{"podcast":{"title":"Migraine Heroes","slug":"migraine-heroes-chronic-migraine-hemiplegic-migraine-migraine-with-aura-vestibular-migraine-6571347","podcast_index_feed_id":6571347,"rss_url":"https://feeds.captivate.fm/migraine-heroes-chron/","website_url":"https://migraineheroes.com/","image_url":"https://artwork.captivate.fm/74760d54-a6c6-4e17-9ad8-521131ac3a47/b2sF4xQCZn_YtoBrWvkKP8sR.png","author":"Diane Ducarme","episode_count":193,"summary":"Are you doing everything right - avoiding triggers, taking your medication - and still experiencing migraine episodes that steal your day? You're not alone, and you're not broken. Deep dives into the science behind migraine, from food and hormones to sleep, stress, and the unexpected triggers few people talk about. Every topic holds a tension: is ginger a trigger or a remedy? Is stress the cause or the symptom? What does perimenopause actually change? There's rarely a simple answer, so each episode looks at the knowledge and science from different angles, East and West, and turns it into practical advice rooted in context. Migraine Heroes started when Diane Ducarme began helping her sister, then friends, then increasingly more people living with migraine. That work became a method, now used by over 3,000 people, to identify your own unique patterns and find real solutions. This podcast is where that thinking happens out loud. Curious what your own starting pattern looks like? Find out with the Migraine Heroes app: migraineheroes.com/qr-download","last_synced_at":"2026-09-22T12:20:55.825952+00:00","page_url":"https://stenobird.com/podcast/migraine-heroes-chronic-migraine-hemiplegic-migraine-migraine-with-aura-vestibular-migraine-6571347"},"episode":{"title":"Why Some People Wake Up Nauseated Before the Migraine Pain Starts","slug":"why-some-people-wake-up-nauseated-before-the-migraine-pain-starts","published_at":"2026-09-09T12:30:00+00:00","page_url":"https://stenobird.com/podcast/migraine-heroes-chronic-migraine-hemiplegic-migraine-migraine-with-aura-vestibular-migraine-6571347/why-some-people-wake-up-nauseated-before-the-migraine-pain-starts","show_page_url":"https://stenobird.com/podcast/migraine-heroes-chronic-migraine-hemiplegic-migraine-migraine-with-aura-vestibular-migraine-6571347","url":"https://migraineheroes.com/","audio_url":"https://episodes.captivate.fm/episode/070afbf1-8e88-44e9-b5e7-1aff67766d79.mp3","summary":"Waking up nauseated can feel confusing especially when the migraine pain has not started yet. In this episode of Migraine Heroes Podcast , host Diane Ducarme explores why nausea can be an early part of a migraine attack and what it may reveal about the timing of the migraine process. You’ll learn: 💡 Why nausea can begin before head pain — and what this tells us about where a migraine attack may actually start 💡 How sleep, your internal body clock, the hypothalamus, and the gut may contribute to nausea on waking 💡 How to recognize your own early-warning pattern, so morning nausea becomes useful information rather than another unexplained symptom Sometimes, the first sign of migraine is not pain. Learning to notice what happens before the headache may help you understand your attacks much earlier. 🎧 New episodes every Monday and Wednesday 🔗 Discover our work on migraineheroes.com References: Premonitory Symptoms in Migraine: A Systematic Review and Meta-Analysis of Observational Studies Reporting Prevalence or Relative Frequency (Eigenbrodt et al., 2022): This review identifies common symptoms that occur before migraine pain begins. Read more here. Brain Activations in the Premonitory Phase of Nitroglycerin-Triggered Migraine Attacks (Maniyar et al., 2014): This study identifies hypothalamic and brainstem activity before migraine headache begins. Read more here Hypothalamus as a Conductor of the Migraine Prodrome: A Narrative Review (Root & Schwedt, 2026): This review explores the hypothalamus as a key driver of early migraine symptoms. Read more here . Pathophysiology and Therapy of Associated Features of Migraine (Villar-Martinez & Goadsby, 2022): This review examines nausea, sensory sensitivity, and other symptoms accompanying migraine. Read more here . Migrai…","meta_description":"Waking up nauseated can feel confusing especially when the migraine pain has not started yet. In this episode of Migraine Heroes Podcast , host Diane Duca…","key_points":[],"chapters":[],"topics":[],"duration_seconds":1008,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/migraine-heroes-chronic-migraine-hemiplegic-migraine-migraine-with-aura-vestibular-migraine-6571347/episodes/why-some-people-wake-up-nauseated-before-the-migraine-pain-starts/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/migraine-heroes-chronic-migraine-hemiplegic-migraine-migraine-with-aura-vestibular-migraine-6571347/why-some-people-wake-up-nauseated-before-the-migraine-pain-starts.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}