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Ben-Shlomo S, Zvibel I, Shnell M, Shlomai A, Chepurko E, Halpern Z, et al
"Isolation of melatonin and 5-methoxyindole-3-acetic acid from bovine pineal glands"
Studies found it doesnt reduce the effectiveness of the combined pill to a clinically meaningful degree, so no extra precautions are needed
Yucel D, Aydogdu S, Cehreli S, Saydam G, Canatan H, et al