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Both the Patch and the Pill can have funky effects on the body. They're not really side effects perse, but the body getting used to the new form of hormone. Spotting and cramping within the first three months are normal. Sometimes beyond that. That's completely normal. If the bleeding is more than spotting and lasts more than a week she should talk to her doctor.
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Horses come and go, but some leave permanent hoof prints on your life.
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