AUBRA is a combination oral contraceptive pill containing ethinyl estradiol and levonorgestrel, used primarily for preventing pregnancy. It works by inhibiting ovulation, altering the cervical mucus, and changing the uterine lining to prevent sperm from reaching the uterus and a fertilized egg from attaching. It is available by prescription and may also help regulate menstrual cycles, reduce menstrual cramps, and manage acne.
AUBRA is a combination oral contraceptive pill containing ethinyl estradiol and levonorgestrel, used primarily for preventing pregnancy. It works by inhibiting ovulation, altering the cervical mucus, and changing the uterine lining to prevent sperm from reaching the uterus and a fertilized egg from attaching. It is available by prescription and may also help regulate menstrual cycles, reduce menstrual cramps, and manage acne.
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Aubra
Depletes
Prolonged use of Aubra can impact 8 essential nutrients.
Vitamin B6
Research suggests that oral contraceptives (OCs) may play a role in vitamin B6 deficiency. A deficiency is concerning because vitamin B6 plays a crucial role in mood regulation and blood sugar control. Some women using OCs experience symptoms like depression and impaired glucose tolerance, which could potentially be linked to this vitamin B6 deficiency. Low vitamin B6 levels are independently associated with an increased risk of blood clots in both arteries and veins (venous and arterial thromboembolism, or TE). This association suggests that the B6 deficiency caused by OCs might partly explain the higher risk of TE observed in women using birth control pills. This highlights the importance of ensuring adequate vitamin B6 intake for women on OCs and therefore supplementation should be considered.
Research: Lussana F, Zighetti ML, Bucciarelli P, Cugno M, Cattaneo M. Blood levels of homocysteine, folate, vitamin B6 and B12 in...
Vitamin C
Studies suggest that women using oral contraceptives might have lower levels of vitamin C within their white blood cells (leukocytes) and platelets. This depletion could be linked to reduced activity of antioxidant enzymes like glutathione peroxidase (GPx) and glutathione reductase (GR) in the blood. These enzymes play a role in protecting cells from damage. Research also shows that supplementing with vitamin C, alongside vitamin E, can significantly increase the activity of these antioxidant enzymes in women taking OCs. This suggests that vitamin C supplementation might be beneficial for women on birth control pills.
Replace with Vitamin C Ascorbic Acid (125 mg)
Research: Zal F, Mostafavi-Pour Z, Amini F, Heidari A. Effect of vitamin E and C supplements on lipid peroxidation and GSH-dependent...
Zinc
Studies suggest that oral contraceptives (OCs) may contribute to zinc deficiency. Research has shown a significant decrease in serum zinc levels, the zinc circulating in the blood, in women taking OCs. This decrease is thought to be due to potential changes in how the body absorbs, excretes, or utilizes zinc within tissues. Due to its vital role in many bodily functions, ensuring sufficient zinc intake through supplementation should be considered for women on birth control pills.
Replace with Zinc Bisglycinate (12.5 mg)
Research: Fallah S, Sani FV, Firoozrai M. Effect of contraceptive pill on the selenium and zinc status of healthy subjects....
Vitamin B12
Oral contraceptives (OCs) have been linked to a decrease in Vitamin B12 levels. Studies have shown a significant reduction in serum B12, the vitamin circulating in the blood, in women taking OCs for extended periods. One US study found a 40% decrease in B12 levels after five years of OC use. This decrease is concerning because vitamin B12 plays a crucial role in converting a form of folate (N-methyltetrahydrofolic acid) into its active form (tetrahydrofolic acid). This active folate is essential for healthy red blood cell production and other bodily functions. Due to the vital role of vitamin B12, supplementation when using OCs long-term should be considered.
Replace with Vitamin B12 Methylcobalamin (0.2 mg)
Research: Lussana F, Zighetti ML, Bucciarelli P, Cugno M, Cattaneo M. Blood levels of homocysteine, folate, vitamin B6 and B12 in...
Vitamin E
When using oral contraceptives (OCs), the body might experience increased oxidative stress due to hormonal changes. Vitamin E, a potent antioxidant, could potentially help counteract this stress and promote cellular health. Research shows that combining vitamin E with vitamin C supplementation might be even more beneficial. Studies like one where Group C received both vitamins showed a significant increase in the activity of enzymes (GPx and GR) crucial for antioxidant defense, along with a reduction in markers of oxidative damage (plasma MDA levels). This suggests that a combined approach with vitamins E and C might offer enhanced protection against cellular stress for women using OCs.
Replace with Natural Vitamin E d-alpha-tocopherol + mixed tocopherols (33 mg)
Research: Zal F, Mostafavi-Pour Z, Amini F, Heidari A. Effect of vitamin E and C supplements on lipid peroxidation and GSH-dependent...
Vitamin B2
Women using Oral Contraceptives (OCs) may benefit from including vitamin B2 (riboflavin) in their regimen. Vitamin B2 plays a critical role in activating other B vitamins, like folic acid and B6, which are essential for various bodily functions. Studies have shown that women on OCs have lower levels of active vitamin B2, as measured by the activity of an enzyme dependent on it (glutathione reductase). These reduced levels might be linked to migraines, a frequent side effect of OCs that can sometimes lead women to discontinue the medication. By ensuring adequate B2 intake, women on OCs may potentially experience reduced migraine frequency and benefit from the proper activation of other B vitamins.
Replace with Vitamin B2 Riboflavin (10 mg)
Research: Zencirci B. Comparison of the effects of dietary factors in the management and prophylaxis of migraine. J Pain Res. 2010 Jul...
