They are back...

Been suffering from migraine as teenager with aura, then they disappeared in my 20s, then they showed up again about 5 years ago (mid 40s) no aura this time, very distinct, specific pain and can't figure out the trigger... After a ton of trial and error, neurologist had me try Qulipta as preventative (Naratriptan works for me as abortive), Qulipta held for about 6 months, which means I went down from 1-2 attacks a week to once a month or less. Recently, the 1-2 attacks per week are back despite the Qulipta which I'm still taking... But back to square one. Anyone experienced something similar? (I'm not recommending any drug nor providing medical advice, just want to see if anyone else went through something similar, and found a solution) Thanks 🙏🏻 M