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Yes, you need a prescription for any form of hormonal birth control

doi: 10.1016/J.CELREP.2021.109696 34 BenderCRodriguez-CalvoTAmirianNCoppietersKTvon HerrathMG

5 Venous Thrombosis Blood clots that form in the veins are mainly composed of red blood cells with an outer layer of platelets held together by a protein matrix formed by fibrin

Your provider needs to be involved from the beginning
