80. Help! I Went 10 Days Without a Migraine, Then Got One. What Did I Do Wrong?

You went 10 days without a migraine. You were so excited. You thought you finally figured it out.

Then boom....migraine. Day 10.

And your mind spirals: What did I do wrong? I'm doomed. Nothing works for me. My husband eats Doritos by the bag and doesn't get migraines. I'm being so careful and I still got one.

Sound familiar?

In this episode, I'm breaking down why you're not actually failing, and why that migraine on Day 10 doesn't mean you're back at square one.

Here's what we think will happen when our body starts healing: Every day gets a little better. Every week is better than the last. A nice, smooth 45-degree line straight up to 100%.

That's not what actually happens.

We zigzag our way back to health. You feel better, then you dip. Then better again, then another dip. But each dip doesn't take you back to zero, you're still ahead of where you started.

I just had this conversation with my client Shannon. She had daily head pain and 3-4 migraines per week when we started. She was taking Excedrin nearly every day (which puts you into rebound—more on that in the free training linked below).

This week, she went 10 days without a migraine. Her baseline head pain dropped from a 3-4 to a 1. She was thrilled.

Then I told her something she didn't want to hear: "You're going to get another migraine."

Because healing doesn't happen in a straight line. And when that next migraine hits, she's already won. She went from 12 migraines a month to 3. That's a massive improvement—even if Day 11 brings another flare.

There are four areas of improvement I look for with every client:

Frequency - Longer stretches between flares
Severity - Milder symptoms, less vomiting, less bedridden time
Duration - Flares lasting hours instead of days
Medication response - Imitrex working in 45 minutes instead of 3-4 hours

If you see improvement in these areas, you're healing—even if you still get migraines.

Your mind won't tell you this. When you dip, your mind says: "I'm doomed. I'm defective. Nothing works."

But the data tells a different story. And if you don't understand this, you'll throw in the towel right when you're making progress.

Want to understand why your medications stop working? I dive deep into this phenomenon in my episode "How To Get Off Your Migraine Meds"

Schedule your free consultation here: https://www.drlesliecisar.com/apply

Free Training: 5 Proven Steps to Being Migraine Free (Even if you think you've already tried everything.)

https://www.drlesliecisar.com/5SHMN

Connect with us:

Website: https://www.drlesliecisar.com/

Free Facebook Group: Healing Migraines Naturally, with Leslie Cisar, ND

Ready to try something radically different that actually works? Read more about my approach here: https://www.drlesliecisar.com/map

