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Tap the Record tab or 'Log Attack' button to start a new entry. You can log attacks with quick entry or detailed mode. Include start/end time, intensity (1-10 scale), attack type, symptoms, triggers, pain locations, medications with effectiveness, and notes. Active attacks appear on your home screen with a live duration timer.

Tap the microphone icon to describe your migraine hands-free using AI-powered natural language processing. Say something like "I have a severe migraine on my right side with nausea. It started this morning and I took 50mg of Sumatriptan." Our AI automatically extracts intensity, symptoms, triggers, medications, and timing. Free users get 3 voice logs per month, Premium gets unlimited.

Tap any entry in your journal to view full details. Edit to update intensity, add end time, record medications taken with dosages and effectiveness ratings, add relief methods, or include additional notes. For active attacks, tap 'End Attack' when it resolves. All changes sync automatically across devices.

Track when your attack started and ended to measure duration. Mark if the attack started during sleep or ended during sleep for more accurate timing. The app calculates total duration automatically and shows patterns in your reports, including which attacks occur during sleep phases.

Classify your headaches by type: Migraine, Aura-only, Tension headache, Cluster headache, General headache, or Other/unknown. This helps differentiate between different headache types and identify which treatments work for each. Labels match Migraine Buddy categories for easy migration.

Select from common migraine symptoms: pulsating/throbbing/pounding pain, aura (visual disturbances), nausea, light sensitivity (photophobia), sound sensitivity (phonophobia), neck pain, dizziness, visual spots, and more. For those tracking cycles, also log menstrual-related symptoms like cramps, breast tenderness, bloating, and mood swings to identify hormonal patterns.

Track potential triggers including: Food & Drink (aged cheese, chocolate, red wine, MSG, caffeine, alcohol, dehydration), Environmental (weather changes, bright lights), Lifestyle (stress, lack of sleep, interrupted sleep, skipped meals, physical exertion), and Hormonal (menstruation, ovulation, hormonal contraceptives, PMS/PMDD). The Reports tab analyzes which triggers appear most frequently with your attacks.

Mark where you feel pain: left front head, right front head, back of head, whole head, or neck. Rate intensity on a 1-10 scale. Tracking location and intensity patterns helps identify attack types and provides useful clinical information for your doctor. Your reports show average and maximum severity over time.

Record warning signs that occur before an attack: fatigue/achiness, headache (pre-migraine), tingling in head, weakness, yawning, food cravings, mood changes, or neck stiffness. Understanding your prodrome phase can help you take preventative action early and potentially abort attacks before they fully develop.

Track how the attack affected your daily life: slower at home, slower at work, hard to concentrate, missed social activity, missed work, sleep disruptions (couldn't fall asleep, woke during sleep), or not affected. This helps quantify migraine burden and communicate impact to healthcare providers.

Log your menstrual cycle in the Health Records tab to identify hormonal migraine patterns. The app calculates which day of your cycle you're on and shows correlations with your attacks. Essential for understanding hormone-triggered migraines, which affect women 3x more frequently. Track flow intensity and see attack patterns during your cycle phases.

Track both acute medications (taken during attacks) and preventative treatments separately. For acute meds, log dosage, timing, and rate effectiveness (helpful, somewhat helpful, unhelpful). For preventative treatments, track ongoing medications like CGRP inhibitors, beta blockers, gepants, anticonvulsants, or supplements with start/end dates and dosages.

Record comorbidities (other health conditions) that might influence your migraines, such as anxiety, depression, cardiovascular issues, hormonal conditions, or chronic pain. Track severity levels and see how these conditions correlate with your migraine patterns in your reports.

Your Reports tab automatically analyzes how health records correlate with migraine patterns. See attacks during vs. outside period windows, treatment effectiveness over time, and how conditions impact attack frequency and severity. This data helps identify triggers and protective factors.

View your current migraine risk score (0-100) and forecasts for upcoming days on your home screen and Risk tab. Risk levels are categorized as Low, Moderate, High, or Very High based on real-time weather data for your location. Free users see 3-day forecast, Premium users get 14-day extended forecast with detailed risk charts.

Our algorithm analyzes four key factors using peer-reviewed migraine research: (1) Barometric Pressure Flux, which tracks 3h, 6h, 12h, and 24h pressure changes where drops of 6-10 hPa significantly increase risk; (2) Humid Heat, which looks at high humidity amplified by temperature; (3) Temperature Deviation, including both sudden spikes and drops; and (4) Wind Velocity, examining gradual scaling from moderate to strong winds. Premium users see detailed breakdowns of each factor's contribution to your risk score.

Grant location permission for accurate local forecasts. You can choose precise location or approximate (ZIP code level) for privacy. The app only uses your location for weather data. It is never shared with third parties or used for advertising. Update location in Settings > Permissions & Alerts.

Get notifications when high-risk weather is approaching. Customize in Settings > Risk Alerts: choose sensitivity level (sensitive/balanced/conservative), forecast window (1-6 hours advance warning), max frequency (every 6 hours/daily/weekly), and set quiet hours. Critical high-risk alerts can bypass quiet hours.

View total attack counts, migraine days per week/month, average severity, average duration, and maximum severity. Switch between time ranges: 7 days, 30 days, 90 days, 1 year, or all time. Track your wellness streak (attack-free days).

Comprehensive pattern analysis shows day-of-week trends (weekend vs. weekday patterns), time-of-day distribution (morning, afternoon, evening, night), and identifies your worst days. Visual charts help spot when attacks are most likely to occur.

