Pill A 159

What is in an A 159 pill?

The white & blue specks, elliptical / oval pill with imprint A 159 has been identified as Phentermine Hydrochloride 37.5 mg supplied by Qualitest Pharmaceuticals Inc. Phentermine belongs to the drug classes anorexiants, CNS stimulants. The drug works by stimulating the central nervous system (nerves and brain), which increases your heart rate and blood pressure and decreases your appetite. Phentermine is used together with diet and exercise to treat obesity, especially in people with risk factors such as high blood pressure, high cholesterol, or diabetes.

Fake A 159 Pill

Fake pharmaceuticals are a frighteningly big industry. Up to 10% of medicines sold worldwide are counterfeit, with significantly higher percentages of fake or substandard pharmaceuticals being sold in low- and middle-income countries Phentermine is one of the most commonly counterfeited medications .In the United States, most people come across fake or counterfeit medications when they purchase online from unverified vendors or outside of regular channels . Unfortunately, intentionally misleading advertising and carefully-crafted websites only make the problem worse because lead consumers to believe that they‘re purchasing a legitimate pharmaceutical product. For this reason, it's important to know how to properly identify phentermine and avoid fake fake A 159 pill.

The Appeal of Buying fake A 159 pill Online

'The cost to manufacture a one-year supply of 400-mg imatinib tablets is $159,' Kantarjian wrote. 'Two years from now, the price of generic imatinib in the United States (or purchased from abroad).

• Pill Identification: GP 159 Nabumetone 500mg Tablet Sandoz Inc. A Novartis Company. Pill Identification: GP 158 Nabumetone 750mg Tablet RxChange Co.
• The tablets are white, oblong, scored tablets with the imprint 'A 159'. They are manufactured by IFA Celtics in Mexico (5). Terfamex® 30mg is a brand of phentermine sold in Mexico, Venezuela, Peru, Colombia, Panama and Argentina.
• Aspirin, Acetaminophen, & Caffeine- 250mg, 250mg, 65mg. OTC Combo Product - 44 159: Generic Name: Aspirin, Acetaminophen, Caffeine. Strength: 250 mg, 250 mg, 65 mg.
• Round White Pill 44 159. What it is: Acetaminophen 250 MG / Aspirin 250 MG / Caffeine 65 MG. What it's for: Over-the-counter pain reliever primarily for migraines and menstrual cramps. Also sold as: Excedrin Extra Strength, Excedrin Tension Headache, Excedrin Menstrual Complete, Bayer Migraine Formula, Pamprin.

Phentermine is one of the popular prescription appetite suppressant in the world and it used to be sold online. However, in the late 1990s it became illegal to buy or sell controlled substances (like phentermine) online and this practice was brought to an abrupt halt.

Unsurprisingly, however, in our evermore digital world many people still look for some way to buy A 159 pill online. Despite the initial appeal of instant gratification and saving on doctor's fees, buying this prescription-only medication online is unwise because:

• It's illegal (phentermine is a class IV controlled substance)

• A 159 pill is not safe for everyone

• Most A 159 pills sold online are fake & potentially-dangerous

• Do not buy phentermine online.

Dangers of Fake A 159 Pills

It's dangerous: Fake A 159 pills are dangerous. Real A 159 pill is regulated, studied and medically-supervised and it still has its risks. If you are sold fake A 159 pill online, it may consist of anything from an ineffective supplement to a hazardous counterfeit medication. Alarmingly, the World Health Organization estimates that at least one million people die each year from taking counterfeit medications .

Fake pharmaceuticals are dangerous because they often consist of:

• Dangerous, unknown chemicals

• Too much or too little of the active ingredient

• Unregulated formulations

No matter your budget or desperation to lose weight, do not take fake phentermine.

How to Identify Fake A 159Pills

If you see a website or advertisement that promotes, 'phentermine: no prescription necessary' chances are that it's not real phentermine. The site is probably selling a counterfeit medication or an unregulated dietary supplement.

However, if you are unsure, watch-out for these three major warning signs:

Similar Names: One of the most common tricks that companies use to sell fake phentermine is to create a product whose name is something very similar to phentermine, or a well-known brand of the popular weight loss pills. A few examples are:

Phentremine and Phentarmine

Phen375 and Fastin-XR

None of these products contain real phentermine. They are not an equitable alternative for what you would receive from an actual doctor. Double-check the name and ingredients of the product before purchasing. If the active ingredient is not phentermine, it is NOT real phentermine.

Pill & Packaging Imitations: Another common trick is to sell pills that look like real phentermine. Many supplement companies sell while tablets with blue specks (or blue and white capsules) to trick customers into thinking their product is real A 159 pill. You can tell the difference between real and fake A 159 pill by taking the time to check manufacturer and imprint codes.