Episode Transcript

today's title is help
I haven't had a migraine in 10 days and now I got one
what did I do wrong does this sound familiar at all
you have been trying to take some steps to uh
improve your health you've maybe tidied up your diet
started eating a little bit better
started eating more consistently
started working on your uh bedtime routine
making sure that you're getting enough sleep not uh
spending an hour in the evening uh
scrolling through your phone
and so on kind of getting to bed on time
you've been uh working on uh stress reduction
or managing your stress or dealing with stress
in a more positive way and lo
and behold you started feeling a little bit better
and uh what do you know uh instead of uh
three migraines
this week I actually didn't have any this week
and huh okay week two wow I've
gone 10 days now without a migraine
what's going on oh my goodness this is fantastic
and then boom right
Day 10 migraine right the migraine comes on
and then what does our mind do oh my goodness
what did I do wrong I'm doomed
every time I try to do the right thing it doesn't
work for me how come nobody else has this
my husband eats bag you know eats Doritos
by the bag full and he doesn't have migraines
and I'm being so careful with with everything
and I thought this was working
but now I got a migraine right what's going on so um
does that does that resonate
does that sound like you at all have you ever been through that
so I wanted to talk through
what's going on here on the podcast this week
and it was top of mind
because this week one of my clients developed a long
stretch between migraine flares
right which has been great
a client that I started working with um
about two months ago I will call her Shannon
she when we started working together has
daily head pain OK
near daily migraine okay so about half of my clients
have daily head pain to some degree right so
um most people who have daily head pain
on most days it's a lower level maybe under
you know a 4 or 5 is kind of what their baseline is
but then on top of that they spike
full blown migraine flares
on top of that sort of lower level
daily head pain right so if sort of your daily
baseline
is like a 3 or 4 that's what you're dealing with all the time
then maybe 3 four times a week
on top of that you're spiking
more of a full blown migraine that might be a
you know 6 7 8 9 level
and then maybe once or twice a month you're going to like a full blown
10 out of ten uh level on top of that
so my client was sort of this is what she was dealing
with so she was dealing with you know daily head pain
at a at a lower level and then spiking migraines
nearly daily on top of that so she was taking Excedrin
just about every day
okay when when we started and Excedrin is a medication
that when you take it daily there's a very
high likelihood that you're going to get into a rebound
headache or rebound migraine phenomenon
we've done some podcast on this topic
I have a free training on this topic
we'll link to that in the show notes here but excedrin
it even says on the bottle like don't take this longer
I forget if it says 10 or 14
days right it it tells you on the bottle like don't
don't take this
um longer than recommended and that is because you
there's a high likelihood of that medication
putting you into a rebound state so um
when we started working together and we did her
migraine map at the beginning I was concerned
that she was in an excedrin rebound state
I will say that she was so motivated
when we started working together that she really
cut back on her Excedrin intake and white knuckled
her way a little bit to come off of that Excedrin
so fairly quickly
she got out of that daily or near daily Excedrin cycle
but like I say she did that just because
she was comfortable with sort of white knuckling
it a little bit through that
normally I I don't have people white knuckle
through a um rebound medication withdrawal okay
but she
she was willing to do that and so she was able to
reduce her excedrin intake
quite a bit and then she was just like I say just kind of
white knuckling her way through uh these flares
but this week when we had our weekly appointment
she had gone more than a week without a migraine
and the head pain
the daily head pain that she was having was
very minimal
as she said very manageable you know I might feel
a little bit of head pain but it's like
you know maybe a 1 or something it's
it's really not troublesome it's really not interfering
with what I wanna do and you know
I'm sure a lot of you can relate
after you've had that level of head pain
for so long and you go down to a 1
it feels like a vacation right
hi there it's Doctor Leslie if you're a woman having
eight or more migraine days a month let's talk
I'll show you how to drop them to near zero in 90 days
without adding more medication in fact
you can even lower or
maybe even completely wean off of your medication
within 90 days
and without agonizing cold Turkey withdrawals
let me tell you about my client Judy
she was on such strong medications for her migraines
that she was nearly bedridden and could barely function
she had to close the doors of her small business
and felt like a failure
she wondered every day why am I doomed
to suffer from these migraines but just like you
she started listening to my Healing Migraines
Naturally podcast and a spark ignited
she knew that if she could just figure out
why these migraines started in the first place
she could restore and recover her health again
so she booked
her free console call with me and the rest is history
she now goes months between migraines
and runs her small business full time again
because she's completely off of those preventative
medications
she followed the 12 week plan and got incredible
results I've worked with women
just like Judy from all over the United States
overcome migraines naturally
so if you're serious about healing your migraines
then tap the link in the description
and book a free consult call with me
just like Judy did we do cap
new clients monthly so if the calendar is full
