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Adding Norethisterone on top of the combined pill is not appropriate, both contain progestogens, and stacking them increases the risk of side effects such as breakthrough bleeding, mood changes, and a small but real raised risk of venous thromboembolism (VTE)
The shot can go in a persons stomach, outer thigh, buttocks, or back of the arms
Funding The author(s) declared that financial support was received for this work and/or its publication
That is not a guarantee, but it is a mechanistic reason the switch often makes sense for women who feel they have hit a ceiling
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