Safe to say my preventative isn’t helpful

I analyzed the data from my migraine tracker to see if things were getting better or worse so I can share that with the pain clinic I see next week and my specialist at the end of the month. To preface this I have a headache everyday that is a 5-6/10 that is pressure and a bit painful but not anything intolerable or that I’d want to take an abortive for (if I could, none work). 7-8/10 is painful these are my migraines, stabbing, throbbing, nerve-y/ electric, etc painful I wish I could take something for them. I’m sure my increased migraine frequency is due to the cold weather but I’m not outside often at all. I go to work 2 days a week I’m indoors for that and I’m in my house every day I’m not at work bc of my headaches and migraines so I don’t think that’s the reason they’re worse but surely they shouldn’t be getting worse with a preventative (that has not helped). I’m seeing the pain clinic next Wednesday to discuss TPIs (Botox worked for 8 rounds then stopped working), I go to PT every week that doesn’t seem to be helping much I started that in October. I’m frustrated. My follow up with my specialist (unless she has someone else form her team speak with me bc she has beef with me for ratting her out to her medical board but that’s another story) is at the end of January and idk if it’s worth increasing my gabapentin bc it’s making zero difference. I can’t do any of the CGRP injections and she has no abortives left to offer me. I got toradol and Tylenol 2 from the walk in but those do nothing. I’m sick of this I’ll be coming on 7 years of this daily in February.

I counted my migraine days as the following (I started my full dose of 900mg gabapentin either mid November or early December so I’m not sure if that’s why they got worse):

September: 10 days (10 total)

October: 12 days (13 total)

November: 7 days (7 total)

December: 21 days (31 total events)

January, as of the 8th: 5 days (7 total)