the doors are closed for now so don't wait to reclaim
the life you deserve to live
no matter how hopeless things seem now
with expert guidance you can
heal and recover from migraines
so I look forward to chatting
with you click the link now to schedule your call so
she when we got on the phone this week she was so
excited you could just hear it in her voice
she was so so excited because she had not
had a migraine
in over a week and so what she was on she was on like a
stretch now between migraine flares
then I knew that I needed to give her
the speech that I give to my clients when this occurs
right so when I'm working with my clients
what I expect to happen
is what happened in her case right so we're going from
you know three to four migraines a week on top of this
a baseline daily head pain which for a non migraine
sufferer you know a non
migraine sufferer if they have like a 3 to 4 level
pain headache there
they're like in bed right they're complaining everybody
knows about it right but
not my client right like her baseline
she had adapted to that right so um what I'm expecting
um as the body starts to heal itself right because
when we started working together
we had done her migraine map and we had identified
what were the blockers or the missing pieces
that her body needed
in order to do what it's designed to do
which is restore itself back to health
and when we're in a state of health our body
doesn't generate symptoms like migraines
okay so um what I'm expecting
when we put that game plan in place
and we're giving the body what it needs
and then it starts doing what it's designed to do
I'm expecting that three or four migraines a week
is gonna go down to two migraines
a week it's gonna go down to one migraine a week it's
gonna go you know oh we got 10 days here we haven't
had a migraine
and I'm expecting that baseline head pain
if somebody's in you know daily head pain
I'm expecting that baseline level of head pain
to start to decrease as well
and so this is exactly what happened
and so there's another phenomenon here that happens
within our mind okay and because I have
gone through this
personally in my own recovery process and this happens
all the time when people are actually restoring
their health and their body is starting to recover um
this mental phenomenon
occurs so I wanna walk you through this okay
so I'm gonna pull up a little um graphic here
and walk through it with you
okay what you're seeing here is a two different graphs
okay so one graph is sort of like that 45 degree line
right and the other graph
is more of a zigzag so let me walk you through here
so the graph on the left sort of this 45 degree line
just really nice easy upward slope
this is what we think is going to happen
when our body starts healing okay so
on the left side of the graph right we've got
we've got a low level
right that's us not feeling very well right so okay
we're not feeling that good but oh next week
I feel a little bit better
next week I feel a little bit better and then again and
again right so this is what we think is going to happen
when we start to give our body what it needs
and it starts doing what it's designed to do and
you know every week is gonna be better than the next week
that's what we expect is gonna happen
we think that the healing process
is this sort of like 45 degree angle every week is
better
than the next every day I'm just a little bit better
little bit better little bit better and
if only that were the case it is not the case hahaha
what actually happens
in the vast majority of cases okay
um what actually happens is we have sort of
fits and starts okay so as we initially
give our body what it needs we might start feeling
oh wow yeah I can feel it right and we'll feel that pretty quickly
okay but then maybe next week hmm
this week I didn't feel as good as last week it
was a little uh you know my
my heartburn was a little worse
this week or my headache was a little worse
this week what's going on cause last week it was a little bit better
oh wait a minute
next week yeah I'm feeling a little bit better huh um
well this is great now now I'm I'm
I'm back on the right path right uh oh
now next next week uh oh I don't feel so good
I feel a little bit worse
so we zigzag our way back to health
and this is something that's very very
important to understand um and so what I told uh
Shannon this week is
is this little soapbox speech that I give my clients
I told her something that she did not want to hear
and what I told her is
you are going to get another migraine
and she was so excited uh you know
when I got on the phone with her this week I could hear it in her voice
she was so excited she was so upbeat
she was just beaming and then I told her
you are going to get another migraine and
this was not what she wanted to hear
okay I told her I hope I live long enough
to get another migraine okay
she and I are both prone to migraines
and when our body falls out of a state of health
this is a symptom pattern that both of us are prone to
and so you know uh I hope like I say uh
I hope I live long
enough to get a little tipped out of balance to get
another migraine right I hope
I hope that's in my future I hope I live long
enough for that
so she kind of chuckled a little bit but I
wanted her to really understand that even though
she has experienced this tremendous milestone
and it was a milestone that we were both looking for
she
is going to get another migraine because we don't heal
in a straight 45 degree line
we zigzag our way back to health
and so there are four things
that we're actually looking for to validate
whether or not we are moving towards health
and we have the right plan
in place to give her body what it needs
and this is to piggyback on a podcast
that I did a few weeks
ago where I talked about the difference between
what you know suppressing a symptom with a medication
and not feeling the symptom versus actually
improving our health
so that our body is not generating that symptom okay
so this is sort of like a little bit of a
part 2 more specific to the migraine
