Which Seizure Trigger Is Your Hardest Battle?

For two years after my epilepsy diagnosis, I had no idea seizure triggers even existed. The doctors I saw never mentioned them. When I finally stumbled upon the concept of seizure precipitants, it felt like discovering a missing piece of my own puzzle.
That's when I turned into a detective of my own body. Armed with a daily journal, I started connecting the dots between my seizures and what came before them. Slowly, but surely, the culprits revealed themselves: gluten, low sodium, poor sleep, my menstrual cycle, stress, and anxiety. Each one a potential match that could light the fuse.
The physical triggers: poor sleep, gluten, menstrual cycle and low sodium? I've learned how to manage them better. Eliminating gluten alone slashed my seizures by 60%.
Anxiety and stress— They remain my most relentless opponents in this battle, despite my yoga practice and exercising.
Now I'm wondering: What's YOUR toughest trigger to tame?
Have you found strategies that actually work? Whether it's something you've mastered or something that still defeats you, I want to hear your story. Your experience might be exactly what someone else needs to hear today.
Share your trigger battles below—let's learn from each other!

Interested in more discussions like this? Go to the Epilepsy & Seizures Support Group.

Profile picture for Chris Gautier, Volunteer Mentor @santosha

@tkmoyer3
That's wonderful to hear! Wishing you all the best for your neurology appointment next week. I hope the MRI and EEG results bring good news 🙌.
Chris

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@santosha
Well, I thought I’d give an update. I was starting to have mild headache in different spots of my head, a couple times a flash of white on the side that was like a second and eye lid twitching. When I had my follow up. The eeg was very active on the right side due to the surgery. Which didn’t surprise the doctor due to, again, the surgery. The MRI turned out good. My medication was increased for the evening only due to what I stated already. Since it was a week from my mentrual cycle. They believe that was the cause. The increase helped take the twitching away but not during the day. Especially now that the cycle is over. I have a follow up at the end of April but I believe I may have to call again. This is a weird feeling with the eye and the other eye will only do that if I close my eye and say I roll my eyes around and it’ll do it slightly. I’m not sure if this is just a side effect from the med or healing process from the surgery. In time I suppose I’ll see.

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Profile picture for royanthony @royanthony

@santosha Yes they were. I'm still working on one of them. I'm trying to come up with factual dollar profits that will convince them it's worth their company's money to proceed. IMO, the easiest way to get factual numbers is use percentages. We have 3.5 million people in the U.S. who have epilepsy. For example: How many people drink coffee? How many cups per day? How many of those who drink caffeniated coffee and who have relatives of the people who have epilepsy will change to decaf? Using a conservative % of 1/3rd of that 3.5 million plus new decaf drinkers, I see big dollar profits. If anyone has any idea as to how I can gather factual numbers, please comment. I'd love to see a bold K-cup decaf. I think that's a winner. If people want a quick cup, they'll use any type of coffee. The BOLD taste is the key.

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@royanthony
Hi Roy,
Here is some data I recently researched on the American coffee market:
- American Decaf Market (retail and out-of-home): USD 1.65 billion (2025), with projected growth (CAGR) of 7.67% over the coming years, driven mainly by premium decaf offerings
- Retail/home consumption accounts for 55% of this market, while out-of-home/foodservice contributes 45%
- Total US coffee market (retail and out-of-home): USD 23.76 billion (2025), of which retail accounts for 87.25%; the decaf segment alone represents 7% of the total market
- Decaf daily drinkers: 26 million
The NCA (National Coffee Association) could be a valuable resource for this project!
Wishing you success with the coffee company you are working with!
Chris

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Profile picture for tkmoyer3 @tkmoyer3

@santosha
It seems to be working out well. I see the neurologist next week for a follow up as well as the update on the MRI and EEG. I believe with other feelings I have is in the process of continued healing from the surgery especially being older compared to when I was younger. ☺️

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@tkmoyer3
That's wonderful to hear! Wishing you all the best for your neurology appointment next week. I hope the MRI and EEG results bring good news 🙌.
Chris

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Profile picture for ellierwin @ellierwin

@santosha taking deep breaths and sometimes taking a time out

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That's lovely to hear, @ellierwin! Respecting our body and mind's limits is always important — and even more so when living with epilepsy.
Chris

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Profile picture for Chris Gautier, Volunteer Mentor @santosha

@royanthony
Hi Roy,
Your point about the neurologist acting as a proactive intermediary with the insurance company is so valuable. It really highlights how much of a difference a physician who is willing to go the extra mile can make for their patients.
Thank you for sharing that!
About decaf coffee - just out of curiosity - were these coffee companies large players in the market
Chris

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@santosha Yes they were. I'm still working on one of them. I'm trying to come up with factual dollar profits that will convince them it's worth their company's money to proceed. IMO, the easiest way to get factual numbers is use percentages. We have 3.5 million people in the U.S. who have epilepsy. For example: How many people drink coffee? How many cups per day? How many of those who drink caffeniated coffee and who have relatives of the people who have epilepsy will change to decaf? Using a conservative % of 1/3rd of that 3.5 million plus new decaf drinkers, I see big dollar profits. If anyone has any idea as to how I can gather factual numbers, please comment. I'd love to see a bold K-cup decaf. I think that's a winner. If people want a quick cup, they'll use any type of coffee. The BOLD taste is the key.

