July 1, 2025 • 32 mins
We all carry more than we show—juggling roles, responsibilities, and realities that often go unseen, even by those closest to us. In this episode, Nora sits down with her big sister, Meghan, for an honest and vulnerable conversation about the reality of living with Chronic Migraine—a reality woven into their family history. Together, they reflect on how this shared thread has shaped their relationships with each other and with their father. Meghan shares how her symptoms have shifted over time, and the quiet resilience it takes to adapt, especially when those around her may not fully see or understand what she’s navigating.
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:03):
Ruby.
Speaker 2 (00:08):
Life sometimes has a way of blindsiding you with a
feeling of being overwhelmed at the worst possible time. That's
why you have your self care, your coping strategies, That's
why you have us. I'm Norah McInerney and this is
the head start Embracing the Journey, a podcast where we'll
be taking all those things you usually say for your
(00:29):
friend group out into the open so we can all
find a bit of optimism for those battling chronic migraine.
These conversations are going to be even more helpful and relatable,
so definitely stick around. This show is brought to you
in partnership with ABVI, So first let's hear some important
safety information and stay tuned to the end of the
(00:51):
podcast for more.
Speaker 3 (01:00):
Indication. Botox on a bochulinum toxin A is a prescription
medicine that is injected into muscles and used to prevent
headaches and adults with chronic migraine who have fifteen or
more days each month with headache lasting four or more
hours each day in people eighteen years in older. It
is not known whether botox is safe and effective to
prevent headaches in patients with migraine. Who have fourteen or
(01:21):
fewer headache days each month or episodic migraine. Important safety information.
Botox may cause serious side effects that can be life threatening.
Get medical help right away. If you have any of
these problems any time, hours to weeks after injection of botox.
Problems swallowing, speaking, or breathing due to weakening of associated
muscles can be severe and result in loss of life.
(01:43):
You are at the highest risk if these problems are
pre existing before injection. Swallowing problems may last for several months.
Spread of toxin effects. The effect of botulinum toxin may
affect areas away from the injection site and cause serious
symptoms including loss of strength and all over muscle weakness,
double vision, blurred vision, drooping eyelets, coarseness or change or
(02:04):
loss of voice, trouble saying words clearly, loss of bladder control,
trouble breathing, and trouble swallowing. Please stay tuned for additional
important safety information within this podcast. Today's guest, Meghan mcinnernie,
is not a botox patient. Meghan was not compensated by
ABVI for sharing her story. Portions of this podcast are
sponsored by ABVI. Hi Everyone, Welcome back. Today is actually
(02:46):
the final episode of the season that went very quickly.
I know that a lot of our audience are people
who are a part of the chronic migraine community. And
I know that another part of this community are people
who love those that they know in their life who
are living with migraine, who want to show up for them,
understand them, and support them. It's hard to have a
(03:07):
chronic illness, and it's hard to watch someone you love
struggle with one. In season one, I talked a little
bit about my father's migraine attacks when I was growing up,
how they seem to come out of nowhere and cast
a whole cloud on the house. What I didn't mention
was that my big sister, Megan, has had very similar experiences.
All the stories I've heard and conversations I've had in
(03:29):
this show have given me a new understanding of what
each of them go through. Megan is eight years older
than me, which growing up might as well have been
thirty years. This was the eighties and the nineties where
a person eight years older than you could be your
full time character. Okay, the eighties were a wild time.
I saw Megan as an adult, I saw her as
(03:52):
a second mom. I was obsessed with Megan. I loved
going through her things when she wasn't home. I loved
sitting on her bed and watching her tease her bangs
and spray a cloud of hair spray around her head.
I loved everything she wore and everything she did, And
in a lot of ways, I am just a copy
of Megan. Anything I have done, Meghan did first, including podcasting,
(04:16):
writing a book, having kids. She is still the person
I look up to the most, even though I am
I believe five inches taller than her. And while Meghan
and I both inherited our father's nose, only she got
his nice thick hair and his not as nice migrant attacks.
If seeing my dad struggling with scary, seeing my sister
(04:36):
struggling has always broken my heart. I've always wanted a
way to just wave a wand and make it better,
to be able to reach into her head and pull
out whatever is hurting her. But instead we just have
to settle for love, compassion, and a conversation on a
public podcast. So here it is a conversation with me
and my big sister, Megan McInerney. And yes we know
(04:59):
that we s like, yes, we know that our laughs
are quite loud. You will hear my Minnesota accent activate
the longer we talk. I simply cannot help it. Before
we meet Megan, I'm going to check in with doctor Ryan. Hi,
(05:21):
doctor Ryan, what are you ready to talk about my sister?
Speaker 1 (05:25):
I sure am. So the story that I hear is
that you guys have really similar energy. Yeah we do,
but you're kind of the wild hippie and she's like
the more buttoned up.
Speaker 2 (05:37):
She's always had it together, and she also has chronic migraine.
Speaker 1 (05:41):
So there's this quiet like hope that anytime that we
have somebody that you know who's dealing with chronic, that
the stuff we talk about here gets to them specifically. Yes,
you know what I mean. So the way that I'm
going to see our conversation today is really like it's
just trying to help out your sister.
Speaker 4 (05:57):
I really love that.
Speaker 2 (06:04):
Okay, guys, today is extra special and will be extra
fun because today we are talking with one of my
favorite people who is extra special and extra fun, my
big sister, Megan.
Speaker 4 (06:17):
Megan. To kick things off, who is your favorite sister?
I haven't thought about this question. Can I get back
to you?
Speaker 3 (06:27):
Oh?
Speaker 2 (06:27):
Wait, you're my only sister that she puts you in
the coveted number one position, forever number one spot, and
I will take it because, as you know, I've won
very few awards, and the ones that I kept, I've
been told are not awards, including Most Improved.
Speaker 4 (06:45):
For nearly every sport. Oh, that's just such a pity award.
They were like, you're still here, thanks for showing up. Hey, hey,
you're here.
Speaker 2 (06:55):
You're not good, but you haven't gotten worse, Okay, Megan.
I have told listeners about Dad's migrain attacks. I remember
him going into our parents room with a cold washcloth
on his eyes, and how he'd lay on top of
his covers like a corpse.
Speaker 4 (07:11):
Yeah, like a vampire, just like a empire, with arms
cross arms crossed, fully clothed, fully clothed, above the covers,
and then he would yell at us for talking or
laughing brings him. So and I have witnessed your migrain attacks,
but we've never really talked about them. And I thought
(07:32):
it would be the best if we did this on
a podcast for thousands of people, so I couldnkre I did.
