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[9] Post-marketing surveillance has identified less common adverse events such as chloasma, alopecia, mood lability, and alterations in contact lens tolerance, emphasizing the systemic nature of dermal hormone replacement

The initial doctor visit is free, and theres no up-front fee beyond that monthly rate

For severe nausea, eat smaller portions more slowly, avoid lying down after eating, limit high-fat and spicy foods, try ginger tea or crackers, and stay hydrated

Report any persistent nausea, vomiting, abdominal pain, or signs of pancreatitis (severe upper abdominal pain radiating to the back) to your doctor immediately