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Migraines
Published Research

High-Dose Riboflavin (Vitamin B2) for Migraine Prevention

55 participants

Symptoms Studied

Recurring migraine headaches with throbbing pain, often one-sided, accompanied by nausea, photophobia, and phonophobia. Attacks occurring 2-6 times per month, significantly impacting quality of life.

Research Hypothesis

Riboflavin plays a vital role in mitochondrial energy production. Since migraine pathogenesis includes mitochondrial dysfunction, supplementation may reduce migraine frequency by improving cellular energy metabolism.

Intervention Tested

Riboflavin (Vitamin B2)

400mg riboflavin (vitamin B2) daily, taken orally as a single dose

Duration: 3 months

Study Results

Before Treatment

Patients with migraine meeting IHS criteria, experiencing 2-6 attacks per month with significant functional impairment.

After Treatment

59% of riboflavin patients achieved 50% or greater reduction in migraine frequency compared to 15% for placebo (p<0.01). Significant reduction in migraine days and attack frequency.

Timeline to Improvement

Improvements typically observed by week 4-6, with continued improvement through 3 months

Side Effects

Generally well-tolerated. Bright yellow urine discoloration (harmless). Occasional mild GI discomfort.

Source

Conclusion

High-dose riboflavin (400mg/day) is an effective, safe, and inexpensive option for migraine prophylaxis with a favorable side effect profile.

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