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The patient in the clinic was 22, eight weeks postpartum with her second child, and exhausted. She came in asking for birth control, but her schedule made standard oral contraceptives a gamble. Traditional progestin-only pills, the standard option for many nursing mothers, come with a notoriously unforgiving three-hour administration window. Take the pill at 8:00 a.m., and by 11:01 a.m., its contraceptive efficacy drops off a cliff.
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