I'd like to take a moment and welcome you to the migraine.com community. We are glad you're here. I'm sorry to hear you've suffered from migraine disease for so long. I started experiencing migraine attacks in my teens and am now 54. I didn't take them seriously until my forties, when they began to impact my career. Qulipta has been helpful for many people. I'm glad it is helping you manage your attack cycles. I am currently using Emgality, Nurtec, and a Nerivio device to help manage my attacks. I understand having frequent nausea as I experience that as well as part of my attack cycles. I find Zofran to be helpful as well as ginger teas and drinks. Peppermint oil is also beneficial. I will say that Zofran does cause some constipation, so you may want to be wary of that if you want to ask your doctor about trying it. I take a fiber supplement that helps! I hope you continue to find relief using Qulipta. Please keep us posted. Wishing you migraine-free days, Tom migraine.com team