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If you haven't seen a neurologist/migraine specialist, I would do that first. You have some great PCP's out there but can be limited in their knowledge. Physicians specialize for a reason so I would find one that does so if for nothing else, a second opinion.
As far as Botox, depending on whether or not you meet the criteria it could possibly be covered by your insurance. This again would be something I would discuss once I found a neurologist/migraine specialist.
I had horrid migraines for years (at one point up to 15/mth). At around 30, I was on Topamax (had tried a few other meds before this) and 2 other meds. I said this is ridiculous. By process of medication elimination, I figured out it was birth control and quit taking that. I am still prone to migraines & don't ever get plain headaches. Certain smells and foods can trigger them for me. I don't get them as often but after so many years I know what to do to help them until it subsides. I still get that horrible feeling after one passes of a dull ache and feeling drained and nauseous like any little thing will re-trigger one.
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