If you haven't seen a Neurologist in the last 18 months, there have been HUGE advancements in prescription drugs for migraines. Prior to 2019 drugs for epilepsy were given off label. Now there are monthly injections (you give them to yourself at home) that are specifically for migraines and target the CGRP:

https://en.wikipedia.org/wiki/Calcitonin_gene-related_peptid...

Note: I only vaguely understand the science, talk to a neurologist.