"endTime":1820.49,"body":"matching different drugs for"},{"speaker":"Ayla Wolf","startTime":1820.49,"endTime":1824.18,"body":"more than 10 days per month for"},{"speaker":"Ayla Wolf","startTime":1820.49,"endTime":1824.18,"body":"more than three months, you can"},{"speaker":"Ayla Wolf","startTime":1824.18,"endTime":1827.6000000000001,"body":"develop medication overuse"},{"speaker":"Ayla Wolf","startTime":1824.18,"endTime":1827.6000000000001,"body":"headaches, or what people call"},{"speaker":"Ayla Wolf","startTime":1827.6000000000001,"endTime":1828.6200000000001,"body":"rebound headaches."},{"speaker":"Sophia Bouwens","startTime":1829.16,"endTime":1832.79,"body":"That's so"},{"speaker":"Sophia Bouwens","startTime":1829.16,"endTime":1832.79,"body":"amazing that the headache"},{"speaker":"Sophia Bouwens","startTime":1832.8200000000002,"endTime":1836.69,"body":"medication can cause headaches"},{"speaker":"Sophia Bouwens","startTime":1832.8200000000002,"endTime":1836.69,"body":"and adds another level of"},{"speaker":"Sophia Bouwens","startTime":1836.69,"endTime":1840.65,"body":"complexity there. And those"},{"speaker":"Sophia Bouwens","startTime":1836.69,"endTime":1840.65,"body":"windows aren't always that"},{"speaker":"Sophia Bouwens","startTime":1840.65,"endTime":1844.94,"body":"large, right? 10 days for many"},{"speaker":"Sophia Bouwens","startTime":1840.65,"endTime":1844.94,"body":"of them, right?"},{"speaker":"Ayla Wolf","startTime":1844.97,"endTime":1848.99,"body":"Yeah. And so once I"},{"speaker":"Ayla Wolf","startTime":1844.97,"endTime":1848.99,"body":"read this paper, which, you"},{"speaker":"Ayla Wolf","startTime":1848.99,"endTime":1854.18,"body":"know, let me back up. So when I"},{"speaker":"Ayla Wolf","startTime":1848.99,"endTime":1854.18,"body":"did the 150 hours of studying"},{"speaker":"Ayla Wolf","startTime":1854.18,"endTime":1861.8600000000001,"body":"migraines, the first 25 hours of"},{"speaker":"Ayla Wolf","startTime":1854.18,"endTime":1861.8600000000001,"body":"that program, we read a 70-page"},{"speaker":"Ayla Wolf","startTime":1861.8600000000001,"endTime":1865.64,"body":"paper. The lead author was a"},{"speaker":"Ayla Wolf","startTime":1861.8600000000001,"endTime":1865.64,"body":"researcher named Peter Goadsby"},{"speaker":"Ayla Wolf","startTime":1865.64,"endTime":1870.5,"body":"who is a expert on migraines."},{"speaker":"Ayla Wolf","startTime":1865.64,"endTime":1870.5,"body":"And so this paper was the"},{"speaker":"Ayla Wolf","startTime":1870.5,"endTime":1874.52,"body":"definitive paper on migraine"},{"speaker":"Ayla Wolf","startTime":1870.5,"endTime":1874.52,"body":"pathophysiology. We spent the"},{"speaker":"Ayla Wolf","startTime":1874.52,"endTime":1879.65,"body":"first 25 hours of the course"},{"speaker":"Ayla Wolf","startTime":1874.52,"endTime":1879.65,"body":"reading line by line, the 70"},{"speaker":"Ayla Wolf","startTime":1879.65,"endTime":1883.7,"body":"page research paper, because it"},{"speaker":"Ayla Wolf","startTime":1879.65,"endTime":1883.7,"body":"was so important. And it was the"},{"speaker":"Ayla Wolf","startTime":1883.7,"endTime":1888.26,"body":"definitive paper on migraines."},{"speaker":"Ayla Wolf","startTime":1883.7,"endTime":1888.26,"body":"And so when he then published a"},{"speaker":"Ayla Wolf","startTime":1888.26,"endTime":1892.76,"body":"paper on medication overuse"},{"speaker":"Ayla Wolf","startTime":1888.26,"endTime":1892.76,"body":"headaches in 2024 as soon as I"},{"speaker":"Ayla Wolf","startTime":1892.76,"endTime":1896.54,"body":"saw his name on that paper, I"},{"speaker":"Ayla Wolf","startTime":1892.76,"endTime":1896.54,"body":"paid attention. Because this"},{"speaker":"Ayla Wolf","startTime":1896.54,"endTime":1899.6000000000001,"body":"isn't just some random person"},{"speaker":"Ayla Wolf","startTime":1896.54,"endTime":1899.6000000000001,"body":"publishing a paper on medication"},{"speaker":"Ayla Wolf","startTime":1899.6000000000001,"endTime":1903.5900000000001,"body":"overuse headaches. This is Peter"},{"speaker":"Ayla Wolf","startTime":1899.6000000000001,"endTime":1903.5900000000001,"body":"Goadsby that is writing a paper"},{"speaker":"Ayla Wolf","startTime":1903.6200000000001,"endTime":1906.5600000000002,"body":"on medication overuse headaches,"},{"speaker":"Ayla Wolf","startTime":1903.6200000000001,"endTime":1906.5600000000002,"body":"and he is the expert on"},{"speaker":"Ayla Wolf","startTime":1906.5600000000002,"endTime":1907.3400000000001,"body":"migraines."},{"speaker":"Sophia Bouwens","startTime":1907.48,"endTime":1910.0,"body":"One thing I saw"},{"speaker":"Sophia Bouwens","startTime":1907.48,"endTime":1910.0,"body":"that was really interesting"},{"speaker":"Sophia Bouwens","startTime":1910.0,"endTime":1913.96,"body":"about that paper is that they'd"},{"speaker":"Sophia Bouwens","startTime":1910.0,"endTime":1913.96,"body":"see brain changes in relation to"},{"speaker":"Sophia Bouwens","startTime":1913.96,"endTime":1918.0600000000002,"body":"these medications, and if people"},{"speaker":"Sophia Bouwens","startTime":1913.96,"endTime":1918.0600000000002,"body":"would stop taking them, they saw"},{"speaker":"Sophia Bouwens","startTime":1918.0600000000002,"endTime":1920.94,"body":"a reversal in those brain"},{"speaker":"Sophia Bouwens","startTime":1918.0600000000002,"endTime":1920.94,"body":"changes. So this is not"},{"speaker":"Sophia Bouwens","startTime":1920.94,"endTime":1923.88,"body":"something that once it's done,"},{"speaker":"Sophia Bouwens","startTime":1920.94,"endTime":1923.88,"body":"you're stuck with it. It's"},{"speaker":"Sophia Bouwens","startTime":1923.88,"endTime":1927.3,"body":"something that if you work with"},{"speaker":"Sophia Bouwens","startTime":1923.88,"endTime":1927.3,"body":"the right provider to come off"},{"speaker":"Sophia Bouwens","startTime":1927.3,"endTime":1931.8600000000001,"body":"of them, you can actually have"},{"speaker":"Sophia Bouwens","startTime":1927.3,"endTime":1931.8600000000001,"body":"healing in a bigger way from"},{"speaker":"Sophia Bouwens","startTime":1931.8600000000001,"endTime":1932.52,"body":"this too."},{"speaker":"Ayla Wolf","startTime":1932.89,"endTime":1935.38,"body":"Yeah. I mean, they"},{"speaker":"Ayla Wolf","startTime":1932.89,"endTime":1935.38,"body":"talked about different clinics"},{"speaker":"Ayla Wolf","startTime":1935.38,"endTime":1939.97,"body":"that would take people off of"},{"speaker":"Ayla Wolf","startTime":1935.38,"endTime":1939.97,"body":"these medications and have"},{"speaker":"Ayla Wolf","startTime":1940.0,"endTime":1944.6200000000001,"body":"really significant improvements"},{"speaker":"Ayla Wolf","startTime":1940.0,"endTime":1944.6200000000001,"body":"in people's headaches. And then"},{"speaker":"Ayla Wolf","startTime":1944.65,"endTime":1946.96,"body":"they also talked about, like you"},{"speaker":"Ayla Wolf","startTime":1944.65,"endTime":1946.96,"body":"said, the fact that, when they"},{"speaker":"Ayla Wolf","startTime":1946.96,"endTime":1950.5900000000001,"body":"were doing brain imaging"},{"speaker":"Ayla Wolf","startTime":1946.96,"endTime":1950.5900000000001,"body":"research, people that had"},{"speaker":"Ayla Wolf","startTime":1950.5900000000001,"endTime":1953.68,"body":"medication overuse headaches had"},{"speaker":"Ayla Wolf","startTime":1950.5900000000001,"endTime":1953.68,"body":"what they were calling"},{"speaker":"Ayla Wolf","startTime":1953.68,"endTime":1958.3,"body":"hypometabolism in different"},{"speaker":"Ayla Wolf","startTime":1953.68,"endTime":1958.3,"body":"parts of the brain, and hypo"},{"speaker":"Ayla Wolf","startTime":1958.3,"endTime":1961.72,"body":"metabolism is also one of the"},{"speaker":"Ayla Wolf","startTime":1958.3,"endTime":1961.72,"body":"things when it's in, when you"},{"speaker":"Ayla Wolf","startTime":1961.72,"endTime":1966.16,"body":"have hypo metabolism or"},{"speaker":"Ayla Wolf","startTime":1961.72,"endTime":1966.16,"body":"decreased neuronal firing in,"},{"speaker":"Ayla Wolf","startTime":1966.16,"endTime":1969.94,"body":"say, the prefrontal cortex,"},{"speaker":"Ayla Wolf","startTime":1966.16,"endTime":1969.94,"body":"that's what people with ADHD"},{"speaker":"Ayla Wolf","startTime":1969.94,"endTime":1975.52,"body":"suffer from, and that's why the"},{"speaker":"Ayla Wolf","startTime":1969.94,"endTime":1975.52,"body":"ADHD medications are stimulants,"},{"speaker":"Ayla Wolf","startTime":1975.8200000000002,"endTime":1979.1200000000001,"body":"and why? You take someone who's"},{"speaker":"Ayla Wolf","startTime":1975.8200000000002,"endTime":1979.1200000000001,"body":"hyperactive and you give them a"},{"speaker":"Ayla Wolf","startTime":1979.1200000000001,"endTime":1982.03,"body":"stimulant, and all of a sudden"},{"speaker":"Ayla Wolf","startTime":1979.1200000000001,"endTime":1982.03,"body":"they're calmer. They're"},{"speaker":"Ayla Wolf","startTime":1982.03,"endTime":1986.29,"body":"hyperactive because of actually"},{"speaker":"Ayla Wolf","startTime":1982.03,"endTime":1986.29,"body":"a Hypo-metabolism that's"},{"speaker":"Ayla Wolf","startTime":1986.29,"endTime":1991.0,"body":"preventing them from actually"},{"speaker":"Ayla Wolf","startTime":1986.29,"endTime":1991.0,"body":"having focused concentration."