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You're not supposed to smoke while on the patch (or any Birth Control) because smoking, plus the hormones, seriously raise your risk of strokes, heart attacks, and elevated blood pressure (etc). Smoking while on the patch doesn't lower the patch's effectiveness, it's just really bad for you in general. But you should also remember that the patch isn't 100% effective, so you could still get pregnant.
You have a higher risk of heart attack and stroke.

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12y ago

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