I did think about that when I was getting ready
for this conversation. Like we you and I. You know
I have them, but I don't think we've ever talked
about them.
Speaker 2 (07:47):
So all of these questions are questions that I do
not know the answer to you, including when did this start?
Like what were your migrain attacks? Like how would you
describe them to someone who didn't experience them life your
favorite sister. Yes, the first one that I clearly remember
getting was when we lived in La Crescent and I
(08:09):
was at our neighbor's house. And I remember this distinctly
because I started to get what now I know is
an aura, but at the time I didn't know what
it was.
Speaker 4 (08:17):
I just knew that something was really wrong, and so
I went home and then all of a sudden, this
intense discomfort and I was very sensitive to light. I
got very sick. So I remember going into my room,
laying down and just crying, just wanting whatever was happening
(08:38):
to be over. I wonder if because Dad had migrant attacks,
do you think he kind of understood like the seriousness
of what you were experiencing. Yeah, and he was the
person who really started to recognize what they were. It's
extremely difficult to understand if you've never experienced one, so
(09:00):
I think it was helpful that Dad had them and
could recognize what they were and they could get me
some help. Did you see a neurologist or what kind
of help did they get you? I think initially I
went to just our regular doctor, and then I was
pretty quickly referred to a neurologist, and I tried a
(09:23):
lot of different medications, most of which I would take.
At the onset of the migraine attack. At that time,
there wasn't much that I could take that was trying
to prevent them. Now there's a lot more options for preventing.
At that time, it was like, listen, if one hits you,
these are the ways that we can help you with
(09:46):
the discomfort, the nausea, whatever it is that you're experiencing.
What do you think triggered those earlier migraine attacks and
have your triggers changed over time? No, I don't know
what started them. I've never known what has caused them.
For me, it's a lot of different things. I do know.
(10:07):
If I don't get enough sleep, I'm more likely to
get one. Doesn't mean I'm always going to get one.
If I didn't get enough sleep, if I haven't eaten
in a long time, if I'm dehydrated, if the weather
changes quickly so in the summertime, if a thunderstorm comes
in really fast, much more likely to get a migraine attack.
(10:27):
So over time, I've developed this mental encyclopedia of these
are the things that put me on alert that I
might be kind of in the danger zone. And I've
started to notice signs inside of my body that tell
me like, ooh, I think I'm kind of in the
zone where I could possibly get one.
Speaker 2 (10:48):
Yeah, how long were you experiencing migraine attacks before you
got an official diagnosis of chronic migraine.
Speaker 4 (10:57):
I would say probably five years. It's difficult too, because
they're so they could be so unpredictable. So even thinking
about something like chronic migraine, which is a certain number
of headache days you have within a certain time window,
you can go through periods of time where you're getting
them quite frequently, and frequently enough that it is really
(11:19):
disrupting your work life, your personal life, your social life.
It's really when I think about the things that I've
missed because I just couldn't do it, I physically couldn't
do it, it makes me really sad. So I'm fifty. Now.
I've also heard that during menopause, chronic migraine can get
(11:40):
worse or get better. It just feels like such a
it's kind of a crapshoot, like what's going to happen?
Speaker 2 (11:53):
Okay, I want to bring you back into the conversation here,
doctor Ryan. So we're talking today about the same thing
we have always talk about, but today it's different because
we're also talking about my sister, and I think pretty
much every guest that we've had on this show says
that they wish that they had found a headache specialist sooner.
(12:16):
My sister considers herself lucky because my dad had migraine
attacks and he recognized in her what was happening and
got her help pretty quickly, all things considered. But I
want to talk more about that sort of gap between
the experience that people are having with migraine attacks or
chronic migraine and how long it takes them to find
(12:39):
or even reach out to a headache specialist.
Speaker 1 (12:42):
Yeah, this is for sure one of the most common
responses that we see from patients that they wish they'd
found somebody sooner. So there's a recent study that shows
only five percent of people living with chronic migraine actually
find preventative and acute treatments after going through the process
of talking to doctor, getting the diagnosis, and trying various
(13:03):
different types of treatment options. This is unacceptable. There's another
one that I like. National Headache Foundation did a survey
on migraine. It was called Preventing Migraine Attacks a Current Perspective,
and they found that in treating their disease overall, about
sixty two percent of those respondents that wrote back wish
that they had seen a headache provider sooner. This is
(13:23):
something that I literally hear every single day.
Speaker 4 (13:27):
Yeah, you have to imagine that a delay in finding
care seeking care is going to have a pretty big
effect on someone's treatment journey.
Speaker 2 (13:37):
It does.
Speaker 1 (13:37):
It definitely has an impact on their journey. Another study
on migraine disease that in general shows that it takes
five years before patients can get the diagnosis and move
towards that treatment therapy, and so we need to get
started as quick as we can. And that's really kind
of the big takeaway when we think about diagnosis.
Speaker 2 (13:53):
All right, thanks doctor Ryan. After the break, we'll get
back to the conversation with Megan McInerney, Megan, you mentioned
(14:31):
missing out on things or at being disruptive to your life,
your work life, your personal life. What are some of
the ways that chronic migraine has disrupted your life. Last year,
I was supposed to go to this three day work conference,
and it was my first year in this new role,
and I was trying to make a good impression. And
I was there the first day, and then the next
(14:53):
two days I was out with a migraine attack, and
I just felt so embarrassed because it was people that
didn't know me that well yet, people that I didn't.
Speaker 4 (15:01):
Feel like I had that history of trust, and like, oh,
that's like Megan's super reliable, don't worry about it. I
don't know if other people you've talked to have also
expressed this, but it is not just physical discomfort for me.
It creates a lot of intense emotional discomfort. And I
don't know if it's because it makes me feel so
(15:22):
vulnerable to just feel so knocked down by something. When
I am experiencing a migrant attack, I am very tender
emotionally and very Yeah, I'll just I'll cry about anything.
I just feel. I just feel so bad my feelings hurt.
(15:47):
My head hurt, yes, and like no one wants to
feel bad. The work trip is important to you because
your work is important to you. Work is a core
part of everybody's identity. You just don't want to feel
like you're not yourself. It's hard to feel like yourself
when you don't physically feel like yourself. I hate this
for you. Yeah, And there were years where I was
(16:08):
a single parent where the kids just had to get
used to the fact that if I said the word migraine,
they were like, Okay, all hands on deck, dinners on
us tonight, like we'll figure out. They just knew that
I couldn't function. You wear a lot of hats.
