I'm taking norotryptyline which is supposedly very similar to amytriptyline, so I'm told. I have noticed no side effects, and I'm up to 50 mg a day. It gives me some relief from headache, but it does not help with the light/sound sensitivities, which are the primary cause of my headaches and that hitting a wall sensation when I've had too much stimulation. It also helps with my insomnia, not that it makes me tired, but when I decide to go to sleep, it helps me fall asleep and stay that away. If I don't choose to go to bed, though, I can remain wide awake all night if I allow it to happen. Which, sometimes I do. then I fix a big breakfast for my family and go to bed EASILY!

My impression of neurologists is that they don't get out much, and couldn't buy people skills if they tried. My newest one is much better on those fronts, but he's a lot like the others in that he feels he is a keeper of secret knowledge that us plebes aren't good enough to learn, but should simply listen to him and be happy. Still, he's an upgrade from the work comp neuro. I think your visit is right on course, for the most part; neurologists tend not to do more than triage and, if necessary, surgery for physical damage in the brain. If they can't see it on a CT, they don't treat it. Much.

Hang in there and definitely work on the vitamin supplements, there are a lot of good suggestions here and it takes an effort to track down all the things on the list, but it's worth it. Our bodies, and brain, do the best healing work in medicine, if fed properly.