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Yes, I know my triggers and avoid them religiously. I still keep a small food diary just in case something that previously wasn't suddenly becomes one. I also track when I'm sleeping. As for my sleep pattern, my neuro and I decided at my last appointment (a couple of weeks ago) to stop fighting it for a month and see how it goes. Since I'm not working, I have that luxery. Generally, the more I fight it, the worse the headaches are. I've been there and done that with the perscription-based sleep aids; guarenteed headache. Yes, when I wasn't getting dangerous side effects, I did try the meds for a full 3-4 months with several going a full 6 months. I've had several temporary nerve blocks. The steroid allergy eliminates a lot of stuff from any doctor's arsenal. I'm also allergic to most of the NSAIDs. I'm to the point that the abortives work maybe 50% of the time, hence changing them every 3-4 months. For some reason I cannot tolerate Immitrex, but don't get the same side effects with the other Triptans.