November 16, 2025

85: What If Your Migraines Aren’t Just in Your Head? – The Hidden Root Causes with Dr. Meg Mill

44 minutes

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Could your migraines be less about pain in your head—and more about hidden imbalances in your hormones, gut, and environment?

In this episode of Hormones, Metabolism, and You, Dr. Cassie Smith sits down with functional medicine pharmacist Dr. Meg Mill to uncover the surprising root causes of chronic migraines—especially in women navigating hormonal shifts like menstruation, perimenopause, and menopause. Together, they explore how more than 50 potential triggers can fuel migraine symptoms, from dehydration and poor sleep to gut health issues, estrogen dominance, and histamine intolerance.

Dr. Mill shares how functional medicine helps uncover these connections and provides a roadmap for lasting relief. They discuss the power of personalized migraine tracking, hormone and gut testing, and targeted protocols to reduce inflammation and rebalance the nervous system. Whether you’ve suffered for years or are newly struggling with hormone-driven headaches, this episode is a must-listen.

💡 Functional migraine solutions are within reach—no endless prescriptions required.

🔑 Key Topics Covered

How hormonal shifts during perimenopause and menstruation trigger migraines

Why there are 50+ potential migraine triggers—and how to uncover your unique mix

Common food triggers: histamine, tyramine, nitrates, sulfites, MSG, and wine

Why your environment, stress levels, and even your air quality can worsen migraines

The link between estrogen dominance, progesterone deficiency, and mast cell activation

The role of gut health, detoxification, and sleep in migraine prevention

How histamine intolerance contributes to migraines, fatigue, anxiety, and skin issues

The truth about low stomach acid, acid reflux, and poor nutrient absorption

Personalized approaches vs. symptom suppression (why journaling matters)

When to use testing like the DUTCH test or GI Map for hormones and gut health

👤 About the Guest: Dr. Meg Mill, PharmD, AFMCP

Dr. Meg Mill is a functional medicine pharmacist, bestselling author, and host of A Little Bit Healthier podcast. With 20+ years of clinical experience, she helps women around the world resolve migraines, hormonal issues, and histamine-related symptoms. She's the founder of the Radiant Method, which empowers women to regain energy and clarity through root-cause healing.

📍 Learn more: www.megmill.com
🎧 Podcast: A Little Bit Healthier

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By Cassie Smith

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