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Butterbur is so effective for reducing the frequency and severity of migraine attacks, that the American Academy of Neurology (AAN) and the American Headache Society (AHS) have recommend it as an effective treatment for migraine (Holland 2012)

It advises telling your provider about every concurrent medication and supplement so absorption interactions can be fully assessed, and suggests keeping a medication-timing log to spot patterns if TSH fluctuates unexpectedly

Many also connect the improvement to overall well-being: 74% say feeling better physically benefited their relationship, and 65% say feeling better emotionally helped

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Proc Natl Acad Sci U S A 115:32553260