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For me, they are luckily on the rare side- I will go for months with none. Unfortunately, now and then I will have a bad few days, and I have never been able to identify a trigger, be it food, stress, weather, or anything else.
For me, the magic bullet is Maxalt (similar to Imitrex) and some dark quiet time. Interesting thing is, you have to get the Maxalt in you early- like at the first twinge of a migraine. Every 5 minutes that goes by adds literally 20 minutes to the time it takes the Maxalt to work. If I am out and a migraine hits and I don't take anything for like 40 minutes or more, it will not work at all. Hence, the permanent addition of a maxalt pouch to my wallet.
Sensory deprivation helps while waiting for the med to work. Gentle white noise, total darkness, and slightly cold temps seem to ease things.
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