Cocoa Flavanols for Migraine: A Pilot Study
The goal of this clinical trial is to assess the feasibility of recruitment and adherence to a high-dose cocoa extract supplement in individuals diagnosed with episodic migraine. The main questions it aims to answer are: * Will we be able to enroll 114 participants during the recruitment period? * Will participants take study pills daily during the pill-taking period? Researchers will compare two doses of cocoa extract to placebo to determine the acceptability of higher doses of cocoa extract supplementation in this patient population. Participants will be asked to: * Provide two urine samples * Complete daily questionnaires * Take four study pills a day for 12 weeks
• Women and men aged ≥18 years
• Self-reported clinician diagnosis of migraine with or without aura which does not meet criteria for chronic migraine (according to the International Classification of Headache Disorders 3rd edition)
‣ Individuals with self-reported migraine will need to report a clinician diagnosis of migraine and be classified as having migraine or probable migraine by the American Migraine Study (AMS) migraine screener. The AMS migraine screener, which has a sensitivity of 100% and a specificity of 82% for the diagnosis of migraine will be used to confirm self-reported migraine status.
⁃ History of migraine dating for at least one year
• Self-report of 4 to 14 migraine attacks during the 30 days prior to enrollment in the study
• Completion of at least 22 headache diary days during the 28 day run-in period
• o Report migraine frequency between 4 to 14 days during the 28 day run-in period
• If currently using medications to prevent or treat migraine, no new medication use within the past 3 months
• No new use of behavioral interventions within the past 3 months and/or agree to not begin new behavioral interventions during this trial
• Be willing to complete all study procedures and be randomized to all interventional groups
• Be fluent in English
• Own an iPhone or Android device and be willing to download MyCap to the device