},{"speaker":"Ayla Wolf","startTime":1991.0600000000002,"endTime":1993.8200000000002,"body":"And so you give them a"},{"speaker":"Ayla Wolf","startTime":1991.0600000000002,"endTime":1993.8200000000002,"body":"stimulant, you increase the"},{"speaker":"Ayla Wolf","startTime":1993.8200000000002,"endTime":1996.7,"body":"metabolism in the prefrontal"},{"speaker":"Ayla Wolf","startTime":1993.8200000000002,"endTime":1996.7,"body":"cortex, and all of a sudden they"},{"speaker":"Ayla Wolf","startTime":1996.7,"endTime":2000.0600000000002,"body":"can do life better. They can"},{"speaker":"Ayla Wolf","startTime":1996.7,"endTime":2000.0600000000002,"body":"function better. And so when"},{"speaker":"Ayla Wolf","startTime":2000.0600000000002,"endTime":2003.8400000000001,"body":"you've got hypo-metabolism"},{"speaker":"Ayla Wolf","startTime":2000.0600000000002,"endTime":2003.8400000000001,"body":"happening in the prefrontal"},{"speaker":"Ayla Wolf","startTime":2003.8400000000001,"endTime":2008.01,"body":"cortex that can cause all kinds"},{"speaker":"Ayla Wolf","startTime":2003.8400000000001,"endTime":2008.01,"body":"of cognitive symptoms, and after"},{"speaker":"Ayla Wolf","startTime":2008.01,"endTime":2011.52,"body":"a concussion, people can also"},{"speaker":"Ayla Wolf","startTime":2008.01,"endTime":2011.52,"body":"have hypo metabolism. So then,"},{"speaker":"Ayla Wolf","startTime":2011.52,"endTime":2014.28,"body":"if you're giving them"},{"speaker":"Ayla Wolf","startTime":2011.52,"endTime":2014.28,"body":"medications that create further"},{"speaker":"Ayla Wolf","startTime":2014.28,"endTime":2018.45,"body":"hypo-metabolism, you can create"},{"speaker":"Ayla Wolf","startTime":2014.28,"endTime":2018.45,"body":"further cognitive issues, maybe"},{"speaker":"Ayla Wolf","startTime":2018.45,"endTime":2022.1100000000001,"body":"even depression and things with"},{"speaker":"Ayla Wolf","startTime":2018.45,"endTime":2022.1100000000001,"body":"difficulty focusing and"},{"speaker":"Ayla Wolf","startTime":2022.1100000000001,"endTime":2026.16,"body":"attention and brain fog and all"},{"speaker":"Ayla Wolf","startTime":2022.1100000000001,"endTime":2026.16,"body":"of that. And so that's another"},{"speaker":"Ayla Wolf","startTime":2026.16,"endTime":2029.43,"body":"reason why these medications"},{"speaker":"Ayla Wolf","startTime":2026.16,"endTime":2029.43,"body":"should really be used with"},{"speaker":"Ayla Wolf","startTime":2029.43,"endTime":2032.76,"body":"caution, and should, and"},{"speaker":"Ayla Wolf","startTime":2029.43,"endTime":2032.76,"body":"especially with say, like the"},{"speaker":"Ayla Wolf","startTime":2032.76,"endTime":2036.99,"body":"triptans, should not be kind of"},{"speaker":"Ayla Wolf","startTime":2032.76,"endTime":2036.99,"body":"accidentally given to people"},{"speaker":"Ayla Wolf","startTime":2036.99,"endTime":2039.72,"body":"that maybe look like they have"},{"speaker":"Ayla Wolf","startTime":2036.99,"endTime":2039.72,"body":"migraines but aren't actually"},{"speaker":"Ayla Wolf","startTime":2039.72,"endTime":2042.8400000000001,"body":"suffering from true migraines,"},{"speaker":"Sophia Bouwens","startTime":2043.02,"endTime":2045.3600000000001,"body":"and then having"},{"speaker":"Sophia Bouwens","startTime":2043.02,"endTime":2045.3600000000001,"body":"the headaches from overusing"},{"speaker":"Sophia Bouwens","startTime":2045.3600000000001,"endTime":2048.36,"body":"that medication because it's not"},{"speaker":"Sophia Bouwens","startTime":2045.3600000000001,"endTime":2048.36,"body":"working for them, because it's"},{"speaker":"Sophia Bouwens","startTime":2048.36,"endTime":2052.9500000000003,"body":"not the right medication. This"},{"speaker":"Sophia Bouwens","startTime":2048.36,"endTime":2052.9500000000003,"body":"diagnosis component continues to"},{"speaker":"Sophia Bouwens","startTime":2052.9500000000003,"endTime":2054.3900000000003,"body":"be so important."},{"speaker":"Ayla Wolf","startTime":2055.46,"endTime":2057.46,"body":"and I know I"},{"speaker":"Ayla Wolf","startTime":2055.46,"endTime":2057.46,"body":"mentioned this in the previous"},{"speaker":"Ayla Wolf","startTime":2057.52,"endTime":2062.44,"body":"episode, but I had, you know, a"},{"speaker":"Ayla Wolf","startTime":2057.52,"endTime":2062.44,"body":"patient who was in a very bad"},{"speaker":"Ayla Wolf","startTime":2062.44,"endTime":2067.6600000000003,"body":"car accident, and she had a"},{"speaker":"Ayla Wolf","startTime":2062.44,"endTime":2067.6600000000003,"body":"traumatic brain injury and a lot"},{"speaker":"Ayla Wolf","startTime":2067.6600000000003,"endTime":2070.9,"body":"of headaches, and she had broke"},{"speaker":"Ayla Wolf","startTime":2067.6600000000003,"endTime":2070.9,"body":"her jaws. She'll have facial"},{"speaker":"Ayla Wolf","startTime":2070.9,"endTime":2075.96,"body":"pain, jaw pain, and as I worked"},{"speaker":"Ayla Wolf","startTime":2070.9,"endTime":2075.96,"body":"with her, a lot of things were"},{"speaker":"Ayla Wolf","startTime":2075.96,"endTime":2078.2400000000002,"body":"getting better, but her"},{"speaker":"Ayla Wolf","startTime":2075.96,"endTime":2078.2400000000002,"body":"headaches were not getting"},{"speaker":"Ayla Wolf","startTime":2078.2400000000002,"endTime":2081.96,"body":"better. And I kept asking her"},{"speaker":"Ayla Wolf","startTime":2078.2400000000002,"endTime":2081.96,"body":"about her use of ibuprofen,"},{"speaker":"Ayla Wolf","startTime":2081.96,"endTime":2084.7200000000003,"body":"because she would kind of"},{"speaker":"Ayla Wolf","startTime":2081.96,"endTime":2084.7200000000003,"body":"mention it casually, and I think"},{"speaker":"Ayla Wolf","startTime":2084.7200000000003,"endTime":2088.2000000000003,"body":"she always kind of downplayed"},{"speaker":"Ayla Wolf","startTime":2084.7200000000003,"endTime":2088.2000000000003,"body":"it, because finally, when this"},{"speaker":"Ayla Wolf","startTime":2088.2000000000003,"endTime":2092.1000000000004,"body":"paper came out, and it really"},{"speaker":"Ayla Wolf","startTime":2088.2000000000003,"endTime":2092.1000000000004,"body":"highlighted to me the importance"},{"speaker":"Ayla Wolf","startTime":2092.1600000000003,"endTime":2095.84,"body":"of this idea that if you're"},{"speaker":"Ayla Wolf","startTime":2092.1600000000003,"endTime":2095.84,"body":"overusing even something like"},{"speaker":"Ayla Wolf","startTime":2095.84,"endTime":2099.32,"body":"ibuprofen that it can actually"},{"speaker":"Ayla Wolf","startTime":2095.84,"endTime":2099.32,"body":"cause headaches. I finally took"},{"speaker":"Ayla Wolf","startTime":2099.32,"endTime":2102.2000000000003,"body":"a different tactic, and I"},{"speaker":"Ayla Wolf","startTime":2099.32,"endTime":2102.2000000000003,"body":"basically started talking about"},{"speaker":"Ayla Wolf","startTime":2102.2000000000003,"endTime":2104.66,"body":"the paper and saying, like, hey,"},{"speaker":"Ayla Wolf","startTime":2102.2000000000003,"endTime":2104.66,"body":"this isn't just me, in my"},{"speaker":"Ayla Wolf","startTime":2104.66,"endTime":2107.24,"body":"opinion. This is, you know,"},{"speaker":"Ayla Wolf","startTime":2104.66,"endTime":2107.24,"body":"people who are experts that are"},{"speaker":"Ayla Wolf","startTime":2107.24,"endTime":2110.36,"body":"publishing papers on this, that"},{"speaker":"Ayla Wolf","startTime":2107.24,"endTime":2110.36,"body":"are saying, if you're taking"},{"speaker":"Ayla Wolf","startTime":2110.36,"endTime":2114.56,"body":"ibuprofen more than 15 days a"},{"speaker":"Ayla Wolf","startTime":2110.36,"endTime":2114.56,"body":"month for three months in a row,"},{"speaker":"Ayla Wolf","startTime":2114.56,"endTime":2118.36,"body":"that can actually trigger"},{"speaker":"Ayla Wolf","startTime":2114.56,"endTime":2118.36,"body":"headaches. And so she finally"},{"speaker":"Ayla Wolf","startTime":2118.42,"endTime":2121.54,"body":"took my advice and she stopped"},{"speaker":"Ayla Wolf","startTime":2118.42,"endTime":2121.54,"body":"taking the ibuprofen, after"},{"speaker":"Ayla Wolf","startTime":2121.54,"endTime":2124.72,"body":"admitting to me that she took it"},{"speaker":"Ayla Wolf","startTime":2121.54,"endTime":2124.72,"body":"almost every single day, wow."