Hi Oldgirlsrule....
Sorry to hear about the migraines, I suffer them too occasionally, they're really debilitating.
Welcome to the mad house....😁 post away, there's always someone on to answer your questions.....
Oh, I can't see any reason why you can't use both, but I'm no expert, but that's only happening while you're loading up on vagifem, right? Then you won't be doing both at the same time after, will you? Still, I can't see a problem, poor you....keep us updated, we're a nosey bunch, and love to help if we can...xxxx