Speaker 2 (16:29):
You are a mom, a friend, a wife, a hell
of a professional. You're literally everything to everyone. It is
hard to feel like you cannot fill everybody's needs all
the time and also somehow find the time to take
care of yourself even without chronic migraine or a migraine attack.
(16:50):
That is just a lot to balance, That is a
lot to juggle. How has chronic migraine made all of
that harder? Basically just takes you out of your life
for some period of time that is unknown.
Speaker 4 (17:05):
To you. So I could say, uh, Okay, having a
migraine attack today, so I'll catch it tomorrow, and that
may or may not be true. I may not be
catching you for another four days. Like I really have
no idea. So it just it just throws a wrench
in whatever it is that you're doing. Whether it is
is personal work, vacation, doesn't matter. Can I tell you
(17:30):
one other thing I just remembered. Yeah, So when I
got married three years ago, the very first time I
went to visit my in laws for Thanksgiving, it was
the first time I was meeting a lot of them.
The minute I walked in their door, I got a
migraine attack. So I am in a guest room of
(17:52):
a house I've never been in before, in a state
I've never been in before, during a holiday where the
whole point is everyone is trying to be around each
other and everyone's excited to meet me because I'm this
new member of the family. And I ended up, yeah,
just stuck in this guest room for like eighteen hours,
(18:14):
and then finally my husband had to take me to
the er. And so again it's like, do I believe
that they understood and felt very empathetic toward me. Yes,
did I feel weird? And again, it's so hard to
explain because a lot of people are like, oh, yeah,
you have a headache. I've had those. They're like, well, yeah,
(18:36):
it's not exactly what you're thinking. It's not like that,
which also it's and then you're in a new place
that you've never been and Thanksgiving is the time of
noises and smells. Yes, yes, I'm going to check in
with doctor Ryan. Okay, Doctor Ryan, I am bringing you
(18:58):
back in to dive into some we've actually never covered
hormones and migraine, how they may affect each other, and
before getting into some of the menopause specifics that Megan
started talking about how do hormones and migraine affect each
other on a higher level.
Speaker 1 (19:17):
Yeah, I mean this is really I think critical to
understand and I think your sister really illustrates this so well. Right,
there is an overall link between hormones and migraine. So
when women in particular go through big changes in their
hormones during menstrual cycle, pregnancy, breastfeeding, menopause, it can change
their migraine symptoms, it can change their triggers and the
(19:40):
severity this is something that I try to really closely
monitor with my patients so that we can adjust our
approach as we go.
Speaker 4 (19:47):
And then there's perimenopause and menopause specifically, How are those
a factor in how you approach management for patients who
are at those stages in life.
Speaker 1 (20:00):
Yeah, this is super important, And along with their changing
hormone levels, perimenopause and menopause can also set off other triggers.
For example, like you know, getting a good night's sleep.
You know, for many people living with chronic migraine is
super important. Being well rested helps them be at their
best each day. But with hot flashes, night sweats, the
insomnia that can sometimes come along with perimenopause, it can
(20:21):
be a lot more difficult for them to get their
full eight hours, So the baseline from which they're operating
on on a daily basis is you know, not as high.
They can also deal with things like irritability. It can
create an environment where migraine attacks are just more easily triggered.
In that perimenopausal menopausal place, the fun never stops, right,
(20:42):
This is super important. I think that when patients want
to talk about the experience that they're having with chronic
migraine if your particular hormonal situation. It's really important if
you're breastfeeding, if you're pursuing pregnancy, if you are pregnant,
if you are dealing with perimenopausal symptoms or menopause, talk
to provider about that piece of the picture too, and
(21:03):
we can tailor therapies towards what your particular experience is.
And so sometimes thinking well, he doesn't want to hear
about my night sweats, he doesn't want to hear about
my insum. Of course I do, and it's going to
change the way that we work towards your therapy.
Speaker 4 (21:15):
All right, thanks doctor Ryan.
Speaker 2 (21:17):
Let's get back to my sister Megan McNerney. So, our
dad was a source of support for you early on,
which I love to hear. What is your support system
like now? Who are the supportive and understanding people in
(21:39):
your life who fully grasp what it is like for
you to live with chronic migraine. That is a good question.
I do feel like I have a lot of very
supportive people in my life, including you, our mom, my kids,
my husband, my ex husband. Like, I have a lot
of people around me who know, who have seen what
(22:00):
I go through and who are very supportive of it,
but almost no one else I know actually goes through it.
So actually this year at work, I met a coworker
he suffers from migrain attacks and we stumbled across it,
like almost accidentally, and so it's been great to talk
(22:21):
to him because his are very similar to mine, and
he travels a lot for work, he's got kids, like,
he's just gone through so many of the same experiences
that I have. And I think until I talked to him,
I didn't really realize how much I needed that that
feeling of talking to someone and describing something and you
can just see on their face I know exactly what
(22:43):
you're talking about, and it just makes you feel seen
and understood.
Speaker 4 (22:47):
And so I have felt very supported by a lot
of people, but it's really hard for a lot of
people to understand. I will say that being really open
about the fact that I have migraine has opened up
me getting messages from other people sometimes years later, who
will say, I think I just got that thing you
(23:08):
told me about, and now I understand it was like
the worst day of my life. Yeah, And while I'm
sad that they experienced it, it, I am happy to
be that person for other people who says, yes, I
know that was a really bad day and I'm sure
your family had a hard time understanding what you were
going through and why you couldn't get out of bed. Yeah.
Speaker 2 (23:31):
Every time I've done an interview for this show, I
really I always think of you, like I think every
time I interview somebody that I'm somehow understanding more of
your experience. Do you have a message to share with
listeners who are experiencing chronic migraine or listeners who just
(23:52):
love someone with chronic migraine? The first thing I would
say is, I think it's really beautiful that you're listening
to something that affects someone that you care about. That,
in and of itself, I think is such a strong
signal to the person you care about that like, you
want to understand their experience and what they're going through,
(24:16):
even though you don't go through it yourselves, And the
more stories you hear, the fuller picture you get. Like
what you said, you can listen to my experience of
chronic migraine, but it might be very different from someone else's,
and you have to listen to a lot of different
experiences to start to understand what's unique and what's common, and.
Speaker 4 (24:36):
So I think that's I think that's really important. But ultimately,
I think anytime someone takes time to understand something that
doesn't directly affect them, I think that's a beautiful thing.
It builds empathy and connection and relationships, and that's ultimately
what's going to get us all through. Megan, that's beautiful.
