Hello from someone else with ME and chronic migraine (and so much more!). I’m so sorry you’re struggling, it really is a difficult combination to navigate. I got into audiobooks a few years ago when I got sicker and couldn’t tolerate screens, but it took me some time to get used to them. If you’re willing to give audiobooks another try, you could start with some books you’ve read before. Or maybe find a narrator you find easy to listen to and work through their catalogue of books. I use the bookmark feature (on Libby) heavily, marking every few chapters when I know I’ve been paying attention. That way if I start to lose focus or fall asleep, I can just go back to my last bookmark.

I also find it helpful to approach reading with the mindset of just enjoying it in the moment. I try not to worry about retaining info, some books it happens easily and others I never fully catch on. Sometimes I read a book again as soon as I finish it, if I suspect I didn’t grasp it fully. Other times I just move on, it’s ok if I only got the vibes of a book and just enjoyed the experience.