I started on Ajovy with no worsening constipation. Now I switched because of insurance. I'm on Aimovig for 6-18 months (can't remember the year I started). At first, constipation was only just after my shot. Now it lasts all month. I was already taking Linzess as I have had chronic constipation. I doubled my dose with mild positive effects. There is still a dose 1 higher than mine. It may or may not be covered under your insurance. I recommend it because it's NOT a laxitive. It increases moisture in the stool making them easier to pass. But be warned-my doctor started me on a medium dose and I had to make sure I was always near a toilet and I dare not have tried to pass gas until the afternoon or later if not on the toilet! (it is taken upon wakening). I still prefer that to constipation. With the higher dose BEFORE aimovig, it was nice to get it over with and get on with my day. There was no cramping or other tummy troubles. The feeling of being constantly sick to my stomach that I get with constipation sure is getting old! I'm checking my options for getting back on Ajovy.