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When someone gets pregnant on oral contraceptives, its might not be a single factor, but rather an accumulation of common real-world factors, including: Typical-use pill effectiveness, including late or missed doses GI symptoms, like vomiting, that can compromise absorption Medication-specific interactions Increased baseline fertility with GLP-1 use, as weight changes can contribute to more regular ovulation, especially in patients with a history of PCOS This is a good moment to stay curious and non-judgemental

Asymptomatic hyperammonemia in children treated with valproic acid

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