REPLY
Profile picture for Chris Gautier, Volunteer Mentor @santosha

@tkmoyer3
I'm amazed to hear how many of you have had seizures triggered by caffeine! I'm glad to know that decaf has been working as a solution for you. Born in Brazil, where coffee is practically a cultural institution, and having spent quite a while in the coffee industry, giving up coffee entirely — regular or decaf — would be a real challenge for me, I must confess!
Since the concept of triggers is new to you, I'd suggest starting with a diary as Dr. Andrews recommended when I began working with her on trigger management. It helped me enormously in identifying my own triggers. Sleep deprivation, for instance, is known to be one of the most common ones.
How have you been doing since the increase in your medication?
Chris

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@santosha
It seems to be working out well. I see the neurologist next week for a follow up as well as the update on the MRI and EEG. I believe with other feelings I have is in the process of continued healing from the surgery especially being older compared to when I was younger. ☺️

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Profile picture for Randy Shields @randallshields56

@santosha Thank you for some good advise. and tips. i do a little of the same as you stated- only now its better here as to family drama. that can be for another time,Hope you had a great trip, have a blessed day.

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Thank you for the like.

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Profile picture for Chris Gautier, Volunteer Mentor @santosha

Hi @ellierwin
Thank you for joining this conversation, and welcome to the Epilepsy & Seizures community at Mayo Clinic Connect!
Reading through all the posts here, I'm struck by how stress seems to be among the hardest triggers to manage — and I can certainly relate to that myself.
I'm curious — what strategies have you found helpful for managing your stress better?
Chris

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@santosha taking deep breaths and sometimes taking a time out

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Profile picture for royanthony @royanthony

@tkmoyer3 TK, first is your insurance and the EEG test. When my insurance company gave me problems, my neurologist stepped in immediately. His goal was to find who was the "actual" person that was approving or disapproving. He acted within 2 days or less, not giving that "actual" person time to shift the blame of disapproval to subordinates. He did not do anything unethical; just trying to get his patient help ASAP. He went into detail of why I needed their cooperation and the insurance company always obliged his request. If your physician acts as an intermediary immediately with the insurance company, you'll likely get financial success; BUT he has to be willing to put in the time for you. 2nd, on the decaf coffee; I've contacted 2 coffee companies who presently do not make decaf. I explained (not complained) that they are missing a big market because of people who have medical conditions that require decaf. One company seemed to have real interest. So, I gave them an example of the lost market such as those who have a seizure condition. After the word seizure, they had no interest. Anyway, try to get your doctor to be more proactive on your behalf.

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@royanthony
Hi Roy,
Your point about the neurologist acting as a proactive intermediary with the insurance company is so valuable. It really highlights how much of a difference a physician who is willing to go the extra mile can make for their patients.
Thank you for sharing that!
About decaf coffee - just out of curiosity - were these coffee companies large players in the market
Chris

REPLY
Profile picture for tkmoyer3 @tkmoyer3

Thank you all for the triggers of seizures that can occur. Since I’m new to seizures. I’ll have to pay attention to what triggers it. Since I’m only used to a seizure happening if a bleed on the brain occurs. But I have to say that I’ve cut out caffeine since after surgery I’ve noticed the feelings of a seizure but I do drink decaf and I’m okay. In this short period of time I do notice lack of sleep that triggers as my Dr said “focal seizure”. That type is the most weird part of a symptom being a wake the entire time and trying to shake the feeling of it. He has increased my dosage of this new medication. He is wanting me to have this sleep deprivation EEG test but my insurance is having me wait. The Dr wants to know which part is triggering this.

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@tkmoyer3
I'm amazed to hear how many of you have had seizures triggered by caffeine! I'm glad to know that decaf has been working as a solution for you. Born in Brazil, where coffee is practically a cultural institution, and having spent quite a while in the coffee industry, giving up coffee entirely — regular or decaf — would be a real challenge for me, I must confess!
Since the concept of triggers is new to you, I'd suggest starting with a diary as Dr. Andrews recommended when I began working with her on trigger management. It helped me enormously in identifying my own triggers. Sleep deprivation, for instance, is known to be one of the most common ones.
How have you been doing since the increase in your medication?
Chris

REPLY
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