Ocular Migraines

Hi, all. First post.

I’ve been on keto for just over three months. For the most part it’s been going fairly well. I only had a few bouts of mild keto-flu. I know the keto strips aren’t the most accurate, but they’ve been consistently in the moderate to strong range.

I do have a history of ocular migraines—typically one or two a month. Sometimes I will have none for months, then two or three in a week. From 2019 until November 2021 I actually had none. That November I had three (this is pre-keto). However, in the past month I’ve had twelve.

Historically, the majority I get are between 10am and 2pm. Occasionally, some would hit in the late afternoon. I’ve only ever had a handful at night. Many years ago I was not a breakfast person. Then my Optometrist suggested I start, and the migraines lessened in frequency. In 2018 I did an elimination diet, which revealed nothing—no food triggers.

These new migraines are following the same pattern, except many are hitting after I have lunch. I also do IF between 8pm and noon.

Nothing I eat has changed, except with the omission of the obvious culprits on keto.

It seems, to me, that the keto is doing something to cause the migraines, I’m just not sure what. I know electrolyte loss can be an issue on keto, and I’ve been trying to supplement. I do use the Nuun tablets, mainly because they’re convenient. I add more salt (pink himalayan) with my veggies. I also take magnesium (Healthy Calm).

I would prefer not to stop doing the keto. Googling around I did find a few references to migraines being treated with electrolytes (especially in the ER) but nothing specifically about ocular migraines and keto.

Just looking for some advice. Thanks in advance.