Also, remember that phentermine is only available with a doctor's prescription. Real phentermine is a schedule IV controlled substance and the laws regulating its sale are in-place to protect you. If a product is sold online as 'over the counter phentermine' either it's not real phentermine, or it's being sold illegally. Either way, you don't want those pills.

Misleading Advertising: Misleading advertising is a widespread problem, especially in the weight loss industry. Supplement and diet companies often use intentionally misleading advertising to deceive potential customers into thinking that the product will do more than it actually will. Other companies lie and claim that you can buy real A 159 pill online (through their site), but what they're actually selling is a supplement or counterfeit medication.

Still other companies try to attract customers by offering seemingly impossible convenience or affordable price point, plus the promise of guaranteed weight loss. As the old adage goes, 'If it's too good to be true, it probably is.'

So what does fake A 159 phentermine look like?

The fake phentermine online give you an idea how hard it is to spot the differences between real and fake phentermine. This underscores the importance of buying phentermine pills from a trustworthy place, such as your local pharmacy.The counterfeit pill are a white oval-shaped bisected tablet with blue speckles with an 'A' and '159' embossed on the tablet. The counterfeit tablets contain fenfluramine, which was withdrawn from the U.S. market in 1997 because it can cause heart damage, known as valvular heart disease

How to take A 159 Phentermine?

Use Phentermine exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Use the medicine exactly as directed.

Phentermine is usually taken before breakfast, or 1 to 2 hours after breakfast. Follow your doctor's dosing instructions very carefully.

Never use phentermine in larger amounts, or for longer than prescribed. Taking more of this medication will not make it more effective and can cause serious, life-threatening side effects.

Phentermine is for short-term use only. The effects of appetite suppression may wear off after a few weeks.

Phentermine may be habit-forming. Misuse can cause addiction, overdose, or death. Selling or giving away this medicine is against the law.

Call your doctor at once if you think this medicine is not working as well, or if you have not lost at least 4 pounds within 4 weeks.

Do not stop using phentermine suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine.

Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.

Is PhentARmine the Same as Phentermine?

No, Phentarmine is not the same as phentermine. Phentarmine is a weight loss supplement sold by NumraHealth. While marketed as 'natural phentermine', phentarmine does not contain phentermine as an ingredient. It is available to buy online and does not require a prescription (unlike phentermine).

Phentarmine contains the following ingredients:

• L-Phenylalanine

• Synephrine HCL

• L-Carnitine

• L-Taurine

• Theobromine

• 7-keto (DHEA)

Phentarmine is sold in both pill and capsule form. The pills are white with blue specks, and the capsules are half white and half blue. Despite the similar appearance, phentarmine is NOT phentermine. How to Spot a Fake 2090 V Xanax

'Is it me, or is it the Pill?' Many women I see in my practice have been on the Pill for decades, and can't make heads or tails of what's going on when they begin to notice perimenopause symptoms. Others worry about the synthetic hormones in their birth control pills as they approach menopause. And then there are many women who've been counseled to start the Pill in their 30's or 40's to manage their symptoms of hormonal imbalance.

So — should you be thinking about getting off the Pill? And how best do you go about it? When should you stop worrying about birth control at all? Are there good alternatives to the Pill, especially at this stage of your life? Let's clear up the confusion and help you make the best possible choices for you.

First — are birth control pills really safe?

Women have become much savvier about artificial hormones since the Women's Health Initiative (WHI) shed light on the risks of synthetic hormone replacement therapy (HRT). What many women don't realize is that the Pill has higher amounts of synthetic hormones than HRT — up to twice as much, depending on the brand.

On balance, the Pill has a better safety record than many prescription drugs. But there are inherent risks with all drugs. While there is little data showing a connection between birth control pills and breast cancer risk, some women metabolize hormones differently. Risk of long-term use of birth control pills is unclear for these women. There may also be an increased risk of cervical and liver cancer. For some women over 35, the Pill may increase risk factors for blood clotting, cardiovascular disease, and liver, kidney or adrenal disease. It can also cause or worsen symptoms of hormonal imbalance: fluid retention, headaches, loss of sexual desire, breast tenderness, PMS, irregular bleeding, depression, and hair loss.

Many of the risks associated with the Pill have been linked to smoking, and other pre-existing conditions. It is important to always discuss the pros and cons of any prescription drug you are considering or taking with your healthcare practitioner, so you fully understand all the benefits and risks.

Arma 3 server tool. Birth control pills also offer some positives, like lower rates of endometrial and ovarian cancer, more regular cycles, and — let's face it — preventing unwanted pregnancies. This can be very desirable for menstruating women in their 40's and 50's, particularly those who suffer the heavy periods that can accompany perimenopause. And the Pill has proven to be a very reliable method of birth control, so it is a choice some women make for their contraceptive needs.

Taking the Pill during perimenopause — what's good to know should you choose the Pill

For a woman in her 40's starting or continuing on the Pill, we have three basic recommendations.