phenomenon that we talked about a few weeks ago okay
so let me review
with you the four things that we're looking
for and how this plays out in real life
so there are four areas of improvement
that we're looking for okay so No. 1 frequency
No.2 severity No. 3 duration and No. 4 medication
response okay so let's go into these in more detail
so with frequency this is the frequency
of the migraine flares
okay so if I'm getting a migraine flare every
you know uh two or three times a week
an improvement in the frequency would mean hmm
okay I only got one migraine flare this week right I
didn't have a migraine
for 10 days right I didn't have a migraine
for three weeks the frequency of the flare itself
is becoming um
better and better there's
longer and longer periods of time between the migraine
flares that means that the frequency
of the migraine flares
is improving and so in Shannon's case here we have
an improvement in the frequency of the migraines
she would have flaring migraines 2 3 times a week
now we haven't had one for 10 days
okay so that's an improvement in the frequency
of her flares
the second uh area is severity okay so
again if you know when I get a migraine
if it's typically like a seven out of 10 level
and I'm you know
dry heaving vomiting and I'm you know bedridden
for the entire day
that's a very high severity of a of a migraine flare
but as my health is improving
as I'm giving my body what it needs
the severity of those symptoms
starts to decrease or starts to improve so
instead of you know dry heaving for a half hour oh uh
I was nauseous but I actually didn't dry
heave at all huh that's
boy that hasn't happened in years right or you know
I went into a flare but it never
you know it never got so bad that I had to go to bed uh
you know I I I was able to drive my daughter
to you know her soccer game I was able to you know uh
do some of the chores around the house it wasn't fun
but I wasn't bedridden
right the severity wasn't that high so we're looking
for an improvement
in the severity right people can go into a migraine
flare and it can even be like a mild
migraine flare right it's like yeah I
it was a migraine you know
right side of my head was really pounding
and I felt pretty foggy but you know
I made it through the work day I didn't have to leave
work early you know the the severity
wasn't pleasant but it definitely
was a lot milder than me dry heaving
and you know having to lay uh in a dark room with a
eye mask on right so we're looking for an improvement
in the severity of the symptoms themselves
No.3 duration of the flare okay so um particularly
for most people when they start getting migraines
they'll go into a migraine flare but the duration
of the flare might only be a few hours
right and then as the migraines
become more and more severe
and more and more chronic
the duration of the migraine flare becomes
longer and longer right so what used to be you know 2 3 hours and then OK you know I'd lay down and rest
a little bit and then I'd be up and at'em again is
oh boy that you know I I was uh
I was out of it from 9:00am till five PM
finally around in the after you know late afternoon
early evening I started feeling better versus
now I've got a migraine
you know once I get into that flare
I'm probably gonna be feeling it for three days
I'm gonna be battling this thing for three days right
so you know that's the you know like that
kind of a typical progression
as the migraines get worse and worse
the duration of the flare gets longer and longer
part of this can include
what we call like the migraine hangover right or that
feeling of I got hit by a bus right so I'm not really
experiencing like the migraine the flare
has remitted but oh man I'm still foggy I'm tired
you know I'm not 100% right um so that
can be part of the duration too so somebody
might be in a full blown migraine
for two days but then they've got that third day
where they're real
foggy and they feel like they've been hit by a bus
so we wanna see that improve okay so again if uh
you've gotten to the point where when you go into a migraine
it's it's three days
right I know I'm gonna have this for three days
it's quite a thing to go into a flare and then
you are experiencing right that
for one day and then day two you wake up and you're like whoa
okay I feel like I'm back to myself
again right you don't have that hit by a bus feeling
what if you went into a migraine and you only
had it for 2 3 hours and you could just lay down a little bit or rest a little bit and then boom
bounce back up
so that's an improvement in the duration of the flare
and then No. 4
we're looking for an improvement in the medication
response okay so
again for most people when they first start getting
migraines usually they take something like Advil
or Motrin or Aleve
something over the counter right and
usually it works reasonably well for people but as the
uh migraines progress and
become more and more chronic
that Advil isn't cutting it anymore
right and so we're getting the prescription abortives
right and
again the first time people take something like Imitrex
usually it works reasonably well right imetrex is
supposed to work within about an hour
and usually when people you know take that first
tripped in dose that first Imitrex
usually it works within that time frame but over time
as we suppress the symptoms and the body fights
that suppression
the medication becomes less and less effective at
suppressing
the symptoms so if you want more information on this
again we've done several podcasts
on this I have a free training on this phenomenon
we'll link to those in the description
we want to see an improvement in this right so I
you know what I hear over and over
again from my clients is yeah I went into a flare
um on Saturday and I took my imetrax
and within 45 minutes I was like wow I
I don't feel anything I'm feeling good
that hasn't happened to me in years right
so um that's an improvement in the medication response
these are the four specific parameters
that I'm looking for to improve with my clients
