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I changed my pill three weeks ago. I have been spotting since this week. Does this mean that it is ineffective or less effective?

Spotting is a common side effect when changing birth control pills. It does not necessarily mean that the pill is ineffective or less effective. It is recommended to continue taking the pill as prescribed and the spotting should stop within a few days. If the spotting persists for more than 3 months after switching pills, then it may be necessary to consider a different option.