"i switched to this because it is the highest dosage after experiencing breakthrough bleeding on my last pill which i was also on for two years. all breakthrough bleeding has stopped and my period has even shortened from 7 days on my old pill to 5 days on this one. i experienced some nausea in the mornings the first day or two of each new pill pack the first couple months but this only lasted maybe 3-4 months and i have experienced this symptom every time i try a new birth control so i do not know if it is specific to this pill. i also gained about 10 lbs the first couple months that shed a few months later but this is also a typical symptom i have experienced on every pill i have tried. overall, this pill works and has no serious symptoms."