Tyrosine
Women using oral contraceptives (OCs) may experience mood changes, including depression. Research suggests a potential link between these emotional shifts and a decrease in brain levels of the neurotransmitter norepinephrine (noradrenaline). This decrease could be related to reduced availability of its precursor molecule, tyrosine, in the brain. Studies have shown a significant decline in tyrosine levels in women on OCs. One study found that the area under the curve (AUC) in plasma for tyrosine in OC users were 43% of control levels. Tyrosine supplementation could potentially help regulate mood and improve emotional well-being while taking OCs.
Replace with L-Tyrosine (200 mg)
Research: Møller, S.E., Maach-Møller, B., Olesen, M., Madsen, B.K., Madsen, P., & Fjalland, B. (1995). Tyrosine metabolism in users of...
Also Benefits From:
Selenium
Selenium is an essential mineral that plays a role in cell function, including protecting against cell damage and potentially supporting a healthy thyroid. Oral contraceptives (OCs) can impact nutrient levels in the body, and selenium is one such nutrient that might be depleted. Selenium offers potential benefits against cancer development, so maintaining adequate levels is important. While more research is needed, some studies suggest that OC users may have lower selenium levels. This highlights the potential importance of ensuring adequate selenium supplementation for women on birth control pills.
Research: Palmery M, Saraceno A, Vaiarelli A, Carlomagno G. Oral contraceptives and changes in nutritional requirements. Eur Rev Med...
Health Impact
Aubra-induced nutrient depletion can lead to a range of health problems
Peripheral Neuropathy From B6 Imbalance
Systematic reviews and regulatory safety assessments describe peripheral neuropathy as a consequence of B6 deficiency as well as toxicity; recent pharmacovigilance data have prompted dose restrictions in some countries.
Research: Muhamad R et al. The role of vitamin B6 in peripheral neuropathy: a systematic review. Nutrients. 2023;15(7):1691.;...
B6-Related Anemia & Skin Changes
Clinical reviews note that B6 deficiency manifests with microcytic or sideroblastic anemia, skin changes and neuropsychiatric symptoms, especially in settings of malnutrition, certain drugs or alcoholism.
Research: Schellack N et al. Expert consensus on vitamin B6 therapeutic use. Pharmaceuticals (Basel). 2025;18(1):12090844.; Medlink....
Scurvy & Fragile Blood Vessels
Modern case reports and re-analyses of classic scurvy trials show that vitamin C deficiency causes defective collagen and capillary integrity, with slow recovery of scar strength even after repletion if deficiency is prolonged.
Research: Gandhi M et al. Scurvy: rediscovering a forgotten disease. Clin Case Rep. 2023;11(6):e10296835.; Hujoel PP, Hujoel MLA....
Delayed Wound Healing & Fatigue
Systematic reviews report improved healing of chronic wounds with vitamin C supplementation in deficient or high-need states, supporting the clinical impact of inadequate ascorbate on tissue repair.
Research: Bechara N et al. The role of vitamin C in tissue repair and wound healing: a systematic review. Int Wound J....
Weakened Immune Response
Classic dermatology and immunology literature shows that zinc deficiency causes lymphopenia and reduced immune capacity; more recent work links marginal deficiency to impaired inflammatory and anti-microbial responses.
Research: Fraker PJ et al. The dynamic link between the integrity of the immune system and zinc status. JAMA Dermatol....
Slow Skin & Wound Healing
Experimental and clinical studies demonstrate that zinc deficiency is associated with skin lesions, delayed wound closure and abnormal inflammatory responses, while zinc repletion can improve healing outcomes in selected populations.
Research: Lin PH, Sermersheim M et al. Zinc in wound healing modulation. Nutrients. 2017;9(1):16.; News-Medical. The role of zinc in...
B12-Related Megaloblastic Anemia
Clinical reviews identify vitamin B12 deficiency as a common cause of megaloblastic anemia; hematologic abnormalities often improve with replacement, underscoring the hematopoietic consequences of depletion.
Research: Langan RC, Zawistoski KJ. Update on vitamin B12 deficiency. Am Fam Physician. 2017;96(6):384-389.; Green R. Vitamin B12...
Side Effects
Common side effects of Aubra, some of which may be related to nutrient depletion
Review
Aubra, a combination oral contraceptive pill, can cause side effects such as nausea, headaches, and breast tenderness. Some users may also experience mood changes, weight gain, or spotting between periods. Serious but rare side effects include blood clots, stroke, and hypertension.
Get Support
We've developed a formula to replenish the nutrients depleted by Aubra.
Pure Encapsulations' Vitamin B2 supplement provides 400 mg of riboflavin per capsule to support energy production, cellular function, and overall health, using hypoallergenic, high-quality ingredients.
Pure Encapsulations' Vitamin B12 supplement provides a high-quality, bioavailable form of vitamin B12 to support energy production, neurological function, and overall health.
Pure Encapsulations' Tyrosine supplement provides a high-quality, hypoallergenic source of the amino acid L-tyrosine, which supports neurotransmitter production and cognitive function.
The Zinc supplement by Pure Encapsulations is a dietary supplement designed to support immune function and overall health, featuring highly bioavailable zinc in a hypoallergenic, vegetarian capsule.
Pure Encapsulations' Vitamin B6 supplement provides a high-quality, hypoallergenic source of pyridoxine HCl to support various physiological functions, including amino acid metabolism and nervous system health.
Pure Encapsulations' Vitamin C supplement is a high-quality, hypoallergenic product designed to support immune function, collagen production, and antioxidant protection.
Vitamin E (d-alpha tocopherol) 33 mg; mixed tocopherols 6.6mg (providing d-gamma, d-delta and d-beta tocopherols)
by Life Extension
The Vitamin E supplement by Life Extension is designed to provide antioxidant support and promote overall health by delivering a potent blend of tocopherols and tocotrienols.