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Hope the Botox injections go well! But I feel moved to say that some of the blood pressure meds used for migraines (e.g. candesartan) don't typically cause cognitive impairment, unlike the anti-epileptics or the older antidepressants. There's even some evidence they may offer cognitive protection, at least in people with high blood pressure. And they'd typically be safe to take while also getting Botox, if each helps some.

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