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      <title>Q 4 by Kingston</title>
      <link>https://padlet.com/kingrajiah/9wcmehd5agi</link>
      <description></description>
      <language>en-us</language>
      <pubDate>2015-09-18 06:40:02 UTC</pubDate>
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         <title>A  female  customer  with  complaint  of  weight  gain  with  her  current  COC-  Marvelon®.  She wants to know whether she should change to other types of COC</title>
         <author>kingrajiah</author>
         <link>https://padlet.com/kingrajiah/9wcmehd5agi/wish/70890786</link>
         <description><![CDATA[]]></description>
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         <pubDate>2015-09-18 06:40:52 UTC</pubDate>
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         <title></title>
         <author></author>
         <link>https://padlet.com/kingrajiah/9wcmehd5agi/wish/71151990</link>
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         <pubDate>2015-09-21 01:26:35 UTC</pubDate>
         <guid>https://padlet.com/kingrajiah/9wcmehd5agi/wish/71151990</guid>
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         <title>Yes, she can opt to replace Marvelon with Yaz tablets. Due to the presence of estrogen in COC, it causes fluid retention leading to weight gain by direct stimulation of renin-angiotensin system. Yaz causes less weight gain due to the presence of drosperinone, which structure closely related spironolactone, a diuretic. Hence, Weight gain is less seen in women taking Yaz. Another choice of COC with same content but lower dose of ethinylestradiol (20mcg) Mercilon.</title>
         <author></author>
         <link>https://padlet.com/kingrajiah/9wcmehd5agi/wish/123647098</link>
         <description><![CDATA[<div><br>1) What's the patient age?<br>2) Is the patient affected by any illness?<br>3) Is the patient on any medication?<br>4) Is the patient smoking or drinking alcohol?<br>5) What's her exercise and diet habit like?<br>    - lifestyle modification?<br>5) When was her last period?<br>6) How she take Marvelon?</div>]]></description>
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         <pubDate>2016-09-14 01:50:05 UTC</pubDate>
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