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For all COCs, vomiting or severe diarrhea can decrease effectiveness Use the US-SPR guidance for missed-pills due to limited direct evidence
Appa, Y., Yohn, J., Stern, R., & Mehta, R
This chart may be useful as an overview: What Are The Symptoms of Vitamin B12 Deficiency
A typical first month: complete the intake quiz (10 to 20 minutes), upload required photos and information, get reviewed by a clinician (usually within 24 to 72 hours), receive treatment plan and pricing, confirm and pay, receive medication and supplies (usually 3 to 7 days from approval)
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