(24:57):
Thank you. Now let's check in with doctor Ryan one
last time. Yay. So this is our season finale, and
I want to hand the floor over to you and
(25:19):
ask if there is a message that you would like
to leave with our chronic migraine community as we wrap
up this season.
Speaker 1 (25:28):
Wow, for everybody that's listening, man, and particularly for those
folks who've gone along this ride with us as we've
come through here, be an advocate for yourself as the
first one. Nobody else is going to do it for you.
Every study that we've talked about on here, every parent,
every patient that we've talked with on here through the
course of the podcast, that is the one sort of
(25:49):
message is that they had to stand up for themselves
to get what they needed. And so I really just
encourage anybody to come forward, find somebody who will listen
to you and then don't stop telling them what's going on.
You get what you want, and then there's hope. This
is this Probably the second message is that there are
people out there who know how to do this. There
are people out there who know how to help you.
(26:09):
Go find them. And that might not be easy. I
wish it was, but there are wonderful, wonderful physicians. There
are wonderful, wonderful advanced practice folks who can find that
diagnosis and start working towards treatment. And so stand up
for yourself and find somebody who will listen to you
while you're doing it. That's the message, man, Yeah.
Speaker 4 (26:29):
Because you deserve that.
Speaker 2 (26:30):
And I feel like every time I speak to somebody
on this podcast, I just cannot believe how many people
go through this world with chronic migraine or migraine attacks
or any kind of chronic illness and still do all
of the life things.
Speaker 1 (26:44):
That's that's been the story, right, it really is.
Speaker 2 (26:46):
I'm like, I'm just in awe of all these people
who are just still going, still doing so much, still
like being kind, lovely people out in the world, even
while they're carrying this thing that nobody else can see.
Thank you, doctor Ryan. It has been such a pleasure.
All right, that's my big sister, That's Megan. Aren't you
(27:09):
obsessed with her?
Speaker 4 (27:10):
Now?
Speaker 2 (27:11):
If you're a person with chronic migraine or any chronic illness,
or someone who loves someone with chronic migraine or chronic illness,
I hope you'll have your own conversations like this, because
we do need each other, all of us. So thank
you to Megan for being here, to Doctor Ryan as always,
and to all of you. This has been season three
(27:33):
of The head Start Embracing the Journey. If you like
what you heard, tell a friend, Tell five friends, tell
between five and ten friends. Thanks for listening to the
head Start Embracing the Journey. We hope you found something
worthwhile here with us today, a new coping strategy, a
relatable story, the comfort of knowing you're not alone. I'm
(27:55):
so happy to be a part of creating this community
for all of us, especially for people living with chronic migraine.
If you haven't found a treatment plan that is working
for you, please do reach out to your headache specialist
to explore your options. I truly hope this has helped
you find a bit of comfort and maybe a smile,
(28:15):
Maybe see a next episode and stay tuned for more
important safety information. The head Start Embracing the Journey is
hosted by myself Norah McNerney, executive produced by Ivan Shechian.
Our head of post production is James Foster, our researcher
is Sierra Kaiser, and our writer.
Speaker 4 (28:34):
Is John Irwin.
Speaker 2 (28:35):
The show is mixed by Michael Hardman, original music by
Soundcat Productions and Art List.
Speaker 3 (28:45):
Important safety information continued. There has not been a confirmed
serious case of spread of talks and effect away from
the injection site. When botox has been used at the
recommended dose to treat chronic migraine. Botox may cause loss
of strength or jenneral muscle weakness, vision problems, or dizziness
within hours to weeks of receiving botox. If this happens,
(29:06):
do not drive a car, operate machinery, or do other
dangerous activities. Do not receive botox if you are allergic
to any of the ingredients in botox see medication guide
for ingredients. Had an allergic reaction to any other boche
linum toxin product such as myoblock rhymo bochulinum toxin B
disport abobochelnum toxin A zeomin inco botchel item toxin A
(29:30):
JEVO probochul item toxin A XVFS, daxify daxibotchelinum toxin A
l A n M, or lettibo letty bocheltum toxin AWLBG.
This may not be a complete list of all botchulinum
toxin products have a skin infection at the planned injection site.
The dose of botox is not the same as or
(29:50):
comparable to another botchulnum toxin product. Serious and or immediate
allergic reactions have been reported, including itching, rash, red i
che weltz, wheezing, asthma symptoms, dizziness or feeling faint. Get
medical help right away. If you experience symptoms, further injection
of botox should be discontinued. Tell your doctor about all
(30:11):
your muscle or nerve conditions such as ALS or lou
Garrig's disease, myasthenia gravis, or Lambert etn syndrome, as you
may be at increased risk of serious side effects, including
difficulty swallowing and difficulty breathing, from typical doses of botox.
Tell your doctor about all your medical conditions, including if
you have or have had bleeding problems, have plans to
(30:33):
have surgery, had surgery on your face, have weakness of
forehead muscles, trouble raising your eyebrows, drooping eyelids, and any
other abnormal facial change. Are pregnant or plan to become pregnant.
It is not known if botox can harm your unborn baby.
Are breastfeeding or plan to. It is not known if
botox passes into breast milk. Tell your doctor about all
the medicines you take, including prescription and over the counter medicines, vitamins,
(30:57):
and herbal supplements. Using botox with certain other medicines may
cause serious side effects. Do not start any new medicines
until you have told your doctor that you have received
botox in the past. Tell your doctor if you received
any other bochulinum toxin product in the last four months.
Have received injections of bochulinum toxin such as myoblock, disport, zamin, Jevo, Daxify,
(31:20):
or Letibo in the past. This may not be a
complete list of all bochulinum toxin products. Tell your doctor
exactly which product you received. Have recently received an antibiotic
by injection, take muscle relaxance, take an allergy or cold medicine,
take a sleep medicine, take aspirin like products, or blood thinner.
Other side effects of botox include dry mouth, discomfort or
(31:41):
pain at the injection site, tiredness, headache, neck pain, eye
problems such as double vision, blurred vision, decreased eye sight,
drooping eyelids, swelling of your eyelids and dry eyes, drooping eyebrows,
and upper respiratory tract infection. For more information, refer to
the medication guide or talk with your doctor. You are
encouraged to report negative side effects of prescription drugs to
(32:03):
the FDA. Visit www dot FDA dot gov, slash MedWatch,
or call one eight hundred FDA one zero eight eight.
Please see botox full product information, including boxed warning and
medication guide by clicking the link provided in the podcast description,
or by visiting www dot RXABV dot com slash pdf
(32:26):
slash botox underscore PI dot pdf. If you are having
difficulty paying for your medicine, ABV may be able to help,
visit ABV dot com slash Patient Access Support to learn more.