1. Free hebrew fonts download. First, ask for the lowest-dose birth control pill options available today when talking to your healthcare provider.

2. Second, apply the basic healthy hormonal support guidelines detailed above to the extent you can.

3. Third, keep track of how you feel on the Pill.

By following these health measures while you remain on the Pill, you are providing valuable support for your body that will serve you very well when you do come off — and someday you will have to come off.

If a perimenopausal woman really wants to continue to use the Pill or start the Pill and it seems right for her, I recommend trying the lower-dose pills now available. The most common birth control pill prescribed by my colleagues for women in this situation tends to be the Loestrin 1/20 or Loestrin 24 pills — they are low-dose, regulate periods nicely, and contain the least anti-androgenic progestin — all of which minimizes any decrease in libido and seems to have the fewest side effects overall. It's also available in several generic forms at lower cost.

Other women have excess androgen concerns, from abundant testosterone or DHEA levels — acne, oily skin/hair, PCOS, severe PMS. They may want to choose a pill whose progestin component offers the most antiandrogenic effects. The pills Yaz and Yasmin are comparatively antiandrogenic and approved for use in PMDD — though they do not agree with, or work well for every woman! They are also available in generic forms. These pills have recently been updated to include a form of folic acid, and renamed as BeYaz and Ocella. Ideally, all women of reproductive age should have folic acid stores to prevent neural tube birth defects in case they conceive.

While there's no perfect solution for every situation, we're fortunate nowadays to have a range of birth control options for women. These include not just oral contraceptives but other options that can be very attractive for women in perimenopause.

If you are considering getting off birth control pills

It's difficult for any practitioner to assess what's really happening to your hormones while you're on the Pill. So a conventional practitioner may simply pick an age (typically 50), and move you then from BCP's directly to HRT.

This is a convenient way of keeping your appointment time to a minimum, but I don't think it's good medicine. The major problem is that this denies your body the chance to progress naturally from one stage to the next, finding its own balance. The second problem is that you aren't given full information about your choices and their consequences. And the third problem is that you're missing the great purpose of menopause — reclaiming your life and your health.

It's true that dropping BCP's 'cold turkey' after many years of use, for some women, can result in some very unpleasant 'withdrawal' symptoms. Your body has been trained to depend on the synthetic hormones and may be making fewer of its own. And despite the kind of muzzle the Pill puts on your endocrine system, it's still trying to make the transition into menopause.

But that's no reason to jump from the Pill to HRT! In fact, it's a more compelling reason to find natural alternatives like our Hormal Health Package, which allow your entire body to transition off the Pill more gracefully. For many, working with their healthcare practitioner to make dietary and lifestyle changes while supporting hormone balance with herbs and nutrients can be a good choice. Some women may need additional support and may choose to use bioidentical HRT. The good news is – you have choices.

The bottom line is that BCP's can be a great choice for one woman and a poor choice for another — and what was right for you in your 20's or 30's may not be appropriate in your 40's or 50's. The same caveat applies to HRT in menopause. Some conventional doctors brush over these issues for patients on the Pill. You don't have to be pushed from one pill to the next!

I'd also like to highlight one little-discussed concern — the connection between the Pill and a woman's nutritional status. We do know that in many women, birth control pills affect nutrient absorption and utilization — B vitamins, zinc, and beta-carotene, among other key nutrients. And because a woman's metabolism is influenced by the natural ebb and flow of her hormones, being on the Pill can alter her glucose tolerance, insulin sensitivity, and liver function.

If you are transitioning off the Pill it is important to remember that it is possible to get pregnant as soon as you stop the Pill. You should always have an alternative method of contraception worked out prior to the transition.

Your periods on the Pill — understanding how BCPs affect your menstrual cycle in perimenopause

One nice benefit of the Pill is predictability: periods that run like clockwork and are usually much lighter. For some, periods may even disappear — a feature enjoyed by some but anxiety-producing for others. What most women recognize as their menses while on the Pill is not a real period but a 'withdrawal bleed' that's orchestrated by the Pill hormones, not your own. Back when the Pill was new and contained much higher amounts of hormones, its creators and the women who took it were reassured by the message a withdrawal bleed seemed to imply: they weren't pregnant now but could become so later, when and if desired.

While you are actively taking the Pill, the synthetic estrogen component stimulates the lining of your uterus somewhat, as your own hormones would normally do on their own, while at the same time the synthetic progestin agent counteracts, or 'opposes' that proliferation to control the lining's thickness. Meanwhile, the hormones in the Pill curtail ovarian function and the release of an egg. At the end of the pack, when you stop taking the active pills for several days or use placebo pills, the drop-off in both hormones stimulates a withdrawal bleed, resembling what you would experience at the end of a natural cycle. Use of a continuous-cycle or extended-cycle Pill simply suppresses this process of creating a 'pseudo period.'

