@lisalucier Botox has helped a lot and I have no side-effects. I still get migraines but less often and severity is reduced. Botox effects wear off, however, after about 2 months and the treatments are only every three months. I need triptans to manage bad migraines that still occur about 1-2 times per week. Triptans wipe me right out and I cannot really work or do anything due to brain fog, general aches, and exhaustion. They do usually address the pain, though. I find that the lifestyle restrictions/adjustments to avoid migraine triggers are so hard: early regular bedtimes, no long-distance flights, no drinking alcohol, no vigorous exercise, limited screen time..... it adds up to a life dominated by this illness