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R G Villani, J Gannon, M Self, P A Rich

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S.TsaiC

Current evidence suggests that impaired mitochondrial energy metabolism, reduced oxygen delivery to tissues (hypoxia), hypersensitivity to nitric oxide, and abnormal cortical activity may contribute to migraine development. Previous studies have reported abnormalities in mitochondrial function and vascular signaling in individuals with migraines, including elevated lactate levels and changes in nitric oxide and vascular cell adhesion molecule-1 (VCAM-1), markers associated with hypoxia and endothelial dysfunction. Several nutrients known to support mitochondrial function, including magnesium, coenzyme Q10, riboflavin, and L-carnitine, have shown benefits in migraine prevention. Alpha-lipoic acid (ALA), a mitochondrial cofactor with antioxidant and anti-inflammatory properties, has also demonstrated potential therapeutic effects in previous migraine studies. However, no prior research has evaluated the effects of ALA supplementation on lactate levels, nitric oxide, VCAM-1, and clinical migraine symptoms in women with episodic migraines

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