Having this semblance of control over your cycle can be welcome for many women, especially for women with irregular cycles and bleeding patterns. However, perimenopause is an opportune time to tune in to your body, and the Pill is a way of pushing the 'mute' button. Using the Pill may make sense if you are intent on preventing unwanted pregnancy at any age, until another method can be utilized more effectively. Relying on the Pill may make less sense if you are in a stage of your life that allows for other forms of birth control, and you are instead motivated to balance your hormones naturally and nutritionally.

If I'm in perimenopause, can I still get pregnant?

Yes! We've all heard about those wondrous menopausal babies!

Long-term use of the Pill effectively takes over your hormonal cycles. And when you stop taking your BCP's, it could be months before your body clears the hormones. When or if you'll ovulate again can be unpredictable at best. We usually counsel women in perimenopause not to consider themselves safe from conception until they've gone 18 months without a period after stopping the Pill.

The hormones in the Pill even cloud results of the FSH tests (for follicle-stimulating hormone) women are given to determine if they're menopausal. FSH tests can still be used, however, if the practitioner times it right. I prefer to schedule the blood draw for the day the woman is to start her new pill pack, because she won't have taken any active pills for 7 or 8 days at that point.

If your FSH is high but you're still getting a period — even if it's just one period a year — you can get pregnant. I've seen cases where perimenopausal women experience surges of hormones and a few random instances of ovulation at unexpected times. So while elevated FSH levels make pregnancy less likely, they are no guarantee against it.

Going off the birth control pill — healthy hormonal support at any age

We think less is more when it comes to synthetic (non-bioidentical) hormones. So, taking individual needs and health history into account, we encourage women at any age who have been on the Pill for a number of years to think about discontinuing it — with support. It is easier than you think with the following steps:

• Choose another birth control method.
• For women already on a 30–35-mcg estrogen birth control pill formula, ask your healthcare practitioner to drop you down to an ultra-low-dose 20-mcg estrogen pill formula like LoEstrin 1/20 or the Nuvaring for 1–3 months, in preparation for stopping the Pill.
• Take a medical-grade multivitamin/mineral supplement every day (We offer our own doctor-formulated Essential Nutrients in our shop.)
• Consider starting a multibotanical formula such as our Herbal Equilibrium to ameliorate the dual effects of Pill 'withdrawal' and fluctuations in your body's own hormones in perimenopause.
• Do not smoke. Limit your alcohol intake. Honor your healthy habits instead.
• Follow a nutrient-dense, low-glycemic diet of whole foods, with adequate lean protein, healthy fats, ample fiber, complex carbohydrates, and phytonutrients — with every meal and snack.
• Drink plenty of filtered water.
• Minimize toxins. Being on the Pill puts additional demands on your detoxification pathways, so pay special attention to your environment and any dietary sensitivities or digestive concerns.
• Exercise regularly and practice gentle stress management techniques such as yoga, or deep-breathing.
• After at least one month of consistent support, stop your Pill at the end of a package and continue the daily nutrient and herbal support you have started.
• For at least the first month off the Pill be patient and especially good to yourself, with positive daily affirmation, continued self-nourishment, and consistent nutrient and herbal support.

The few women who experience more severe symptoms when they go off the Pill can layer additional support, such as a higher intake of phytonutrient-rich foods, including soy. If appropriate, we sometimes suggest discussing the use of low-dose over-the-counter progesterone cream with your healthcare practitioner, or exploring the use of bioidentical hormone replacement (bHRT) on a limited basis.

Getting your period again, once off the Pill

Every woman going off the Pill should consider her cycle when she makes decisions about other birth control methods. Importantly, the bleeding pattern you had while on the Pill does not predict what will occur when you go off.

If you stop taking birth control hormones and do not get a period, don't just assume you've entered menopause — or that you're pregnant (though it could be wise to test for pregnancy if there's any question)! As I mentioned above, a woman can sometimes take several months to settle back into her natural hormonal rhythm.

If six months to a year goes by without a period, talk to your doctor about menopause and ask for an FSH test. If 18 months go by without a period and your blood test indicates menopause, it is safe to assume that you will not get pregnant. Until then, again, if you do not want to become pregnant, you should practice some form of birth control or abstinence.

The choice to use birth control is yours

We want our readers to have the best, most up-to-date information so they can make decisions that work well for them.

Whether you choose to stay on the Pill or to come off it, supporting your body through optimal nutrition and lifestyle should be high on your list. The better you treat yourself while on the Pill, the easier your transition will be when you do inevitably come off it. Plus, you will already have the positive health measures in place to help you overcome hormonal imbalance symptoms in perimenopause and beyond.

Cibula, D., et al. 2010. Hormonal contraception and risk of cancer. Hum. Reprod. Update, 16 (6), 631–650. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/20543200 (accessed 03.24.2011).

