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doi: 10.1080/13813455.2020.1762659 76 DaroiPADhageSNJuvekarAR

In clinical pharmacology, it has a specific meaning

Moreover, if patients are suffering from side effects such as vomiting or diarrhoea (common side effects during the earlier days of injecting), this can certainly reduce the effectiveness of the pill, raising the risk of unintended pregnancy

If you have a family history of cardiovascular disease, existing risk factors like high blood pressure or elevated cholesterol, or a history of cardiac events, discuss the cardiovascular implications of discontinuation specifically with your provider