Botox is a trademark of allerganinc an Abvcompany. All other
trademarks are the property of their respective owners.
Ruby.
Speaker 2 (00:08):
Life sometimes has a way of blindsiding you with a
feeling of being overwhelmed at the worst possible time. That's
why you have your self care, your coping strategies, That's
why you have us. I'm Norah McInerney and this is
the head start Embracing the Journey, a podcast where we'll
be taking all those things you usually say for your
(00:29):
friend group out into the open so we can all
find a bit of optimism for those battling chronic migraine.
These conversations are going to be even more helpful and relatable,
so definitely stick around. This show is brought to you
in partnership with ABVI, So first let's hear some important
safety information and stay tuned to the end of the
(00:51):
podcast for more.
Speaker 3 (01:00):
Indication. Botox on a bochulinum toxin A is a prescription
medicine that is injected into muscles and used to prevent
headaches and adults with chronic migraine who have fifteen or
more days each month with headache lasting four or more
hours each day in people eighteen years in older. It
is not known whether botox is safe and effective to
prevent headaches in patients with migraine. Who have fourteen or
(01:21):
fewer headache days each month or episodic migraine. Important safety information.
Botox may cause serious side effects that can be life threatening.
Get medical help right away. If you have any of
these problems any time, hours to weeks after injection of botox.
Problems swallowing, speaking, or breathing due to weakening of associated
muscles can be severe and result in loss of life.
(01:43):
You are at the highest risk if these problems are
pre existing before injection. Swallowing problems may last for several months.
Spread of toxin effects. The effect of botulinum toxin may
affect areas away from the injection site and cause serious
symptoms including loss of strength and all over muscle weakness,
double vision, blurred vision, drooping eyelets, coarseness or change or
(02:04):
loss of voice, trouble saying words clearly, loss of bladder control,
trouble breathing, and trouble swallowing. Please stay tuned for additional
important safety information within this podcast. Today's guest, Meghan mcinnernie,
is not a botox patient. Meghan was not compensated by
ABVI for sharing her story. Portions of this podcast are
sponsored by ABVI. Hi Everyone, Welcome back. Today is actually
(02:46):
the final episode of the season that went very quickly.
I know that a lot of our audience are people
who are a part of the chronic migraine community. And
I know that another part of this community are people
who love those that they know in their life who
are living with migraine, who want to show up for them,
understand them, and support them. It's hard to have a
(03:07):
chronic illness, and it's hard to watch someone you love
struggle with one. In season one, I talked a little
bit about my father's migraine attacks when I was growing up,
how they seem to come out of nowhere and cast
a whole cloud on the house. What I didn't mention
was that my big sister, Megan, has had very similar experiences.
All the stories I've heard and conversations I've had in
(03:29):
this show have given me a new understanding of what
each of them go through. Megan is eight years older
than me, which growing up might as well have been
thirty years. This was the eighties and the nineties where
a person eight years older than you could be your
full time character. Okay, the eighties were a wild time.
I saw Megan as an adult, I saw her as
(03:52):
a second mom. I was obsessed with Megan. I loved
going through her things when she wasn't home. I loved
sitting on her bed and watching her tease her bangs
and spray a cloud of hair spray around her head.
I loved everything she wore and everything she did, And
in a lot of ways, I am just a copy
of Megan. Anything I have done, Meghan did first, including podcasting,
(04:16):
writing a book, having kids. She is still the person
I look up to the most, even though I am
I believe five inches taller than her. And while Meghan
and I both inherited our father's nose, only she got
his nice thick hair and his not as nice migrant attacks.
If seeing my dad struggling with scary, seeing my sister
(04:36):
struggling has always broken my heart. I've always wanted a
way to just wave a wand and make it better,
to be able to reach into her head and pull
out whatever is hurting her. But instead we just have
to settle for love, compassion, and a conversation on a
public podcast. So here it is a conversation with me
and my big sister, Megan McInerney. And yes we know
(04:59):
that we s like, yes, we know that our laughs
are quite loud. You will hear my Minnesota accent activate
the longer we talk. I simply cannot help it. Before
we meet Megan, I'm going to check in with doctor Ryan. Hi,
(05:21):
doctor Ryan, what are you ready to talk about my sister?
Speaker 1 (05:25):
I sure am. So the story that I hear is
that you guys have really similar energy. Yeah we do,
but you're kind of the wild hippie and she's like
the more buttoned up.
Speaker 2 (05:37):
She's always had it together, and she also has chronic migraine.
Speaker 1 (05:41):
So there's this quiet like hope that anytime that we
have somebody that you know who's dealing with chronic, that
the stuff we talk about here gets to them specifically. Yes,
you know what I mean. So the way that I'm
going to see our conversation today is really like it's
just trying to help out your sister.
Speaker 4 (05:57):
I really love that.
Speaker 2 (06:04):
Okay, guys, today is extra special and will be extra
fun because today we are talking with one of my
favorite people who is extra special and extra fun, my
big sister, Megan.
Speaker 4 (06:17):
Megan. To kick things off, who is your favorite sister?
I haven't thought about this question. Can I get back
to you?
Speaker 3 (06:27):
Oh?
Speaker 2 (06:27):
Wait, you're my only sister that she puts you in
the coveted number one position, forever number one spot, and
I will take it because, as you know, I've won
very few awards, and the ones that I kept, I've
been told are not awards, including Most Improved.
Speaker 4 (06:45):
For nearly every sport. Oh, that's just such a pity award.
They were like, you're still here, thanks for showing up. Hey, hey,
you're here.
Speaker 2 (06:55):
You're not good, but you haven't gotten worse, Okay, Megan.
I have told listeners about Dad's migrain attacks. I remember
him going into our parents room with a cold washcloth
on his eyes, and how he'd lay on top of
his covers like a corpse.
Speaker 4 (07:11):
Yeah, like a vampire, just like a empire, with arms
cross arms crossed, fully clothed, fully clothed, above the covers,
and then he would yell at us for talking or
laughing brings him. So and I have witnessed your migrain attacks,
but we've never really talked about them. And I thought
(07:32):
it would be the best if we did this on
a podcast for thousands of people, so I couldnkre I did.
I did think about that when I was getting ready
for this conversation. Like we you and I. You know
I have them, but I don't think we've ever talked
about them.
Speaker 2 (07:47):
So all of these questions are questions that I do
not know the answer to you, including when did this start?