},{"speaker":"Ayla Wolf","startTime":2124.84,"endTime":2129.82,"body":"And so she stopped taking it and"},{"speaker":"Ayla Wolf","startTime":2124.84,"endTime":2129.82,"body":"I saw her at that point. I was"},{"speaker":"Ayla Wolf","startTime":2129.82,"endTime":2133.06,"body":"only seeing her, I think, once a"},{"speaker":"Ayla Wolf","startTime":2129.82,"endTime":2133.06,"body":"month, because everything else"},{"speaker":"Ayla Wolf","startTime":2133.06,"endTime":2135.96,"body":"was really a lot better. It was"},{"speaker":"Ayla Wolf","startTime":2133.06,"endTime":2135.96,"body":"just these headaches that were"},{"speaker":"Ayla Wolf","startTime":2135.96,"endTime":2138.7799999999997,"body":"the most stubborn thing that she"},{"speaker":"Ayla Wolf","startTime":2135.96,"endTime":2138.7799999999997,"body":"was dealing with. And so when I"},{"speaker":"Ayla Wolf","startTime":2138.7799999999997,"endTime":2141.24,"body":"saw her month later, she said,"},{"speaker":"Ayla Wolf","startTime":2138.7799999999997,"endTime":2141.24,"body":"Oh yeah, my headaches are, like,"},{"speaker":"Ayla Wolf","startTime":2141.24,"endTime":2146.8199999999997,"body":"practically gone. And it was"},{"speaker":"Ayla Wolf","startTime":2141.24,"endTime":2146.8199999999997,"body":"just, you know, such a stark"},{"speaker":"Ayla Wolf","startTime":2146.8799999999997,"endTime":2151.3199999999997,"body":"proof to me that, wow, like, you"},{"speaker":"Ayla Wolf","startTime":2146.8799999999997,"endTime":2151.3199999999997,"body":"know, ibuprofen, as innocuous as"},{"speaker":"Ayla Wolf","startTime":2151.3199999999997,"endTime":2154.9199999999996,"body":"it may seem, had actually been"},{"speaker":"Ayla Wolf","startTime":2151.3199999999997,"endTime":2154.9199999999996,"body":"causing her headaches. And for"},{"speaker":"Ayla Wolf","startTime":2154.9199999999996,"endTime":2158.2999999999997,"body":"over a year, she had headaches"},{"speaker":"Ayla Wolf","startTime":2154.9199999999996,"endTime":2158.2999999999997,"body":"every single day,"},{"speaker":"Sophia Bouwens","startTime":2158.18,"endTime":2160.85,"body":"and I'm sure she"},{"speaker":"Sophia Bouwens","startTime":2158.18,"endTime":2160.85,"body":"was probably taking ibuprofen to"},{"speaker":"Sophia Bouwens","startTime":2160.85,"endTime":2163.73,"body":"help with them, not knowing they"},{"speaker":"Sophia Bouwens","startTime":2160.85,"endTime":2163.73,"body":"were driving them. Thank"},{"speaker":"Sophia Bouwens","startTime":2163.73,"endTime":2166.8199999999997,"body":"goodness for researchers, nerds"},{"speaker":"Sophia Bouwens","startTime":2163.73,"endTime":2166.8199999999997,"body":"that just like, sit up there and"},{"speaker":"Sophia Bouwens","startTime":2167.12,"endTime":2170.45,"body":"do all these investigations,"},{"speaker":"Sophia Bouwens","startTime":2167.12,"endTime":2170.45,"body":"then publish it out there for"},{"speaker":"Sophia Bouwens","startTime":2170.8999999999996,"endTime":2174.2599999999998,"body":"patients to glean from, because"},{"speaker":"Sophia Bouwens","startTime":2170.8999999999996,"endTime":2174.2599999999998,"body":"providers and practitioners like"},{"speaker":"Sophia Bouwens","startTime":2174.2599999999998,"endTime":2177.89,"body":"yourself are doing the research,"},{"speaker":"Sophia Bouwens","startTime":2174.2599999999998,"endTime":2177.89,"body":"reading the research, and what."},{"speaker":"Ayla Wolf","startTime":2177.9199999999996,"endTime":2181.2799999999997,"body":"And the reality is"},{"speaker":"Ayla Wolf","startTime":2177.9199999999996,"endTime":2181.2799999999997,"body":"that doctors are so busy,"},{"speaker":"Ayla Wolf","startTime":2181.31,"endTime":2184.37,"body":"they're many of them are very"},{"speaker":"Ayla Wolf","startTime":2181.31,"endTime":2184.37,"body":"burnt out, and so most doctors"},{"speaker":"Ayla Wolf","startTime":2184.37,"endTime":2187.7599999999998,"body":"are not going home and reading"},{"speaker":"Ayla Wolf","startTime":2184.37,"endTime":2187.7599999999998,"body":"all of the research at night."},{"speaker":"Ayla Wolf","startTime":2187.7599999999998,"endTime":2193.1299999999997,"body":"You know, I mean, they often say"},{"speaker":"Ayla Wolf","startTime":2187.7599999999998,"endTime":2193.1299999999997,"body":"it can take the 20 to 40 years"},{"speaker":"Ayla Wolf","startTime":2193.16,"endTime":2196.79,"body":"for research to make its way"},{"speaker":"Ayla Wolf","startTime":2193.16,"endTime":2196.79,"body":"into clinical practice, and"},{"speaker":"Ayla Wolf","startTime":2196.8199999999997,"endTime":2200.18,"body":"that's too long, like we don't"},{"speaker":"Ayla Wolf","startTime":2196.8199999999997,"endTime":2200.18,"body":"have time to wait 20 to 40"},{"speaker":"Ayla Wolf","startTime":2200.21,"endTime":2204.44,"body":"years. People are suffering now."},{"speaker":"Ayla Wolf","startTime":2200.21,"endTime":2204.44,"body":"And so that's, you know, a one"},{"speaker":"Ayla Wolf","startTime":2204.44,"endTime":2208.0099999999998,"body":"of the reasons why I wrote my"},{"speaker":"Ayla Wolf","startTime":2204.44,"endTime":2208.0099999999998,"body":"book as well is, if you look at"},{"speaker":"Ayla Wolf","startTime":2208.0099999999998,"endTime":2211.1,"body":"the dates of a lot of the"},{"speaker":"Ayla Wolf","startTime":2208.0099999999998,"endTime":2211.1,"body":"research papers that I reference"},{"speaker":"Ayla Wolf","startTime":2211.1,"endTime":2214.49,"body":"in my book, they are literally"},{"speaker":"Ayla Wolf","startTime":2211.1,"endTime":2214.49,"body":"coming from papers that were"},{"speaker":"Ayla Wolf","startTime":2214.49,"endTime":2219.23,"body":"published in 2023, 2024  -"},{"speaker":"Ayla Wolf","startTime":2214.49,"endTime":2219.23,"body":"really up to date. And so we"},{"speaker":"Ayla Wolf","startTime":2219.23,"endTime":2221.72,"body":"live in, we live in a day and"},{"speaker":"Ayla Wolf","startTime":2219.23,"endTime":2221.72,"body":"age where you can actually"},{"speaker":"Ayla Wolf","startTime":2221.72,"endTime":2226.0699999999997,"body":"publish a book in 2025 that is"},{"speaker":"Ayla Wolf","startTime":2221.72,"endTime":2226.0699999999997,"body":"based on research that was"},{"speaker":"Ayla Wolf","startTime":2226.0699999999997,"endTime":2229.91,"body":"published in 2024 and I think"},{"speaker":"Ayla Wolf","startTime":2226.0699999999997,"endTime":2229.91,"body":"you know, Never have we lived in"},{"speaker":"Ayla Wolf","startTime":2229.91,"endTime":2231.7999999999997,"body":"a time period where you could do"},{"speaker":"Ayla Wolf","startTime":2229.91,"endTime":2231.7999999999997,"body":"that?"},{"speaker":"Sophia Bouwens","startTime":2231.18,"endTime":2234.87,"body":"No. They are not"},{"speaker":"Sophia Bouwens","startTime":2231.18,"endTime":2234.87,"body":"always updated or you have to go"},{"speaker":"Sophia Bouwens","startTime":2234.87,"endTime":2237.72,"body":"to libraries and archives and"},{"speaker":"Sophia Bouwens","startTime":2234.87,"endTime":2237.72,"body":"read them and pull them out."