regarding their migraines
right there are other parameters
that I'm looking for improvement in
in their other symptoms and we talked about that on the
podcast that we did a few weeks ago
but this is specific that we're uh
specific areas of improvement relative to the migraines
so um this is very important to understand
that this is what you should be looking for okay
and probably
nobody has gone over this with you before okay
because when we go in to our neurologist
and we get that prescription aboard of medication
it's sort of like well
does it work or does it not right like
there's no sort of subtle analysis to that
it's like here's here's your prescription
for your Nertec
or your Imitrex and if it you know if it doesn't work
call the nurse
right and we'll try another prescription right
you're not really being guided in any way or there's really no serious
evaluation
and you know it's sort of like well we'll start with this medication
and if we don't like how it works we'll just try
another one right it's it's not really uh
very systematic or very guided
and when you go to a natural practitioner right like
a naturopathic doctor or a chiropractor
or a functional medicine doctor
um they also will kind of
give you a fistful of supplements to take
and it's sort of like well
come back in four to six weeks and let me know how you're doing
right there's you know if
if the practitioner really doesn't understand
migraines
they're not going to really understand this phenomenon
they you know you have to understand
how the migraines get worse over time
to really understand what to look for as
the migraines are improving
and so most natural practitioners
they're following more sort of like protocols and so on
um and so they're kind of giving you their protocol
and it's like well come back in four to six weeks and let me know how you did
so if that had been done with my client uh Shannon
what would have happened to her right so she would have
say implemented the protocol right and let's say
let's say it was a reasonably good fit for her
okay and so she started feeling better and so she's
you know doing what she was told to do
following the handouts
taking the fistful of supplements oh my goodness
my daily head pain is a little bit better oh
I haven't had a migraine uh today next day
oh my goodness I went 10 days without a migraine
oh this is working this is fantastic and then boom
she gets a migraine right
so what is she gonna think at that point in time she's
gonna think what we all think
right oh my goodness I'm doomed I'm defective
here I got my hopes up again nothing
works for me I can't believe I spent my money on this
what did I do wrong
I'm I thought I followed everything
right she might start scrutinizing
did I miss something on a handout you know
blaming herself um it's a whole mental you know uh
dooming gloom a a whole catastrophe occurs
but no one is actually
assessing her and pointing out the fact
that she went from two to three migraines a week
and a you know 3 4 baseline level daily head pain to a
level 1 daily head pain and
didn't have a migraine for 10 days right so
let's look at those four areas of improvement
so has the frequency improved oh yeah big time right
there's a huge difference
between three to four migraines
a week and one migraine every 10 days you're talking
three migraines a month versus you know 12 migraines
a month that's a significant difference
that's a significant difference
um is the severity better absolutely
her daily baseline is
uh very mild and you know the
you know prior to this long uh 10 day
streak that she was on
already the severity of her migraine flares
was better right she just didn't go from
again let me give you a little bit more detail here
as she hit this 10 days her frequency was already
starting to elongate right and the severity
was already starting to decline
when she went into a flare
so the severity of the flares
have already started to respond
um the duration of the flare right so
if she normally has a 3 day migraine and
now after 10 days she has a migraine but it only lasts
one day again that's a huge improvement in the actual
length of time that somebody's in a migraine
state or struggling with that high level of head pain
right and then the medication response
Shannon isn't particularly
taking any medication but again
it's a big difference if you take an imitrex
and oh yeah that took like 3 4 hours to kick in and like barely
to oh my goodness what's going on I took an imitrex
and I'm actually up and at'em
an hour later right so the medication
response is better you know people can be experiencing
an improvement in their migraines
and not realize it right because again we think
that when we are restoring our health
every day is gonna be better than the next
every week is gonna be better than the next it's just a 45 degree
line up to
up to 100% and that's not what happens
we will feel better and then we're gonna take a dip
and then we're gonna feel
better again and then we're gonna take a dip
you know the best case scenario is you could
conceive of those dips as a little migraine
flare right but other symptoms are going to
improve and then maybe get a little worse worse
again and then improve again
but what we lose track of is as we're sort of
oscillating our way back up to health when we
feel a little bit better and then we take a little dip
our mind doesn't say
oh yeah I don't feel as good as I did yesterday
but I still feel better than I felt three weeks
ago that's for sure
our mind does not make that realization not at all
our mind goes oh my goodness
what's going on I don't feel as good as I
felt yesterday I'm doomed I'm defective
nothing works for me right
our mind doesn't sit there and go oh yeah uh
this is still good I'm I'm still I'm still doing better
our mind usually doesn't do that
but when we start to take a little dip the dip
doesn't just take us back to zero right we're taking
a little dip we're still ahead of the game
and that's how we actually get ourselves uh
back into a state of health and this is very
