Well, the dosage didn’t change because I have always been on the lowest dose of hormones possible – I asked for that when I got back on it at the request of a boyfriend at 34. I’ve been on it since. Basically was on from 19-25, off from 25-34, and back on at 34. It generally tends to react with my pulmonary hypertension meds and now being off it and feeling so much better I doubt I will go on it again. The only things the doctors have ever really asked me in reference to it is about smoking, which of course I don’t do. I just feel so much better off it and I’m not in a LTR that it makes sense to stay off. I had no idea about those scary health risks!