all the time,” says Amy Gelfand, M.D., a pediatric neurologist and associate professor of neurology at the University of California, San Francisco.
It’s “much like a person who has asthma has that disease all the time”—not just when they’re wheezing. Thanks in part to genetics, some people are more prone to migraine attacks.
The result? The hectic commute (a crowded stuffy, train where fellow passengers are yammering away under “No Cell Phone Use the Quiet Car” signs) that’s just plain-old aggravating for one commuter can disrupt the brain of a migraine patient and set off a migraine attack, explains Elizabeth Seng, M.D., a clinical psychologist and research associate professor at Albert Einstein College of Medicine.
The factors that can disrupt the brain of a migraine patient—often called —include noise, heat, bright lights, and stress. (See: that hectic commute.) Lack of sleep, dehydration, hunger, alcohol, and caffeine are also common migraine triggers.
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