View ranked lists of your top triggers, most common symptoms, and most effective medications. See medication effectiveness ratings (helpful vs. somewhat vs. unhelpful) and top relief methods that worked. Track medication usage frequency and success rates to optimize treatment.

See how period cycles, treatments, and health conditions correlate with attacks. Track attacks during vs. outside menstrual windows, treatment effectiveness over time, and condition impacts. Identify hormonal patterns and protective factors.

Generate comprehensive PDF reports for your doctor with customizable time ranges (7 days to all time). Reports include frequency summary, day-of-week patterns, time-of-day distribution, top triggers and symptoms, medication usage with effectiveness, calendar overview, detailed attack log, and health records summary with period correlations.

Sign in with email (passwordless magic link), Apple ID, or Google account. An account enables automatic cloud sync across all your devices, secure encrypted backups, and ensures you never lose your migraine history. Without an account, data is stored locally only. Email sign-in sends a secure link so no password is needed.

Free: 2 months history, 3 voice entries/month, 3-day weather forecast. Premium: Full unlimited attack history, unlimited voice logging, 14-day weather forecast with advanced metrics, PDF report export, high-risk weather alerts, and full analytics. Available as monthly, annual (best value), or one-time lifetime purchase.

View your current plan, renewal date, and voice entry usage in Settings > Subscription. See whether you have Free, Premium Monthly, Premium Annual, or Lifetime access. Subscriptions are managed through the Apple App Store. Tap 'Manage Subscription' to upgrade, downgrade, or cancel. Changes take effect at the end of your current billing period.

Switching devices or reinstalling? Go to Settings > Subscription > Restore Purchases. Make sure you're signed in to the app with the same account AND using the same Apple ID that made the original purchase. The app will verify your subscription status with Apple and unlock Premium features if valid. If you have both a lifetime purchase and active subscription, you can cancel the subscription to avoid duplicate charges.

Manage your account in Settings > Manage Account. View connected accounts (Apple, Google, Email), link additional sign-in methods for flexibility, or unlink unused methods. You can also sign out (data remains synced) or permanently delete your account and all associated data. Account deletion is immediate and cannot be undone.

We use passwordless authentication for better security. For email sign-in, enter your email and we'll send a secure magic link so there is no password to remember, reset, or get hacked. Apple and Google sign-ins use their secure authentication. Each sign-in creates a secure session that syncs your data. You can link multiple sign-in methods to the same account for flexibility.

Update your profile in Settings > Profile: display name, email, biological sex (for hormonal insights), age range, and typical migraine frequency. Enable period tracking for females to correlate with hormonal patterns. This information helps personalize your experience, insights, and reports. Choose your country for localization.

Choose from 10 beautiful themes in Settings > Theme. We offer 5 light options (Mint/fresh, Sakura/pink, Lilac/purple, Peach/coral, Sky/teal) and 5 dark options (Forest, Velvet, Amethyst, Sunset, Abyss). Or select Automatic to match your device settings. Find one that's easy on your eyes during attacks. Each theme uses carefully chosen colors designed for accessibility.

Migraine Trail is available in 9 languages: English, Japanese, French, Spanish, German, Korean, Chinese, Portuguese, and Italian. Change your device's language settings to use the app in your preferred language. All app content adapts automatically.

In Settings > Customize Layout, show/hide specific data entry fields and reorder sections to match your tracking priorities. Customize what appears when logging attacks to simplify your experience by hiding fields you do not use. Options include timeline, intensity, symptoms, triggers, pain areas, premonitory symptoms, medications, relief methods, activities affected, and notes. Changes apply to all future entries.

Manage permissions in Settings > Permissions & Alerts. Grant location permission for weather forecasts (precise or approximate). Enable microphone for voice logging. Turn on notifications for active attack check-ins (after 2 hours) and weather risk alerts (Premium). Configure risk alert sensitivity, timing, and quiet hours.

Your health data is encrypted and stored securely. Data syncs across your devices when you have an account. Without an account, data is stored locally on your device only.

Voice recordings are processed in real-time using Google's Gemini API to extract migraine details (symptoms, triggers, medications, intensity), then immediately discarded. We never store your voice recordings; only the extracted structured text is saved to your journal. Audio is transmitted securely and deleted after processing.

Location data is used only for weather forecasts. You can use approximate location (ZIP code level) instead of precise. Location is never shared with third parties or used for advertising.

You own your data. Premium users can export comprehensive PDF reports anytime from Journal or Reports screens with customizable date ranges (7 days to all time). For a complete data export in CSV or JSON format, contact us at hello@migrainetrail.com and we'll provide your full dataset within 48 hours.

Your data is automatically backed up when you have an account. Sign in with email, Apple, or Google to enable cloud sync. Your entries sync in real-time across all your devices.

If you have an account, simply sign in on any device to restore your data. All your migraine entries, settings, and preferences will sync automatically. No manual restore needed.

You can delete your account and all associated data anytime in Settings > Manage Account > Delete Account. This action is permanent and cannot be undone.

Migrating from Migraine Buddy? Go to Settings > Import Data. In Migraine Buddy, open side menu → Export Reports → Listing Report → Other → choose date range → tap ⋮ (top right) → Export as CSV → Save to Files. Then import that CSV file in Migraine Trail to preserve your complete history. Contact us for help importing from other apps.

Need help? Go to Settings > Contact Us or email us directly at hello@migrainetrail.com. We typically respond within 24 hours. Include your device info and a description of your issue for faster assistance.

Have ideas for improvement or feature requests? Use Settings > Feedback to submit suggestions. Vote on other users' ideas to help us prioritize development. You can post anonymously or with your name. We read every message and actively use community feedback to guide our roadmap.