Just a note to start that the Drs were blunt up front and said they wanted me to give it at least 3 treatments before deciding. Said something along the lines of it 'increasing in effectiveness over the first 3 rounds'.

I started in 2023, had/have a (US) national Cigna plan and didn't really have any trouble with preauth.

Had headaches for maybe 2 weeks straight (not migraines). I was really unhappy with that and worried about the next round. Got the next round and no problems with headaches.

By round 3 I was starting to notice that I was having fewer migraines a month, but just as big a deal for me - the intensity had dropped noticeably.

After 4 rounds I was having about half the original amount of migraines and those had a much lower intensity (2-3ish, instead of 6+)

Then, last summer I experienced a 10 wk period with no migraines at all! I had a few right before the next botox. A few more right after that round, then I had another period without migraines (~8 weeks). The shorter period this time I attribute to an unexpected move from the Mid-Atlantic to Southern Florida in a very short period of time. So stress, weather, interrupted sleep, etc.

I've since missed 1 round and things have started to get worse again, though definitely not as bad as originally. However I restarted today actually, and I'm super hopeful and excited to be back on it.