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Several factors can lower the pills effectiveness: Missing or forgetting a pill (especially a progestin-only pill) Not starting a new pack on time Vomiting or having diarrhea soon after taking your pill (which can interfere with absorption) Taking certain medications like rifampin or some anti-seizure drugs (note: most antibiotics do not interfere with the pill, but always check with a provider) If youre worried about how to use your pill consistently or want backup protection in case something goes wrong, your provider can help you create a plan that works for your lifestyle

For some reason, every year when I work part-time at a convenience store, someone who just got out of the US comes looking for this on January 1st

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Thats a move of someone whos crass