I have many triggers. Some foods (probably histamine/tyramine sensitivity), smells, and weather. After a few years they became chronic and almost always had a m

I have many triggers. Some foods (probably histamine/tyramine sensitivity), smells, and weather. After a few years they became chronic and almost always had a migraine. A combination of Zonegran, Botox every 12 weeks, and sphenopalatine ganglion nerve blocks and naproxen for acute migraine have them under control now. Topirimate negatively impacted my language skills and memory, but Zonegran is more tolerable and effective. SPG has a long history for TMJ and facial pain, and the Allevio and Sphenocath devices make the procedure easy. Other nerve blocks and Cephaly have been helpful in reducing the severity of the pain. A lower carbohydrate diet has also helped. Vaping medical CBD has aborted a migraine immediately multiples times, but is not available where I live yet. There are new CGRP blocking drugs that are supposed to be on the market soon. Aimovig is the first, and it's a preventative. My doctor actually wrote an app to help people track their headaches: http://www.iheadache.com/ http://www.iheadache.com/