Just wanted to put my 2 cents in. Hubby suffered from migraines. Went to a dr. who understood and felt like his were mainly food related. Turns out he has a sensitivity to certain foods (not an allergy or lactose intolerance). A big job to figure it out but cut his headaches down by 95%. Now he can control them by diet, hydration, and when he gets one that starts with sinus issues, usually Extra Strength Excedrin works. Second line is Isjec (or Esjec) something like that, which he only takes when the excedrin fails. He doesn't need Imitrex anymore.