Like what were your migrain attacks? Like how would you
describe them to someone who didn't experience them life your
favorite sister. Yes, the first one that I clearly remember
getting was when we lived in La Crescent and I
(08:09):
was at our neighbor's house. And I remember this distinctly
because I started to get what now I know is
an aura, but at the time I didn't know what
it was.
Speaker 4 (08:17):
I just knew that something was really wrong, and so
I went home and then all of a sudden, this
intense discomfort and I was very sensitive to light. I
got very sick. So I remember going into my room,
laying down and just crying, just wanting whatever was happening
(08:38):
to be over. I wonder if because Dad had migrant attacks,
do you think he kind of understood like the seriousness
of what you were experiencing. Yeah, and he was the
person who really started to recognize what they were. It's
extremely difficult to understand if you've never experienced one, so
(09:00):
I think it was helpful that Dad had them and
could recognize what they were and they could get me
some help. Did you see a neurologist or what kind
of help did they get you? I think initially I
went to just our regular doctor, and then I was
pretty quickly referred to a neurologist, and I tried a
(09:23):
lot of different medications, most of which I would take.
At the onset of the migraine attack. At that time,
there wasn't much that I could take that was trying
to prevent them. Now there's a lot more options for preventing.
At that time, it was like, listen, if one hits you,
these are the ways that we can help you with
(09:46):
the discomfort, the nausea, whatever it is that you're experiencing.
What do you think triggered those earlier migraine attacks and
have your triggers changed over time? No, I don't know
what started them. I've never known what has caused them.
For me, it's a lot of different things. I do know.
(10:07):
If I don't get enough sleep, I'm more likely to
get one. Doesn't mean I'm always going to get one.
If I didn't get enough sleep, if I haven't eaten
in a long time, if I'm dehydrated, if the weather
changes quickly so in the summertime, if a thunderstorm comes
in really fast, much more likely to get a migraine attack.
(10:27):
So over time, I've developed this mental encyclopedia of these
are the things that put me on alert that I
might be kind of in the danger zone. And I've
started to notice signs inside of my body that tell
me like, ooh, I think I'm kind of in the
zone where I could possibly get one.
Speaker 2 (10:48):
Yeah, how long were you experiencing migraine attacks before you
got an official diagnosis of chronic migraine.
Speaker 4 (10:57):
I would say probably five years. It's difficult too, because
they're so they could be so unpredictable. So even thinking
about something like chronic migraine, which is a certain number
of headache days you have within a certain time window,
you can go through periods of time where you're getting
them quite frequently, and frequently enough that it is really
(11:19):
disrupting your work life, your personal life, your social life.
It's really when I think about the things that I've
missed because I just couldn't do it, I physically couldn't
do it, it makes me really sad. So I'm fifty. Now.
I've also heard that during menopause, chronic migraine can get
(11:40):
worse or get better. It just feels like such a
it's kind of a crapshoot, like what's going to happen?
Speaker 2 (11:53):
Okay, I want to bring you back into the conversation here,
doctor Ryan. So we're talking today about the same thing
we have always talk about, but today it's different because
we're also talking about my sister, and I think pretty
much every guest that we've had on this show says
that they wish that they had found a headache specialist sooner.
(12:16):
My sister considers herself lucky because my dad had migraine
attacks and he recognized in her what was happening and
got her help pretty quickly, all things considered. But I
want to talk more about that sort of gap between
the experience that people are having with migraine attacks or
chronic migraine and how long it takes them to find
(12:39):
or even reach out to a headache specialist.
Speaker 1 (12:42):
Yeah, this is for sure one of the most common
responses that we see from patients that they wish they'd
found somebody sooner. So there's a recent study that shows
only five percent of people living with chronic migraine actually
find preventative and acute treatments after going through the process
of talking to doctor, getting the diagnosis, and trying various
(13:03):
different types of treatment options. This is unacceptable. There's another
one that I like. National Headache Foundation did a survey
on migraine. It was called Preventing Migraine Attacks a Current Perspective,
and they found that in treating their disease overall, about
sixty two percent of those respondents that wrote back wish
that they had seen a headache provider sooner. This is
(13:23):
something that I literally hear every single day.
Speaker 4 (13:27):
Yeah, you have to imagine that a delay in finding
care seeking care is going to have a pretty big
effect on someone's treatment journey.
Speaker 2 (13:37):
It does.
Speaker 1 (13:37):
It definitely has an impact on their journey. Another study
on migraine disease that in general shows that it takes
five years before patients can get the diagnosis and move
towards that treatment therapy, and so we need to get
started as quick as we can. And that's really kind
of the big takeaway when we think about diagnosis.
Speaker 2 (13:53):
All right, thanks doctor Ryan. After the break, we'll get
back to the conversation with Megan McInerney, Megan, you mentioned
(14:31):
missing out on things or at being disruptive to your life,
your work life, your personal life. What are some of
the ways that chronic migraine has disrupted your life. Last year,
I was supposed to go to this three day work conference,
and it was my first year in this new role,
and I was trying to make a good impression. And
I was there the first day, and then the next
(14:53):
two days I was out with a migraine attack, and
I just felt so embarrassed because it was people that
didn't know me that well yet, people that I didn't.
Speaker 4 (15:01):
Feel like I had that history of trust, and like, oh,
that's like Megan's super reliable, don't worry about it. I
don't know if other people you've talked to have also
expressed this, but it is not just physical discomfort for me.
It creates a lot of intense emotional discomfort. And I
don't know if it's because it makes me feel so
(15:22):
vulnerable to just feel so knocked down by something. When
I am experiencing a migrant attack, I am very tender
emotionally and very Yeah, I'll just I'll cry about anything.
I just feel. I just feel so bad my feelings hurt.
(15:47):
My head hurt, yes, and like no one wants to
feel bad. The work trip is important to you because
your work is important to you. Work is a core
part of everybody's identity. You just don't want to feel
like you're not yourself. It's hard to feel like yourself
when you don't physically feel like yourself. I hate this
for you. Yeah, And there were years where I was
(16:08):
a single parent where the kids just had to get
used to the fact that if I said the word migraine,
they were like, Okay, all hands on deck, dinners on
us tonight, like we'll figure out. They just knew that
I couldn't function. You wear a lot of hats.
Speaker 2 (16:29):
You are a mom, a friend, a wife, a hell
of a professional. You're literally everything to everyone. It is
hard to feel like you cannot fill everybody's needs all
the time and also somehow find the time to take
care of yourself even without chronic migraine or a migraine attack.