},{"speaker":"Ayla Wolf","startTime":2238.8399999999997,"endTime":2240.7,"body":"So that's I think,"},{"speaker":"Ayla Wolf","startTime":2238.8399999999997,"endTime":2240.7,"body":"another reason why I'm so"},{"speaker":"Ayla Wolf","startTime":2240.7,"endTime":2244.7799999999997,"body":"excited is that my book is"},{"speaker":"Ayla Wolf","startTime":2240.7,"endTime":2244.7799999999997,"body":"really representative of the"},{"speaker":"Ayla Wolf","startTime":2244.7799999999997,"endTime":2248.3199999999997,"body":"most kind of recent research"},{"speaker":"Ayla Wolf","startTime":2244.7799999999997,"endTime":2248.3199999999997,"body":"that we have, the most cutting"},{"speaker":"Ayla Wolf","startTime":2248.3199999999997,"endTime":2252.52,"body":"edge research that ultimately"},{"speaker":"Ayla Wolf","startTime":2248.3199999999997,"endTime":2252.52,"body":"hasn't fully made its way into"},{"speaker":"Ayla Wolf","startTime":2252.52,"endTime":2257.04,"body":"mainstream medicine and into the"},{"speaker":"Ayla Wolf","startTime":2252.52,"endTime":2257.04,"body":"forefront of people's minds yet."},{"speaker":"Sophia Bouwens","startTime":2257.22,"endTime":2259.44,"body":"So what guidance"},{"speaker":"Sophia Bouwens","startTime":2257.22,"endTime":2259.44,"body":"would you give a migraine"},{"speaker":"Sophia Bouwens","startTime":2259.44,"endTime":2263.04,"body":"sufferer, post traumatic"},{"speaker":"Sophia Bouwens","startTime":2259.44,"endTime":2263.04,"body":"headache, migraine sufferer, or"},{"speaker":"Sophia Bouwens","startTime":2263.04,"endTime":2267.06,"body":"migraine like suffer, if they"},{"speaker":"Sophia Bouwens","startTime":2263.04,"endTime":2267.06,"body":"suspect these things, what do"},{"speaker":"Sophia Bouwens","startTime":2267.06,"endTime":2268.56,"body":"you think they should do or"},{"speaker":"Sophia Bouwens","startTime":2267.06,"endTime":2268.56,"body":"could do?"},{"speaker":"Ayla Wolf","startTime":2268.87,"endTime":2271.54,"body":"Yeah, I think the"},{"speaker":"Ayla Wolf","startTime":2268.87,"endTime":2271.54,"body":"first step is if people answered"},{"speaker":"Ayla Wolf","startTime":2271.54,"endTime":2274.5099999999998,"body":"no to all four of those"},{"speaker":"Ayla Wolf","startTime":2271.54,"endTime":2274.5099999999998,"body":"questions at the beginning of"},{"speaker":"Ayla Wolf","startTime":2274.5099999999998,"endTime":2278.14,"body":"the podcast, and they've been"},{"speaker":"Ayla Wolf","startTime":2274.5099999999998,"endTime":2278.14,"body":"diagnosed with migraines, they"},{"speaker":"Ayla Wolf","startTime":2278.14,"endTime":2282.22,"body":"should probably go back to their"},{"speaker":"Ayla Wolf","startTime":2278.14,"endTime":2282.22,"body":"prescribing physician or doctor"},{"speaker":"Ayla Wolf","startTime":2282.22,"endTime":2286.24,"body":"and have a conversation around"},{"speaker":"Ayla Wolf","startTime":2282.22,"endTime":2286.24,"body":"whether or not that's the right"},{"speaker":"Ayla Wolf","startTime":2286.24,"endTime":2290.14,"body":"diagnosis for them, because we,"},{"speaker":"Ayla Wolf","startTime":2286.24,"endTime":2290.14,"body":"you know, we definitely don't"},{"speaker":"Ayla Wolf","startTime":2290.14,"endTime":2294.6099999999997,"body":"want people to be misdiagnosed"},{"speaker":"Ayla Wolf","startTime":2290.14,"endTime":2294.6099999999997,"body":"or on medications that are for"},{"speaker":"Ayla Wolf","startTime":2294.6099999999997,"endTime":2297.1299999999997,"body":"the wrong thing, especially if"},{"speaker":"Ayla Wolf","startTime":2294.6099999999997,"endTime":2297.1299999999997,"body":"those medications aren't"},{"speaker":"Ayla Wolf","startTime":2297.1299999999997,"endTime":2301.66,"body":"working. And a lot of people,"},{"speaker":"Ayla Wolf","startTime":2297.1299999999997,"endTime":2301.66,"body":"you know, really do put so much"},{"speaker":"Ayla Wolf","startTime":2301.66,"endTime":2307.0299999999997,"body":"faith into into medicine. And so"},{"speaker":"Ayla Wolf","startTime":2301.66,"endTime":2307.0299999999997,"body":"a lot of people take medications"},{"speaker":"Ayla Wolf","startTime":2307.0299999999997,"endTime":2310.27,"body":"even if they're not helping. I"},{"speaker":"Ayla Wolf","startTime":2307.0299999999997,"endTime":2310.27,"body":"mean, I see that all the time is"},{"speaker":"Ayla Wolf","startTime":2310.27,"endTime":2313.12,"body":"that people have been on"},{"speaker":"Ayla Wolf","startTime":2310.27,"endTime":2313.12,"body":"medications for six months to"},{"speaker":"Ayla Wolf","startTime":2313.12,"endTime":2316.3599999999997,"body":"two years, and they are still"},{"speaker":"Ayla Wolf","startTime":2313.12,"endTime":2316.3599999999997,"body":"highly symptomatic, and they"},{"speaker":"Ayla Wolf","startTime":2316.3599999999997,"endTime":2319.5699999999997,"body":"haven't gotten any better, and"},{"speaker":"Ayla Wolf","startTime":2316.3599999999997,"endTime":2319.5699999999997,"body":"they're not getting relief. And"},{"speaker":"Ayla Wolf","startTime":2319.5699999999997,"endTime":2322.0299999999997,"body":"a lot of times, what happens is"},{"speaker":"Ayla Wolf","startTime":2319.5699999999997,"endTime":2322.0299999999997,"body":"they're just put on one migraine"},{"speaker":"Ayla Wolf","startTime":2322.0299999999997,"endTime":2324.5499999999997,"body":"medication, and if that doesn't"},{"speaker":"Ayla Wolf","startTime":2322.0299999999997,"endTime":2324.5499999999997,"body":"work, they're put on a different"},{"speaker":"Ayla Wolf","startTime":2324.5499999999997,"endTime":2326.74,"body":"one. If that doesn't work,"},{"speaker":"Ayla Wolf","startTime":2324.5499999999997,"endTime":2326.74,"body":"they're put on a different one,"},{"speaker":"Ayla Wolf","startTime":2326.95,"endTime":2332.08,"body":"and it's just, again, taxing to"},{"speaker":"Ayla Wolf","startTime":2326.95,"endTime":2332.08,"body":"the liver, and if it's the wrong"},{"speaker":"Ayla Wolf","startTime":2332.08,"endTime":2335.7999999999997,"body":"diagnosis to begin with, they've"},{"speaker":"Ayla Wolf","startTime":2332.08,"endTime":2335.7999999999997,"body":"got to try a different approach."},{"speaker":"Ayla Wolf","startTime":2336.1,"endTime":2340.96,"body":"So for the people who don't have"},{"speaker":"Ayla Wolf","startTime":2336.1,"endTime":2340.96,"body":"true migraines and they have,"},{"speaker":"Ayla Wolf","startTime":2340.96,"endTime":2345.19,"body":"quote, \"migraine-like post"},{"speaker":"Ayla Wolf","startTime":2340.96,"endTime":2345.19,"body":"traumatic headaches\", the"},{"speaker":"Ayla Wolf","startTime":2345.22,"endTime":2348.85,"body":"migraine medications are likely"},{"speaker":"Ayla Wolf","startTime":2345.22,"endTime":2348.85,"body":"not going to help them. And so"},{"speaker":"Ayla Wolf","startTime":2348.85,"endTime":2352.1499999999996,"body":"there are other medications,"},{"speaker":"Ayla Wolf","startTime":2348.85,"endTime":2352.1499999999996,"body":"like amitriptyline, we talked"},{"speaker":"Ayla Wolf","startTime":2352.1499999999996,"endTime":2355.81,"body":"about that before, where some"},{"speaker":"Ayla Wolf","startTime":2352.1499999999996,"endTime":2355.81,"body":"people get some relief from"},{"speaker":"Ayla Wolf","startTime":2355.81,"endTime":2360.3399999999997,"body":"that, but obviously with us"},{"speaker":"Ayla Wolf","startTime":2355.81,"endTime":2360.3399999999997,"body":"being, you know, acupuncturists"},{"speaker":"Ayla Wolf","startTime":2360.3999999999996,"endTime":2364.4199999999996,"body":"and always trying other natural"},{"speaker":"Ayla Wolf","startTime":2360.3999999999996,"endTime":2364.4199999999996,"body":"therapies that are non"},{"speaker":"Ayla Wolf","startTime":2364.4199999999996,"endTime":2368.89,"body":"pharmaceutical, you know, we've"},{"speaker":"Ayla Wolf","startTime":2364.4199999999996,"endTime":2368.89,"body":"seen great results with things"},{"speaker":"Ayla Wolf","startTime":2368.89,"endTime":2373.0,"body":"like acupuncture and even, you"},{"speaker":"Ayla Wolf","startTime":2368.89,"endTime":2373.0,"body":"know, upper cervical"},{"speaker":"Ayla Wolf","startTime":2373.0,"endTime":2376.54,"body":"chiropractic care, Massage"},{"speaker":"Ayla Wolf","startTime":2373.0,"endTime":2376.54,"body":"therapy to help address neck"},{"speaker":"Ayla Wolf","startTime":2376.54,"endTime":2380.14,"body":"tension. Craniosacral therapy"},{"speaker":"Ayla Wolf","startTime":2376.54,"endTime":2380.14,"body":"for that, yep, craniosacral"},{"speaker":"Ayla Wolf","startTime":2380.14,"endTime":2384.0699999999997,"body":"therapy, osteopathic"},{"speaker":"Ayla Wolf","startTime":2380.14,"endTime":2384.0699999999997,"body":"manipulation from DOS,"},{"speaker":"Ayla Wolf","startTime":2384.64,"endTime":2388.06,"body":"peripheral nerve stimulation"},{"speaker":"Ayla Wolf","startTime":2384.64,"endTime":2388.06,"body":"devices to help modulate the"},{"speaker":"Ayla Wolf","startTime":2388.06,"endTime":2392.3199999999997,"body":"trigeminal nerve and that lesser"},{"speaker":"Ayla Wolf","startTime":2388.06,"endTime":2392.3199999999997,"body":"and greater occipital nerves. So"},{"speaker":"Ayla Wolf","startTime":2392.3199999999997,"endTime":2396.6699999999996,"body":"there's a lot of other therapies"},{"speaker":"Ayla Wolf","startTime":2392.3199999999997,"endTime":2396.6699999999996,"body":"that I think can do a lot for"},{"speaker":"Ayla Wolf","startTime":2396.6699999999996,"endTime":2397.27,"body":"those people?"