Why this is hard to keep track of

  • The prodrome causes cravings that then get recorded as triggers
  • Triggers stack rather than acting alone, so single-factor thinking fails
  • The lag between exposure and attack is often 6 to 24 hours
  • The diary gets abandoned exactly when attacks are frequent enough to matter

Worth recording

  • When the attack started, how long it lasted, how severe, what you took
  • Prodrome symptoms and when they began, which is the part that matters
  • Food, alcohol, sleep, cycle and weather
  • Painkiller days per month, which is a clinical number in its own right

Cadence

A line when an attack starts and one when it ends

In practice

Say it once, in whatever words you have

The moments most worth recording are the ones where filling in a form is the least realistic thing in the world. A sentence, typed or dictated afterwards, is a much lower bar — and it carries the context a checkbox would have lost.

Migraine Triggers Chat

Migraine started around 3pm, still going. Had wine last night and slept badly. Been craving sugar since about eleven this morning.

Called 4 tools

  • log_attack(started: "15:00", severity: 7)
  • log_prodrome(symptoms: ["sugar craving"], from: "11:00")
  • log_context(alcohol: "wine", sleep: "poor")
  • find_pattern(metric: "attacks", group_by: "preceding_factors")

Logged, and I've recorded the craving as prodrome rather than as a trigger since it preceded the pain by four hours. Across 22 attacks, sugar cravings appear beforehand in 14 of them — that reads as part of the attack rather than a cause of it. Poor sleep precedes 17 of 22.

Every figure here was counted from entries you made. The model picked which tools to call — it doesn't interpret, diagnose, or decide what anything means about anyone.

And then ask

The question the log can answer

Months of entries hold real answers to the questions you've been guessing at, and reading them properly has always meant a spreadsheet and a free evening — which is not a thing anyone in this situation has.

Ask in plain language. The answers come back with the numbers behind them, including when those numbers are too thin to mean anything yet — which is the more useful answer more often than people expect.

Asking about the pattern Chat

Is it really the red wine?

Called 3 tools

  • get_history(topic: "migraine-triggers", window: "6m")
  • find_pattern(group_by: "antecedent")
  • compare_periods(metric: "events")

Weakly, and only when stacked. Wine appears before 6 of your 22 attacks, and all six of those also had poor sleep or fell on day one or two of your cycle. On the nine wine nights with neither of those, you logged no attack at all.

Counts and averages over your own entries, nothing more. Where the data is confounded or too thin, the answer says so instead of rounding it into a conclusion.

The reason most people start

Something to actually bring to the appointment

You get fifteen minutes, once, after waiting months for it. The questions are specific and the honest answers are all some version of "I don't know, it's hard to say".

What this gives you: Attack frequency and painkiller days per month — the two numbers a neurologist asks for and the ones that decide whether preventatives are on the table.

  • Export the date range you were asked about, as a file you can print
  • Counts and timings rather than an impression of the worst week
  • Your own notes kept alongside the numbers, in your words
  • Nothing shared anywhere unless you choose to share it

What it won't do

  • Diagnose anything, or suggest that it could
  • Score a person, or rank them against anyone else
  • Set a target for fewer events, or a streak of good days
  • Recommend a treatment, a therapy, a diet or a medication change
  • Share your record with a school, a clinician or anyone else on its own

It's a notebook that can do arithmetic and answer questions about itself. Deciding what any of it means is a job for you and the people advising you.

Early access

Start with what you're already trying to hold in your head

Tell us what you've been trying to keep track of and we'll set it up with you — recording the thing that's actually useful, at a cadence that survives a bad week.

  • Founding accounts lock their price for life
  • No card, no trial clock, no notifications designed to make you feel behind
  • Export everything you've logged whenever you want

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Keep the record without it becoming another job

Founding pricing is locked for accounts opened during early access.

Founding accounts lock their price for life. No card required.