It’s great that it works for some people, some of the time. In absolute terms, it is a massive good, so it should be promoted more. Pragmatically it might make sense to emphasize it right now given the low probability that DMT will be approved as a treatment in the next few years, so until then Emgality should be discussed more. That said, yes, in terms of % relief it still is in a completely different class than DMT. That is, it tends to reduce incidence rather than get rid of them, and it is only approved for episodic (rather than chronic) CHs, which account for a relatively small % of the number of CHs experienced, as described in this article (due to the long-tail).
It’s great that it works for some people, some of the time. In absolute terms, it is a massive good, so it should be promoted more. Pragmatically it might make sense to emphasize it right now given the low probability that DMT will be approved as a treatment in the next few years, so until then Emgality should be discussed more. That said, yes, in terms of % relief it still is in a completely different class than DMT. That is, it tends to reduce incidence rather than get rid of them, and it is only approved for episodic (rather than chronic) CHs, which account for a relatively small % of the number of CHs experienced, as described in this article (due to the long-tail).