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PMID 18885611

17 Personalised lifestyle medicine, including sleep hygiene, stress management, aerobic exercise and dietary modification as well as nutraceuticals, should be considered in a migraine management plan

It is building the tolerability foundation for sustainable escalation

Furthermore, although its very rare, getting too much vitamin B12 can lead to toxicity, says Yuval Pinto, MD, an obesity and family medicine doctor at Johns Hopkins Medicine in Baltimore