(16:50):
That is just a lot to balance, That is a
lot to juggle. How has chronic migraine made all of
that harder? Basically just takes you out of your life
for some period of time that is unknown.
Speaker 4 (17:05):
To you. So I could say, uh, Okay, having a
migraine attack today, so I'll catch it tomorrow, and that
may or may not be true. I may not be
catching you for another four days. Like I really have
no idea. So it just it just throws a wrench
in whatever it is that you're doing. Whether it is
is personal work, vacation, doesn't matter. Can I tell you
(17:30):
one other thing I just remembered. Yeah, So when I
got married three years ago, the very first time I
went to visit my in laws for Thanksgiving, it was
the first time I was meeting a lot of them.
The minute I walked in their door, I got a
migraine attack. So I am in a guest room of
(17:52):
a house I've never been in before, in a state
I've never been in before, during a holiday where the
whole point is everyone is trying to be around each
other and everyone's excited to meet me because I'm this
new member of the family. And I ended up, yeah,
just stuck in this guest room for like eighteen hours,
(18:14):
and then finally my husband had to take me to
the er. And so again it's like, do I believe
that they understood and felt very empathetic toward me. Yes,
did I feel weird? And again, it's so hard to
explain because a lot of people are like, oh, yeah,
you have a headache. I've had those. They're like, well, yeah,
(18:36):
it's not exactly what you're thinking. It's not like that,
which also it's and then you're in a new place
that you've never been and Thanksgiving is the time of
noises and smells. Yes, yes, I'm going to check in
with doctor Ryan. Okay, Doctor Ryan, I am bringing you
(18:58):
back in to dive into some we've actually never covered
hormones and migraine, how they may affect each other, and
before getting into some of the menopause specifics that Megan
started talking about how do hormones and migraine affect each
other on a higher level.
Speaker 1 (19:17):
Yeah, I mean this is really I think critical to
understand and I think your sister really illustrates this so well. Right,
there is an overall link between hormones and migraine. So
when women in particular go through big changes in their
hormones during menstrual cycle, pregnancy, breastfeeding, menopause, it can change
their migraine symptoms, it can change their triggers and the
(19:40):
severity this is something that I try to really closely
monitor with my patients so that we can adjust our
approach as we go.
Speaker 4 (19:47):
And then there's perimenopause and menopause specifically, How are those
a factor in how you approach management for patients who
are at those stages in life.
Speaker 1 (20:00):
Yeah, this is super important, And along with their changing
hormone levels, perimenopause and menopause can also set off other triggers.
For example, like you know, getting a good night's sleep.
You know, for many people living with chronic migraine is
super important. Being well rested helps them be at their
best each day. But with hot flashes, night sweats, the
insomnia that can sometimes come along with perimenopause, it can
(20:21):
be a lot more difficult for them to get their
full eight hours, So the baseline from which they're operating
on on a daily basis is you know, not as high.
They can also deal with things like irritability. It can
create an environment where migraine attacks are just more easily triggered.
In that perimenopausal menopausal place, the fun never stops, right,
(20:42):
This is super important. I think that when patients want
to talk about the experience that they're having with chronic
migraine if your particular hormonal situation. It's really important if
you're breastfeeding, if you're pursuing pregnancy, if you are pregnant,
if you are dealing with perimenopausal symptoms or menopause, talk
to provider about that piece of the picture too, and
(21:03):
we can tailor therapies towards what your particular experience is.
And so sometimes thinking well, he doesn't want to hear
about my night sweats, he doesn't want to hear about
my insum. Of course I do, and it's going to
change the way that we work towards your therapy.
Speaker 4 (21:15):
All right, thanks doctor Ryan.
Speaker 2 (21:17):
Let's get back to my sister Megan McNerney. So, our
dad was a source of support for you early on,
which I love to hear. What is your support system
like now? Who are the supportive and understanding people in
(21:39):
your life who fully grasp what it is like for
you to live with chronic migraine. That is a good question.
I do feel like I have a lot of very
supportive people in my life, including you, our mom, my kids,
my husband, my ex husband. Like, I have a lot
of people around me who know, who have seen what
(22:00):
I go through and who are very supportive of it,
but almost no one else I know actually goes through it.
So actually this year at work, I met a coworker
he suffers from migrain attacks and we stumbled across it,
like almost accidentally, and so it's been great to talk
(22:21):
to him because his are very similar to mine, and
he travels a lot for work, he's got kids, like,
he's just gone through so many of the same experiences
that I have. And I think until I talked to him,
I didn't really realize how much I needed that that
feeling of talking to someone and describing something and you
can just see on their face I know exactly what
(22:43):
you're talking about, and it just makes you feel seen
and understood.
Speaker 4 (22:47):
And so I have felt very supported by a lot
of people, but it's really hard for a lot of
people to understand. I will say that being really open
about the fact that I have migraine has opened up
me getting messages from other people sometimes years later, who
will say, I think I just got that thing you
(23:08):
told me about, and now I understand it was like
the worst day of my life. Yeah, And while I'm
sad that they experienced it, it, I am happy to
be that person for other people who says, yes, I
know that was a really bad day and I'm sure
your family had a hard time understanding what you were
going through and why you couldn't get out of bed. Yeah.
Speaker 2 (23:31):
Every time I've done an interview for this show, I
really I always think of you, like I think every
time I interview somebody that I'm somehow understanding more of
your experience. Do you have a message to share with
listeners who are experiencing chronic migraine or listeners who just
(23:52):
love someone with chronic migraine? The first thing I would
say is, I think it's really beautiful that you're listening
to something that affects someone that you care about. That,
in and of itself, I think is such a strong
signal to the person you care about that like, you
want to understand their experience and what they're going through,
(24:16):
even though you don't go through it yourselves, And the
more stories you hear, the fuller picture you get. Like
what you said, you can listen to my experience of
chronic migraine, but it might be very different from someone else's,
and you have to listen to a lot of different
experiences to start to understand what's unique and what's common, and.
Speaker 4 (24:36):
So I think that's I think that's really important. But ultimately,
I think anytime someone takes time to understand something that
doesn't directly affect them, I think that's a beautiful thing.
It builds empathy and connection and relationships, and that's ultimately
what's going to get us all through. Megan, that's beautiful.
(24:57):
Thank you. Now let's check in with doctor Ryan one
last time. Yay. So this is our season finale, and
I want to hand the floor over to you and
(25:19):
ask if there is a message that you would like
to leave with our chronic migraine community as we wrap
up this season.
