The patient: “Annika,” a 44-year-old magazine publisher and Hawaii resident.

Why she came to see me: Annika had moved to the islands five months earlier to oversee a regional publication that she deemed “exhilarating.” But with the relocation and new, more demanding job came her first experience with migraines—severe headaches that typically impacted the left side of her head and left her so miserable she could “barely make it through the day.” She’d called in sick twice in the last two months alone—“something I’ve never done in my life,” she explained—and found only temporary relief in the Imitrex her new primary care physician had prescribed for her. Given that part of her decision to relocate to Hawaii was to live as cleanly and healthfully as possible, she wanted to not only get to the bottom of her persistent migraines, but to also treat them naturally.

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