“…The major groups of precipitating factors are; dietary (missing meals), stress, environmental (weather changes), hormonal (menses in women), head trauma, smoking, crying, sexual activity, smoke, smell, medications, sleep disturbances, as well as physical and emotional factors. [1][2][3][4][5][6] Fasting during Ramadan or elective fasting in other days associated with disturbed sleep at night or heavy work throughout the day may induce a migraine attack at the end of the day, which is principally related to hunger, dehydration, and sometimes due to the effect of caffeine withdrawal as drinks containing caffeine are commonly consumed by the studied population. 2,6,7,8,9 However, there is no clear proof that certain dietary elements my trigger migraine headache but some patients have reported some dietary elements such as chocolate and cheese to be a cause of headache, but this can sometimes be part of food cravings and not the real cause of headache during the attack.…”