},{"speaker":"Sophia Bouwens","startTime":2397.18,"endTime":2400.8999999999996,"body":"Yeah, exercise,"},{"speaker":"Sophia Bouwens","startTime":2397.18,"endTime":2400.8999999999996,"body":"dietary changes, like the diet,"},{"speaker":"Sophia Bouwens","startTime":2400.8999999999996,"endTime":2403.96,"body":"I can't, I don't think it can be"},{"speaker":"Sophia Bouwens","startTime":2400.8999999999996,"endTime":2403.96,"body":"under emphasized, but you have"},{"speaker":"Sophia Bouwens","startTime":2403.96,"endTime":2407.47,"body":"to make sure that the diagnosis"},{"speaker":"Sophia Bouwens","startTime":2403.96,"endTime":2407.47,"body":"is right so you're working with"},{"speaker":"Sophia Bouwens","startTime":2407.47,"endTime":2409.69,"body":"the right set of information."},{"speaker":"Ayla Wolf","startTime":2409.69,"endTime":2411.19,"body":"Yeah, absolutely."},{"speaker":"Sophia Bouwens","startTime":2411.54,"endTime":2413.3999999999996,"body":"Well is there"},{"speaker":"Sophia Bouwens","startTime":2411.54,"endTime":2413.3999999999996,"body":"anything else you'd like anyone"},{"speaker":"Sophia Bouwens","startTime":2413.3999999999996,"endTime":2416.8799999999997,"body":"to know about migraine and"},{"speaker":"Sophia Bouwens","startTime":2413.3999999999996,"endTime":2416.8799999999997,"body":"migraine, like headache for now,"},{"speaker":"Sophia Bouwens","startTime":2416.8799999999997,"endTime":2419.64,"body":"or medication overuse and its"},{"speaker":"Sophia Bouwens","startTime":2416.8799999999997,"endTime":2419.64,"body":"complexities?"},{"speaker":"Ayla Wolf","startTime":2420.0899999999997,"endTime":2422.2799999999997,"body":"Man, I mean, I feel"},{"speaker":"Ayla Wolf","startTime":2420.0899999999997,"endTime":2422.2799999999997,"body":"like we potentially maybe"},{"speaker":"Ayla Wolf","startTime":2422.7,"endTime":2425.52,"body":"overwhelmed people a lot of"},{"speaker":"Ayla Wolf","startTime":2422.7,"endTime":2425.52,"body":"information."},{"speaker":"Sophia Bouwens","startTime":2425.52,"endTime":2428.49,"body":"Well it wasn't a"},{"speaker":"Sophia Bouwens","startTime":2425.52,"endTime":2428.49,"body":"150 hour course, but it was a"},{"speaker":"Sophia Bouwens","startTime":2428.8799999999997,"endTime":2433.8599999999997,"body":"touch into the complexity there,"},{"speaker":"Sophia Bouwens","startTime":2428.8799999999997,"endTime":2433.8599999999997,"body":"and hopefully people come away"},{"speaker":"Sophia Bouwens","startTime":2433.8599999999997,"endTime":2440.8199999999997,"body":"with some better clarity around"},{"speaker":"Sophia Bouwens","startTime":2433.8599999999997,"endTime":2440.8199999999997,"body":"what a migraine is and what can"},{"speaker":"Sophia Bouwens","startTime":2440.8199999999997,"endTime":2445.71,"body":"be done for it effectively, or"},{"speaker":"Sophia Bouwens","startTime":2440.8199999999997,"endTime":2445.71,"body":"if it's not effective, maybe"},{"speaker":"Sophia Bouwens","startTime":2445.71,"endTime":2447.6299999999997,"body":"what other alternatives might"},{"speaker":"Sophia Bouwens","startTime":2445.71,"endTime":2447.6299999999997,"body":"be?"},{"speaker":"Ayla Wolf","startTime":2447.18,"endTime":2450.8999999999996,"body":"I guess I will say,"},{"speaker":"Ayla Wolf","startTime":2447.18,"endTime":2450.8999999999996,"body":"you know, one thing for people"},{"speaker":"Ayla Wolf","startTime":2450.8999999999996,"endTime":2455.16,"body":"who are suffering from true"},{"speaker":"Ayla Wolf","startTime":2450.8999999999996,"endTime":2455.16,"body":"migraines, that research paper"},{"speaker":"Ayla Wolf","startTime":2455.16,"endTime":2458.5499999999997,"body":"that we've been referencing with"},{"speaker":"Ayla Wolf","startTime":2455.16,"endTime":2458.5499999999997,"body":"Peter Goadsby that came out in"},{"speaker":"Ayla Wolf","startTime":2458.5499999999997,"endTime":2463.29,"body":"2024 what they did say is that"},{"speaker":"Ayla Wolf","startTime":2458.5499999999997,"endTime":2463.29,"body":"there are two classes of medic"},{"speaker":"Ayla Wolf","startTime":2463.3199999999997,"endTime":2468.5099999999998,"body":"of migraine medications, those"},{"speaker":"Ayla Wolf","startTime":2463.3199999999997,"endTime":2468.5099999999998,"body":"CGRP receptor antagonists and"},{"speaker":"Ayla Wolf","startTime":2468.5099999999998,"endTime":2473.85,"body":"then the CGRP antibodies. So the"},{"speaker":"Ayla Wolf","startTime":2468.5099999999998,"endTime":2473.85,"body":"CGRP receptor antagonists are"},{"speaker":"Ayla Wolf","startTime":2473.85,"endTime":2478.5299999999997,"body":"things like Ubrelvy and then the"},{"speaker":"Ayla Wolf","startTime":2473.85,"endTime":2478.5299999999997,"body":"CGRP antibodies are things like"},{"speaker":"Ayla Wolf","startTime":2478.5899999999997,"endTime":2483.6,"body":"Emgality and Ajovi. And many of"},{"speaker":"Ayla Wolf","startTime":2478.5899999999997,"endTime":2483.6,"body":"these are a once a month"},{"speaker":"Ayla Wolf","startTime":2483.6,"endTime":2487.1099999999997,"body":"injectable medication. And what"},{"speaker":"Ayla Wolf","startTime":2483.6,"endTime":2487.1099999999997,"body":"they were saying is that for"},{"speaker":"Ayla Wolf","startTime":2487.1099999999997,"endTime":2490.68,"body":"people that have true migraines,"},{"speaker":"Ayla Wolf","startTime":2487.1099999999997,"endTime":2490.68,"body":"that are dealing with medication"},{"speaker":"Ayla Wolf","startTime":2490.71,"endTime":2494.2799999999997,"body":"overuse headaches, that those"},{"speaker":"Ayla Wolf","startTime":2490.71,"endTime":2494.2799999999997,"body":"are safer medications and that"},{"speaker":"Ayla Wolf","startTime":2494.2799999999997,"endTime":2497.46,"body":"they don't cause. Those"},{"speaker":"Ayla Wolf","startTime":2494.2799999999997,"endTime":2497.46,"body":"medication overuse headaches and"},{"speaker":"Ayla Wolf","startTime":2497.46,"endTime":2500.37,"body":"so as part of the process of"},{"speaker":"Ayla Wolf","startTime":2497.46,"endTime":2500.37,"body":"weaning people off of the other"},{"speaker":"Ayla Wolf","startTime":2500.37,"endTime":2503.5499999999997,"body":"medications, whether it's the"},{"speaker":"Ayla Wolf","startTime":2500.37,"endTime":2503.5499999999997,"body":"triptans or the Aleve or the"},{"speaker":"Ayla Wolf","startTime":2503.5499999999997,"endTime":2507.12,"body":"ibuprofen or Tylenol, in the"},{"speaker":"Ayla Wolf","startTime":2503.5499999999997,"endTime":2507.12,"body":"process of helping people"},{"speaker":"Ayla Wolf","startTime":2507.12,"endTime":2511.2599999999998,"body":"withdraw off those medications,"},{"speaker":"Ayla Wolf","startTime":2507.12,"endTime":2511.2599999999998,"body":"these two classes of migraine"},{"speaker":"Ayla Wolf","startTime":2511.2599999999998,"endTime":2514.68,"body":"medications are actually safer"},{"speaker":"Ayla Wolf","startTime":2511.2599999999998,"endTime":2514.68,"body":"and one of the kind of bridge"},{"speaker":"Ayla Wolf","startTime":2514.68,"endTime":2518.1299999999997,"body":"therapies that people can use to"},{"speaker":"Ayla Wolf","startTime":2514.68,"endTime":2518.1299999999997,"body":"still get relief from their"},{"speaker":"Ayla Wolf","startTime":2518.1299999999997,"endTime":2521.49,"body":"migraines while they're getting"},{"speaker":"Ayla Wolf","startTime":2518.1299999999997,"endTime":2521.49,"body":"off of those other medications."