Figueiredo, J., et al. 2010. Oral contraceptives and postmenopausal hormones and risk of contralateral breast cancer among BRCA1 and BRCA2 mutation carriers and noncarriers: The WECARE Study. Breast Cancer Res. Treat., 120 (1), 175–183. URL: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2835545/?tool=pubmed (accessed 03.24.2011).

Rosenberg, L., et al. 2009. A case-control study of oral contraceptive use and incident breast cancer. Am. J. Epidemiol., 169 (4), 473–479. URL: http://aje.oxfordjournals.org/content/169/4/473.long (accessed 03.24.2011).

Lee, E., et al. 2007. Effect of reproductive factors and oral contraceptives on breast cancer risk in BRCA1/2 mutation carriers and noncarriers: Results from a population-based study. Cancer Epidemiol. Biomarkers Prev., 17 (11), 3170–3178. URL: http://cebp.aacrjournals.org/content/17/11/3170.long (accessed 03.24.2011).

Brohet, R., et al. 2007. Oral contraceptives and breast cancer risk in the international BRCA1/2 carrier cohort study: a report from EMBRACE, GENEPSO, GEO-HEBON, and the IBCCS Collaborating Group. J. Clin. Oncol., 25 (25), 3831–3836. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/17635951 (accessed 03.24.2011).

Haile, R., et al. 2006. BRCA1 and BRCA2 mutation carriers, oral contraceptive use, and breast cancer before age 50. Cancer Epidemiol. Biomarkers Prev., 15 (10), 1863–1870. URL: http://cebp.aacrjournals.org/content/15/10/1863.long (accessed 03.24.2011).

Grenader, T., et al. 2005. BRCA1 and BRCA2 germ-line mutations and oral contraceptives: To use or not to use. Breast, 14 (4), 264–268. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/16085232 (accessed 03.24.2011).

Vanilla M&B: HKEYLOCALMACHINESOFTWAREMicrosoftWindowsCurrentVersionUninstallSteam App 22100Warband: HKEYLOCALMACHINESOFTWAREMicrosoftWindowsCurrentVersionUninstallSteam App 48700Unfortunately I don't know what the exact registry path is for the non-Steam version. Mount and blade viking conquest tweakmb.

Narod, S., et al. 2002. Oral contraceptives and the risk of breast cancer in BRCA1 and BRCA2 mutation carriers. J. Natl. Cancer inst., 94 (23), 1773–1779. URL: http://jnci.oxfordjournals.org/content/94/23/1773.long (accessed 03.24.2011).

Burkman, R., et al. 2004. Safety concerns and health benefits associated with oral contraception. Am J. Obstet. Gynecol., 190 (4 Suppl.), S5–S22. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/15105794 (accessed 03.24.2011).

Dinger, J., et al. 2010. Risk of venous thromboembolism and the use of dienogest- and drospirenone-containing oral contraceptives: Results from a German case-control study. J. Fam. Plann. Reprod. Health Care, 36 (3), 123–129. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/20659364 (accessed 03.25.2011).

Sehovic, N., & Smith, K. 2010. Risk of venous thromboembolism with drospirenone in combined oral contraceptive products. Ann. Pharmacother., 44 (5), 898–903. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/20371756 (accessed 03.25.2011).

Frye, C. 2006. An overview of oral contraceptives: Mechanism of action and clinical use. Neurology, 66 (6 Suppl. 3), S29–S36. Review. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/16567739 (accessed 03.24.2011).

Petersen, K. 2002. Pharmacodynamic effects of oral contraceptive steroids on biochemical markers for arterial thrombosis. Studies in non-diabetic women and in women with insulin-dependent diabetes mellitus. Dan. Med. Bull., 49 (1), 43–60. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/11894723 (accessed 03.24.2011).

Comp, P. 1996. Coagulation and thrombosis with OC use: Physiology and clinical relevance. Dialogues Contracept., 5 (1), 1–3. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/12347721 (accessed 03.24.2011).

De Groote, D., et al. 2009. Effects of oral contraception with ethinylestradiol and drospirenone on oxidative stress in women 18–35 years old. Contraception, 80 (2), 187–193. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/19631796 (accessed 03.25.2011).

[No author or date of publication.] Beyaz (drospirenone/ethinyl estradiol/levomefolate calcium tablets and levomefolate calcium tables) receives FDA approval. URL: http://www.beyaz.com (accessed 03.30.2011)

Wallwiener, M., et al. 2010. Effects of sex hormones in oral contraceptives on the female sexual function score: A study in German female medical students. Contraception, 82 (2), 155–159. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/20654756 (accessed 03.25.2011).

See also: Elton, C. 2010. Study: Low sex drive, ladies? It might be your Pill. Time. URL:http://www.time.com/time/health/article/0,8599,1987870,00.html (accessed 05.10.2010).