Speaker 1 (25:28):
Wow, for everybody that's listening, man, and particularly for those
folks who've gone along this ride with us as we've
come through here, be an advocate for yourself as the
first one. Nobody else is going to do it for you.
Every study that we've talked about on here, every parent,
every patient that we've talked with on here through the
course of the podcast, that is the one sort of
(25:49):
message is that they had to stand up for themselves
to get what they needed. And so I really just
encourage anybody to come forward, find somebody who will listen
to you and then don't stop telling them what's going on.
You get what you want, and then there's hope. This
is this Probably the second message is that there are
people out there who know how to do this. There
are people out there who know how to help you.
(26:09):
Go find them. And that might not be easy. I
wish it was, but there are wonderful, wonderful physicians. There
are wonderful, wonderful advanced practice folks who can find that
diagnosis and start working towards treatment. And so stand up
for yourself and find somebody who will listen to you
while you're doing it. That's the message, man, Yeah.
Speaker 4 (26:29):
Because you deserve that.
Speaker 2 (26:30):
And I feel like every time I speak to somebody
on this podcast, I just cannot believe how many people
go through this world with chronic migraine or migraine attacks
or any kind of chronic illness and still do all
of the life things.
Speaker 1 (26:44):
That's that's been the story, right, it really is.
Speaker 2 (26:46):
I'm like, I'm just in awe of all these people
who are just still going, still doing so much, still
like being kind, lovely people out in the world, even
while they're carrying this thing that nobody else can see.
Thank you, doctor Ryan. It has been such a pleasure.
All right, that's my big sister, That's Megan. Aren't you
(27:09):
obsessed with her?
Speaker 4 (27:10):
Now?
Speaker 2 (27:11):
If you're a person with chronic migraine or any chronic illness,
or someone who loves someone with chronic migraine or chronic illness,
I hope you'll have your own conversations like this, because
we do need each other, all of us. So thank
you to Megan for being here, to Doctor Ryan as always,
and to all of you. This has been season three
(27:33):
of The head Start Embracing the Journey. If you like
what you heard, tell a friend, Tell five friends, tell
between five and ten friends. Thanks for listening to the
head Start Embracing the Journey. We hope you found something
worthwhile here with us today, a new coping strategy, a
relatable story, the comfort of knowing you're not alone. I'm
(27:55):
so happy to be a part of creating this community
for all of us, especially for people living with chronic migraine.
If you haven't found a treatment plan that is working
for you, please do reach out to your headache specialist
to explore your options. I truly hope this has helped
you find a bit of comfort and maybe a smile,
(28:15):
Maybe see a next episode and stay tuned for more
important safety information. The head Start Embracing the Journey is
hosted by myself Norah McNerney, executive produced by Ivan Shechian.
Our head of post production is James Foster, our researcher
is Sierra Kaiser, and our writer.
Speaker 4 (28:34):
Is John Irwin.
Speaker 2 (28:35):
The show is mixed by Michael Hardman, original music by
Soundcat Productions and Art List.
Speaker 3 (28:45):
Important safety information continued. There has not been a confirmed
serious case of spread of talks and effect away from
the injection site. When botox has been used at the
recommended dose to treat chronic migraine. Botox may cause loss
of strength or jenneral muscle weakness, vision problems, or dizziness
within hours to weeks of receiving botox. If this happens,
(29:06):
do not drive a car, operate machinery, or do other
dangerous activities. Do not receive botox if you are allergic
to any of the ingredients in botox see medication guide
for ingredients. Had an allergic reaction to any other boche
linum toxin product such as myoblock rhymo bochulinum toxin B
disport abobochelnum toxin A zeomin inco botchel item toxin A
(29:30):
JEVO probochul item toxin A XVFS, daxify daxibotchelinum toxin A
l A n M, or lettibo letty bocheltum toxin AWLBG.
This may not be a complete list of all botchulinum
toxin products have a skin infection at the planned injection site.
The dose of botox is not the same as or
(29:50):
comparable to another botchulnum toxin product. Serious and or immediate
allergic reactions have been reported, including itching, rash, red i
che weltz, wheezing, asthma symptoms, dizziness or feeling faint. Get
medical help right away. If you experience symptoms, further injection
of botox should be discontinued. Tell your doctor about all
(30:11):
your muscle or nerve conditions such as ALS or lou
Garrig's disease, myasthenia gravis, or Lambert etn syndrome, as you
may be at increased risk of serious side effects, including
difficulty swallowing and difficulty breathing, from typical doses of botox.
Tell your doctor about all your medical conditions, including if
you have or have had bleeding problems, have plans to
(30:33):
have surgery, had surgery on your face, have weakness of
forehead muscles, trouble raising your eyebrows, drooping eyelids, and any
other abnormal facial change. Are pregnant or plan to become pregnant.
It is not known if botox can harm your unborn baby.
Are breastfeeding or plan to. It is not known if
botox passes into breast milk. Tell your doctor about all
the medicines you take, including prescription and over the counter medicines, vitamins,
(30:57):
and herbal supplements. Using botox with certain other medicines may
cause serious side effects. Do not start any new medicines
until you have told your doctor that you have received
botox in the past. Tell your doctor if you received
any other bochulinum toxin product in the last four months.
Have received injections of bochulinum toxin such as myoblock, disport, zamin, Jevo, Daxify,
(31:20):
or Letibo in the past. This may not be a
complete list of all bochulinum toxin products. Tell your doctor
exactly which product you received. Have recently received an antibiotic
by injection, take muscle relaxance, take an allergy or cold medicine,
take a sleep medicine, take aspirin like products, or blood thinner.
Other side effects of botox include dry mouth, discomfort or
(31:41):
pain at the injection site, tiredness, headache, neck pain, eye
problems such as double vision, blurred vision, decreased eye sight,
drooping eyelids, swelling of your eyelids and dry eyes, drooping eyebrows,
and upper respiratory tract infection. For more information, refer to
the medication guide or talk with your doctor. You are
encouraged to report negative side effects of prescription drugs to
(32:03):
the FDA. Visit www dot FDA dot gov, slash MedWatch,
or call one eight hundred FDA one zero eight eight.
Please see botox full product information, including boxed warning and
medication guide by clicking the link provided in the podcast description,
or by visiting www dot RXABV dot com slash pdf
(32:26):
slash botox underscore PI dot pdf. If you are having
difficulty paying for your medicine, ABV may be able to help,
visit ABV dot com slash Patient Access Support to learn more.
Botox is a trademark of allerganinc an Abvcompany. All other
trademarks are the property of their respective owners.
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