Version October 2024
| Lifestyle changes (for 1 to 2 months or 1 to 2 cycles) |
| Reassurance and anticipatory guidance (eg, episodes are not self-induced and natural history) |
| Avoidance of triggers |
| Keep a "vomiting diary" to document potential precipitating factors |
| Avoid fasting |
| Recognize the potential role of excitement as a trigger (eg, downplay big events) |
| Maintain good sleep hygiene (eg, avoid sleep deprivation) |
| Avoid triggering foods: chocolate, cheese, monosodium glutamate, antigenic foods |
| Avoid excessive energy output |
| Supplemental carbohydrate for fasting-induced episodes |
| Provide fruit juices or other sugar-containing drinks |
| Provide extra snacks between meals, before exertion, or at bedtime |
| Migraine headache lifestyle interventions |
| Regular aerobic exercise (avoid overexercising) |
| Regular meal schedules (ie, avoid skipping meals) |
| Moderation in consuming or avoidance of caffeine |
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