Migraine disease can start out very quietly. My husband had them starting in his teens, but always attributed them to other things or brushed them off with some ibuprofen. Looking back from his chronic state, we are able to see how migraine integrated into his life. Exercise or other physical activity is a common trigger for many, but for others it helps their attacks. How is the sumatriptan working for you? I hope the intensity and length of your attacks is low. Have you started tracking your attacks? It is a good way to spot patterns and help find triggers and sensitivities. Frustration is at the core of this disease! It differs from one person to another, and it will frequently adapt to medications and change over time. You are fortunate to have found most of your triggers. Some people struggle to find one or two, hence the frustration. What did you find are your most common triggers other than intense exercise? Sharing our experiences is important as it helps us understand we are not alone in our journey. Thanks for sharing with us. Warmly, Cheryl migraine community team