Conditions We Treat · Migraine
Remote Migraine Program
For patients anywhere around the world — treating the hormonal & nutritional factors of migraine remotely.
🌎 Worldwide patients
🧪 Lab testing shipped
💊 Supplements included
About our program
Dr. Adam Harcourt
Dr. Adam Harcourt is one of the leading doctors worldwide on migraine. Author of ‘Mastering Migraine’, over the years Dr. Harcourt has developed his migraine program to treat each of the 4 main factors of migraine: Hormonal, Nutritional, Musculoskeletal and Neurological. Most patients tell us that their biggest challenge prior to finding our program was finding a team of doctors to properly and appropriately address each of these factors simultaneously. Patients find that most doctors are in their own lane and that it can be difficult to coordinate multiple different practitioners and get them all on the same page. Our program aims to move you down the spectrum of migraine from having them often, to as little as possible and get you long-lasting results by putting you in control of migraine, rather than having migraine control you.
DC
DACNB
FACFN
FABVR
FNOR Certified
The remote program addresses factors 1 & 2: Hormonal and Nutritional — as these can be properly treated without an in-person visit. Factors 3 & 4 (Musculoskeletal and Neurological) require in-person care.
Dr. Harcourt's 5-step plan
1
Schedule consultation
30-minute consultation with Dr. Harcourt to go over hormonal and nutritional history.
2
Lab kit shipped to you
We ship hormonal lab testing and any needed nutritional supplements directly to you.
3
Complete DUTCH testing at home
Complete DUTCH Laboratory Testing in your home and mail to lab via prepaid shipping label. Begin any nutritional edits recommended by Dr. Harcourt.
4
Results & hormonal protocol
Dr. Harcourt receives your results and calls you with interpretation and hormonal protocols. We ship any needed hormonal supplements.
5
Begin your protocol
Begin hormonal supplements as recommended by Dr. Harcourt.
Affordability of the program
$18,394 / year
The mean all-in cost for migraine patients who have tried more than two preventative medications. The vast majority of our patients fall into this category.
What people spend money on
- Missed work
- Trips to the E.R.
- Urgent Care / Doctor visits
- Prescriptions
- Over-the-counter medications
- Natural remedies
- Injections
- Chiropractic / Massage / Acupuncture
With Dr. Harcourt's program
- Treating the right factors the right way
- Not shooting in the dark
- Understanding your most weighted factors
- Learning to stay in control long-term
- Joining a team who supports you for years
CGRP-blocking medications like Aimovig or Emgality cost $6,000–$9,000 per year and only give a 50% reduction of migraine days for less than half of patients. People all over the world are shooting in the dark.
Pricing
Entire Remote Program
$2,500
Total length: approximately 3–4 months, depending on results and treatment needed.
- Hormonal laboratory fees
- Hormonal supplements
- Nutritional supplements
- All consultations with Dr. Harcourt
- Shipping
Insurance
Most PPO insurance plans will reimburse you for the laboratory fees and consultation codes used during your program. We will provide a ledger/superbill to submit to your insurance. Actual reimbursement depends on your plan coverage.
The 4 main factors of migraine
Based on years of research and clinical experience, Dr. Harcourt has simplified the explanation of migraine to 4 main factors. Migraine is a genetic condition — an altered brain state. When the stress from these 4 factors becomes too much, a migraine occurs.
Hormonal
Hormones don’t cause migraine, but play a big role and make someone much more likely to have one when dysfunctional.
Nutritional
Diet and trigger removal is essential — but only one piece of the puzzle. Blood sugar, histamine, and cross-reactivities all play a role.
Musculoskeletal
Any increased physical stress on the body raises the likelihood of migraine. Massage, chiropractic, acupuncture, and exercise all help.
Neurological
Addressing this factor is how we make the bucket bigger — identifying and stimulating the specific areas of the brain causing migraine.
Each factor in detail
Factor 1
The Hormonal Factor
Many patients had been prescribed birth control or HRT by other doctors, which can be helpful in some cases — but there is also research about long-term effects of some of these treatments. Many migraine patients have an increased response to stress, and the estrogen changes are more a consequence of sex hormonal resources being shunted over to stress hormones. This is why we take a ‘top down’ approach when looking at hormones, and run a comprehensive hormonal panel to see what might be causing the issues. While hormones don’t cause migraine, they play a big role.
Factor 2
The Nutritional Factor
A healthy diet and removal of common triggers is essential for proper migraine treatment. However, many patients have tried every diet for migraine and report it didn’t help. This is more common than you’d expect. Some patients have an extreme response to certain foods, histamine responses and/or cross-reactivities — making simple dietary changes drastically improve their migraine days. But if dietary triggers aren’t a big contributor, they can try every diet and supplement without much change. Nutritional edits are never meant as a cure-all — they’re a baseline so we don’t miss something simple that is slowing down progress.
Factor 3
The Musculoskeletal Factor
Any increased physical stress on the body makes a person more likely to have migraine. Research shows positive outcomes with almost any bodywork — massage, acupuncture, chiropractic, and exercise — because they all reduce musculoskeletal stress. However, each of these modalities impacts the nervous system a little differently. The pathways stimulated by acupuncture are different from those stimulated by massage. This is why a thorough functional examination is so important to understanding which modality will be most beneficial for you specifically.
Factor 4
The Neurological Factor
The neurological component has 2 aspects. The first is the genetic predisposition to migraine — migraineurs have an altered brain state even when not having symptoms. Certain pools of neurons are more likely to fatigue or fail, leading to migraine symptoms. The second aspect involves injury and general neurological dysfunction — concussions, vestibular imbalances, difficulty with eye or head movements. Improving any of these aspects will help move you down the spectrum of migraine. The key is to continually strengthen the affected parts of the brain — to ‘make the bucket bigger’.
Dr. Harcourt's Bucket Theory
The Bucket Theory
Picture the part of your brain that allows migraine to occur as a bucket. All migraine patients have different size buckets — some very small, some larger. The smaller the bucket, the faster it fills up with stress and triggers and overflows into a migraine. One of the goals of our program is to make your bucket as big as possible — allowing you to handle more stressors without overflowing. We do this with neurological rehabilitation, peripheral nerve stimulation, gaze stability exercises, vestibular rehabilitation, manual therapies, eye-head tracking exercises, and/or peripheral vision training.
Low-Level Laser Therapy (LLLT) & Migraine
Low-Level Laser Therapy
Over 9,000 published papers — FDA approved, completely painless, included in our migraine program at no extra charge.
New research shows that patients who receive LLLT for migraine have similar outcomes to those undergoing treatment involving toxic injections. LLLT precisely targets areas of the brain, reduces inflammation while promoting bio-stimulation at a cellular level in the areas of the symptoms’ origination. It does not produce heat and is completely painless.
Targeted relief
Unlike botox or prescription medications, LLLT precisely targets brain centers — the only action is painless bio-stimulation of the affected areas.
Included at no extra cost
At most facilities you’d pay for LLLT alone. When combined with our treatments, you get LLLT on the house.
Who is a good candidate?
What type of migraine patient is right for our program?
Our ideal migraine patient has 4 or more migraines per month — this is the point where we typically see migraines progress. Patients who tend to progress to chronic migraine status started at 1–2 per month, progressed to 4–5, and eventually to every day. However, we will also see patients with fewer than 4 migraines per month and can provide them proper treatment and relief, as well as prevent their migraines from progressing toward chronic.
Ready to take the first step?
Call us today to schedule your first consultation with Dr. Harcourt.