Isabel Viña, MD, on how to reduce migraine attacks: "Coenzyme Q10 and vitamin B2 can help."

Reducing the frequency and intensity of migraines is a priority for millions of people living with this neurological condition. Integrative health specialist Isabel Viña recently shared a video explaining what she believes are the supplements that can make a difference when it comes to relieving this type of pain. Although each case is different and personalized follow-up is always advisable, the doctor suggests several scientifically based supplements that could help improve the well-being of those who suffer from recurrent attacks.

His explanation begins with a reflection on the most common causes of migraines. "Although there are multiple alterations that cause them, the three predominant ones are mitochondrial dysfunction, neuronal hyperexcitability, and problems in the balance between contraction and vasodilation of cerebral arteries," he points out.

Mitochondria, responsible for generating energy in our cells, play a key role. If these "energy factories" don't function properly, especially in neurons, a chain of events can be triggered that facilitates the onset of a migraine attack. This is compounded by excessive activity in certain receptors in the nervous system, such as NMDA receptors, and an alteration in cerebral blood flow that prevents arteries from dilating and constricting normally.

Given this situation, can nutrition and supplementation help? Viña has no doubts. “Obviously, lifestyle plays a role, but in terms of dietary supplements, perhaps the most advisable would be magnesium, especially a highly bioavailable one like bisglycinate, malate, or taurate,” she asserts. This mineral, essential for the health of the nervous system, helps stabilize neuronal activity and relax blood vessels, two key factors in preventing attacks.

Another ingredient the specialist highlights is palmitoylethanolamide (PEA), a natural molecule derived from fatty acids. She explains, "it acts primarily on nerve endings, both peripheral and central, reducing migraine attacks." The usual dose is between 500 and 1,000 milligrams per day.

She also emphasizes the importance of two other nutrients that have demonstrated benefits in clinical studies: coenzyme Q10 and vitamin B2. “Coenzyme Q10 can help, and so can vitamin B2,” says Viña. Both are involved in cellular energy metabolism and in protecting neuronal tissue from oxidative stress, which could translate into fewer and less intense episodes.

Of course, it's not about taking everything without any criteria. "Are they all necessary? No, but a combination of two or three, especially if you have frequent migraines, can help," he explains, always remembering that each body responds differently and that these supplements should be considered part of a comprehensive strategy, not as a stand-alone solution.