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The most common reasons for prescribing a progestin-only pill instead of a combination Birth Control pill are cigarette smoking over age 35, history of migraine with aura or other focal neurological symptoms, breastfeeding a child under 6 months, a history of lupus with positive or unknown anticardiolipin antibody status, or a history of extra sensitivity to estrogen in the birth control pill (with severe nausea, water weight gain, or melasma, for instance).

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