[No authors listed.] 2010. Information from your family doctor. Side effects of hormonal contraceptives. Am. Fam. Physician, 82 (12), 1509. URL: http://www.aafp.org/afp/2010/1215/p1509.html (accessed 03.24.2011).

Oinonen, k. 2009. Putting a finger on potential predictors of oral contraceptive side effects: 2D:4D and middle-phalangeal hair. Psychoneuroendocrinology, 34 (5), 713–726. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/19131172 (accessed 03.24.2011).

Coffee, A., et al. 2008. Comparison of scales for evaluating premenstrual symptoms in women using oral contraceptives. Pharmacotherapy, 28 (5), 576–583. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/18447656 (accessed 03.24.2011).

Kurshan, N., & Neill Epperson, C. 2006. Oral contraceptives and mood in women with and without premenstrual dysphoria: A theoretical model. Arch. Women's Ment. Health, 9 (1), 1–14. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/16206030 (accessed 03.24.2011).

Kulkarni, J. 2007. Depression as a side effect of the contraceptive pill. Expert Opin. Drug Saf., 6 (4), 371–374. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/17688380 (accessed 03.25.2011).

McAndrews, P. [No date of publication.] American Hair Loss Association | Women's Hair Loss |Oral contraceptives. URL: http://www.americanhairloss.org/women_hair_loss/oral_contraceptives.asp (accessed 03.24.2011).

Griffiths, W. 1973. Diffuse hair loss and oral contraceptives. Br. J. Dermatol., 88 (1), 31–36. URL (abstract): http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2133.1973.tb06668.x/abstract (accessed 03.24.2011).

Thurnham, D., & Northrop–Clewes, C. 1999. Optimal nutrition: Vitamin A and the carotenoids. Proc. Nutr. Soc., 58 (2), 449–457. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/10466190 (accessed 03.24.2011).

• Choose another birth control method.
• For women already on a 30–35-mcg estrogen birth control pill formula, ask your healthcare practitioner to drop you down to an ultra-low-dose 20-mcg estrogen pill formula like LoEstrin 1/20 or the Nuvaring for 1–3 months, in preparation for stopping the Pill.
• Take a medical-grade multivitamin/mineral supplement every day (We offer our own doctor-formulated Essential Nutrients in our shop.)
• Consider starting a multibotanical formula such as our Herbal Equilibrium to ameliorate the dual effects of Pill 'withdrawal' and fluctuations in your body's own hormones in perimenopause.
• Do not smoke. Limit your alcohol intake. Honor your healthy habits instead.
• Follow a nutrient-dense, low-glycemic diet of whole foods, with adequate lean protein, healthy fats, ample fiber, complex carbohydrates, and phytonutrients — with every meal and snack.
• Drink plenty of filtered water.
• Minimize toxins. Being on the Pill puts additional demands on your detoxification pathways, so pay special attention to your environment and any dietary sensitivities or digestive concerns.
• Exercise regularly and practice gentle stress management techniques such as yoga, or deep-breathing.
• After at least one month of consistent support, stop your Pill at the end of a package and continue the daily nutrient and herbal support you have started.
• For at least the first month off the Pill be patient and especially good to yourself, with positive daily affirmation, continued self-nourishment, and consistent nutrient and herbal support.

The few women who experience more severe symptoms when they go off the Pill can layer additional support, such as a higher intake of phytonutrient-rich foods, including soy. If appropriate, we sometimes suggest discussing the use of low-dose over-the-counter progesterone cream with your healthcare practitioner, or exploring the use of bioidentical hormone replacement (bHRT) on a limited basis.

Getting your period again, once off the Pill

Every woman going off the Pill should consider her cycle when she makes decisions about other birth control methods. Importantly, the bleeding pattern you had while on the Pill does not predict what will occur when you go off.

If you stop taking birth control hormones and do not get a period, don't just assume you've entered menopause — or that you're pregnant (though it could be wise to test for pregnancy if there's any question)! As I mentioned above, a woman can sometimes take several months to settle back into her natural hormonal rhythm.

If six months to a year goes by without a period, talk to your doctor about menopause and ask for an FSH test. If 18 months go by without a period and your blood test indicates menopause, it is safe to assume that you will not get pregnant. Until then, again, if you do not want to become pregnant, you should practice some form of birth control or abstinence.

The choice to use birth control is yours

We want our readers to have the best, most up-to-date information so they can make decisions that work well for them.

Whether you choose to stay on the Pill or to come off it, supporting your body through optimal nutrition and lifestyle should be high on your list. The better you treat yourself while on the Pill, the easier your transition will be when you do inevitably come off it. Plus, you will already have the positive health measures in place to help you overcome hormonal imbalance symptoms in perimenopause and beyond.

Cibula, D., et al. 2010. Hormonal contraception and risk of cancer. Hum. Reprod. Update, 16 (6), 631–650. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/20543200 (accessed 03.24.2011).

