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For migraine prevention, the standard initial protocol is weekly acupuncture for 6–8 weeks. This phase is important because the reduction in migraine frequency is cumulative — it builds session by session. After the initial course, most patients step down to biweekly sessions for a month, then monthly maintenance to hold their results. Most patients see clear improvement in frequency within the first 4–6 weeks. Total sessions needed will vary depending on how long migraines have been present and how frequent they are.