The Trokendi does seem to help with the MAV issues, outside of this active migraine anyway. I’ve only been on it since Wednesday. (Which was my birthday, because that seems an appropriate time to start taking what is effectively a neurotoxin.) After 18 months of protest, I promised my neurologist I’d give it an honest try. I have to find a way to turn down the sensory overload. I read last night insomnia and Trokendi are correlated with calcium supplementation. Strictly speaking, I only take a calcium supplement because it supports bioavailability of the magnesium supplement. (Pre-med biology degree, at Eckerd.) Maybe I’ll drop the calcium, add a melatonin and see if that means sleep. Without the migraine component, life is slowly becoming bearable. If that doesn’t work, I’ll switch meds.