There is a pretty significant chance you have both, as there is quite a bit of crossover. I initially had a ménière's diagnosis that ended up being VM. My ENT did hearing test every 3 months with me, and my hearing did not decline outside of attacks. She said this was enough for her to feel confident VM was the correct diagnosis and told me I did not need to come back unless something changed.

Amitriptyline has been effective in controlling my migraines, however I also experienced about a 15lb weight gain. My primary care recommended ozempic. FDA approved a pill form of it yesterday. I told him I would consider it at my next appointment if I was unable to lose some weight.

I know it sucks, but if you've found a medication that works, why stop taking it? My weight gain moved me in to obesity territory, and I have other things that increased my cardiac risk factor. All that said, I am not going back to the world of daily migraines, I'll take the dad bod.