u/Adorable_Art539

I was episodic, then went chronic in October last year. It’s been a loooong journey. I am much better than I was last year and have been having better days/weeks lately and even went without ANY pain for like 5-6 days recently, and the month before I went 2 weeks. But aside from that, I often have pain every day unfortunately. It’s usually *mild* but there are times it gets worse and fluctuates throughout the day / days, and it’s harder for me to ignore and carry on. It’s so unpredictable.

Currently on Qulipta 60mg. Ive been on it 5 months, and went to 60mg dose probably 2 months ago. Rizatriptan as abortive.

I have my headache specialist Neuro appt tomorrow and I am thinking of discussing adding in Botox.

Has anyone had success with Qulipta or another CGRP and then adding Botox?

I am dealing with chronic migraines and hashimotos. The weight keeps creeping up. Exercising triggers migraines (I am able to walk mostly but there are many times when I try to walk at the gym and even THAT will trigger more pain— it’s a viscous cycle). It’s such a terrible combination of diseases and unfortunately migraine is even worse to deal with IMO. I am in often in pain every day, which fluctuates, and the neurological side effects of migraine are awful (nausea, dizziness, depression, etc). Im working with my headache specialist Neuro to try and find more stability. I am currently also prediabetic unfortunately as well.

I would love to drop 30lbs. It’s nearly impossible for me right now. I haven’t been able to lose even a few pounds consistently since going chronic last year.

Endo has prescribed me Zepbound- of course insurance won’t cover it, so I’ll have to go compounding because otherwise it’s too expensive.

I’ve been scared to bite the bullet on it because of my migraines. Neuro has explained that it can make migraines worse, stay the same, or it can sometimes be helpful.

I’d love people’s input for those who have both diseases and how a glp-1 has been for you.