},{"speaker":"Ayla Wolf","startTime":2521.7,"endTime":2524.1,"body":"So again, that's something that"},{"speaker":"Ayla Wolf","startTime":2521.7,"endTime":2524.1,"body":"I think people could go to their"},{"speaker":"Ayla Wolf","startTime":2524.1,"endTime":2528.33,"body":"doctors and ask them about. So"},{"speaker":"Ayla Wolf","startTime":2524.1,"endTime":2528.33,"body":"that's, I think, important to"},{"speaker":"Ayla Wolf","startTime":2528.33,"endTime":2529.1699999999996,"body":"recognize."},{"speaker":"Sophia Bouwens","startTime":2529.2,"endTime":2531.87,"body":"And I think it's"},{"speaker":"Sophia Bouwens","startTime":2529.2,"endTime":2531.87,"body":"also important just to recognize"},{"speaker":"Sophia Bouwens","startTime":2531.87,"endTime":2535.0499999999997,"body":"that these migraine medications"},{"speaker":"Sophia Bouwens","startTime":2531.87,"endTime":2535.0499999999997,"body":"aren't something you can stop"},{"speaker":"Sophia Bouwens","startTime":2535.0499999999997,"endTime":2538.8599999999997,"body":"abruptly. You have to use"},{"speaker":"Sophia Bouwens","startTime":2535.0499999999997,"endTime":2538.8599999999997,"body":"guidance to come off of them in"},{"speaker":"Sophia Bouwens","startTime":2538.8599999999997,"endTime":2539.6099999999997,"body":"different ways."},{"speaker":"Ayla Wolf","startTime":2539.7999999999997,"endTime":2543.58,"body":"Yeah, absolutely,"},{"speaker":"Ayla Wolf","startTime":2539.7999999999997,"endTime":2543.58,"body":"because there's, there's a lot"},{"speaker":"Ayla Wolf","startTime":2543.58,"endTime":2547.12,"body":"going on when you just suddenly"},{"speaker":"Ayla Wolf","startTime":2543.58,"endTime":2547.12,"body":"stop taking medication. And so"},{"speaker":"Ayla Wolf","startTime":2547.18,"endTime":2550.2999999999997,"body":"obviously, we're not giving"},{"speaker":"Ayla Wolf","startTime":2547.18,"endTime":2550.2999999999997,"body":"people pharmaceutical advice,"},{"speaker":"Ayla Wolf","startTime":2550.2999999999997,"endTime":2553.8999999999996,"body":"but recommending they do work"},{"speaker":"Ayla Wolf","startTime":2550.2999999999997,"endTime":2553.8999999999996,"body":"with their doctors to make sure"},{"speaker":"Ayla Wolf","startTime":2553.8999999999996,"endTime":2556.98,"body":"that they're doing the right"},{"speaker":"Ayla Wolf","startTime":2553.8999999999996,"endTime":2556.98,"body":"thing for their situation, yeah,"},{"speaker":"Sophia Bouwens","startTime":2556.98,"endTime":2559.02,"body":"and doing that"},{"speaker":"Sophia Bouwens","startTime":2556.98,"endTime":2559.02,"body":"in a safe way. Because I think"},{"speaker":"Sophia Bouwens","startTime":2559.02,"endTime":2562.14,"body":"that paper that you referenced"},{"speaker":"Sophia Bouwens","startTime":2559.02,"endTime":2562.14,"body":"earlier, too even talked about"},{"speaker":"Sophia Bouwens","startTime":2562.14,"endTime":2565.5,"body":"how an abrupt finish to"},{"speaker":"Sophia Bouwens","startTime":2562.14,"endTime":2565.5,"body":"medications can be helpful"},{"speaker":"Sophia Bouwens","startTime":2565.9199999999996,"endTime":2569.46,"body":"compared to slow withdrawal, but"},{"speaker":"Sophia Bouwens","startTime":2565.9199999999996,"endTime":2569.46,"body":"that that abrupt finish isn't"},{"speaker":"Sophia Bouwens","startTime":2569.46,"endTime":2572.7599999999998,"body":"just cutting it out completely."},{"speaker":"Sophia Bouwens","startTime":2569.46,"endTime":2572.7599999999998,"body":"You have to do that in a safe"},{"speaker":"Sophia Bouwens","startTime":2572.7599999999998,"endTime":2576.3199999999997,"body":"way that should be managed well"},{"speaker":"Sophia Bouwens","startTime":2572.7599999999998,"endTime":2576.3199999999997,"body":"with a prescribing provider as"},{"speaker":"Sophia Bouwens","startTime":2576.3199999999997,"endTime":2576.68,"body":"well."},{"speaker":"Ayla Wolf","startTime":2576.7799999999997,"endTime":2581.43,"body":"Yeah, excellent"},{"speaker":"Ayla Wolf","startTime":2576.7799999999997,"endTime":2581.43,"body":"advice. There was also another"},{"speaker":"Ayla Wolf","startTime":2581.43,"endTime":2584.2799999999997,"body":"research paper. It was a meta"},{"speaker":"Ayla Wolf","startTime":2581.43,"endTime":2584.2799999999997,"body":"analysis looking at all the"},{"speaker":"Ayla Wolf","startTime":2584.2799999999997,"endTime":2587.8799999999997,"body":"different research papers had"},{"speaker":"Ayla Wolf","startTime":2584.2799999999997,"endTime":2587.8799999999997,"body":"been published on omega three"},{"speaker":"Ayla Wolf","startTime":2587.8799999999997,"endTime":2592.08,"body":"essential fatty acids. And what"},{"speaker":"Ayla Wolf","startTime":2587.8799999999997,"endTime":2592.08,"body":"they found is that when people"},{"speaker":"Ayla Wolf","startTime":2592.08,"endTime":2596.0099999999998,"body":"were taking high doses of Omega"},{"speaker":"Ayla Wolf","startTime":2592.08,"endTime":2596.0099999999998,"body":"three essential fatty acids, and"},{"speaker":"Ayla Wolf","startTime":2596.0099999999998,"endTime":2599.7,"body":"we're talking like 1800"},{"speaker":"Ayla Wolf","startTime":2596.0099999999998,"endTime":2599.7,"body":"milligrams to 2000 milligrams a"},{"speaker":"Ayla Wolf","startTime":2599.7,"endTime":2604.6499999999996,"body":"day consistently, that that"},{"speaker":"Ayla Wolf","startTime":2599.7,"endTime":2604.6499999999996,"body":"actually was effective in"},{"speaker":"Ayla Wolf","startTime":2604.6499999999996,"endTime":2608.2799999999997,"body":"helping people reduce the"},{"speaker":"Ayla Wolf","startTime":2604.6499999999996,"endTime":2608.2799999999997,"body":"frequency of their migraines."},{"speaker":"Ayla Wolf","startTime":2608.64,"endTime":2613.35,"body":"And I often find that people are"},{"speaker":"Ayla Wolf","startTime":2608.64,"endTime":2613.35,"body":"taking omega three, essential"},{"speaker":"Ayla Wolf","startTime":2613.35,"endTime":2616.95,"body":"fatty acid supplements, fish"},{"speaker":"Ayla Wolf","startTime":2613.35,"endTime":2616.95,"body":"oils, things like that, but that"},{"speaker":"Ayla Wolf","startTime":2616.95,"endTime":2620.49,"body":"they're not taking them at those"},{"speaker":"Ayla Wolf","startTime":2616.95,"endTime":2620.49,"body":"higher doses. And so the"},{"speaker":"Ayla Wolf","startTime":2620.49,"endTime":2624.8399999999997,"body":"research is really saying that"},{"speaker":"Ayla Wolf","startTime":2620.49,"endTime":2624.8399999999997,"body":"those things can be helpful, but"},{"speaker":"Ayla Wolf","startTime":2624.8399999999997,"endTime":2629.49,"body":"you have to take a high enough"},{"speaker":"Ayla Wolf","startTime":2624.8399999999997,"endTime":2629.49,"body":"dose. And because high quality"},{"speaker":"Ayla Wolf","startTime":2629.49,"endTime":2634.02,"body":"fish oils are expensive, I think"},{"speaker":"Ayla Wolf","startTime":2629.49,"endTime":2634.02,"body":"a lot of people are either, you"},{"speaker":"Ayla Wolf","startTime":2634.02,"endTime":2636.18,"body":"know, for the purpose of saving"},{"speaker":"Ayla Wolf","startTime":2634.02,"endTime":2636.18,"body":"money, or just because they"},{"speaker":"Ayla Wolf","startTime":2636.18,"endTime":2639.66,"body":"don't know any better they're"},{"speaker":"Ayla Wolf","startTime":2636.18,"endTime":2639.66,"body":"they're taking lower doses that"},{"speaker":"Ayla Wolf","startTime":2639.66,"endTime":2643.14,"body":"aren't actually moving the"},{"speaker":"Ayla Wolf","startTime":2639.66,"endTime":2643.14,"body":"needle or helping them, as far"},{"speaker":"Ayla Wolf","startTime":2643.14,"endTime":2645.6,"body":"as reducing the amount of"},{"speaker":"Ayla Wolf","startTime":2643.14,"endTime":2645.6,"body":"headaches that they're actually"},{"speaker":"Ayla Wolf","startTime":2645.6,"endTime":2646.35,"body":"experiencing."