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But the world was collapsing, and I, useless and confined to a new stay-at-home reality, was watching it from my window. And so, as if roused from a bad dream, I awoke to the reality of my privilege: I had someone else to talk to, and someone to safely welcome into my home. Suddenly my therapist was there on the 2020 i didn’t fart my butt blew my mom a kiss vintage retro shirt , sitting beside me; she was there when my electrician showed up unannounced; there when my boyfriend accidentally entered the room (a mistake he knows never to repeat). She was becoming someone like a friend, an intimate confidante, a bystander to my life as it was unfolding in real time. And whether it was my newfound commitment, or the forced intimacy of telehealth, I was making breakthroughs. I even found myself looking forward to our sessions.
Until recently, many drugs used by doctors for migraines were developed for other conditions, such as epilepsy. But in the 2020 i didn’t fart my butt blew my mom a kiss vintage retro shirt Apart from…,I will love this past few years, the FDA has approved several new classes of targeted, effective drugs developed specifically for migraines. Even better, they have markedly fewer side effects than commonly used tryptamine-based drugs, also known as triptans, which have been prescribed since the early ’90s to relieve headaches but often come with major side effects such as nausea, insomnia, or hair loss. CGRP inhibitors, medications that block calcitonin gene-related peptide—a protein released by the brain during migraine attacks (and “a very ugly, cumbersome name,” says Gottschalk)—are among the most promising. Three of these prescription-only drugs—Aimovig, Ajovy, and Emgality—are taken monthly with an EpiPen–like shot; a fourth, Vyepti, is administered via I.V. by a doctor every three months. “These drugs produce great results, in much less time, with almost no side effects,” Gottschalk confirms. Nurtec and Ubrelvy, which are gepants—another new class of FDA-approved medication that also targets CGRP molecules—are formulated to turn off migraines in progress rather than prevent them. “They don’t have quite as much bang for the buck as, say, an injection of [the commonly used triptan] sumatriptan,” says Gottschalk. “But they’re well tolerated and can do a great job.”
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