6th February 2024

A 32-year-old male who works as an accountant has recently been diagnosed with acute intermittent porphyria.

A 32-year-old male who works as an accountant has recently been diagnosed with acute intermittent porphyria. After a thorough history, you elicit that he has well-controlled type 1 diabetes mellitus (T1DM) and suffers from severe migraines for which he has tried multiple medications, including triptans and metoclopramide. 

Which of the following points from the history is a risk factor for an acute attack of AIP?