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People treated with these drugs can develop gastrointestinal side-effects including diarrhoea, so it is not implausible that some women may find that their oral contraceptive pill is, at least intermittently, not as reliably absorbed as it was previously, he said

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The appetite-suppressing effects become more predictable and reliable as the medication settles into a steady rhythm

Johnson, A

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Occasionally, a more serious or long-term condition may be responsible, which may require urgent treatment or ongoing management