We explain how common birth control methods affect weight, why LARCs are often the most reliable and weight neutral choice, and how tirzepatide can reduce pill effectiveness during dose changes. We also lay out safer options for higher BMI, emergency contraception that still works well, and practical backup strategies.

• weight gain risk with depot medroxyprogesterone
• modern low-dose pills mostly weight neutral with PCOS benefits
• patch and ring similar efficacy and side effect profile to pills
• LARCs as effective, reversible, weight neutral options
• condoms for STI protection and pregnancy prevention
• Phexxi as user-controlled non-hormonal option
• emergency contraception timing and Ella for higher BMI
• estrogen and clot risk factors to review with a clinician
• tirzepatide reducing oral contraceptive absorption during titration
• backup methods and planning around GLP-1 dose changes

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