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Please be advised of the following important safety information regarding the use of this medication:

• Smoking Warning: If you are over the age of 35 and use tobacco products, do not use this medication. Smoking can significantly increase your risk of experiencing severe health issues such as strokes, heart attacks, blood clots, and elevated blood pressure, particularly when using hormonal birth control methods like pills, patches, or rings. The likelihood of these complications rises with age and the number of cigarettes smoked. It is strongly advised to refrain from smoking or using tobacco.

• Iron Overdose Risk: Be aware that accidental ingestion of iron-containing products is a leading cause of fatal poisoning in children under the age of 6. To prevent accidental ingestion, ensure that this product is stored securely and kept out of the reach of children. In the event of an overdose, seek medical attention immediately or contact a poison control center for assistance.

Please adhere to these guidelines to ensure safe and effective use of this medication.

You may experience some mild side effects from this medication, such as nausea, vomiting, headaches, bloating, breast tenderness, fluid retention causing swelling in the ankles or feet, or changes in weight. It is also common to notice spotting or irregular periods, especially during the first few months of use. If these symptoms persist or worsen, consult your healthcare provider. Missing two consecutive periods or one period if the medication has not been used properly may warrant a pregnancy test.

On a more serious note, this medication can elevate your blood pressure, so regular monitoring is recommended. Alert your healthcare provider if your blood pressure readings are high. There are also some serious side effects that require immediate medical attention, including lumps in the breast, mood changes like worsening depression, severe abdominal pain, unusual vaginal bleeding, dark urine, or yellowing of the skin or eyes.

Rarely, this medication can lead to dangerous blood clots, which can result in heart attacks, strokes, or clots in the lungs or legs. Seek urgent medical help if you experience chest pain, confusion, sudden dizziness, swelling or warmth in the legs, difficulty speaking, shortness of breath, severe headaches, unusual sweating, weakness on one side of the body, or sudden vision changes. Although very rare, serious allergic reactions can occur. If you notice a rash, itching, swelling, severe dizziness, or trouble breathing, seek medical assistance immediately. If you experience any other side effects, reach out to your healthcare provider for guidance.