So my primary care doctor just called me back. He said that the spotting is fairly normal when adjusting to the hormonal birth control so we'll keep an eye on that and if it doesn't let up or gets worse in 6 months to discuss alternative options to the xulane patches. And he also prescribed some tablets to help with the nausea if it gets severe. So basically he said to just call him each week to let him know how things are going with it and if something needs to be changed, he will change it. He said people's bodies change so even if I tolerated it well several years ago I have changed since then and that may not be the case now but we'll see