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Gastroenterology 160 , 797808.e796 (2021)

Despite these well-known risks, some data suggest roughly a third of individuals may not be fully adherent to pregnancy prevention guidelines (eg, intercourse with fewer than two forms of contraception, failure to remain abstinent, missing doses of oral contraceptives or in some cases, having completely unprotected intercourse). Because of these concerns, dermatologists may consider advocating for more reliable forms of contraceptives, including reversible contraceptives and intrauterine devices or implants, Blalock said

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Are we building systems to support this therapy, or simply scaling access and hoping for the best

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