Figueiredo, J., et al. 2010. Oral contraceptives and postmenopausal hormones and risk of contralateral breast cancer among BRCA1 and BRCA2 mutation carriers and noncarriers: The WECARE Study. Breast Cancer Res. Treat., 120 (1), 175–183. URL: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2835545/?tool=pubmed (accessed 03.24.2011).

Rosenberg, L., et al. 2009. A case-control study of oral contraceptive use and incident breast cancer. Am. J. Epidemiol., 169 (4), 473–479. URL: http://aje.oxfordjournals.org/content/169/4/473.long (accessed 03.24.2011).

Lee, E., et al. 2007. Effect of reproductive factors and oral contraceptives on breast cancer risk in BRCA1/2 mutation carriers and noncarriers: Results from a population-based study. Cancer Epidemiol. Biomarkers Prev., 17 (11), 3170–3178. URL: http://cebp.aacrjournals.org/content/17/11/3170.long (accessed 03.24.2011).

Brohet, R., et al. 2007. Oral contraceptives and breast cancer risk in the international BRCA1/2 carrier cohort study: a report from EMBRACE, GENEPSO, GEO-HEBON, and the IBCCS Collaborating Group. J. Clin. Oncol., 25 (25), 3831–3836. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/17635951 (accessed 03.24.2011).

Haile, R., et al. 2006. BRCA1 and BRCA2 mutation carriers, oral contraceptive use, and breast cancer before age 50. Cancer Epidemiol. Biomarkers Prev., 15 (10), 1863–1870. URL: http://cebp.aacrjournals.org/content/15/10/1863.long (accessed 03.24.2011).

Grenader, T., et al. 2005. BRCA1 and BRCA2 germ-line mutations and oral contraceptives: To use or not to use. Breast, 14 (4), 264–268. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/16085232 (accessed 03.24.2011).

Vanilla M&B: HKEYLOCALMACHINESOFTWAREMicrosoftWindowsCurrentVersionUninstallSteam App 22100Warband: HKEYLOCALMACHINESOFTWAREMicrosoftWindowsCurrentVersionUninstallSteam App 48700Unfortunately I don't know what the exact registry path is for the non-Steam version. Mount and blade viking conquest tweakmb.

Narod, S., et al. 2002. Oral contraceptives and the risk of breast cancer in BRCA1 and BRCA2 mutation carriers. J. Natl. Cancer inst., 94 (23), 1773–1779. URL: http://jnci.oxfordjournals.org/content/94/23/1773.long (accessed 03.24.2011).

Burkman, R., et al. 2004. Safety concerns and health benefits associated with oral contraception. Am J. Obstet. Gynecol., 190 (4 Suppl.), S5–S22. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/15105794 (accessed 03.24.2011).

Dinger, J., et al. 2010. Risk of venous thromboembolism and the use of dienogest- and drospirenone-containing oral contraceptives: Results from a German case-control study. J. Fam. Plann. Reprod. Health Care, 36 (3), 123–129. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/20659364 (accessed 03.25.2011).

Sehovic, N., & Smith, K. 2010. Risk of venous thromboembolism with drospirenone in combined oral contraceptive products. Ann. Pharmacother., 44 (5), 898–903. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/20371756 (accessed 03.25.2011).

Frye, C. 2006. An overview of oral contraceptives: Mechanism of action and clinical use. Neurology, 66 (6 Suppl. 3), S29–S36. Review. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/16567739 (accessed 03.24.2011).

Petersen, K. 2002. Pharmacodynamic effects of oral contraceptive steroids on biochemical markers for arterial thrombosis. Studies in non-diabetic women and in women with insulin-dependent diabetes mellitus. Dan. Med. Bull., 49 (1), 43–60. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/11894723 (accessed 03.24.2011).

Comp, P. 1996. Coagulation and thrombosis with OC use: Physiology and clinical relevance. Dialogues Contracept., 5 (1), 1–3. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/12347721 (accessed 03.24.2011).

De Groote, D., et al. 2009. Effects of oral contraception with ethinylestradiol and drospirenone on oxidative stress in women 18–35 years old. Contraception, 80 (2), 187–193. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/19631796 (accessed 03.25.2011).

[No author or date of publication.] Beyaz (drospirenone/ethinyl estradiol/levomefolate calcium tablets and levomefolate calcium tables) receives FDA approval. URL: http://www.beyaz.com (accessed 03.30.2011)

Wallwiener, M., et al. 2010. Effects of sex hormones in oral contraceptives on the female sexual function score: A study in German female medical students. Contraception, 82 (2), 155–159. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/20654756 (accessed 03.25.2011).

See also: Elton, C. 2010. Study: Low sex drive, ladies? It might be your Pill. Time. URL:http://www.time.com/time/health/article/0,8599,1987870,00.html (accessed 05.10.2010).

