chess excacerbates migraines and tinnitus. no doubt about it. Take it from me. And you will not only feel sick but lose.
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It's not just migraines though. Sometimes it is possible to play like an idiot just because I'm a bit tired, or in a bad mood. The odd thing is, sometimes I just keep playing anyway, getting more and more irritated with each useless performance. I guess it's a bit like being addicted to gambling. At least you only lose 200 points, not £200.
I like the comparison to gambing. I was tired and kept playing anyway, losing seven games in a row. I've realized now that, if I have a headache or didn't get much sleep, I need to keep off live chess.