Episode 130: Josh Turknett talks about holistic approaches that help people end chronic migraines

Our guest today is Dr. Josh Turknett, the author of “The Migraine Miracle” and “Keto for Migraine,” two books that have helped thousands of people use a holistic approach to end their chronic migraines. Josh is often referred to as “public enemy number one to migraines” everywhere. He is a neurologist, musician, author, and entrepreneur. He has more than two decades of experience in the field of cognitive and behavioral neuroscience. Josh practices medicine in Atlanta at the Turknett Center for Neurology and Cognitive Enhancement. In today’s episode, we talk to Josh about his own history with migraines and how migraine is a common and complex neurological disorder that includes a genetic component. Josh earned a bachelor’s degree in cognitive neuroscience from Wesleyan University, an M.D. from Emory University, and completed his residency training at the University of Florida. In addition to his medical practice, Josh also is the founder of Brainjo, a company that creates educational resources that utilize a system of instruction based on the science of learning and neuroplasticity. He’s a musician who plays in the band The Georgia Jays and teaches people to play the clawhammer banjo, fingerstyle banjo, fiddle and ukulele. As if he didn’t have enough to do, Josh also is the president of Physicians for Ancestral Health and the chief medical officer for humanOS, which was recently acquired by Restore Hyper Wellness. Josh also is the host of the Intelligence Unshackled podcast, which explores the many ways that human potential is constrained and how people can go about optimizing it. Show notes: [00:03:22] Dawn opens the interview asking Josh about his mother’s struggles with migraines. [00:04:59] Dawn asks Josh how old he was when he first started having migraines. [00:06:15] Ken asks Josh how he first became interested in science. [00:08:24] Dawn asks Josh how he ended up in the Connecticut at Wesleyan University for his undergraduate degree. [00:09:35] Ken asks if Josh knew he wanted to major in neuroscience when he first arrived at Wesleyan or if that was a later decision. [00:10:49] Dawn asks if it is true that Josh’s girlfriend at the time played a role in his decision to move back to Atlanta to go to medical school at Emory after his undergrad. [00:11:55] Dawn asks what motivated Josh to attend the University of Florida for his residency after being a lifelong Gator-hater. [00:14:39] Ken mentions that despite all the hype around neuroscience when the field was emerging, the last major breakthrough in neurology was in the ‘90s with the discovery of triptan drugs for migraines. Ken asks if we have made any major neurological advances since then, and if not, why? [00:17:41] Ken asks Josh what he would suggest to today’s neurology residents and neuroscience graduate students who might want to avoid the recent failures of the modern approaches to treating neurological disease. [00:19:57] Dawn explains that a migraine is a complex neurological disorder affecting 15 to 20 percent of the population, with many subtypes including a genetic component. Dawn asks Josh what is currently understood about the genetic component of migraines. [00:21:28] Ken asks Josh at what point in his career did he decide to specialize in migraines. [00:23:17] Dawn asks Josh to explain to people who have not suffered from migraines what it feels like to experience a cascade of symptoms such as numbness, tingling, visual disturbances, nausea, vomiting, dizziness, fatigue, and blinding headaches. [00:25:15] Ken asks Josh what the difference is between cluster headaches and migraines. [00:26:49] Dawn mentions that people can start to feel the onset of a migraine 48 hours before the pain sets in, a phase called the prodrome. Josh explains what the prodrome is and what its symptoms are. [00:28:03] Dawn mentions the fact that the pain of a migraine is preceded by an aura,