If you have migraines and smoke, it is not recommended to take combined hormonal contraceptives, such as birth control pills containing both estrogen and progestin. However, there are other options available for contraception that may be more suitable for you. You could consider progestin-only methods like the Depo-Provera injection or IUDs that contain progestin or no hormones at all. It's important to consult with your healthcare provider or pharmacist to discuss these alternatives and find the best option for you.
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