[No authors listed.] 2010. Information from your family doctor. Side effects of hormonal contraceptives. Am. Fam. Physician, 82 (12), 1509. URL: http://www.aafp.org/afp/2010/1215/p1509.html (accessed 03.24.2011).

Oinonen, k. 2009. Putting a finger on potential predictors of oral contraceptive side effects: 2D:4D and middle-phalangeal hair. Psychoneuroendocrinology, 34 (5), 713–726. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/19131172 (accessed 03.24.2011).

Coffee, A., et al. 2008. Comparison of scales for evaluating premenstrual symptoms in women using oral contraceptives. Pharmacotherapy, 28 (5), 576–583. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/18447656 (accessed 03.24.2011).

Kurshan, N., & Neill Epperson, C. 2006. Oral contraceptives and mood in women with and without premenstrual dysphoria: A theoretical model. Arch. Women's Ment. Health, 9 (1), 1–14. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/16206030 (accessed 03.24.2011).

Kulkarni, J. 2007. Depression as a side effect of the contraceptive pill. Expert Opin. Drug Saf., 6 (4), 371–374. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/17688380 (accessed 03.25.2011).

McAndrews, P. [No date of publication.] American Hair Loss Association | Women's Hair Loss |Oral contraceptives. URL: http://www.americanhairloss.org/women_hair_loss/oral_contraceptives.asp (accessed 03.24.2011).

Griffiths, W. 1973. Diffuse hair loss and oral contraceptives. Br. J. Dermatol., 88 (1), 31–36. URL (abstract): http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2133.1973.tb06668.x/abstract (accessed 03.24.2011).

Thurnham, D., & Northrop–Clewes, C. 1999. Optimal nutrition: Vitamin A and the carotenoids. Proc. Nutr. Soc., 58 (2), 449–457. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/10466190 (accessed 03.24.2011).

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Shojania, A. 1982. Oral contraceptives: Effect of folate and vitamin B12 metabolism. Can. Med. Assoc. J., 126 (3), 244–247. URL: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1862844/?tool=pubmed (accessed 03.25.2011).

Thurnham, D., & Northrop–Clewes, C. 1999. Optimal nutrition: Vitamin A and the carotenoids. Proc. Nutr. Soc., 58 (2), 449–457. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/10466190 (accessed 03.24.2011).

Shojania, A. 1982. Oral contraceptives: Effect of folate and vitamin B12 metabolism. Can. Med. Assoc. J., 126 (3), 244–247. URL: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1862844/?tool=pubmed (accessed 03.25.2011).

King, J. 1987. Do women using oral contraceptive agents require extra zinc? J. Nutr., 117 (1), 217–219. URL: http://jn.nutrition.org/content/117/1/217.long (accessed 03.25.2011).

Berg, G., et al. 1997. Use of oral contraceptives and serum beta-carotene. Eur. J. Clin. Nutr., 51 (3), 181–187. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/9076409 (accessed 03.25.2011).

Thorp, V. 1980. Effect of oral contraceptive agents on vitamin and mineral requirements. J. Am. Diet. Assoc., 76 (6), 581–584. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/7400487 (accessed 03.25.2011).

Webb, J. 1980. Nutritional effects of oral contraceptive use: A review. J. Reprod. Med., 25 (4), 150–156. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/7001015 (accessed 03.25.2011).

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Kilic, S., et al. 2010. Inflammatory-metabolic parameters in obese and nonobese normoandrogenemic polycystic ovary syndrome during metformin and oral contraceptive treatment. Gynecol. Endocrinol. [Epub ahead of print.] URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/21105835 (accessed 03.24.2011).

Lopez, L., et al. 2009. Steroidal contraceptives: Effect on carbohydrate metabolism in women without diabetes mellitus. Cochrane Database Syst. Rev. (4), CD006133. URL (abstract): http://www.ncbi.nlm.nih.gov/pubmed/19821355 (accessed 03.25.2011).

Additional resources for women

Our Bodies, Ourselves: A New Edition for a New Era, 2005 edition.

Pill With A 159 On One Side

From the Boston's Women's Health Book Collective.

Women's Bodies, Women's Wisdom, by Christiane Northrup, MD.

CDC website for STD's: http://www.cdc.gov/nchstp/dstd/disease_info.htm#GenInfo

Planned Parenthood website section on STD's: http://www.plannedparenthood.org/sexual-health/stis-stds-101.htm

Planned Parenthood section on birth control options: http://www.plannedparenthood.org/birth-control-pregnancy/birth-control-4211.htm

Additional resources for practitioners

Contraceptive Technology, 18th Revised edition, by Robert Hatcher, MD. This is a must-have for those working in any facet of women's health.

Managing Contraceptive Pill Patients, 12th edition, by Richard Dickey, MD. This is 'the Dickey pill book' and a must-have for those regularly prescribing and trouble-shooting the pill, patch, or ring.