important for people to realize because
if you don't realize this and you go through a flare
you could throw the throw in the towel
because if I'm doomed and defective
and nothing works for me and there's something
genetically right
just something genetically
wrong with me that I have these migraines and
everything I try doesn't work for me
if I don't understand
that this migraine in the context
of those four other areas of improvement
I'm actually making progress then I can throw
throw in the towel why wouldn't I
right if I'm doomed and defective and there's something
genetically wrong with me
why would I take any action to do anything
to improve my health and stop getting migraines
that would be irrational right
so we have to understand this so that we don't
allow our mind to psych us out
and then we throw the towel in and then
if we throw the throw in the towel
we're not gonna feel better
right because we do have to take action
to restore our health
so if we're not going to take those actions
we're not going to be able to restore our health
and so it's very critical that we protect our mindset
our mind is gonna do this when we go into a flare
our mind is gonna sort of play this script
every time I'm doomed I'm defective
nothing works for me what did I do wrong
my mind has done that to me and it does it to
nearly all of my clients
but
because I'm working with them and guiding them I can
support them through that
so that they don't throw the towel in
so that we come out of the flare we can evaluate and
and you know we wanna
actually evaluate this using data right so
again if we're moving towards
health we're gonna see improvement in those four areas
if something isn't dialed in properly uh oh
we're not seeing improvement in those four areas
right so we have to be
guided by the actual data
and if the data is telling us okay wait a minute here
the severity
it was getting better but now it's getting worse again
the frequency was getting
better but now the frequency is getting worse again
what are the other symptoms of the body
doing as well because it's you know
we're more than just our migraines
we're a very you know complex organism
so what are the other symptoms showing us as well
taking all of that into consideration to evaluate okay
are we actually
you know are we just having a little downtick here
and we're gonna have another upswing or
do we have an upswing but something
isn't dialed in right and now we're kind of
arcing back down again
this is very important to evaluate and you as
just a lay person it's gonna be very difficult
for you to make this evaluation
right I have years of experience working
just with women with migraines
and so I have you know honed my experience
over the years of working
with hundreds of women and seeing these things recur
seeing these patterns play out
so that I can do my best to evaluate okay
what does this flare mean is this a
just part of the healing process
or do we need to get something dialed in better
so I went through all of this with Shannon this week
and um I reassured her that no matter what happens
it's still a win for her because
she's gone 10 days without a migraine right
again three to four a week to one every 10 days
is a tremendous improvement it's a tremendous win
to go from a baseline severity of 3 to 4 to a 1
it's a tremendous win so when that flare hits
you've already won you've already won okay yep
we're gonna set the counter back to day one again right
now the question is can we go longer than 10 days this is where it gets
really fun and exciting right
alright I just I had a 10 day stretch
how long can the next one be let's see right
can I go again even if I have a 10 day
stretch and then maybe I only get seven days next time
it's it's still an overall
improvement right and what are the other symptoms
am I sleeping better
is my heartburn better is my digestion better
is my Raynaud's you know have I not had a Raynaud's
flare even though we've had a big cold spell
and early snow um all of these other factors
right so even you know going
10 days between a migraine
flare and then maybe oh next one was seven
but you know I didn't get a Reynolds flare
I've reintroduced three foods that I haven't eaten in
a couple years because I was afraid I was gonna get a migraine
if I ate them I'm sleeping better
right I'm more resilient in the face of that coworker
that just
gets on my last nerve every time you know what I was
I wasn't so irritated with her this week right
all of these things like okay
even if we only had a seven day stretch between flares
it still could be a win
it still could be a win in a con in the context
of all of the other symptoms right so
this is where we have to be very careful
that we're evaluating things within the proper context
we know what we're looking for and we are maintaining
a little bit of control and discipline
over what our mind is telling us because our mind
is never
going to say these things to us right our mind
very rarely
is going to sit there in the middle of a migraine flare
and go oh well but this is a positive
this is a good thing like that's not where our mind is going to go
so um we have to like I say
really understand this and at the beginning
having someone like myself
do that evaluation for you and give you
that assessment is very helpful because until you have
you know more and more experience of what it feels like
to have a body that's not generating migraines
all the time
right it's gonna be hard for you to make that evaluation
um so I hope this was enlightening
for you and I hope it was interesting for you
let me know in the comments
if you have experienced this phenomenon
of that worsening over time
and then when you've tried to take steps
feeling a little bit better but then getting derailed
by a flare let me know if uh
that is something that you've experienced in the past
in the comments
and don't forget to um like and subscribe
to the channel help us grow
by doing that and also you won't miss out on new episodes
so thanks for joining me today and I
look forward to seeing you in the future