},{"speaker":"Sophia Bouwens","startTime":2646.3799999999997,"endTime":2648.33,"body":"And we could get"},{"speaker":"Sophia Bouwens","startTime":2646.3799999999997,"endTime":2648.33,"body":"into a whole conversation about"},{"speaker":"Sophia Bouwens","startTime":2648.33,"endTime":2652.14,"body":"the importance of safety around"},{"speaker":"Sophia Bouwens","startTime":2648.33,"endTime":2652.14,"body":"supplements and things you find"},{"speaker":"Sophia Bouwens","startTime":2652.14,"endTime":2657.27,"body":"in health food stores or on the"},{"speaker":"Sophia Bouwens","startTime":2652.14,"endTime":2657.27,"body":"shelves at random stores, and"},{"speaker":"Sophia Bouwens","startTime":2657.27,"endTime":2660.75,"body":"how they're not necessarily"},{"speaker":"Sophia Bouwens","startTime":2657.27,"endTime":2660.75,"body":"regulated. So there's a lot of"},{"speaker":"Sophia Bouwens","startTime":2660.75,"endTime":2663.7799999999997,"body":"evidence out there that unless"},{"speaker":"Sophia Bouwens","startTime":2660.75,"endTime":2663.7799999999997,"body":"their company is really doing"},{"speaker":"Sophia Bouwens","startTime":2663.81,"endTime":2667.44,"body":"extra work to put forward good,"},{"speaker":"Sophia Bouwens","startTime":2663.81,"endTime":2667.44,"body":"high quality stuff with what it"},{"speaker":"Sophia Bouwens","startTime":2667.44,"endTime":2671.3399999999997,"body":"says is in there, in what you're"},{"speaker":"Sophia Bouwens","startTime":2667.44,"endTime":2671.3399999999997,"body":"buying, there's a lot of"},{"speaker":"Sophia Bouwens","startTime":2671.3399999999997,"endTime":2673.62,"body":"companies that produce things"},{"speaker":"Sophia Bouwens","startTime":2671.3399999999997,"endTime":2673.62,"body":"that don't even have the"},{"speaker":"Sophia Bouwens","startTime":2673.62,"endTime":2675.66,"body":"ingredients they say are in"},{"speaker":"Sophia Bouwens","startTime":2673.62,"endTime":2675.66,"body":"there, or they're not in a"},{"speaker":"Sophia Bouwens","startTime":2675.66,"endTime":2679.2,"body":"formula body can use, or they"},{"speaker":"Sophia Bouwens","startTime":2675.66,"endTime":2679.2,"body":"come with all these other toxic"},{"speaker":"Sophia Bouwens","startTime":2679.2,"endTime":2681.6299999999997,"body":"components that aren't well"},{"speaker":"Sophia Bouwens","startTime":2679.2,"endTime":2681.6299999999997,"body":"processed."},{"speaker":"Ayla Wolf","startTime":2682.2,"endTime":2684.06,"body":"And that's especially"},{"speaker":"Ayla Wolf","startTime":2682.2,"endTime":2684.06,"body":"the case when you're talking"},{"speaker":"Ayla Wolf","startTime":2684.06,"endTime":2687.66,"body":"about fish oils or any kind of"},{"speaker":"Ayla Wolf","startTime":2684.06,"endTime":2687.66,"body":"Omega three, essential fatty"},{"speaker":"Ayla Wolf","startTime":2687.66,"endTime":2691.98,"body":"acid, because if you're taking a"},{"speaker":"Ayla Wolf","startTime":2687.66,"endTime":2691.98,"body":"low quality, Poor fish oil"},{"speaker":"Ayla Wolf","startTime":2691.98,"endTime":2694.95,"body":"supplement, A, it might be"},{"speaker":"Ayla Wolf","startTime":2691.98,"endTime":2694.95,"body":"really high in mercury, which"},{"speaker":"Ayla Wolf","startTime":2694.98,"endTime":2698.8799999999997,"body":"nobody needs in their body. B,"},{"speaker":"Ayla Wolf","startTime":2694.98,"endTime":2698.8799999999997,"body":"it could actually have a rancid"},{"speaker":"Ayla Wolf","startTime":2698.8799999999997,"endTime":2701.91,"body":"oil that's been, you know,"},{"speaker":"Ayla Wolf","startTime":2698.8799999999997,"endTime":2701.91,"body":"oxidized. And you also don't"},{"speaker":"Ayla Wolf","startTime":2701.91,"endTime":2705.27,"body":"want to take oxidized oils that"},{"speaker":"Ayla Wolf","startTime":2701.91,"endTime":2705.27,"body":"cause free radical damage in"},{"speaker":"Ayla Wolf","startTime":2705.27,"endTime":2709.1699999999996,"body":"your brain either. And so you do"},{"speaker":"Ayla Wolf","startTime":2705.27,"endTime":2709.1699999999996,"body":"need to know, like, which"},{"speaker":"Ayla Wolf","startTime":2709.1699999999996,"endTime":2712.83,"body":"companies are safe, which"},{"speaker":"Ayla Wolf","startTime":2709.1699999999996,"endTime":2712.83,"body":"companies are reputable. I often"},{"speaker":"Ayla Wolf","startTime":2712.83,"endTime":2716.97,"body":"recommend that people you know,"},{"speaker":"Ayla Wolf","startTime":2712.83,"endTime":2716.97,"body":"get their supplements from like"},{"speaker":"Ayla Wolf","startTime":2717.1499999999996,"endTime":2720.1499999999996,"body":"healthcare providers who work"},{"speaker":"Ayla Wolf","startTime":2717.1499999999996,"endTime":2720.1499999999996,"body":"with companies that only sell to"},{"speaker":"Ayla Wolf","startTime":2720.1499999999996,"endTime":2722.58,"body":"healthcare providers"},{"speaker":"Ayla Wolf","startTime":2720.1499999999996,"endTime":2722.58,"body":"professional brands. Those"},{"speaker":"Ayla Wolf","startTime":2722.58,"endTime":2726.48,"body":"professional brands usually are"},{"speaker":"Ayla Wolf","startTime":2722.58,"endTime":2726.48,"body":"really focused on healthcare,"},{"speaker":"Ayla Wolf","startTime":2726.75,"endTime":2730.5299999999997,"body":"and sadly, what's happened is a"},{"speaker":"Ayla Wolf","startTime":2726.75,"endTime":2730.5299999999997,"body":"lot of the pharmaceutical"},{"speaker":"Ayla Wolf","startTime":2730.5299999999997,"endTime":2733.95,"body":"companies have been buying up a"},{"speaker":"Ayla Wolf","startTime":2730.5299999999997,"endTime":2733.95,"body":"lot of the supplement companies"},{"speaker":"Ayla Wolf","startTime":2734.25,"endTime":2737.6699999999996,"body":"only because they want the"},{"speaker":"Ayla Wolf","startTime":2734.25,"endTime":2737.6699999999996,"body":"profits of the supplement"},{"speaker":"Ayla Wolf","startTime":2737.6699999999996,"endTime":2740.31,"body":"companies. They just want a"},{"speaker":"Ayla Wolf","startTime":2737.6699999999996,"endTime":2740.31,"body":"corner of the supplement market,"},{"speaker":"Ayla Wolf","startTime":2740.31,"endTime":2743.8799999999997,"body":"which is, you know, probably in"},{"speaker":"Ayla Wolf","startTime":2740.31,"endTime":2743.8799999999997,"body":"the trillions of dollars at this"},{"speaker":"Ayla Wolf","startTime":2743.8799999999997,"endTime":2747.5099999999998,"body":"point, and so they don't care"},{"speaker":"Ayla Wolf","startTime":2743.8799999999997,"endTime":2747.5099999999998,"body":"about the quality. And, you"},{"speaker":"Ayla Wolf","startTime":2747.5099999999998,"endTime":2751.1099999999997,"body":"know, not to name names, but"},{"speaker":"Ayla Wolf","startTime":2747.5099999999998,"endTime":2751.1099999999997,"body":"whenever I see now a supplement"},{"speaker":"Ayla Wolf","startTime":2751.1099999999997,"endTime":2756.0899999999997,"body":"company that has a commercial on"},{"speaker":"Ayla Wolf","startTime":2751.1099999999997,"endTime":2756.0899999999997,"body":"TV, in my mind, I'm like, Okay,"},{"speaker":"Ayla Wolf","startTime":2756.0899999999997,"endTime":2758.52,"body":"well, if they have enough money"},{"speaker":"Ayla Wolf","startTime":2756.0899999999997,"endTime":2758.52,"body":"to have a commercial on national"},{"speaker":"Ayla Wolf","startTime":2758.52,"endTime":2760.5299999999997,"body":"TV, it probably means that"},{"speaker":"Ayla Wolf","startTime":2758.52,"endTime":2760.5299999999997,"body":"they're owned by a"},{"speaker":"Ayla Wolf","startTime":2760.5299999999997,"endTime":2763.08,"body":"pharmaceutical company that has"},{"speaker":"Ayla Wolf","startTime":2760.5299999999997,"endTime":2763.08,"body":"the budget to do that."},{"speaker":"Sophia Bouwens","startTime":2763.08,"endTime":2765.12,"body":"And doing less"},{"speaker":"Sophia Bouwens","startTime":2763.08,"endTime":2765.12,"body":"investment in their product"},{"speaker":"Sophia Bouwens","startTime":2765.12,"endTime":2768.72,"body":"quality than they are the"},{"speaker":"Sophia Bouwens","startTime":2765.12,"endTime":2768.72,"body":"product name brand, yeah."},{"speaker":"Ayla Wolf","startTime":2769.02,"endTime":2772.9199999999996,"body":"So potentially, the"},{"speaker":"Ayla Wolf","startTime":2769.02,"endTime":2772.9199999999996,"body":"quality is a huge important"},{"speaker":"Ayla Wolf","startTime":2772.9199999999996,"endTime":2773.37,"body":"issue."},{"speaker":"Sophia Bouwens","startTime":2773.37,"endTime":2776.0099999999998,"body":"For sure, very"},{"speaker":"Sophia Bouwens","startTime":2773.37,"endTime":2776.0099999999998,"body":"important. Okay, well, that's"},{"speaker":"Sophia Bouwens","startTime":2776.0699999999997,"endTime":2779.19,"body":"awesome. We learned some new"},{"speaker":"Sophia Bouwens","startTime":2776.0699999999997,"endTime":2779.19,"body":"things about exactly what is a"},{"speaker":"Sophia Bouwens","startTime":2779.19,"endTime":2783.87,"body":"migraine. Some questions to ask"},{"speaker":"Sophia Bouwens","startTime":2779.19,"endTime":2783.87,"body":"yourself around how to know"},{"speaker":"Sophia Bouwens","startTime":2783.87,"endTime":2786.24,"body":"you're actually having a"},{"speaker":"Sophia Bouwens","startTime":2783.87,"endTime":2786.24,"body":"migraine, and then some"},{"speaker":"Sophia Bouwens","startTime":2786.24,"endTime":2789.72,"body":"resources to consider things you"},{"speaker":"Sophia Bouwens","startTime":2786.24,"endTime":2789.72,"body":"could do in your lifestyle to"},{"speaker":"Sophia Bouwens","startTime":2789.72,"endTime":2793.83,"body":"help with migraines, avoiding"},{"speaker":"Sophia Bouwens","startTime":2789.72,"endTime":2793.83,"body":"those medication overuses and"},{"speaker":"Sophia Bouwens","startTime":2793.83,"endTime":2799.2599999999998,"body":"headaches and. Ways to talk to"},{"speaker":"Sophia Bouwens","startTime":2793.83,"endTime":2799.2599999999998,"body":"your providers around migraine"},{"speaker":"Sophia Bouwens","startTime":2799.35,"endTime":2803.25,"body":"and migraine like headaches and"},{"speaker":"Sophia Bouwens","startTime":2799.35,"endTime":2803.25,"body":"options for that. I think that"},{"speaker":"Sophia Bouwens","startTime":2803.25,"endTime":2804.5099999999998,"body":"was pretty robust,"},{"speaker":"Ayla Wolf","startTime":2804.8999999999996,"endTime":2809.25,"body":"agreed. And then in"},{"speaker":"Ayla Wolf","startTime":2804.8999999999996,"endTime":2809.25,"body":"our next episode on neuropathic"},{"speaker":"Ayla Wolf","startTime":2809.25,"endTime":2813.69,"body":"pain, we'll also do a further"},{"speaker":"Ayla Wolf","startTime":2809.25,"endTime":2813.69,"body":"discussion on some of these"},{"speaker":"Ayla Wolf","startTime":2813.69,"endTime":2817.5899999999997,"body":"natural therapies that people"},{"speaker":"Ayla Wolf","startTime":2813.69,"endTime":2817.5899999999997,"body":"can try to help with migraines"},{"speaker":"Ayla Wolf","startTime":2817.5899999999997,"endTime":2821.94,"body":"and migraine like post traumatic"},{"speaker":"Ayla Wolf","startTime":2817.5899999999997,"endTime":2821.94,"body":"headaches. And then in the"},{"speaker":"Ayla Wolf","startTime":2821.94,"endTime":2824.3999999999996,"body":"episode after that, we'll"},{"speaker":"Ayla Wolf","startTime":2821.94,"endTime":2824.3999999999996,"body":"actually get into our own"},{"speaker":"Ayla Wolf","startTime":2824.3999999999996,"endTime":2826.89,"body":"research study that was just"},{"speaker":"Ayla Wolf","startTime":2824.3999999999996,"endTime":2826.89,"body":"published in the Journal of"},{"speaker":"Ayla Wolf","startTime":2826.89,"endTime":2830.94,"body":"Neurotrauma on acupuncture for"},{"speaker":"Ayla Wolf","startTime":2826.89,"endTime":2830.94,"body":"post-traumatic headaches. So"},{"speaker":"Ayla Wolf","startTime":2830.94,"endTime":2833.8199999999997,"body":"that's gonna be a super fun"},{"speaker":"Ayla Wolf","startTime":2830.94,"endTime":2833.8199999999997,"body":"episode where we actually get to"},{"speaker":"Ayla Wolf","startTime":2833.8199999999997,"endTime":2836.97,"body":"talk about our own process of"},{"speaker":"Ayla Wolf","startTime":2833.8199999999997,"endTime":2836.97,"body":"doing clinical research."},{"speaker":"Sophia Bouwens","startTime":2837.0,"endTime":2839.94,"body":"What a process"},{"speaker":"Sophia Bouwens","startTime":2837.0,"endTime":2839.94,"body":"that was too, and going back,"},{"speaker":"Sophia Bouwens","startTime":2839.94,"endTime":2843.48,"body":"looking at doing it again, or it"},{"speaker":"Sophia Bouwens","startTime":2839.94,"endTime":2843.48,"body":"was a pilot study, so designing"},{"speaker":"Sophia Bouwens","startTime":2843.48,"endTime":2846.4199999999996,"body":"something different, really"},{"speaker":"Sophia Bouwens","startTime":2843.48,"endTime":2846.4199999999996,"body":"learning and using this"},{"speaker":"Sophia Bouwens","startTime":2846.4199999999996,"endTime":2850.1099999999997,"body":"information to frame a better"},{"speaker":"Sophia Bouwens","startTime":2846.4199999999996,"endTime":2850.1099999999997,"body":"question, or maybe a different"},{"speaker":"Sophia Bouwens","startTime":2850.1099999999997,"endTime":2854.6099999999997,"body":"way of intervening to see if we"},{"speaker":"Sophia Bouwens","startTime":2850.1099999999997,"endTime":2854.6099999999997,"body":"can even get better results. So"},{"speaker":"Sophia Bouwens","startTime":2854.6699999999996,"endTime":2857.8799999999997,"body":"that's exciting. I'm excited for"},{"speaker":"Sophia Bouwens","startTime":2854.6699999999996,"endTime":2857.8799999999997,"body":"that too. Yeah. Thank you"},{"speaker":"Sophia Bouwens","startTime":2857.8799999999997,"endTime":2860.64,"body":"listeners for listening. I hope"},{"speaker":"Sophia Bouwens","startTime":2857.8799999999997,"endTime":2860.64,"body":"you glean something. Feel free"},{"speaker":"Sophia Bouwens","startTime":2860.64,"endTime":2863.22,"body":"to share this with somebody if"},{"speaker":"Sophia Bouwens","startTime":2860.64,"endTime":2863.22,"body":"you found it valuable, or you"},{"speaker":"Sophia Bouwens","startTime":2863.22,"endTime":2865.77,"body":"think they might find it"},{"speaker":"Sophia Bouwens","startTime":2863.22,"endTime":2865.77,"body":"valuable, share it with your"},{"speaker":"Sophia Bouwens","startTime":2865.77,"endTime":2870.8999999999996,"body":"providers and tune into our next"},{"speaker":"Sophia Bouwens","startTime":2865.77,"endTime":2870.8999999999996,"body":"episode on neuropathic pain and"},{"speaker":"Sophia Bouwens","startTime":2870.8999999999996,"endTime":2874.62,"body":"how that can cause a lot of"},{"speaker":"Sophia Bouwens","startTime":2870.8999999999996,"endTime":2874.62,"body":"headaches and be really similar"},{"speaker":"Sophia Bouwens","startTime":2874.62,"endTime":2877.14,"body":"to post concussion symptoms,"},{"speaker":"Sophia Bouwens","startTime":2874.62,"endTime":2877.14,"body":"excellent."},{"speaker":"Ayla Wolf","startTime":2877.7,"endTime":2885.56,"body":"Thanks for listening."},{"speaker":"Ayla Wolf","startTime":2877.7,"endTime":2885.56,"body":"Medical disclaimer, this video"},{"speaker":"Ayla Wolf","startTime":2885.56,"endTime":2889.7,"body":"or podcast is for general"},{"speaker":"Ayla Wolf","startTime":2885.56,"endTime":2889.7,"body":"informational purposes only and"},{"speaker":"Ayla Wolf","startTime":2889.7,"endTime":2892.2799999999997,"body":"does not constitute the practice"},{"speaker":"Ayla Wolf","startTime":2889.7,"endTime":2892.2799999999997,"body":"of medicine or other"},{"speaker":"Ayla Wolf","startTime":2892.2799999999997,"endTime":2895.3999999999996,"body":"professional health care"},{"speaker":"Ayla Wolf","startTime":2892.2799999999997,"endTime":2895.3999999999996,"body":"services, including the giving"},{"speaker":"Ayla Wolf","startTime":2895.46,"endTime":2899.8599999999997,"body":"of medical advice, no doctor"},{"speaker":"Ayla Wolf","startTime":2895.46,"endTime":2899.8599999999997,"body":"patient relationship is formed."},{"speaker":"Ayla Wolf","startTime":2900.2799999999997,"endTime":2903.64,"body":"The use of this information and"},{"speaker":"Ayla Wolf","startTime":2900.2799999999997,"endTime":2903.64,"body":"materials included is at the"},{"speaker":"Ayla Wolf","startTime":2903.64,"endTime":2908.3199999999997,"body":"user's own risk. The content of"},{"speaker":"Ayla Wolf","startTime":2903.64,"endTime":2908.3199999999997,"body":"this video or podcast is not"},{"speaker":"Ayla Wolf","startTime":2908.3199999999997,"endTime":2912.52,"body":"intended to be a substitute for"},{"speaker":"Ayla Wolf","startTime":2908.3199999999997,"endTime":2912.52,"body":"medical advice, diagnosis or"},{"speaker":"Ayla Wolf","startTime":2912.52,"endTime":2915.96,"body":"treatment. Consumers of this"},{"speaker":"Ayla Wolf","startTime":2912.52,"endTime":2915.96,"body":"information should seek the"},{"speaker":"Ayla Wolf","startTime":2915.96,"endTime":2919.68,"body":"advice of a medical professional"},{"speaker":"Ayla Wolf","startTime":2915.96,"endTime":2919.68,"body":"for any and all health related"},{"speaker":"Ayla Wolf","startTime":2919.68,"endTime":2923.7,"body":"issues. A link to our full"},{"speaker":"Ayla Wolf","startTime":2919.68,"endTime":2923.7,"body":"medical disclaimer is available"},{"speaker":"Ayla Wolf","startTime":2923.7599999999998,"endTime":2924.66,"body":"in the notes you."}]}